At 27, how do I manage my prosthetic arthritis skin patches?

Question

Hello doctor,

My psoriatic arthritis is ruining everything. I have got patches all over and my joints feel like they are on fire. I had to cancel my wedding photoshoot because my hands are so swollen and red. My fiance says he does not care but I saw him looking at old pics of mine. These biologics are so expensive and insurance denied the coverage again. I can not type properly at my graphic design job and mouse clicks hurt me. Apart from these, the side effects are crazy and I have caught every cold this winter. I am just 27 years old and too young for this type of condition. I am also thinking about kids. Can I take these medicines even if I get pregnant?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I am so sorry about the condition called psoriatic arthritis (PsA) you are dealing with. It can be incredibly challenging, primarily when it affects daily life and big events like your wedding plans. Managing symptoms, work, finances, and future family plans all at once is a huge load.

First, psoriatic arthritis (PsA) treatment often requires a mix of medications, physical therapy, and sometimes lifestyle adjustments. Biologics can work wonders for many people, but as you have seen, they are costly, and insurance coverage is often a battle.

Consider appealing your insurance decision with support from your doctor, who can provide a detailed medical need justification.

Other options may include patient assistance programs from drug manufacturers or exploring generics, depending on your location and treatment plan. Meanwhile, nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids might offer temporary relief for inflammation, though they are not long-term solutions like biologics.

As for work, it is essential to explore workplace accommodations, as psoriatic arthritis (PsA) can limit your capacity to work comfortably. Adaptive equipment, such as ergonomic keyboards and mice designed to reduce strain, might alleviate some pain during typing and designing. Taking breaks to stretch and doing gentle hand exercises can also help manage pain. Consider speaking with your human resource (HR) team about reasonable adjustments if possible. They may have resources to support you.

Thinking about children, it is wise to discuss this with your rheumatologist as early as possible. Some psoriatic arthritis (PsA) medications are safe during pregnancy, while others are not recommended.

If you are considering pregnancy, you can plan a treatment approach that minimizes the risk. Remember that your fiancé’s support speaks volumes. This condition can make you feel isolated, but having someone who cares about you, regardless of symptoms, is invaluable. You are navigating a lot, but with the right support and strategies, things can improve.

Let me know if I can assist you further.

Regards.