The development of arthritis is promoted not only by processes directly affecting the joints - degenerative diseases, injuries, congenital dysplasia, hereditary predisposition, surgery, etc.:
There are countless reasons, as they say... But not everyone knows that there is another type of arthritis - psoriatic.
The connection of this inflammatory joint disease to dermatosis is obvious from the name, as is the fact that treatment should be aimed at eradicating psoriasis.
Due to the fact that the etiology of psoriasis itself is controversial, psoriatic arthritis is one of the most mysterious, incomprehensible and intractable diseases.
Psoriasis is not an infectious disease; there are two main concepts of this disease.
Viral factors in the pathology are also suspected, but they have not been proven.
The immune concept is supported by the fact that psoriasis responds well to treatment with drugs that suppress the immune system - immunosuppressants.
For this reason, psoriatic arthritis most closely resembles rheumatoid arthritis. It is also a chronic and virtually incurable disease.
Can trigger psoriatic arthritis
Any disease that occurs against the background of a chronic disease is intercurrent, that is, it accelerates the underlying disease.
Psoriatic arthritis usually follows psoriasis, but in some cases it can be the other way around:
First there are inflammatory symptoms in the joints, and then dermatic ones.
10 to 15% of psoriasis patients develop psoriatic arthritis.
Psoriasis is a dermatosis that cannot be confused with anything:
In the photo on the right is a patient with psoriasis.
The disease causes a lot of physical and moral torment:
In addition to itching and discomfort associated with vigorous activity, wearing clothes, and self-care, depression, social phobia, and self-doubt also manifest themselves.
Psoriasis is fraught with complications such as:
When the patient becomes completely bedridden, the life prognosis sharply worsens: bedsores or pneumonia bring a tragic end closer
Other distinctive symptoms:
Diagnosis and treatment of psoriatic arthritis are carried out by a rheumatologist. Treatment of PA can be symptomatic and basic.
When taking both NSAIDs and GCSPs, you need to be careful and protect the gastric mucosa with protectors.
Long-term use of steroids can lead to joint deterioration.
The use of certain drugs that regulate immune activity leads to decreased immunity and an inability to resist simple viral infections.
Treatment of psoriatic arthritis is often toxic, so it is necessary to choose the least harmful and at the same time effective method.
Due to cognitive behavioral disorders, patients with psoriasis need serious psychotherapy:
When choosing antidepressants for psoriasis, you need to be very careful, since some of them, for example, serotonergic ones, aggravate the disease.
Many people are interested in how to treat psoriatic arthritis at home. Of course, it is impossible to cure such a complex disease solely at home. The main therapy is complex and is carried out in a clinic.
Psoriasis is prone to attacks, but it can also recede for a long time. It is good during such retreats (remissions) not to sit idly by, but to continue and even intensify the fight against the disease.
Psoriatic arthritis is a chronic inflammatory joint disease associated with psoriasis, a chronic skin disease characterized by thickening and red patches covered with thick, white, silvery scales. These spots appear mainly on the scalp, knees and elbows. Not everyone with psoriasis develops psoriatic arthritis. The mechanisms of the disease are not known. It is believed that it is based on a genetically determined failure in the immune system, which develops into a disease under the influence of various environmental factors (for example, trauma, stress, infection). The onset of psoriatic arthritis most often occurs between the ages of 25 and 55 years.
General manifestations:
A rheumatologist will help in treating the disease
Arthrosis, psoriatic arthropathy, or psoriatic arthritis, is a disease of a psychosomatic nature that simultaneously combines the symptoms of rheumatoid arthritis and psoriasis, which mainly affects people from 30 to fifty years of age.
According to the established international classification of diseases, psoriatic arthritis ICD 10 has code L40.5:
Arthrosis is a complication of psoriasis, affecting not only the skin, but also the joints.
According to statistics, arthropathic psoriasis is diagnosed in approximately seven percent of psoriasis patients (both men and women). Moreover, 40% of cases occur in those suffering from severe psoriasis.
Since the mechanisms that trigger autoimmune mechanisms have not yet been clarified, this pathology is practically incurable.
In many cases, especially with delayed treatment, the process leads to serious deformation of bone joints, and ultimately to complete disability.
Therefore, disability for psoriatic arthritis is prescribed in the case of:
If these circumstances exist, the patient, upon his application, is assigned a medical and social examination that establishes a disability group.
Accurate diagnosis of psoriatic arthropathy is based on analysis of symptoms and special diagnostic research methods.
It is important to know! To make a diagnosis, two medical specialists are involved in examining the patient: a dermatologist and a rheumatologist.
In very rare cases, pathology occurs acutely and suddenly. But, as a rule, the initial stage of joint damage lasts a long time (years) and is asymptomatic, or with mild symptoms.
In the future, with the worsening of the disease process, the symptoms increase, expressed as:
It is important to know! The patient may have one type of pathology manifestation, or several at once.
With this type of disease, the joints of the fingers and toes are destroyed, most often the thumb, which in case of complications greatly increases in size.
Initially, a person begins to feel pain in the toe or heel area. Moreover, pain occurs at night and in the morning, as well as when the patient is in an inactive state.
Subsequently, the pain is accompanied by symptoms such as:
If psoriatic arthritis is suspected, based on the patient’s complaints and external symptoms, special laboratory instrumental tests are prescribed, such as:
It is important to know! X-rays show the absence of periarticular osteoporosis, which is an important indicator of the disease when diagnosing it.
The reasons leading to this pathology have not yet been reliably established. Presumably, family (genetic) predisposition plays a role: in 30% of cases these are patients who have relatives who also suffer from psoriatic arthritis.
According to another version, arthropathic psoriasis appears as a result of nervous overload and constant stressful situations: it really most often affects people, especially women, who are in this risk group.
With a predisposition to psoriasis, each mental shock inevitably damages nerve cells, as a result of which healthy joints begin to be affected.
In addition, there are several other provoking factors for this disease:
The adequacy of complex treatment of psoriatic arthritis is always based on the identified symptoms of the disease, so there is no universal remedy.
Due to the fact that the pathology is a consequence of complications of psoriasis, treatment is aimed at reducing the manifestation of the underlying causes in order to prevent the progression of the disease process.
In addition to leveling the symptoms of psoriasis (this disease cannot be completely cured), the patient is prescribed therapeutic measures aimed at relieving the signs of arthritis.
Thus, a course of drug therapy gives good results:
Patients are often prescribed new generation NSAIDs that have a gentler effect on the body:
It is important to know! Non-steroidal drugs, despite their effectiveness, are not recommended for long-term use to avoid worsening metabolism.
It is worth noting that glucocorticoids are prescribed in cases of serious joint damage, when other medications are practically powerless:
These drugs, due to serious side effects, are not used in the form of tablets - only locally, in the form of injections into the area of the diseased bone joint.
In addition to hormonal injections externally, at home, various special ointments are used to reduce inflammation.
Arava ointment is considered the most popular:
The use of the antimicrobial antiseptic Sulfasalazine is no less effective.
It is important to know! All local remedies, as well as medicinal medications, must be used strictly following the instructions.
This is a special group of drugs that suppress at the molecular level the formation of protein substances in the body, the so-called tumor necrosis factors, leading to inflammatory reactions.
These bio-agents include medications:
In about fifty percent of clinical cases, treatment with homeopathy is effective - such drugs slowly, over the course of two months, improve the metabolic processes occurring in the human body.
Injections and oral therapies are not the only effective treatment for arthritis. To improve the condition, patients undergo physiotherapeutic procedures such as:
It is important to know! Treatment with leeches is very useful, but in about a third of patients it causes exacerbation of inflammation.
Additionally, in inpatient settings, patients are subjected to:
Patients also undergo a course of special therapeutic exercises (physical therapy) for the hands and feet, knee and hip joints, which has a good effect on improving joint mobility.
It is important to know! All physiotherapeutic methods are indicated exclusively for mild forms of inflammation, or when the patient is in a state of stable remission.
Traditional treatment of arthropathic psoriasis at home, complementary to the methods of official medicine, has proven itself well.
The most effective folk remedies are:
In any case, a set of therapeutic measures must be combined with normalization of the patient’s nervous system. To do this, you need to visit a psychotherapist and try to avoid traumatic situations.
To increase the effectiveness of complex traditional and folk treatment, patients are prescribed a diet designed to improve metabolic processes in the body.
The diet for psoriatic arthritis is very similar to the diet for psoriasis, prohibiting the use of:
It is highly advisable to quit smoking tobacco.
Patients are recommended to spend so-called “fasting” days, consisting of reducing the usual portions, or even periodic fasting.
To reduce possible relapses, those suffering from this pathology should exclude from the diet such plant components of the diet as:
The presence in the daily menu should be reduced:
However, it is highly advisable to consume more dishes prepared from:
It is necessary to eat as often as possible:
Psoriatic arthritis is an inflammatory process in the joints that develops due to psoriasis. This type of arthritis occurs in approximately 10% of patients with psoriasis, and it occurs with equal frequency in men and women.
According to ICD-10, psoriatic arthritis includes the following types of inflammation:
Arthritis can be accompanied by both preservation and complete or partial loss of performance.
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Symptoms usually begin with cutaneous or visceral manifestations.
Psoriatic arthritis manifests itself with the following symptoms:
At the very beginning of the disease, changes in the small joints of the hands and feet may be observed. Changes in the elbow and knee joints are less common. Another sign of joint psoriasis is dactylitis. This condition occurs as a result of the inflammatory process of the flexor tendons and leads to severe pain, swelling, and impaired mobility.
In almost half of the cases, damage to the intervertebral joints is observed.
With psoriatic arthritis, the adjacent bone tissue becomes inflamed and then destroyed. Damage to the nail plates is also common, manifested by a change in the surface of the nail (pits and depressions appear), and then its color.
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The malignant form of the disease is considered separately. It is characterized by the following symptoms of psoriatic arthritis :
According to the degree of joint damage, psoriatic arthritis is classified as:
The primary symptoms of psoriasis arthritis depend on the influence of various factors. Inflammation in the joints can occur unnoticed by the patient or manifest itself abruptly. In general, the symptoms of arthropathy are similar to those of ordinary arthritis. However, it has its own features that make it possible to diagnose psoriatic joint damage. These include:
When diagnosing psoriatic arthritis, it is important to take into account the similarity of the clinical picture with other types of the disease. Differentiation is made possible by the purplish-bluish color of the swollen, painful skin covering the joints. The doctor should pay attention to the asymmetry of joint damage - it is present in most patients.
An important sign of PA is pain in the heels and damage to several joints in the toe.
The patient’s complaints, lifestyle and medical history help to establish an accurate diagnosis. To develop rational therapy, it is advisable to send the patient for an X-ray examination, blood and intra-articular fluid analysis. An increase in the level of fibrinogen, globulins, immunoglobulins A and G, and sialic acids is visible in the blood. In the joint fluid, the looseness of the mucin clot and an increase in neutrophils are determined.
In all its manifestations, psoriatic arthritis is shown in the photo; an experienced doctor will prescribe treatment, referring to specific symptoms.
Sometimes psoriatic arthritis is not limited to skin rashes and joint inflammation, and then a person may experience painful symptoms in other organs. Most often, inflammation of the tissues of the eye (iritis) occurs, as well as ulcers in the mouth and skin.
When examining your joints, your doctor will definitely suggest that you undergo an X-ray examination. Why is this necessary?
The fact is that on an x-ray the doctor can see special, specific manifestations. First of all, these are signs of bone tissue resorption in the area of the articular surfaces of bones (so-called osteolysis), as well as a special deposition of calcium in the area of the spinal ligaments - if the intervertebral joints and ligaments are affected.
Symptoms of the most dangerous form of the disease occur mainly in men at an early age (20–35 years). This type is also called malignant, since it is no longer possible to get rid of it and be cured. A person becomes disabled for life, so it is important to know the symptoms of the mutilating type.
The mutilating type of psoriatic arthritis is characterized by the following symptoms:
It is also important to note that psoriatic arthritis and pregnancy are in some sense interrelated. After all, during the period of bearing a child, hormonal transformations are observed in a woman’s body. Against the background of these hormonal changes, there may be an increase in the symptoms of the disease (which happens most often) or, conversely, a decrease. In addition, increased symptoms during pregnancy lead to weight gain for the pregnant woman.
Knowing the main symptoms of a dangerous joint disease, it is worth moving on to the issue of considering diagnostic measures, on the basis of which appropriate treatment will be prescribed.
Symptoms of arthritis of the interphalangeal joints and spondylosis are the least common. In this case, the disease has a multiple spread of the disease. So, palpation of the joints occurs, their swelling is observed. In most cases, the swelling gradually spreads and extends beyond the joints.
The inflammatory process in the joints is characterized by symptoms of acute pain in these places. Pain occurs in various joints, depending on the location of the disease. But certain symptoms make it clear that a person has all the signs of psoriatic arthritis. Symptoms of acute psoriatic disease are as follows:
In addition, there are a number of factors that directly lead to the development of a pathological abnormality in the form of psoriatic arthritis.
As you can see, there are more than enough reasons for the development of the disease, so anyone, even a healthy person, can develop psoriatic arthritis. The next section will tell you how to find out if a person has signs of a disease.
At the moment, the exact cause of the development of psoriatic arthritis has not been established. Experts say that the disease develops due to a combination of individual genetic and immune factors.
Other causes of psoriatic arthritis are:
Factors that provoke psoriatic arthritis include bad habits and immunodeficiency conditions. Experts also put forward the theory of heredity, which increases the likelihood of developing arthritis in the presence of family cases of the pathology.
Psoriasis arthritis can affect the functioning of many organs and systems of the body. Against the background of the disease, the following may develop:
These changes are largely caused by impaired microcirculation in the vessels of the mucous membrane of internal organs. Due to such serious disorders, combined with damage to the joints, the disease can lead to disability.
One of the research methods for psoriatic arthritis is radiography. As a result of the procedure, the following specific signs of the disease can be identified:
A blood test is also performed, the results of which indicate the presence of an inflammatory process and anemia. An analysis is carried out for rheumatoid factor, which makes it possible to distinguish this type of arthritis from rheumatoid arthritis. The analysis also shows an increase in immunoglobulins A and G.
Articular synovial fluid is taken for analysis. In psoriatic arthritis, increased levels of neutrophils and cytosis are found. The joint fluid is characterized by low viscosity and a loose mucin clot.
When conducting diagnostics, the specialist is guided by the following criteria:
1st form: several small joints of the hands and feet are affected
2nd form: a large number of symmetrical joints are affected
Inflammation usually occurs in a much larger number of joints than in the 1st form, but they occur symmetrically - that is, both identical joints on the right and left sides become inflamed.
3rd form: the joints of the spine and pelvic bones are affected
The disease manifests itself unnoticed, gradually, in the form of usually mild pain in the back and lower back, as well as in the pelvis. With this form of the disease, which occurs in 3-7% of cases, the intervertebral joints and joints of the pelvic bones are affected.
Sometimes inflammation in these areas can involve single joints in the arms or legs.
4th form: characteristic psoriatic form
The pathological process in the joints is so strong that it causes irreversible deformation of the joint, subluxations and instability in the joints of the fingers and toes, severe limitation of mobility in these joints and contributes to the rapid disability of a person.
Only a specialist should determine symptoms and treatment. However, in the case of this disease, treatment does not imply recovery in the classical sense. Here we are talking about the most effective methods of stopping further progression of the disease.
Anti-inflammatory drugs include non-steroidal anti-inflammatory drugs such as ibuprofen, diclofenac. Thanks to the anti-inflammatory effect, swelling and motor restrictions are reduced. In order to relieve inflammation from the synovial bursae, cyclophosphamide is often used. It is used with caution, as it is characterized by a very strong effect and a number of side effects. Another drug characterized by pronounced side effects is methotrexate. Methotrexate is also prescribed for malignant tumors. The most dangerous side effects of Methotrexate: leukopenia, gastric ulcer, gastrointestinal perforation, cirrhosis and necrosis of the liver, impaired visual function.
If long-term use is necessary, hormonal drugs are recommended to be administered directly into the joint cavity to ensure local action. Otherwise, the development of negative side effects associated with hormonal imbalance is likely.
Treatment with medications for psoriatic arthritis is complemented by physiotherapeutic procedures. In this case, the doctor may prescribe:
Local treatment involves the use of ointments; salicylic ointment is often prescribed. Hormone-based ointments can also be used.
The therapeutic course is developed by a doctor based on the results of a comprehensive examination and review of the medical history. The goals of drug treatment of psoriatic arthritis are:
To achieve these goals, the patient is prescribed different groups of medications. For example, anti-inflammatory non-steroids are prescribed to relieve pain, increase joint mobility and narrow areas of inflammation. After taking Diclofenac or Ibuprofen, swelling in the problem area subsides.
The use of glucocorticosteroids achieves rapid elimination of psoriasis symptoms. To avoid the development of adverse reactions from systemic therapy, drugs of this group are administered directly into the joint cavity.
Doctors often prescribe Methotrexate for psoriatic arthritis, but there are conflicting reviews about it.
There is no 100% evidence of its effectiveness, but doctors say that a weekly dosage of 15–20 mg is acceptable. During therapy, patients are advised to monitor the state of renal-hepatic activity. If your health worsens, you should contact your doctor and discuss the issue of completely stopping the drug or reducing the dose. Methotrexate is powerless in the treatment of spondylitis and spinal arthropathy.
To eliminate the manifestations of rheumatoid arthritis developed due to psoriasis, patients are offered sulfasalazine for treatment.
An antibiotic with anti-inflammatory properties is prescribed at a dosage of 2 g for a long time. When prescribing a drug to a specific patient, the doctor must take into account the possibility of side effects, especially from the intestines. Treatment of psoriatic arthritis of the spine with Sulfasalazine gives poor results. Whether it is worth prescribing it, the doctor decides on an individual basis.
High effectiveness in the fight against joint disease is shown by:
Physiotherapy is a good tool for drug treatment of PA. The patient is given phonophoresis and electrophoresis with glucocorticosteroids, laser irradiation of the blood and magnetic therapy, and therapeutic exercises are developed.
These medications primarily help relieve pain in the affected joints. These include drugs such as diclofenac and methindol.
This group includes medications such as prednisolone, dexamethasone, beclomethasone diapropionate and others. These drugs are also used to reduce inflammation in the joints - in cases where the effect of the previous group of drugs is not enough.
Since glucocorticoids, when exposed to the entire body, have many side effects, including the possibility of increasing the symptoms of psoriasis, these medications are usually prescribed as intra-articular injections, when they are injected specifically into the area of the inflamed joint.
These include medications such as methotrixate, sulfasalazine, cyclosporine-A, and leflunomide. These drugs provide a good therapeutic effect and stop the development of psoriatic arthritis within 1-1.5 months after the start of treatment.
If these drugs are not effective enough, drugs from the next group are prescribed.
Bio-agents are special biological substances that suppress the action of a special protein - tumor necrosis factor, due to which inflammatory processes in the joint can be suppressed at the molecular level.
This group includes the drugs Remicade and Humira (their other names are infliximab and adalimumab, respectively).
Thanks to the use of such complex treatment under close medical supervision, it is usually possible to stop the progression of the disease and reduce the severity of its symptoms.
Outside of exacerbations, patients with psoriatic arthritis are recommended to undergo sanatorium-resort treatment.
If sunbathing at resorts and contact with sea water does not provoke an exacerbation of the underlying disease - psoriasis, then this type of treatment can be very useful and lengthens periods of remission (absence of active symptoms of the disease).
To treat skin dermatosis, not only medicinal ointments are used, but also types of UV irradiation:
The next step, if phototherapy does not lead to anything, is systemic drug therapy (orally or by injection)
A diet for psoriatic arthritis is necessary to consolidate the effect obtained as a result of the treatment.
The basis of diet therapy should be fermented milk products, fresh fruits, vegetables, herbs, chicken and quail eggs. Nutrition for psoriatic arthritis involves avoiding fatty meats, rich soups, spicy, salty, legumes, and citrus fruits.
As for meat products, the diet for psoriatic arthritis includes chicken, turkey, and rabbit.
Based on the individual reactions of the body, it is necessary to exclude allergens.
Regardless of the chosen treatment tactics, doctors give psoriasis patients important advice - to maintain a normal weight, because excess body weight increases the load on the joints.
When receiving treatment for psoriatic arthritis at home, the patient must monitor his diet. To strengthen the skeleton, it is recommended to enrich the diet with phosphorus and calcium products.
A diet for joint disease should maintain a balance of acids and alkalis throughout the body. To do this, the patient should include more alkali-forming foods in the menu. These are grapes, apples, natural citrus juice, alkaline water. Nutrition for psoriatic arthropathy is based on the Pegano diet. Its main principles are increasing acids and alkalis to the permitted level and increasing water consumption.
The patient should eat according to the following rules:
In general, the daily diet should be low in calories. Since physical activity is contraindicated in case of serious changes in joints, only proper nutrition will help stabilize weight.
As for drinks, lingonberry tea will be beneficial for arthropathy. It is prepared from 2 tsp. dry crushed lingonberry leaf and water (200 ml). After boiling the mass for a short time, it is cooled and filtered. Drink any amount of tea throughout the day.
A remedy for psoriasis from lingonberry leaves is prepared according to another recipe. Pour 20 g of dry raw material over a glass of boiling water and wait for the product to steam. This takes approximately 20 minutes. Warm steam is taken several times a day, one tablespoon at a time.
A phyto-decoction, replacing regular drinks, is prepared from blackberry and heather leaves (5 g each), birch and coltsfoot leaves (20 pcs each). The collection is poured with a glass of cold water and boiled at moderate temperature for 15 minutes. Drink the decoction repeatedly throughout the day. Single dosage – 200 ml
Treatment of psoriatic arthritis also includes following the patient’s diet. A diet for psoriatic arthritis has the main advantage of reducing the symptoms of pain associated with the disease.
If the symptoms of pain are pronounced, then you should pay attention to the following foods:
It is important to avoid eating fatty, smoked foods, broths, heavy dishes and canned salty foods. In addition, you also need to remove sorrel, spices, sauces and legumes from your diet. It is very important to stop drinking alcohol and smoking tobacco. Only with complex treatment can you achieve positive results and even forget about the presence of the disease.
Self-medication for arthritis is not allowed, because it can only aggravate the situation, and further treatment will be useless.
You can find many recipes telling you how to treat psoriatic arthritis yourself. It should be understood that not a single specialist will recommend using exclusively folk advice for such a serious illness. Treatment at home can significantly aggravate the inflammatory process and create the preconditions for the development of complications.
Treatment of psoriatic arthritis with folk remedies can be carried out in combination with traditional medicine to alleviate the patient’s condition.
To reduce pain in the joints, healers advise using herbal hot pads. They are made from black elderberry, sweet clover, hops and chamomile. The above-ground parts of the plants are heated in water, squeezed out and placed in a linen bag. A “pad” is applied to the affected area for 20 minutes. Treatment is carried out daily for 2 weeks.
Homemade ointment for the treatment of psoriatic arthritis is made from several ingredients:
Dry plants are crushed to form a powder, mixed with oil and petroleum jelly until an ointment-like mixture is obtained. It is used to treat swollen skin.
To apply compresses, you can prepare a carrot product. Fresh peeled root vegetables are passed through a fine grater and olive or sunflower oil, as well as pharmaceutical turpentine (5 drops each), are dripped into the pulp. The thoroughly mixed composition is applied to the problem joints and bandaged. Compresses can be alternated with bandages flavored with aloe pulp. The course of treatment is 10 days.
A preparation for taking baths for rheumatoid arthritis is prepared from the rhizome of cinquefoil. 1 kg of raw materials is boiled in a cotton bag. Take 3 liters of water. The decoction is added to the bath while bathing.
Here is an unusual recipe with lilacs. The buds of the bush are considered an effective remedy against arthropathy. They are collected in the amount of two heaped glasses and filled with vodka (250 g). The dishes are wrapped in warm rags and taken out to a dark place for 10 days. From the 11th day, the tincture is used to wipe the affected areas of the body in the morning and evening. 2 weeks of such therapy - and the patient will feel much better.
If it is possible to obtain Ginkgo biloba, it can be used to make an anti-inflammatory agent.
Several fresh leaves of an exotic plant are washed and air dried. The prepared raw materials are crushed to a pulp and eaten without additional ingredients. Do this every time before eating, measuring out 1 tsp. phyto product.
Good ointments are obtained from marsh cinquefoil. The upper inflorescences are passed through a meat grinder and the mixture is transferred to a glass jar. Then it is filled with sunflower oil so that there remains a gap equal to the thickness of two fingers to the edges of the neck. The top of the dish is covered with a gauze bandage, and the composition is kept in the sun for 40 days. Next, the mass is squeezed out and used for daily lubrication of articular surfaces.
PS If none of the drugs brings relief, the patient is offered surgery. Its essence is to remove the affected joint tissue, replace large joints with prosthetics and fix them in a natural position.
Psoriatic arthritis greatly weakens muscles, so it is important to maintain yourself with daily exercise.
Exercise therapy, or physical therapy, is an important part of the treatment of psoriatic arthritis. In order for the joints to maintain flexibility and mobility for as long as possible, patients with psoriatic arthropathy are recommended to expand their usual motor mode, as well as regularly, two to three times a day for 15 minutes, perform the following exercises.
Nutrition should be rational, based on an alkaline diet:
With long-term and proper treatment at the doctor and at home, and prevention of infections, it is possible, if not to defeat psoriatic arthritis, then to come to a peaceful agreement with it for a long time.
Video: Treatment of psoriasis at home.
In folk medicine, there are many useful recipes that can improve the condition and reduce pain in psoriatic arthritis.
Here are some of them:
Psoriatic arthritis in children is diagnosed in approximately 10% of cases. The first manifestations appear at approximately 6 years of age, ending by 15 years.
The development of the disease is accompanied by the appearance of erythematous papules with silvery scales. Papules merge into plaques of different shapes. The most common locations for skin manifestations are the knees, elbows, scalp, and groin.
Determining psoriatic arthritis in a child is complicated. This is due to the fact that the skin changes that begin the course of the disease are often mistakenly attributed to eczema or diathesis. Because of this, incorrect treatment is often carried out at the initial stage.
If a child develops skin rashes, you should pay attention to the following symptoms:
Very often, the initial stage of inflammation is manifested by inflammation of the interphalangeal end joints of the fingers of the upper and lower extremities. As the disease progresses, the process spreads to other joints.
It should be noted that in childhood and adolescence the malignant form of the disease practically does not occur.
Treatment with folk remedies for psoriatic arthritis in a child is not allowed. When selecting medications and procedures, it is extremely important to take into account all the developmental features of the child’s body. This includes imperfection of the immune system, increased sensitivity to allergens, etc. Medicines used to treat adults (methotrexate) may be prescribed.
After treatment, both children and adults need to visit a doctor regularly. At the moment, there is no medicine that would completely cure the disease - the changes occurring in the body will lead to further destruction of the joints, which will result in limited activity. Therefore, it is necessary to carefully follow all the doctor’s recommendations and avoid increased stress and injury to the joints - this will help maintain activity for as long as possible.