Doctor insights on:
Psoriatic Arthritis And Orthopedic Surgery
40/f with oa and psoriatic arthritis. Ice or heat on hands to help with pain? I see a rheumatologist but can an orthopedic surgeon help w/ hands?
Psoriasis is 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
Maybe: Medical treatment can treat the symptoms of psoriatic arthritis, an inflammatory type of arthritis. Your rheumatologist can tell. Once the joint is severely damaged, a total knee can resurface the knee, reduce the pain, and improve the knee function. An orthopedic surgeon can tell if the knee is ready for this. ...Read moreSee 1 more doctor answer
52/f severe left shlder, left arm & neck pain. Have osteoarthritis, rheumatoid & psoriatic arthritis, ankylosing spondylosis & deg disc disease, help!
Many options.: You can go to your PCP, sports medicine doctors, rheumatologist, orthopedic specialists or physical medicine & rehabilitation specialists. Depends on what you are trying to accomplish, each has their strengths and weaknesses in their treatment options or you may need to see a combination of these specialists to treat your issues. ...Read moreSee 2 more doctor answers
Only peds rheumatolo: Psoriasis affect 2-4% of adults, psoriatic arthritis affect 30% of those a 20 month old child with psoriatic arthritis is very rare--arthritis in children are classified into multiple subcategories methotrexate the only commonly used-it slow destruction---enbrel, remicade, Humira has not had enough testing in children only a child rheumatologist can give you best guidance. ...Read moreSee 1 more doctor answer
Can I use methotrexate to treat psoriatic arthritis when I also have gallbladder stones and severe attacks?
Yes, but...: ...Why are you enduring the pain and risk of frequent gallbladder attacks? In the modern era of minimally invasive surgery, the risks are often greater to continue to have gallbladder attacks rather than the risk of surgery. Have you spoken with your primary care physician or rheumatologist about these attacks? ...Read moreSee 2 more doctor answers
Is it safe to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones?
Yes.: Because mtx suppresses the immune system, you would not give it to someone who has an infected gall bladder. Asymptomatic stones without infection or duct obstruction, where surgery is not recommended would be ok. Mtx can cause liver injury (chemocal hepatitis) but it doesn't affect the gall bladder. ...Read more
After using levaquin, my Achilles tendon and knees have started paining suddenly. I have minor psoriasis; i want to rule out psoriatic arthritis. I don't have any swelling and my nails are healthy. What should I do?
Rheumatologist eval: Psoriasis is associated with joint inflammation and tendon problems. Levaquin is associated with tendonopathy particularly of the achilles tendon but other tendons can be involved including the knee but not classically. Rheumatologist specilize in the diagnosis and treatment of the about aided at time by orthopedic surgeons if damage is severe. Diagnosis based on history, labs and clinical judge. ...Read moreSee 2 more doctor answers
How is ankylosing spondylitis differentiated from ddd? Have diagnosis of ddd&psoriatic arthritis. Leg weakness for years. New med for psa has eliminated. As?
One is part of other: As is a inherited condition that results in calcification of the disk spaces throughout the spine. This gives the term "bamboo spine". This is a form of ddd. The leg weakness can come from canal or foraminal stenosis related to this. Ddd is a part of as. Imaging can help with the diagnosis and surgery is the last option. Surgery for ddd with as is more complicated. ...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
An inflammatory arthritis associated with psoriasis. The arthritis can affect a few joints (oligoarticular), many joints (polyarticular), tips of fingers (dip only), the spine (spondylitis) or a severe deforming of hands (arthritis mutilans). Arthritis severity does not ...Read more
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