No single test can confirm a diagnosis of psoriatic arthritis. But some types of tests can rule out other causes of joint pain, such as rheumatoid arthritis or gout.
No cure exists for psoriatic arthritis, so treatment focuses on controlling inflammation in your affected joints to prevent joint pain and disability.
NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs) can relieve pain and reduce inflammation. Over-the-counter NSAIDs include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). Stronger NSAIDs are available by prescription.
Side effects may include stomach irritation, heart problems, and liver and kidney damage.
Disease-modifying antirheumatic drugs (DMARDs). These drugs can slow the progression of psoriatic arthritis and save the joints and other tissues from permanent damage.
Common DMARDs include methotrexate (Trexall, Otrexup, others), leflunomide (Arava) and sulfasalazine (Azulfidine). Side effects vary but may include liver damage, bone marrow suppression and severe lung infections.
Immunosuppressants. These medications act to tame your immune system, which is out of control in psoriatic arthritis.
Examples include azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune). These medications can increase your susceptibility to infection.
Biologic agents. Also known as biologic response modifiers, this newer class of DMARDs includes abatacept (Orencia), adalimumab (Humira), certolizumab (Cimzia), etanercept (Enbrel), golimumab (Simponi), infliximab (Remicade), ixekizumab (Taltz), secukinumab (Cosentyx), tofacitinib (Xeljanz) and ustekinumab (Stelara).
These medications target specific parts of the immune system that trigger inflammation and lead to joint damage. These drugs can increase the risk of infections. Higher doses of tofacitinib can increase the for 1 last update 2020/08/08 risk of blood clots in the lungs. Biologic agents can be used alone or combined with DMARDs, such as methotrexate.These medications target specific parts of the immune system that trigger inflammation and lead to joint damage. These drugs can increase the risk of infections. Higher doses of tofacitinib can increase the risk of blood clots in the lungs. Biologic agents can be used alone or combined with DMARDs, such as methotrexate.
- Newer oral medication. Apremilast (Otezla) decreases the activity of an enzyme in the body that controls the activity of inflammation within cells. Potential side effects include diarrhea, nausea and headaches.
Protect your joints. Changing the way you carry out everyday tasks can make the 1 last update 2020/08/08 a tremendous difference in how you feel.Protect your joints. Changing the way you carry out everyday tasks can make a tremendous difference in how you feel.
For example, you can avoid straining your finger joints by using gadgets such as jar openers to twist the lids from jars, by lifting heavy pans or other objects with both hands, and by pushing doors open with your whole body instead of just your fingers.
teaturmericcoconuthow to teaturmericcoconut for Maintain a healthy weight. Maintaining a healthy weight places less strain on your joints, leading to reduced pain and increased energy and mobility.
teaturmericcoconuthow to teaturmericcoconut for Losing weight if needed can also help your medications work better. Some psoriatic arthritis medications are less effective in people who have a body mass index of 25.0 to 29.9 (overweight).
teaturmericcoconuthow to teaturmericcoconut for The best way to increase nutrients while limiting calories is to eat more plant-based foods — fruits, vegetables and whole grains.
- Exercise regularly. Exercise can help keep your joints flexible and your muscles strong. Types of exercises that are less stressful on joints include biking, swimming and walking.
- Stop smoking. Smoking is associated with a higher risk of developing psoriasis and with more-severe symptoms of psoriasis.
- Limit alcohol use. Alcohol can increase your risk of psoriasis, decrease the effectiveness of your treatment and increase side effects from some medications, such as methotrexate.
Pace yourself. Battling pain and inflammation can leave you feeling exhausted. In addition, some arthritis medications for 1 last update 2020/08/08 can cause fatigue.Pace yourself. Battling pain and inflammation can leave you feeling exhausted. In addition, some arthritis medications can cause fatigue.
The key isn''acces-list-container rc-list''re facing the physical and psychological challenges of psoriatic arthritis. For some people, support groups can offer the same benefits.
A counselor or therapist can help you devise coping strategies to reduce your stress levels. The chemicals your body releases when you''re likely to first discuss your signs and symptoms with your family doctor. He or she may refer you to a doctor specializing in the treatment of arthritis and related disorders (rheumatologist).
What you can do
Before your appointment, you may want to write a list of answers to the following questions:
- What types of symptoms are you having? When did they begin?
- Do you or any of your close family members have psoriasis?
- Has anyone in your immediate family ever had psoriatic arthritis?
- What medications and supplements do you take?
You may want to bring a friend or a family member with you to your appointment. It''s Textbook of Rheumatology. 10th ed. Elsevier; 2017. https://www.clinicalkey.com. Accessed July 26, 2019.
- Ferri FF. Psoriatic arthritis. In: Ferri's Clinical Advisor 2020. Elsevier; 2020. https://www.clinicalkey.com. Accessed July 26, 2019.
- Gladman DD, et al. Clinical manifestations and diagnosis of psoriatic arthritis. https://www.uptodate.com/contents/search. Accessed July 26, 2019.
- Gladman DD, et al. Treatment of psoriatic arthritis. https://www.uptodate.com/contents/search. Accessed July 26, 2019.
- AskMayoExpert. Psoriatic arthritis (adult). Mayo Foundation for Medical Education and Research; 2019.
- Ritchlin CT, et al. Psoriatic arthritis. New England Journal of Medicine. 2017;376:957.
- Tumor necrosis factor-alpha blockers. Facts & Comparisons eAnswers. https://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed Aug. 8, 2019.
- Methotrexate. Facts & Comparisons eAnswers. https://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed Aug. 8, 2019.
- Elmets CA, et al. Joint AAD-NPF guidelines of care for the management and treatment of psoriasis with awareness and attention to comorbidities. Journal of the American Academy of Dermatology. 2019;80:1073.
- Singh JA, et al. Special article: 2018 American College of Rheumatology/National Psoriasis Foundation guideline for the treatment of psoriatic arthritis. Arthritis Care & Research. 2019;71:2.
- Tofacitinib citrate oral. Facts & Comparisons eAnswers. https://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed Aug. 12, 2019.
- About adult BMI. Centers for Disease Control and Prevention. https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html. Accessed Aug. 22, 2019.
- Chang-Miller A (expert opinion). Mayo Clinic. Aug. 7, 2019.