Doctor insights on:
Psoriatic Arthritis And Nerve Damage
Bulging neck disk, herniated lb disk, psoriatic arthritis, lordosis, traveling pain, & nerve pain horrible 24/7 in all i do. Finished lifting weights?
Yes to heavy weights: Exercise is an essential part of the treatment of a disk problem. Using light weights and increased repetitions under the supervision of a therapist is ok. You should not be lifting heavy weights. You should also see a rheumatologist if you have psoriatic arthritis. This can be ( there are several forms) a progressive crippling disease which is treatable. ...Read more
A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more
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 moreSee 1 more doctor answer
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, 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
No cure, but remitts: Few people should face significant joint issues, if this most common of rheumatic diseases was diagnosed early and treated with remitting agents once diagnosed. If you have no sx, do you have disease? ...Read more
Depends...: ...On what you do now. Multiple treatments, ranging from oral medications to biologics like enbrel, humira, and stelara, are effective in treating psoriatic arthritis and preventing damage to joints. If you do not address the problem now, your joints will suffer damage in later life and your mobility will be compromised. See a dermatologist skilled in psoriasis treatment asap. ...Read more
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
Neuropraxia is defined as a temporary loss of function of the nerve. Some nerves are purely sensory while others carry both sensory and motor fibers. Traumatic contusion injuries to nerves or nerve compressions can cause Neuropraxia. Sensory nerves like sural nerve in the leg or mixed sensory and motor nerves like the median and ulnar nerves in the forearm & hand ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
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