Treating Psoriatic Arthritis

You need to know about current treatments for the disease.

Psoriatic arthritis is a common chronic joint disease associated with a skin disease called psoriasis. Treatment options for patients have changed significantly over the past decade. To prevent deformation of the joints, each victim must know how to treat psoriatic arthritis. Clinical studies help to understand the true value of NSAIDs for joint arthritis. Widely used biological agents and inhibitors of tumor necrosis factor. The treatment strategy is individual. Gradually, new agents are introduced into the pharmaceutical market to help provide better future prospects for the patient.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Psoriatic arthritis cannot be cured. With the help of drugs, you can prevent acute attacks of arthritis and slow down the progression of the disease. Nonsteroidal anti-inflammatory drugs are an effective treatment for many patients. NSAIDs inhibit pain, relieve swelling and morning stiffness, improve the range of motion of joints in psoriatic arthritis. An incomplete list includes (in parentheses the active substance is indicated):

  • Clinoril (sulindac);
  • Clitoris (piroxicam);
  • Indocin (indomethacin);
  • Mobis (meloxicam);
  • Motrin, Advil (ibuprofen);
  • Doc, Anaprox, Naprelan, Naprosin (naproxen sodium);
  • Relafen (nabumeton);
  • Voltaren, Arthrodoc (diclofenac).

Which NSAIDs can be used will be decided by the doctor, each case is individual and requires a special approach. Acetaminophen and Tylenol can be added to the list of drugs to relieve pain and inflammation. These medicines are available over the counter. Stronger NSAIDs are available with a prescription. Some medicines, when taken in high doses or for a long period of time, cause problems in the gastrointestinal tract, including ulcers and bleeding.

COX-2 and PDE4 inhibitors against inflammation in the joints

As shown by numerous studies, COX-2 inhibitors are less problematic for the stomach than NSAIDs. For example, Celecoxib (Celebrex) is also an NSAID, but another type that has a stronger effect and a lower risk of side effects with psoriatic arthritis. It is available only by prescription. COX-2 inhibitors reduce pain and inflammation with less harm to the stomach, but they cause heart problems. They have many risks, so before using them, you should discuss the drug with your doctor, consider the pros and cons.

A new treatment option for psoriatic arthritis is PDE4 inhibitors. Ampremilast is currently one of the best drugs for this type of arthritis. A new oral agent regulates the complex processes of inflammation inside the immune cell, which leads to the removal of edema and the reduction of pain. The drug inhibits an enzyme known as phosphodiesterase 4, or PDE4. PDE4 controls most of the inflammatory actions in cells that affect the level of inflammation associated with psoriatic arthritis. Ampremilast should be taken continuously to maintain the improvement achieved.

Therapy of the disease with basic anti-inflammatory drugs

NSAIDs are indicated to slow potential joint damage caused by psoriatic arthritis. Unlike NSAIDs, they need more time to take action. Some antirheumatic drugs that reduce pain and inflammation in psoriatic arthritis, but treatment with which causes many side effects:

  • Methotrexate;
  • Sulfasalazine;
  • Cyclosporin;
  • Leflunomide.

Methotrexate is an immunosuppressive medicine approved for the treatment of psoriatic arthritis. It is effective in relieving symptoms and prevents joint destruction. Small doses of methotrexate are generally well tolerated. However, the medicine has a number of side effects, and exaggerating the dose of the drug threatens liver damage. The patient taking methotrexate should carefully follow the doctor’s instructions.

Sulfasalazine, a sulfa drug designed to treat inflammatory bowel diseases, is sometimes used for psoriatic arthritis. The use of the drug is not recommended for patients with porphyria, impaired metabolism, urinary tract diseases. The doctor may require regular blood tests when the patient is on sulfasalazine, which is required to treat psoriatic arthritis. This is necessary to monitor the number of white blood cells and liver enzymes. Possible side effects: nausea, rash, headache, abdominal pain, vomiting, fever, and dizziness.

If these drugs do not bring the desired result, the doctor prescribes biological products. This new type of BPVP. They block protein, causing inflammation in the joints. These biological products include:

  • Adalimumab;
  • Certolizumab;
  • Etanercept;
  • Golimumumab;
  • Infliximab;
  • Ustekinumab.

These drugs are expensive and have side effects (dizziness, nausea, vomiting, abdominal pain). They reduce the response of the immune system to protect the body from an infectious or viral disease.

What is Provailen and how does this remedy work?

Provailen is a powerful homeopathic modulator of the immune system that is used for rheumatoid and psoriatic arthritis. It is a natural remedy developed on herbs, medicinal mushrooms, vitamins and minerals. Benefits:

  • quickly relieves pain;
  • reduces inflammation and swelling;
  • stops the progression of the disease;
  • improves adrenal function.

It also provides quick healing. Due to this, cartilage tissue damaged by psoriatic arthritis is gradually restored. In fact, Provailen is superior to many drugs that actually poison the body and cause many diseases. This remedy has been successfully used against various types of arthritis for many decades, only a few know about it. Provailen returns patients to a full life.

Dietary nutrition for the disease

Diet for psoriatic arthritis plays an important role in reducing the inflammatory process. By adjusting the diet, all manifestations of arthritis can be controlled. Before you radically change your eating habits, consult your doctor. There are 3 approaches to diet:

  1. Weight loss. Researchers found that a high body mass index (BMI) is associated with an increased risk of psoriasis and psoriatic arthritis, as well as an increase in the severity of the disease. Eliminate weight gain foods from your diet.
  2. The use of anti-inflammatory foods. Most people respond positively to dietary changes aimed at combating chronic inflammation. To reduce the inflammatory process, include flax seeds, olive oil, pumpkin seeds, walnuts, low-fat fish, fresh fruits and vegetables (blueberries, mangoes, figs, squash, carrots, cabbage, broccoli), omega-3 fatty acids in the diet.
  3. A gluten-free diet for psoriatic arthritis will significantly improve the patient’s condition. It completely eliminates foods containing a complex protein compound, gluten, from the diet. You can eat rice, corn, poultry, meat, fish, legumes and most dairy products, vegetables and fruits.

According to the National Psoriasis Foundation (NPF), there is little scientific evidence that diet affects symptoms. However, many people claim that refusing certain foods helps to cope with the intensity of arthritis. Avoid fatty red meat, processed foods, refined sugar, nightshade vegetables (tomato, pepper, potatoes), and high-fat dairy products.

Nutrition Tips

Psoriasis arthritis is an inflammatory disease that requires the right approach to treatment and nutrition. Here are some guidelines to follow for this illness:

  1. Eat fish at least twice a week. For example, tuna, mackerel, herring, trout.
  2. Choose lean meat and poultry without skin. Cook them without adding saturated fats or trans fats.
  3. Use low fat dairy products.
  4. Limit foods that contain partially hydrogenated vegetable oils. They contain trans fats.
  5. Limit your drinking.
  6. Limit the number of processed foods and fast food.

In addition, vitamins must be included in the diet. Studies have not shown a direct relationship between vitamins and dietary supplements in psoriatic joint disease. However, doctors note that they help cleanse the skin and relieve pain. Nutritional supplements are sold in capsules, tablets, powders, and liquids. Glucosamine can help in the formation and restoration of cartilage and possibly reduce inflammation. Chondroitin increases the elasticity of cartilage and inhibits its destruction.

Doctors strongly recommend adding vitamin D. The safest source of vitamin D is fish oil, salmon, mackerel, orange juice, eggs, cheese, and fortified cereals.

Treating Psoriatic Arthritis

Psoriatic arthritis occurs in 5-10% of patients with psoriasis. The disease significantly reduces the quality of life of patients and requires close attention of specialists. It is not possible to establish the exact causes of the onset of psoriatic arthritis symptoms. The opinions of experts are mixed. Psoriatic arthritis in psoriasis is considered the strangest form of all existing arthritis.

Most doctors note the psychogenic nature of these diseases. Heredity also plays a role: it has long been observed that the presence of similar pathologies among close relatives dramatically increases the risk of their development in future generations. Often, exacerbation of psoriatic arthritis occurs in response to stress, emotional experiences. This fact is worth paying attention to all people suffering from chronic dermatoses.

For many years, unsuccessfully struggling with pain in the joints.

Read the article where I told HOW I CURE JOINTS using four plants and Soviet technology of the 83rd year

The main causes of exacerbation of psoriatic arthritis

  • Small and large joint injuries. Even minor trauma can provoke inflammation in the joint tissues, especially during a relapse of psoriasis.
  • Alcohol intake. Psoriasis patients are forbidden to drink alcohol. Even a small amount of alcohol can trigger an inflammatory reaction. A healthy lifestyle is a prerequisite for the prevention of relapse of psoriasis and psoriatic arthritis.
  • Infectious diseases. Ingestion of pathogens undermines the immune system. Pathogenic microorganisms secrete toxins that are detrimental to the entire human body, including the immune system. In response to the infectious process, an exacerbation of all chronic diseases often occurs, including psoriasis and joint diseases.
  • Malfunctions of the nervous system. Nervous tension, stress, loss of a loved one almost always lead to an exacerbation of psoriasis and psoriatic arthritis. Moreover, if you do not pay attention to your condition, the disease will begin to affect more and more new joints, and the pain will only intensify.
  • Exacerbation of chronic pathologies. During the relapse of any disease, the course of internal processes changes, which can provoke an unexpected reaction of the immune system and lead to the development of psoriatic arthritis.

Despite the widespread prevalence of psoriasis, with the ability to control the disease and follow medical recommendations, cases of relapse and the risks of developing psoriatic arthritis can be negated. The main thing is not to hesitate with treatment. Only a doctor knows how to treat psoriatic arthritis in a particular patient.

Forms of Psoriatic Arthritis

  • Classical arthritis that affects the interphalangeal joints. Mostly the small joints of the hands and fingers are affected.
  • Symmetric arthritis covers paired joints, in its external manifestations is similar to the course of rheumatoid arthritis.
  • Oligoarthritis with asymmetric joint damage. In this case, the skin over the affected joint acquires a crimson appearance. It occurs with inflammation of the tendons (tendovaginitis).
  • Mutating form. It is characterized by multiple subluxations, shortening of the limbs on the background of aseptic resorption of bone tissue. This form of psoriatic arthritis is difficult and occurs mainly in patients with frequent relapses of psoriasis and severe skin manifestations of the disease.
  • Spondylitis Psoriatic arthritis, proceeding as a spondylitis, is accompanied by damage to the spinal column. It can be combined with inflammation of the joints of the hands and feet.

Regardless of the form of the disease, joint pain always appears with psoriatic arthritis. They can have different intensities. Almost always, pain intensifies at night and at rest. In the morning there is a characteristic stiffness of the joints, which decreases by the middle of the day, along with the expansion of motor activity.

The skin in the area of ​​the affected joint during exacerbation of psoriatic arthritis reddens and heats up. The site of inflammation swells, the occurrence of characteristic deformations of the joint tissues is possible. In severe cases, the development of a malignant form of psoriatic arthritis is not ruled out. In this case, inflammation is localized in the joints of the spine. The condition is accompanied by fever, general exhaustion, polyarthritis with severe pain. There is a malignant lesion not only of the joints and skin, but also of the internal organs and nervous system.

Diagnostics

When the first suspicions of the progression of psoriatic arthritis appear, you must make an appointment with a dermatologist or rheumatologist. It is important to make an accurate diagnosis in order to start treatment in a timely manner. Psoriatic arthritis needs to be differentiated from rheumatoid arthritis. For this, a rheumatoid factor test is performed. Specialists study the blood a few months after the appearance of characteristic signs of the inflammatory process. In the blood of a patient with psoriatic arthritis, an increase in IgA and IgG immunoglobulins, an increase in ESR are detected.

Radiography of the joints is prescribed to patients, and according to the results of the study, specialists can make a preliminary diagnosis. Diagnosis allows to detect a reduction in the joint space, destruction of bone tissue and the appearance of eroded areas of the bone. To clarify the diagnosis, arthroscopy with further diagnostic puncture is possible.

Features of treatment

The treatment of psoriatic arthritis is the responsibility of competent specialists. All folk methods can be considered only as an addition to the main therapy. You can ask your doctor about the symptoms and treatment of psoriatic arthritis. He will explain in detail both the course of the disease and the forecasts for the future.

The disease lasts a long time, and it is impossible to fully recover to eliminate the risk of recurrence. Some patients manage to transfer their illness to the stage of prolonged remission. Relapses in them are extremely rare, but for this it is necessary to strictly observe the recommendations of the treating specialty, take drugs for psoriatic arthritis as soon as the first symptoms of exacerbation occur.

To stop a pain attack and relieve the inflammatory reaction, non-steroidal anti-inflammatory drugs are prescribed. They can not be taken for a long time because of the risk of complications from the digestive tract, liver and kidneys. Muscle relaxants help eliminate joint stiffness. With a pronounced inflammatory process, articular injections are used. They contain painkillers, anti-inflammatory substances, as well as hormones.

Sedatives and immunosuppressants are prescribed if the patient is concerned about an unstable psycho-emotional state. Persistent joint pain does not benefit the human nervous system. As a result, depressive disorders often occur that only exacerbate the patient’s condition and provoke new relapses.

To reduce the frequency of exacerbations, extracorporeal hemocorrection is performed, which includes plasmapheresis, hemosorption and other modern procedures. Their action is aimed at reducing the activity of inflammation and increasing the period of remission, as well as reducing the number of drugs used.

All patients with psoriasis and psoriatic arthritis are recommended moderate UV exposure. Photochemotherapy requires the use of photosensitizers inside and out to increase the sensitivity of the skin to sunlight. The technique has shown high efficiency in most patients with chronic dermatoses. Signs of arthritis usually appear just in the midst of a relapse of psoriasis. Therefore, joint treatment cannot be considered separately from the fight against the underlying disease. Physiotherapy is successfully combined with magnetotherapy, electrophoresis, physiotherapy. Patients are advised to relax several times a year in a sanatorium, where they can take natural ultraviolet baths and treat with climate.

Nutrition for Psoriatic Arthritis

In psoriatic arthritis, the recommendations of experts relate not only to therapeutic treatment, but also to dietary restrictions. Following a diet will reduce the risk of recurrence of the underlying disease. Any food or drink containing alcohol must be excluded. It is also worth sharply limiting pungency, canned food and seasoning.

Do not eat vinegar flavored foods. In the diet should be enough plant fiber. It is found in natural fruits and vegetables. Fiber intensively cleanses the intestines and creates the conditions for maintaining normal microflora and reliable infection protection.

For many years, unsuccessfully struggling with pain in the joints.

Read the article where I told HOW I CURE JOINTS using four plants and Soviet technology of the 83rd year

Prefer healthy foods that do not contain harmful additives and carcinogens. Be sure to consume fermented milk products, do not forget to regularly take complex vitamin preparations. Consult a doctor before purchasing them.

Will traditional medicine help?

Psoriatic arthritis is a chronic disease that requires serious medical attention and ongoing diagnostic monitoring. Without traditional anti-relapse treatment, the risk of patient disability is increased. A common mistake of many patients is to study information about psoriatic arthritis, photos, folk prescriptions on the network, forgetting about medical appointments.

Most of the methods of alternative medicine have a cumulative effect and do not have instant analgesic or anti-inflammatory effects. Therefore, classic treatment cannot be avoided, believing in the miracles of folk recipes.

To reduce signs of inflammation and reduce pain, some people use tincture from the lilac buds. It is carried out by grinding rubbed places. It is recommended that long courses make compresses of fresh aloe juice along with leaves. Plant materials must be applied to the skin in the area of ​​affected joints, carefully fixing the composition with a bandage.

The action of folk recipes is aimed primarily at reducing pain. Remember that local remedies can be used only in the absence of visible skin lesions and they do not protect against joint destruction. If you do not use maintenance therapy, the disease will progress and eventually lead to serious motor restrictions. Only an integrated approach that combines all modern methods of treatment will help to control both psoriasis and psoriatic arthritis, and most importantly, to avoid patient disability in the future.

Psoriatic arthritis: symptoms and treatment

Psoriatic arthritis should be distinguished from other pathologies of the musculoskeletal system, since this disease is considered practically incurable. True, the condition of the patient can be significantly relieved by medicines and folk remedies. The disease affects the joints, but its appearance is inextricably linked with the presence of psoriasis. The disease can occur after skin lesions with psoriasis or simultaneously with it. This disease is considered a combination of the other two: psoriasis and rheumatoid arthritis.

Fortunately, there are not many cases of this type of arthritis. If a patient is diagnosed with psoriasis, then this does not mean that one should definitely expect a new malaise – psoriatic arthritis. But malnutrition and weak immunity can provoke its development. Also at risk are people with a genetic predisposition.

Causes of Psoriatic Arthritis

During the disease, chemical and biological processes throughout the body are disturbed. These changes lead to the appearance of foci of inflammation in the articular membrane and in the bones. The vessels in this case become deformed.

According to experts, the leading cause of arthritis is a violation of the psychosomatic state of the patient. Any pathology associated with the work of the nervous system and psyche can affect the formation of such a serious disease.

Psoriatic arthritis can be triggered by:

  • stress and nervous disorders;
  • infectious diseases;
  • bruises and traumatic damage to the joints;
  • malfunctions of metabolic processes in the body;
  • surgical interventions;
  • damage to the connective tissue;
  • endocrine system diseases;
  • excessive alcohol consumption and nicotine addiction;
  • hormonal disorders.

What symptoms indicate the presence of psoriatic arthritis?

The joints can become inflamed at the same time as the usual skin symptoms of psoriasis manifest. But sometimes inflammation in the joints can manifest itself only after a very large period of time after skin damage.

The following symptoms indicate arthritis:

  • psoriatic lesion of nails and skin;
  • movements cause increased pain;
  • joint swelling is pronounced;
  • joint pains are asymmetric;
  • there are signs of myalgia (muscle pain);
  • the spinal column is affected;
  • sausage-like fingers and a feeling of “looseness”;
  • skin temperature is increased, and the affected area acquires a bluish tint;
  • tendon inflammation will join.

The very first symptoms of this disease are stiff joints and swelling. They take place, as a rule, in the morning hours. In addition, the spine is affected, which leads to pain in the lungs and heart. Inflammation of the cornea is also possible.

When the disease becomes severe, then the fingers of both the upper and lower extremities become swollen, shortened, disfigured and bent.

The patient loses weight, his internal organs are affected and ulcers occur. Thus, completely lost performance. If hepatitis or glomerulonephritis is added to this condition, the patient may not survive. Therefore, the first symptoms of psoriatic arthritis should prompt the patient to immediately seek qualified help.

Since there are diseases with similar symptoms, additional diagnosis will be required. Psoriatic arthritis may be similar to rheumatoid arthritis, Reiter’s disease, gout, Ankylosing spondylitis and osteoarthritis.

Forms of Psoriatic Arthritis

Five conventional forms of this arthritis are clinically distinguished, depending on the leading symptoms. This division is used for the optimal selection of drug therapy against the disease.

  1. The symmetrical form is characterized by damage to the paired joints. The course of such a disease is progressive, the severity can be different. The clinical picture is similar to rheumatoid arthritis. 50% leads to disability.
  2. The asymmetric form is characterized by damage to joints of various sizes and localization at the same time. Paired joints with this form, as a rule, are not damaged.
  3. The interphalangeal distal form is characterized by damage to the extreme (distal) small joints of the fingers of the foot and hand. Perhaps involvement in the pathological process and nail plates. It is found in males, but rather rarely.
  4. The spondylosis form (spondylitis) is distinguished by damage to the joints of the spinal column, as well as cartilage of the arms and legs. Most often, this form of the disease is manifested by impaired mobility in the cervical spine and lumbosacral, which is accompanied by their inflammation.
  5. The mutating form is characterized by the destruction of the joints of the limbs with their deformation and impaired motor ability (up to loss). The spine may also be affected. This form is considered the most severe, leading to disability.

Interphalangeal distal form of the disease

What should be the medical treatment

Although psoriasis can be successfully treated, psoriatic arthritis cannot be completely cured. How to treat psoriatic arthritis so that its symptoms appear as rarely as possible?

First of all, treatment should be aimed at eliminating the skin signs of psoriasis so that arthritis does not worsen. This is done with the help of various ointments and creams with regenerating properties. After them, the affected areas are perfectly restored.

To alleviate the symptoms of psoriatic arthritis, a patient is prescribed treatment with:

  • chondoprotectors, the action of which is aimed at restoring cartilage tissue (hyaluronic acid, diacerein, chondroitin sulfate);
  • drugs that improve microcirculation;
  • medicines with the ability to eliminate inflammatory processes (NSAIDs: diclofenac, ibuprofen);
  • immunomodulatory agents;
  • hormone therapy (prednisone, dexamethasone).

Drug treatment is carried out under the supervision of a doctor

It is important to remember that treating arthritis with medication without the knowledge of a doctor is very dangerous because there is a risk of disability.

Therapy is aimed at eliminating the symptoms of inflammation in the joint, restoring its mobility and stopping the destruction processes. In some cases, the introduction of drugs into the joint cavity by injection is used. Severe forms of the disease can be treated using the method of blood purification – plasmapheresis, which helps to eliminate the manifestations of the disease.

Physiotherapy exercises and diet

Great importance in the fight against psoriatic arthritis is given to therapeutic exercises. During the treatment period, 10 sessions of classes in a medical institution are prescribed, then a daily warm-up and increased activity of the patient’s lifestyle are recommended. Physical therapy allows you to:

  • to develop diseased joints, while maintaining their mobility;
  • control weight, reducing the load on damaged areas of the skeleton;
  • reduce the frequency of exacerbations and the risk of complications.

Pay attention to your doctor’s dietary recommendations.

It is worth paying attention to dietary recommendations for a patient with psoriatic arthritis. It is important for the patient to eat more vegetables, herbs, fruits, dairy products, poultry. It is not recommended to include fatty, fried, canned and heavy dishes, as well as sauces, beans, spices, sorrel in the diet. If the patient does not deal with his diet, the course of the disease can be significantly exacerbated. The doctor will help coordinate the diet, after conducting appropriate tests.

How is treatment with folk remedies

In the fight against the disease, attention should be paid not only to conservative methods. Why not use funds that are considered popular? It will not be difficult at home to prepare baths and lotions from medicinal herbs. Basically they are made from burdock, chamomile and aloe. Many speak positively about such funds, the main thing is that the disease should not be neglected.

Chamomile treatment will help neutralize inflammation. Chamomile broth is suitable both for lotions and for internal use. However, one must observe the measure, otherwise the case will result in an upset stomach.

Chamomile treatment helps neutralize inflammation

Cut along the leaf of aloe is applied to the affected area in the form of lotions. As a result, the inflammation is removed, and the cartilage tissue ceases to collapse.

Doctors often advise their patients to supplement drug treatment of the disease with folk remedies. Such treatment at home has a positive effect on the well-being of patients and helps them to keep fit.

What folk remedies effectively relieve symptoms?

There are many alternative ways to get rid of pain and inflammatory processes in the joints. You can use the following folk recipes:

  1. Grind thoroughly washed fresh roots of burdock, and then pour vodka in the container. In this case, the grass should be covered with three centimeter vodka. Next, the solution should be infused for three weeks, somewhere in a dark place. The contents must be shaken periodically. Tincture is useful for rubbing affected joints.
  2. In psoriatic arthritis, herbs with diuretic properties will be beneficial. For example, a watermelon peel, which is brought to a powder state before use, infusions of rose hips and parsley.
  3. A remedy is also prepared from acorns, which are previously crushed and boiled. Joints need to be treated with a mixture from the outside and do not wipe for a long time.

Folk remedies in the treatment of the disease

People who are familiar with the power of herbs are not in vain using folk remedies. After all, such drugs can increase the effectiveness of the traditional treatment of psoriatic arthritis and accelerate the elimination of unpleasant symptoms. The main thing is to approach treatment wisely and not rely only on folk remedies.

Psoriatic arthritis: effective drugs and folk remedies

Causes

Psoriasis arthritis is a complication of psoriasis, occurs in 10-30% of patients with such an autoimmune skin disease. Joint inflammation is an abnormal reaction of the immune system. The first signs of skin disease appear much earlier than the symptoms of arthritis.

What factors increase the risk?

In the appearance of psoriatic arthritis, an important role is assigned to such factors:

  • Psoriasis. Arthritis is closely associated with this skin disease. The most susceptible to inflammation of the joints are people who have manifestations of psoriasis on the nails.
  • Age. The risk group includes patients aged 30 to 50 years.
  • Наследственность.

An injury or infection can provoke the appearance of the disease.

Symptoms

The disease is manifested by exacerbations and remission. Symptoms are similar to rheumatoid arthritis. Joints in one or both halves of the body may be affected.

Symptoms of psoriatic arthritis:

  • dull pain in the affected joint;
  • stiffness, especially in the morning;
  • redness and swelling;
  • fever of the skin, a feeling of heat in the affected area;
  • muscle pain, which intensifies during movement;
  • discoloration of the skin of the limbs.

The first most often affected fingers and toes. They blush, swell, pain is felt. Symptoms of joint inflammation are accompanied by psoriatic plaques and acne.

Which doctor treats psoriatic arthritis?

At the first manifestations of the disease, it is worth visiting a rheumatologist. The patient should also be observed by a dermatologist or dermatovenerologist.

Diagnostics

The diagnosis of psoriatic polyarthritis is made by a rheumatologist after the examination. The doctor conducts a visual examination, palpates the joints for swelling or soreness.

To properly diagnose the disease, you need an additional examination. First of all, the doctor excludes the possibility of rheumatoid arthritis. Also, pathology is differentiated with osteoarthritis, Reiter or Ankylosing spondylitis, gout.

Diagnosis of psoriatic arthritis involves the following methods:

  • general blood analysis;
  • joint fluid analysis;
  • rheumatoid factor analysis;
  • x-rays of joints;
  • Ultrasound;
  • MRI.

On an x-ray, destruction of bone tissue, subluxation of small joints can be detected.

Treatment

The prognosis for recovery largely depends on the timeliness of diagnosis and treatment. Therapy is aimed at eliminating the joint syndrome and psoriatic skin manifestations.

The treatment is complex. Includes medications, physiotherapy, exercise therapy. The correct lifestyle and diet are important.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Medicines

Drug treatment involves the use of such funds:

  • NSAIDs. These are Diclofenac, Indomethacin, Piroxicam, Celecoxib. Therapy with these drugs is long.
  • Modifying anti-inflammatory drugs. Methotrexate has a good effect in psoriatic arthritis. The result is visible after several weeks of treatment.
  • Glucocorticoids. Medications are injected into the joint capsule. Kenalog or Hydrocortisone is used.
  • Cytostatics. Suitable azathioprine, cyclophosphamide.
  • Sedatives. This is Menovalen, Novo-Passit.
  • TNF-alpha inhibitors. Golimumab and Etanercept belong to them.

To eliminate psoriatic manifestations, hormonal ointments will be needed.

Together with medications, it is worth visiting an ultrasound, making applications with paraffin, and using plasmapheresis.

Surgery

The only way to surgical treatment of the affected joint is endoprosthetics. Metal prostheses are placed only with severe damage to the articular joint.

Folk methods

Treatment of psoriatic arthritis folk remedies:

  • juice, broth or tincture from celery roots;
  • hot pepper-based cream;
  • extract or ointment from a plant
  • aloe vera extract;
  • fish fat;
  • turmeric (not more than 1,5-2 g per day).

Folk remedies must be used for at least a month.

Lifestyle & Diet

It is important to lead a healthy lifestyle, do exercises every day, develop joints. To reduce the load on the joints, it is necessary to maintain a normal weight.

A diet for psoriatic arthritis is the key to the well-being of the patient. Its main goal is to maintain an optimal acid-base balance. Alkali-forming foods should occupy up to 70% of the diet. These are vegetables and fruits, as well as freshly squeezed juices.

Every day you need to drink up to 2 liters of mineral alkaline water, for example, Borjomi.

Boiled fish, poultry meat, cereals, skim milk, cheese, cottage cheese, vegetable and butter should occupy 30% of the diet.

Nutrition for psoriatic arthritis should be balanced. You can not overeat, you need to eat 5-6 times a day in small portions. Fried, greasy and spicy foods should be discarded. You can not drink alcohol and smoke, you should limit the intake of sugar and salt.

The list of prohibited fruits and vegetables includes plum, strawberries, strawberries, currants, cranberries, tomatoes, peppers, and eggplant. It is also worth excluding saturated fish and meat broths, beef, pork, seafood, caviar and fish (except fresh and boiled) from the diet.

Complications

With psoriatic arthritis of the joints, tendons, cartilage, mucous membranes of the eye, pleura and even the aorta can become inflamed. The consequences are:

  • dactylitis – inflammation of the fingers and toes;
  • conjunctivitis or uevit;
  • osteolysis – destruction of bone tissue;
  • spondylitis – inflammation of the articular joints between the vertebrae;
  • destruction and deformation of joints;
  • limitation of mobility;
  • mutating arthritis – a disease in which small bones are destroyed and the phalanges of the fingers are deformed;
  • cardiovascular diseases.

If psoriatic arthritis is diagnosed, is disability given or not? Yes, the patient can get a group. Psoriatic polyarthritis is an incurable disease. The disease can develop slowly or manifest itself suddenly with acute symptoms.

In the absence of therapy, serious complications are possible, including disability due to joint deformation. If the exacerbation lasts more than 4 months or the entire period of disability is 5 months per year, then the patient can apply for disability. The patient is assigned group III, with a severe course of the disease with impaired joint function – II or I.

Prevention

It is problematic to treat psoriatic polyarthritis, therefore it is easier to prevent its occurrence. The following recommendations must be observed:

  • reduce stress on the joints, especially on the fingers and toes;
  • give up hard physical work;
  • monitor weight, prevent obesity;
  • perform exercise therapy exercises, go swimming;
  • avoid hypothermia;
  • to refuse from bad habits;
  • observe the regime of work and rest.

Adhere to the advice necessary for patients with psoriasis and people who have patients with psoriatic arthritis in the family.

It is impossible to predict the forecast. The patient’s condition depends on the severity and frequency of the onset of exacerbations, as well as the timeliness of therapy.

Shishkevich Vladimir

Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews. It specializes in the treatment of diseases in orthopedic, traumatological, vertebrological profiles

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