Beyond Pain: Thriving with Psoriatic Arthritis – Your Success Story Starts Here
Psoriatic Arthritis
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What is psoriatic arthritis?
Psoriatic arthritis is a form of arthritis that is connected to psoriasis, a long-term skin and nail condition. Psoriasis results in red, scale-like rashes and thick, pitted fingernails. The symptoms and joint swelling of psoriatic arthritis are similar to rheumatoid arthritis, but it typically affects fewer joints and does not produce the same antibodies. Psoriatic arthritis presents in five different forms.
- Arthritis that impacts the smaller joints in the fingers, toes, or both areas.
- Arthritis affecting the joints in the hands and feet in an uneven manner.
- Symmetrical polyarthritis, which bears resemblance to rheumatoid arthritis (RA)
- Arthritis mutilans is a seldom-seen form of arthritis that causes severe damage and distortion to the joints.
- Psoriatic spondylitis refers to arthritis affecting the lower back (specifically the sacroiliac joint) and the spine.
What causes psoriatic arthritis?
The exact cause of psoriatic arthritis is unknown to doctors. However, it is believed that factors such as immune system functioning, genetic predisposition, and environmental influences may contribute to its development.
What are the signs of psoriatic arthritis?
Psoriasis symptoms can appear either before or after the arthritis begins. Psoriasis can lead to red, scaly skin rashes and thick, pitted fingernails. Approximately 30-50% of individuals with psoriasis may also develop psoriatic arthritis, which is characterized by certain symptoms.
- Irritated, enlarged, and achy joints, commonly located in the hands and feet.
- Chronic inflammation can result in joints becoming misshapen.
It is important to consult a healthcare professional for an accurate diagnosis, as the symptoms of psoriatic arthritis can be similar to those of other medical conditions
How is psoriatic arthritis diagnosed?
Psoriatic arthritis can be more readily diagnosed if you already have psoriasis as the skin symptoms are a strong indicator. Diagnosis becomes more challenging if you do not have these symptoms. The diagnostic process typically begins with a review of your medical history and a physical examination. Your healthcare provider will inquire about your symptoms and may also recommend blood tests to assess certain markers.
- The Erythrocyte sedimentation rate (ESR or sed rate) is a test that measures the rate at which red blood cells settle at the bottom of a test tube. In the presence of swelling and inflammation, the proteins in the blood clump together and become heavier than usual, causing them to settle faster. The speed at which the blood cells settle indicates the severity of the inflammation.
- Elevated levels of uric acid in the blood may be present in cases of psoriatic arthritis; however, these levels are not utilized in the diagnostic or monitoring processes.
- Various imaging techniques such as X-rays, CT scans, ultrasound, MRI, and skin biopsies can be utilized for diagnostic purposes.
How is psoriatic arthritis treated?
The type of treatment you receive will be based on your specific symptoms, age, overall health, and the seriousness of your condition.
Treatment is provided for both the skin condition and inflammation in the joints. Detecting and treating the condition early can prevent damage to the joints. Medications used to treat psoriatic arthritis may include:
- Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to alleviate symptoms.
- Corticosteroids for inflammation
- If NSAIDs are not effective, immunosuppressive drugs like methotrexate can be used to decrease inflammation.
- Biological medications for reducing inflammation.
- Taking vitamins and minerals like calcium and vitamin D can help to prevent bone deformities and slow down their progression.
Other treatment may include:
- Exercise
- Heat and cold
- Occupational therapy is designed to assist individuals in performing their everyday tasks.
- Physical therapy can improve the function of your muscles and joints.
- Management of psoriasis skin rash
- Splints
- Joint surgery, which involves repairing or replacing a joint that has been damaged, typically becomes necessary several years after the initial diagnosis.
- Ultraviolet light therapy, whether in the form of UVB or PUVA.
What are the potential issues that can arise from having psoriatic arthritis?
Psoriatic arthritis can harm your joints to the extent that it alters your level of physical activity. Inactivity could result in rigid joints and weakened muscles. Additionally, this condition may cause fatigue and anemia. There is a higher chance of experiencing:
- Diabetes
- High blood pressure
- High cholesterol
- Obesity
Living with Psoriatic Arthritis
While there is no definitive cure for psoriatic arthritis, symptoms can be lessened by following a treatment regimen. Pain can be managed through medication, acupuncture, and meditation. Regular exercise such as yoga, swimming, walking, and biking can also help. Working with a physical or occupational therapist can provide recommendations for tools to assist with daily activities.
When should I contact my healthcare provider?
Inform your healthcare provider if your symptoms worsen or if you experience new symptoms.
Key Points about Psoriatic Arthritis
- Psoriatic arthritis is a type of arthritis that presents with a skin rash.
- Psoriasis is a long-lasting condition affecting the skin and nails, characterized by red, scaly rashes and thick, pitted fingernails. The appearance of the rash may precede or follow the onset of arthritis symptoms.
- Psoriatic arthritis results in inflammation, swelling, and pain in the joints, typically affecting the fingers and toes. It can also cause joint deformities.
- Treatment may consist of medications, application of hot and cold therapies, wearing splints, engaging in exercise, undergoing physical therapy, and potentially undergoing surgery.
