Psoriatic Arthritis Treatment
David Jenkins Review by editorial staff 1-2-2012
Psoriatic arthritis is caused by the autoimmune disease psoriasis . There
is no cure for this condition. . Your doctor will look at the specific
symptoms of your psoriasis and developed a treatment plan for you in order to
manage them most effectively.
Basic treatments for
Obviously since psoriatic arthritis is caused by psoriasis the treatments
will be similar. The main difference is if you do not have arthritis
symptoms with your psoriasis then most of your treatments are centered
around treating the skin symptoms of the disease.
Mild forms of psoriatic arthritis are treated like other forms of
arthritis. Non-steroidal anti-inflammatory
drugs, or NSAIDs, such as Advil or Aleve, are used to help control the pain and swelling of the arthritis.
Heat and cold therapies may help control the pain and inflammation as well.
As with all forms of arthritis exercised is recommended. If only a few
joints are affected you may be given injected steroids directly into
affected joints more advanced
More advance treatments for Psoriatic Arthritis
When many joints are affected or the inflammation is severe then there
are other options your doctor may recommend. These may also be used to
control all of your psoriasis symptoms.
Corticosteroids such as Prednisone help reduce inflammation and
are used to treat most types of severe arthritis. How ever long term use can
have a negative effect on psoriasis. These drugs are used for short term
serious flare ups of psoriatic arthritis.
antirheumatic drugs) such as methotrexate, leflunomide,
hydroxychloroquine and sulfasalazine. These drugs can reduce the
deterioration of the joints as well as slow down the immune attacks against
TNF-alpha inhibitors (tumor
necrosis factor-alpha) such as
Enbrel (etanercept), Remicade (infliximab), Humira (adalimumab), and Simponi
(golimumab).The drugs work by suppressing aspects of the immune
system specifically TNF alpha which is a protein that the body produces
during the inflammatory response. Eliminating or lowering TNF alpha in the
blood stream significantly reduces inflammation in many people.
Antimalarials drugs such as Plaquenil. These drugs were designed to fight
malaria and have been found to help with other conditions. It can take
months for these drugs to make a difference and come with many side effects.
Most rheumatologists reluctant to recommend these drugs and should only be
used when closely monitored by your doctor or rheumatologist.
Surgery may be needed if joint damage becomes two serious such as a joint
Your doctor may also refer you to a dermatologist, a doctor who specializes in diseases
of the skin, for treatment of your psoriasis.
Alternative treatment for Psoriatic Arthritis
Food allergies/intolerances are believed to play a role in most autoimmune disorders,
including psoriatic arthritis. Identification and elimination of food allergens from the
diet can be helpful. Constitutional homeopathy can work deeply and effectively with this
condition, if the proper prescription is given. Acupuncture, Chinese herbal medicine, and
western herbal medicine can all be useful in managing the symptoms of psoriatic arthritis.
Nutritional supplements can contribute added support to the healing process. Alternative
treatments recommended for psoriasis and rheumatoid arthritis may also be helpful in
treating psoriatic arthritis.