Elite Rheumatology and Arthritis Center, operates under the legal business name Sunshine Specialty Healthcare LLC
Operates under the legal business name Sunshine Specialty Healthcare LLC
Arthritis Comparison Chart

Elite Rheumatology and Arthritis Center
Dr. Sumalatha Nandikonda, MD
1727 Orlando Central Pkwy, Orlando, FL 32809
Phone/Text: 407-888-5980
Fax: 4078882492
“Please note that Elite Rheumatology and Arthritis Center operates under the legal business name Sunshine Specialty Healthcare LLC”.
Arthritis Comparison Chart
Feature
Cause
Joint
Involvement
Skin
Involvement
Nail Changes
Morning
Stiffness
Swelling &
Redness
Age of onset
Treatment
Psoriatic Arthritis (PsA)
Autoimmune, often linked to psoriasis
Asymmetrical or symmetrical; fingers, toes, spine, knees
Often present (psoriasis)
Common (pitting, separation)
> 30 minutes
Yes, often with dactylitis ("sausage digits")
30–50 years (varies)
NSAIDs, DMARDs, biologics
Rheumatoid Arthritis (RA)
Autoimmune, immune system attacks joints
Symmetrical; small joints (hands, feet)
No skin involvement
Rare
> 30 minutes
Yes, with joint tenderness
30–60 years
NSAIDs, DMARDs, biologics
Osteoarthritis (OA)
Wear-and-tear of cartilage over time
Often weight-bearing joints (knees, hips, spine)
No skin involvement
No nail changes
Usually < 30 minutes
May have swelling, less redness
After age 50
Pain relievers, exercise, joint support
For more information or to schedule an appointment, contact us

Elite Rheumatology and Arthritis Center
Dr. Sumalatha Nandikonda, MD
1727 Orlando Central Pkwy, Orlando, FL 32809
Phone/Text: 407-888-5980
Fax: 4078882492
“Please note that Elite Rheumatology and Arthritis Center operates under the legal business name
Sunshine Specialty Healthcare LLC”
Arthritis Comparison Chart
Dr. Sumalatha Nandikonda brings extensive experience in treating a wide range of rheumatologic conditions. At Elite Rheumatology and Arthritis Center, we are committed to delivering comprehensive, compassionate care tailored to each patient’s needs.
For educational purposes, we have listed a few of the common conditions we treat on our website.If you don’t see your condition listed, please contact us directly—we’re happy to discuss how we can help.
Please note that Elite Rheumatology and Arthritis Center operates under the legal business name Sunshine Specialty Healthcare LLC.
Dr. Nandikonda brings a wealth of clinical experience, having worked as a hospitalist for eight years, followed by three years in a rheumatology clinic. To further enhance her expertise, she pursued a two-year fellowship under Top rheumatologists in Orlando, Florida. After completing her advanced training, Dr. Nandikonda founded Elite Rheumatology and Arthritis Center with the mission of providing high-quality, compassionate rheumatologic care to the Orlando and Central Florida community.”
CAUSE
Psoriatic Arthritis (PsA):
Autoimmune, often linked to psoriasis
Rheumatoid Arthritis (RA):
Autoimmune, immune system attacks joints
Osteoarthritis (OA):
Wear-and-tear of cartilage over time
JOINT INVOLVEMENT
Psoriatic Arthritis (PsA):
Asymmetrical or symmetrical; fingers, toes, spine, knees
Rheumatoid Arthritis (RA):
Symmetrical; small joints (hands, feet)
Osteoarthritis (OA):
Often weight-bearing joints (knees, hips, spine)
SKIN INVOLVEMENT
Psoriatic Arthritis (PsA):
Often present (psoriasis)
Rheumatoid Arthritis (RA):
No skin involvement
Osteoarthritis (OA):
No skin involvement
NAIL CHANGES
Psoriatic Arthritis (PsA):
Common (pitting, separation)
Rheumatoid Arthritis (RA):
Rare
Osteoarthritis (OA):
No nail changes
SWELLING & REDNESS
Psoriatic Arthritis (PsA):
Yes, often with dactylitis ("sausage digits")
Rheumatoid Arthritis (RA):
Yes, with joint tenderness
Osteoarthritis (OA):
May have swelling, less redness
MORNING STIFFNESS
Psoriatic Arthritis (PsA):
> 30 minutes
Rheumatoid Arthritis (RA):
> 30 minutes
Osteoarthritis (OA):
Usually < 30 minutes
TREATMENT
Psoriatic Arthritis (PsA):
NSAIDs, DMARDs, biologics
Rheumatoid Arthritis (RA):
NSAIDs, DMARDs, biologics
Osteoarthritis (OA):
Pain relievers, exercise, joint support
AGE OF ONSET
Psoriatic Arthritis (PsA):
30–50 years (varies)
Rheumatoid Arthritis (RA):
30–60 years
Osteoarthritis (OA):
After age 50