What is psoriatic arthritis? Symptoms, causes, treatment; tips to improve your joint health  |  Photo Credit: Getty Images
New Delhi: Psoriatic arthritis (PsA) is a form ofinflammatory arthritis associated with psoriasis - a skin condition characterised by red, scaly skin patches. The prevalence of psoriasis in the general population is one-three per cent, whereas the prevalence of PsA can range between five per cent and 40 per cent amongst people with psoriasis. It is more common in males and it usually appears in the third to fifth decade of life.
Basically, psoriatic arthritis is an autoimmune condition where the body attacks its own tissues. The exact cause of the condition is not clear, however, genetic and environmental factors are known to play a role in its manifestation. PsA can be triggered by stress, smoking, excessive alcohol consumption, and some infections.
According to Dr Siddharth Shah, Orthopaedic& Joint Replacement Surgeon, SL Raheja Hospital, Mahim - A Fortis Associate, patients usually develop psoriasis before experiencing joint symptoms, adding that symptoms of PsA can vary from person to person. Some of the common symptoms include:
Joints related symptoms:PsA causes joint inflammation resulting in pain, swelling, stiffness, and deformity. It commonly affects fingers, wrists, toes, ankles, and knees. Many joints of the body can be affected at the same time. Arthritis can also be symmetrical, i.e. the same joint on both sides of the body can be affected. There may be generalised fatigue. Advanced cases of PsA can result in deformities which are usually seen in the hands and the feet.
Tendon and ligament inflammation: This commonly presents as ankle or heel pain. Sometimes, a combination of tendon and joints inflammation in the hands can result in sausage-shaped hand deformity.
Neck and back pain:PsA can affect the joints of the spine which can result in neck and back pain.
Skin and nails: Psoriasis causes dry, red, scaly, and itchy skin rash due to rapid turnover of skin cells. It is commonly seen on the scalp, knees, and elbows, although any part of the body surface can be involved. It can also affect the nails resulting in their discolouration and pitting.
Diagnosis for psoriatic arthritis is usually based on history and physical examination of the joints, skin, and nails. Your doctor may also prescribe certain blood tests and X-rays in order to confirm the diagnosis.
You may be prescribed medicines to control inflammation in your joints and prevent further damage. Topical applications may be prescribed for controlling your skin symptoms. Sometimes, injections may be given inside the affected joints to control symptoms.
Joint reconstruction surgery may be required in cases of advanced or irreversible joint damage.
There is no cure for psoriatic arthritis, but lifestyle modification along with medication, when necessary, can help keep the disease under control. Timely diagnosis and appropriate treatment can help prevent joint destruction and permanent disability.
Disclaimer: Tips and suggestions mentioned in the article are for general information purpose only and should not be construed as professional medical advice. Always consult your doctor or a dietician before starting any fitness programme or making any changes to your diet.
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What is psoriatic arthritis? Symptoms, causes, treatment; tips to improve your joint health - Times Now
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