How to manage psoriatic arthritis in women?

Question

Hello doctor,

I am a 42-year-old woman who has been living with psoriasis for many years, and now I have developed painful, swollen joints. My doctor says it is psoriatic arthritis and has suggested biologic injections. I am nervous about the risk of infections and the high costs, and would like to know:

Can lifestyle changes or yoga help reduce stiffness?
Are there any diet plans that help control inflammation?
I also want to know if this condition affects fertility or pregnancy. What are the long-term outcomes if I delay starting biologic treatment?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Psoriatic arthritis is an autoimmune joint disease (a condition where the immune system attacks the body’s own joints) linked to psoriasis. If it is not treated, it can lead to permanent joint damage.

Biologic medicines are the most effective treatment to prevent joint damage. They are generally safe when you undergo proper infection screening (tests to check for infections before starting treatment) and regular monitoring. Biosimilars (more affordable versions of biologic medicines that work the same way) can help reduce the cost.

Lifestyle changes can help, but they cannot replace medical treatment:

Gentle yoga, stretching, and regular low-impact exercise (such as walking, swimming, or cycling) can reduce joint stiffness.
An anti-inflammatory diet (a diet that lowers inflammation in the body) includes more fruits, vegetables, fish, and olive oil and less red meat, sugar, alcohol, and processed food.
Maintaining a healthy weight, managing stress, and getting good-quality sleep are important.

Vitamin D deficiency should be corrected because vitamin D supports immune health and skin health.

Fertility and pregnancy: Psoriatic arthritis usually does not affect fertility. Some biologic medicines are considered safe during pregnancy, but this should be discussed with your doctor.

Delaying treatment can lead to irreversible joint damage and long-term pain. Early treatment gives the best long-term outcomes.

I hope this helps you.

Kindly revert if there are any queries.

Thank you.