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Doctor insights on: Psoriatic Arthritis

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What is the best way to ease the pain of psoriatic arthritis?

What is the best way to ease the pain of psoriatic arthritis?

Treat psoriasis: Treating the psoriasis usually will help the inflammatory portion of the psoriatic arthritis. If you are still having trouble with the arthritis, there are many options for medicines that can decrease your body's inflammatory response which then will give you relief. See your doctor, and if you aren't getting adequate relief, consider a rheumatology consult. ...Read more

Dr. Thomas Namey
2,422 Doctors shared insights

Arthritis (Definition)

A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


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Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Yes, but...: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends continued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more

Dr. Glynis Ablon Dr. Ablon
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Psoriatic arthritis (Tip)

If you have psoriasis, it doesn't mean you will get psoriatic arthritis. ...See more

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Living with Psoriatic Arthritis (Checklist)

Maintain contact with your rheumatologist to guide your treatment
Once
Maintain a healthy lifestyle
Once
Go to the National Psoriasis Foundation for more support
Once
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What are common signs of psoriatic arthritis?

What are common signs of psoriatic arthritis?

PsA: Tender, swollen and/or stiff joints
red, itchy, flaky skin
swollen and tender entheses (where muscle or ligament attaches to bone)
pain and stiffness in the back and neck
nail changes—for example, a nail that separates from the nail bed and/or becomes pitted and discolored
morning stiffness
general fatigue
a reduced range of motion. ...Read more

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How does a dr diagnose psoriatic arthritis?

How does a dr diagnose psoriatic arthritis?

Psoriatic arthritis: The combination of psoriasis and arthritis on examination would indicate psoriatic arthritis. There is no blood test for it. In addition, arthritis with a family history of psoriasis could mean psoriatic arthritis. ...Read more

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Psoriatic arthritis (Tip)

When stressed, the body emits chemicals that increase inflammation and pain, making symptoms worse. ...See more

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Living with Psoriasis (Checklist)

Ask your doctor if you're a candidate for UV light therapy
Once
Review your medications with your doctor to verify that none are making your psoriasis worse
Once
Apply sunscreen liberally
Daily
Quit smoking if you smoke, as tobacco can cause psoriasis flares
Once
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Is it possible to have psoriatic arthritis and test negative for arthritis?

Is it possible to have psoriatic arthritis and test negative for arthritis?

Psoriatic arthritis: Hi Sharon, Psoriatic arthritis is under the umbrella of spondylo-arthritis. This group of arthritis has a genetic test for Human Leukocyte Antigen B27 (HLA B27). A positive test means HLA-B27 is present. About 50% of patients with psoriatic arthritis test positive for HLA B27, therefore a negative test does not exclude the diagnosis. I hope that is helpful. Thank you, Nisha ...Read more

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What are the tests for psoriatic arthritis?

What are the tests for psoriatic arthritis?

Auto-immune tests: Many forms of arthritis, are auto-immune disorders, where the body mistakenly form antibodies against it's own cells or parts of the cell, such as the nucleus (ana=anton-nuclear antibody). There are now many very specific antibodies that can be measured that could suggest or clinch the diagnosis of a particular arthritis or autoimmune disease, including psoriasis. ...Read more

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Psoriatic arthritis (Tip)

It can be treated successfully almost always. See a rheumatology specialist! ...See more

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Living with Degenerative Arthritis (Checklist)

Lose weight
once
Engage in regular, low-impact cardiovascular exercise
daily
daily
Take a Glucosamine Chondroitin supplement
daily
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What happens to your body when you have psoriatic arthritis?

What happens to your body when you have psoriatic arthritis?

Erosion: The tissue inpsoriatic arthritis can erode bone moderately rapidly and cause not only soft tissue swelling and pain and tenderness, but can cause the bones to shorten and the joints to becomeless useful and even fused. ...Read more

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Can alcohol cause psoriatic arthritis to flair?

Can alcohol cause psoriatic arthritis to flair?

Sometimes: There needs to be more research but there is evidence showing that those who drink alcohol regularly have a greater risk of psoriasis, and many who have psoriasis & psoriatic arthritis note that their symptoms flare with alcohol use and improve when they avoid it; but this likely is not true for everyone who has psoriasis. See http://www. Medpagetoday. Com/dermatology/psoriasis/23999. ...Read more

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Psoriatic arthritis (Tip)

If it is treated appropriately, you should be pain free and not have to live with it. ...See more

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Living with Rheumatoid Arthritis (Checklist)

Ask your doctor to adjust your medication if you experience breakthrough flares
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Learn to differentiate osteoarthritis pain from a rheumatoid flare
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Take medications as prescribed
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What can I do to treat psoriatic arthritis?

What can I do to treat psoriatic arthritis?

See your doctor.: A rheumatology referral may be necessary, but a nsaid, with sulfasalazine and Methotrexate given once weekly are my first treatments. The biologics work (enbrel, humira, (adalimumab) remicade) work, but are quite expensive, not generic, require prior authorization, and almost always require prior Methotrexate therapy. Leflunomide, azothioprine, and Cyclosporine are options, given by someone in rheumatology! ...Read more

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I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?

I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! Is that possible?

Yes: It is fairly common for someone with one autoimmune disease to concurrently have one or two other autoimmune diseases. I have seen patients with hypothyroidism, psoriasis and sjogren's. This combo may not be so rare. ...Read more

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How effective is infliximab in treating psoriatic arthritis?

How effective is infliximab in treating psoriatic arthritis?

Quite effective!: Infliximab is quite effective in treating both psoriasis and psoriatic arthritis, but it is not and should be not a first line therapy. ...Read more

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What is treatment for psoriatic arthritis?

What is treatment for psoriatic arthritis?

Many good options: There are highly effective treatments. Often, we now use biologic medications, like Enbrel, Humira, Remicade, Simponi, Cimzia or Stelara (ustekinumab). These are injected. Some are pills such as methotrexate. Recently a new pill was approved called Otezla. A rheumatologist is experienced in treating psoriatic arthritis and can help. ...Read more

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What are the treatment methods for psoriatic arthritis?

What are the treatment methods for psoriatic arthritis?

Biologics-last Rx!: Most patients do not need biologics, which should be reserved for the most severe cases. Sulfasalazine, co-adminstered with mtx is a good option, and very inexpensive. ...Read more

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What can be done to cure psoriatic arthritis?

Psoriatic Arthritis: There are multiple treatments for psoriatic arthritis to control symptoms. It has also been associated with higher rates in smokers. Stop smoking if you do and see a rheumatologist for discussion of the best treatment for you. ...Read more

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Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

Most patients need a: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends coniued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more

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Meningioma, enchondroma, psoriatic arthritis & ankolysing spondylitis. Could any of these be caused by being on Prilosec or prevacid (lansoprazole) for 15 years?

Meningioma, enchondroma, psoriatic arthritis & ankolysing spondylitis. Could any of these be caused by being on Prilosec or prevacid (lansoprazole) for 15 years?

Prilosec effects?: Prilosec and Prevacid (lansoprazole) are proton pump inhibitors that reduce stomach acid production. They are used to treat heartburn, stomach inflammation and ulcers. Recently there have been some reports that long term usage could increase the risk of osteoporosis (decreased bone density). I am not familiar with the drug causing any of the problems you have, however. ...Read more

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Mom diagnosis c hoshimotos/psoriatic arthritis/viral hepatitis/ acute myeloid leukemia. What is my risk of autoimmune disease/leukemia? My children's risk?

Mom diagnosis c hoshimotos/psoriatic arthritis/viral hepatitis/ acute myeloid leukemia. What is my risk of autoimmune disease/leukemia? My children's risk?

Altered Runx-1 gene: Seems to be implicated in changing the susceptibilty to autoimmune disease and leukemia but is only 1 part of the puzzle and there appears to be other factors as well, so even if you get tested to see if you have the genetic alteration, that in itself does not mean you will get the diseases. I recommend a healthy life style with regular health exams. ...Read more

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Is water therapy effective in preventing psoriatic arthritis?

Is water therapy effective in preventing psoriatic arthritis?

Does not prevent: Water therapy is a treatment for all types of arthritis but is not a cure. Also with psoriatic arthritis, I would be careful with water therapy. The water may have the potential to irritate the psoriasis. Talk to your dermatologist about this. ...Read more

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What is psoriatic arthritis?

What is psoriatic arthritis?

Common!: Perphaps 20-30% of psoriasis patients develop arthritis. So having a strong family history for both psoriasis and arthritis are very important rheumatology questions to ask! I believe it is more common than rheumatoid arthritis. This is true in my practice. Over halp of my patients with psoriatic arthritis do not know they have it, until a thorough investigation for hidden spots identifies it! ...Read more

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How do you cure psoriatic arthritis?

How do you cure psoriatic arthritis?

No cure.: However, virtually completely remmitable. Old drugs, sulfasalazine, steroids, cyclophosphamide, and the new tnf-alpha inhibitors-enbrel, humira, (adalimumab) reimicade can work exceedingly well. The treatments usually improve the psoriasis as well. ...Read more

Dr. Thomas Namey
1,030 Doctors shared insights

Psoriasis (Definition)

An autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more


Dr. Robert Lowe
1,555 Doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more