What are the most effective treatments for psoriatic arthritis?

Question

Hello doctor,

I have been living with psoriatic arthritis for several years, and the pain and swelling are getting worse, particularly in my joints. It is affecting my ability to work and do daily activities. What are the most effective treatments to reduce inflammation and pain? Are there any lifestyle changes, like diet or exercise, that can help manage my symptoms?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Psoriatic arthritis treatments focus on reducing inflammation, managing pain, and preserving joint function. Treatment includes the following:

Nonsteroidal anti-inflammatory drugs (NSAIDs): These drugs are used for mild to moderate pain and inflammation. Long-term use can lead to stomach issues, so regular follow-ups with your doctor are a must.
Disease-modifying antirheumatic drugs (DMARDs): These drugs slow disease progression and protect joints from damage. They require regular monitoring for side effects, affecting the liver.
Biologic agents: These are for more severe cases. They target specific parts of the immune system involved in inflammation. Biologics are costly and require injections or infusions.
JAK inhibitors (Janus kinase inhibitors): These may increase the risk of infections
Steroids: Steroids are used for short-term management due to side effects, including bone loss with prolonged use.
Low-impact activities like swimming, cycling, and yoga can strengthen muscles around your joints without putting too much pressure on them.
Avoid exercises that exacerbate joint pain.
A diet rich in anti-inflammatory foods may help reduce symptoms. Take plenty of fruits, vegetables, whole grains, and fatty fish. Reduce red meat, dairy, and processed foods.
Maintain a healthy weight to relieve stress on your joints, particularly the knees and hips.
Excess weight exacerbates joint inflammation.
Chronic stress can worsen inflammation. Meditation, deep breathing exercises, and mindfulness may help manage psoriatic arthritis symptoms.
Maintain regular joint movement without overloading the joints.

A physical examination by a doctor is necessary. Feel free to reach out with any further questions. Get well soon.

I hope this helps.

Thank you and take care.

Regards.