Psoriatic Arthritis Treatments: Conventional and Alternative Treatments
World Psoriasis day 29 octobre 2023
Psoriatic arthritis treatments are often similar to that of arthritis or arthritic conditions, though some medications are specific to psoriatic arthritis. This disorder is in fact a combination of psoriasis and arthritis and either may appear at different times and later turn to psoriatic arthritis.
As psoriatic arthritis results in pain and inflammation, accompanied by stiffness and swelling and causes reduced mobility, it needs to be treated aggressively.
Conventional Psoriatic Arthritis Treatments
The first line of treatment is pain relief. If common pain relief drugs don’t work you may be prescribed other stronger medicines, but this also depends on the severity of the condition. Among the drugs included as treatment options are:
- NSAIDs (non-steroid anti-inflammatory drugs) like ibuprofen, naproxen, diclofenic, acetaminophen, indomethacin and a host of other, some of which are non-prescription drugs.
- COX-2 inhibitors like Celebrex
- DMARDs (disease modifying anti-rheumatic drug) like methotrexate, leflunomide, cyclosporine and sulfasalazine.
- Anti-malarial medicines like hydroxychloroquine.
- Injectable biologics that help in slowing the progression of aggressive psoriatic arthritis.
- Anti tumor necrosis factor (TNF) drugs like etanercept (Enbrel), infliximab (Remicade), and adalimumab (Humira) and golimumab (Simponi) that are also effective.
- Corticosteroids drugs that can be given orally or through injection are also effective in pain relief.
- Surgery is the last option when the joints are badly damaged; but surgery can help with greater mobility.
All conventional treatments have various side effects and many drugs can affect the digestive system or other organs of the body, so the side effects, too, need to be monitored.
Like to know more about alternative remedies
Alternative Remedies as Psoriatic Arthritis Treatments
Psoriasis arthritis treatment
Many alternative remedies have limited success as treatment; but if you can’t tolerate conventional treatment, you may find succor in alternative remedies like:
- TCM – traditional Chinese medicine has many herbs that offer relief, among them being Tripterygium wilfordii (TwHF) that has anti-inflammatory properties.
- Acupuncture – patients with localized psoriatic arthritis react better to acupuncture treatment.
- Ayurveda – traditional Indian medicine system treats the patient holistically with detoxification and getting the body in balance. Massage may also be used by Ayurveda practitioners.
- Naturopathy – naturopathy practitioners use natural methods to boost the immune system and afford pain relief.
Many unconventional remedies have their fans and if something works for you and does not have any side effects, it is always a good bet. Among the remedies are:
- Fish oil that is rich in eicosapentaenoic acid is known for its anti-inflammatory properties, but it has to be taken in a dose of 2000-3000 mg. a day.
- Turmeric has anti-inflammatory properties and may help with mild symptomatic relief.
- Willow bark extract can help with pain relief.
- Vitamin D supplements may help with psoriatic arthritis, particularly when this important vitamin is in low levels in the body.
- Vitamin K may help as this vitamin helps maintain joint health.
- L-carnitine is derived from an amino acid and some people have report pain relief after supplements containing L-carnitine.
- Vitamin B12 supplements may help if you have low levels of this essential vitamin.
The Role of Diet and Exercise
Junk foods, fast foods and red meats, a diet high in refined foods and fats increase inflammation in the body. If you follow a healthy and nutritional diet, you can reduce the pain associated with psoriatic arthritis.
Exercises to prevent degeneration of the joints and increase mobility are helpful in improving the quality of life. Yoga and tai-chi are gentle options as is Pilates.
Walking is also helpful. The greatest help I've got personally is swimming and walking, but you should choose the exercise in which you feel comfortable.
As psoriatic arthritis is a chronic condition that is virtually incurable, it has to be managed and controlled by whatever method suits you and is effective for you. Psoriatic arthritis treatments should also be previewed from time to time with a doctor, so if medications need to be changed depending on the efficacy or otherwise, you should get the best possible treatment
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National Institute of Arthritis and Musculoskeletal and Skin Diseases