There are various psoriasis arthritis treatment options available which includes drugs and natural foods. these drugs include non-steroidal and anti-rheumatic drugs that work at modifying the disease. There are also biologics comprising of animal and human proteins and alternative remedies that all help treat psoriasis arthritis.
The right psoriasis arthritis treatment is decided based on the severity of symptoms and its effects on daily life. While some people require medication only on flaring up of symptoms, others require medication to control pain, swelling and for slowing down joint damage.
However this psoriasis arthritis treatment is not similar for everyone. Moreover as people suffering from the condition suffer from a skin problem and joint pain, they are best treated by a professional.
By treating psoriasis arthritis, it is possible to reduce pain and swelling in joints which in turn ensures movement of the natural joints. [note]Your doctor will determine the best treatment option to use based on the conditions and seriousness of the condition and its scale.[/note]
If your body does not respond to one treatment option, another treatment should be used or the existing treatment should be modified. The chosen treatment should thus be able to be changed based on your type of inflammation, based on psoriatic metastatic.
1. Physical therapy
Physical therapy helps maintain flexibility, motion and function in joints that are affected by psoriasis arthritis. Your physical therapist tailors the right exercise schedule to be regularly performed. Even occupational therapists help you perform your daily activities at home and work.
[note]This is why all psoriatic arthritis patients should see a physical and occupational therapist to learn the exercises that will help them, and learn how to avoid straining and overusing their joints.[/note]
2. Non-steroidal anti-inflammatories (NSAIDs)
These drugs include Advil, Aleve and Motrin and help reduce pain and inflammation. They are usually the first drugs psoriasis arthritis patients take and are used alone or with other drugs. These drugs however have their side effects that include constipation, diarrhea and a risk of stomach pain. It is also possible to develop gastrointestinal bleeding, high blood pressure and kidney damage with time.
3. Disease-modifying ant rheumatic drugs (DMARDs)
DMARDs help treat psoriasis arthritis where methotrexate (Trexall) and Sulfasalazine (Azulfidine) are the most common drugs of the lot. They are tablets that take weeks or months to work but do help in slowing or stopping joint damage. This is unlike other drugs that only end up treating the symptoms and not the root cause of psoriasis arthritis.
[note]These drugs are usually suggested if NSAIDs don’t seem to be helping or if the arthritis seems to be getting worse. Side effects of these drugs include stomach pain, nausea and light sensitivity.[/note]
4. Humira or adalimumab
Humira helps by reducing joint damage and other arthritis symptoms. The drug belongs to a subclass of DMARDs that act by inhibiting the TNF or tumor necrosis factor. TNF is usually increased in psoriatic arthritis patients, and is responsible for causing joint damage.
5. TNF inhibitors
TNF inhibitors are also known as biologics which usually doubles the risk of serious infections. However the risk of infection in case of humira is rather low. It is injected every fortnight wherein its possible side effects are headaches and soreness at the injection site.
6. Enbrel or etanercep
Enbrel or etanercep is a psoriasis arthritis treatment that reduces joint damage another symptoms of arthritis. [note]It is a DMARD that focuses on TNF to help reduce inflammation and control joint damage.[/note]
Though it has its share of risk of infections, its infections are not usually serious. While most TNF inhibitors are equally effective at preventing joint damage and reducing its symptoms, Enbrel is different in structure from Humira and is injected once or twice a week.
7. Regicide or infliximab
Regicide or infliximab is a member of TNF-inhibiting DMARDs that reduces joint damage and the symptoms of arthritis. Remicade should however be administered at a hospital or clinic every 1-8 weeks as its intravenous fusion takes about two hours. Though bits expensive, as these drugs are administered in a clinical setting, Medicare insurance typically covers most of its cost.
8. Simponi or golimumab
Simponi or golimumab is another TNF inhibitor that reduces joint damage and other arthritis symptoms. It is an FDA approved drug that was approved in 2009 and does not have much of a track record. [note]However the drug is similar to others but only has to be given once a month.[/note]
Immunosuppressant like cyclosporine, leflunomide and azathioprine suppress the immune system, like methotrexate. They are also part of DMARDs as they help in the slowing down of joint destruction.
They are usually used for treating severe psoriasis arthritis cases and have side effects like liver problems, anemia and risk of infection. Azathioprine and cyclosporine have to be monitored every one to three months to check and maintain liver and blood counts. Some doctors don’t regularly prescribe cyclosporine to treat psoriasis treatment as it requires regular kidney and blood pressure tests.
Corticosteroids or steroids like prednisone and cortisone are powerful immune-suppressing drugs. While prednisone is taken orally for short term relief from pain and swelling, cortisone is injected to the joint to provide temporary relief from the pain and inflammation.
However its repeated use can lead to the weakening of tissues, trigger pain flares and damage nerves. [note]Moreover, steroids lead to facial swelling, bone thinning and weight gain.[/note]
Joint replacement surgery or arthroplasty replaces the damaged joint with a prosthesis and provides relief to painful joints. It is reserved for people suffering from joint pain and destruction that affects your daily life and is not treated by medications. Like any surgery, there is the risk of complications like infections with the surgery wherein physical therapy is a part of its recovery process.
12. Self-help treatment
You can also opt for self-help treatment like ice or heat treatment, specific relaxation methods and slowly doing or practicing exercise for relief from psoriasis arthritis. Another treatment called PUMA includes using UV light and medicines called psoralen to treat psoriatic arthritis.
With so many psoriasis arthritis treatment options available, it is your doctor who determines the best treatment option to use to treat your psoriasis arthritis condition based on the intensity of its symptoms. As this disease can be frustrating, you have to consult a well-trained doctor who will help you find the best psoriasis arthritis treatment for your condition.