New Psoriatic Arthritis Treatments Questions Answered
1. New Psoriatic Arthritis Treatments Questions Answered
The most widespread treatment for psoriasis is the application of topical ointments and lotions
that can assist minimize the spread of the unpleasant scaly pores and skin patches associated
with the disease. Topical lotions normally turn out to be efficient in the course of the first phases
of psoriasis. The epidermis growth normally reacts positively to ointments and creams and may
disappear right after some time.
Daniel asks…
I need advice and assistance in how to deal with the disease,
Psoriatic arthritis, rheumatism?
admin answers:
The exact cause is not known. Inflammation develops in the synovium of affected joints (the
tissue that surrounds each joint) and sometimes in other parts of the body such as tendons and
ligaments. It is not clear what triggers the inflammation. It seems that the immune system is
affected in some way which leads to inflammation. Genetic factors seem to be important as
psoriatic arthritis occurs more commonly in relatives of affected people. However, it is not a
straightforward hereditary condition. It is thought that a virus or other factor in the environment
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2. may trigger the immune system to cause the inflammation in people who are genetically prone
to it.
The main aims of treatment are:
1. To reduce pain and stiffness in affected joints and tendons as much as possible.
2. To prevent joint damage and deformity as much as possible.
3. To minimise any disability caused by pain or joint damage.
During a flare-up of inflammation, if you rest the affected joint(s) it helps to ease pain. Special
wrist splints, footwear, gentle massage, or applying heat may also help. Medication is also
helpful. Medicines which may be advised by your doctor to ease pain and stiffness include the
following:
Paracetamol often helps. This does not have any anti-inflammatory action but is useful for pain
relief in addition to, or instead of, an anti-inflammatory drug. Codeine is another painkiller that is
sometimes used.
Steroids
An injection of steroid directly into a joint or inflamed tendon is sometimes used to treat a bad
flare-up in one particular joint or tendon. Steroids are good at reducing inflammation.
As far as possible, try to keep active. The muscles around the joints will become weak if they
are not used. Regular exercise may also help to reduce pain and improve joint function.
Swimming is a good way to exercise many muscles without straining joints too much. A
physiotherapist can advise on exercises to keep muscles around joints as mobile and strong as
possible.
Betty asks…
I have just recently been diagnosed with psoriatic arthritis,do pain
meds help?
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3. admin answers:
Yes, pain meds can and do help with the pain.
Treating the disease is more important. Psoriatic arthritis is caused by psoriasis. Psoriasis an
autoimmune disease that not only attacks your joints but your skin and other parts of your body.
While there is no cure for psoriasis it can be effectively treated. This is important as it can be a
progressive disease and treatment can slow down or halt the progression.
Melissa’s advice about warm water exercise is excellent. It is one of the best types of exercise
for people with arthritis and exercise if very important for anyone with any type of arthritis.
Rusty
Editor
http://arthritis-symptom.com
Laura asks…
is there any permanent treatment for Axial Spondyloarthropathy?
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4. admin answers:
Muzzu – As you know, Spondyloarthropathies are a family of long-term (chronic) diseases of
joints. These diseases occur in children (juvenile spondyloarthropathies) and adults. They
include ankylosing spondylitis, Reiter’s syndrome (reactive arthritis), psoriatic arthritis, and joint
problems associated with inflammatory bowel disease (enteropathic arthritis).
Spondyloarthropathies are sometimes called spondyloarthritis.
Although all spondyloarthropathies have different symptoms and outcomes, they are similar in
that all of them: They usually involve the attachments between your low back and the pelvis
(sacroiliac joint).Affect areas around the joint where your ligaments and tendons attach to bone
(enthesitis), such as at the knee, foot, or hip.It is important to recognize that the
spondyloarthropathies are different from rheumatoid arthritis (RA) in adults and juvenile
idiopathic arthritis (JIA) in children.
How are spondyloarthropathies treated?
In most cases spondyloarthropathies are mild and may be undiagnosed for many years. Most
people do not have trouble with daily activities. Treatment is focused on relieving pain and
stiffness and on good posture and stretching of the affected areas to prevent stiffening and
deformity. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat pain and
inflammation linked to spondyloarthropathies. Other treatment options depend on the type of
spondyloarthropathy you have. For example, medicines are used to treat intestinal inflammation
in enteropathic arthritis.
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5. Michael asks…
Where can I check if I’m healthy enough for the army?
Where do I go to check that?
admin answers:
These are things that stop you.
Chest disorders
Asthma, strong asthma-like symptoms or treatment for related illnesses within the last four
years
Chronic lung diseases such as emphysema, bronchiectasis or cystic fibrosis
Active tuberculosis
Back problems
Spinal surgery (including internal fixation or fusion)
Recurrent lower back pain Spina bifida
Bone or joint problems
Meniscectomy (knee cartilage operation) within the last year
Lower limb fractures with internal fixation (metalwork) still in place
Loss of a limb
Complete loss of a thumb or big toe
Clubfoot (including past surgery)
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6. Chronic joint diseases such as ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis or
gout
Reiter’s disease within the last five years
Osteochondritis dissecans
Eye disorders
Chronic eye diseases such as glaucoma, keratoconus and retinitis pigmentosa
Surgery for a squint within the last six months
Corneal problems such as a corneal graft or recurrent corneal ulcers
Loss or dislocation of an eye lens
Cataract or cataract surgery
Detached retina
Ear disorders
Current perforation of ear drum
Chronic ear diseases such as cholesteatoma
Presence of eardrum ‘grommets’
Abdominal problems
Chronic abdominal diseases such as Crohn’s disease or ulcerative colitis
Kidney disorders such as polycystic kidney disease or kidney stones
Donation of a kidney within the last two years
Kidney disease within the last two years
Neurological disorders
Epilepsy or more than one seizure or fit after the age of five
Any seizure or fit within the last ten years
Multiple sclerosis
Skin problems
An active skin disease such as eczema or widespread psoriasis
Blood diseases
Sickle Cell disease
Congenital spherocytosis
Thalassaemia
HIV seropositivity/ AIDS
Being a carrier of hepatitis B or hepatitis C
Past history of leukaemia or malignant lymphoma. Must be disease, treatment and review free
for five years.
Psychiatric problems
Schizophrenia
Obsessive-compulsive disorder
Alcohol or drug dependence
Post-traumatic stress disorder (PTSD
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7. Other conditions
Loss of spleen (splenectomy)
Having received transplanted organs
Severe allergic reactions or anaphylaxis requiring adrenaline injection
Severe nut allergy
Circulation problems such as Raynaud’s phenomenon
Diabetes
Diseases requiring long-term medication or replacement therapy
Pregnancy
Current pregnancy or childbirth within the last six months
hope this helps
Mark asks…
methotrexate;anything good to say about it?
hi, i have been diagnosed with psoriatic arthritis,i have been prescribed methotrexate.can
anyone comment about this drug.
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8. admin answers:
It can be a miracle drug, but there are some things to consider before beginning treatment.
There are risks with this drug. Although most risks are rare, they exist. But, if you are in the
amount of pain that requires this drug being prescribed, you probably don’t care and shouldn’t.
Before beginning this, get your teeth fixed. If this means extractions, get them done before
beginning, b/c once you start it, you don’t want to need major dental work. There is a very rare
chance of complications with dental treatment. Most occur if you get cancer and receive chemo
and radiation. However, there is the few really rare people that get osteonecrosis after dental
treatment, mainly extractions or infections. The important thing is get your teeth fixed and keep
them fixed. Get your teeth cleaned regularly and checked to prevent infections and extractions.
Also, get rid of your wisdom teeth, if you have any, before starting this.
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