Yes, it impacts my activity level. My psoriasis is on my left foot. So, I don't get as much cardio as I would like. I stick with mostly restorative yoga. I miss my regular yoga practice. I am hoping to start exercising again if my biologic starts to work. It is to soon to tell if it is working. I still am limping and my foot is still cracking. It does not look as inflamed, which is a good thing.