Psoriatic Arthritis – Symptoms, Causes, and Management

Psoriatic arthritis is a chronic disease. It is a kind of arthritis that affects those who have psoriasis, a condition where patients develop red patches of skin layered with white-greyish scales. People with psoriatic arthritis develop psoriasis years before arthritis sets in. While there is no cure for it, healthcare experts recommend treatments to reduce the symptoms and prevent dangerous joint damage. Here are a few critical aspects of this condition.
Signs and symptoms
Many indicators of psoriatic arthritis overlap with similar other health conditions. So, detecting it without expert help may be challenging. Doctors can diagnose this condition when people show specific symptoms, including:
Chest pain
Chest pain and shortness of breath are among the most common signs of psoriatic arthritis. These symptoms may be accompanied by pain in and around the rib cage. Psoriatic arthritis can also trigger a series of inflammations in the chest wall or cartilage that connects the ribs to the breastbone. As a result of the inflammation, patients feel like there is some kind of blockage in their chest. In worst-case scenarios (or instances where the condition has been left untreated), this inflammation may adversely affect the lungs and blood vessels going towards and away from the heart.
Foot pain
People with psoriatic arthritis generally feel pain in their soles, heels, and toes. Like in the case of chest pain, inflammation and tissue damage are the main reasons for foot pain. Essentially, this pain is experienced at points where ligaments and tendons attach to the bones, specifically at the back of the heel.
Swelling
Besides pain, the condition causes extensive swelling, with a person’s fingers and toes growing to the size of sausages. Swelling is mainly experienced in the knees, ankles, hands, and feet. The inflammation of the joints is responsible for this painful and puffy growth of toes and fingers. Swelling affects pairs of joints on both sides of a person’s body, for instance, both ankles, elbows, knees, or hips. Since psoriatic arthritis is a chronic condition, the swelling can worsen with time.
Lower back pain
Many with this disorder develop spondylitis. It is a condition where the joints between the vertebrae and spine and between the spine and pelvis become inflamed. This results in intense pain in the middle and lower back. Healthcare experts can immediately detect psoriatic arthritis in patients who show spondylitis and other aggressive forms of inflammation.
Eye inflammation
In some patients, this kind of arthritis may lead to uveitis, a condition characterized by blurry vision, eye pain, and redness. This symptom is dangerous as it can cause permanent vision loss in patients if left untreated. So, one must visit a doctor immediately to determine the cause.
Nail changes
Psoriatic arthritis causes tiny dents and ridges in the nails. In many cases, the nails pull away from the nail bed. The problem is known as onycholysis. The separated nail piece may have a white, green, or yellow tint with an opaque texture.
Causes and risk factors
Psoriatic arthritis is caused when an individual’s immune system inadvertently attacks their skin and joints, causing painful inflammation across multiple body parts. The exact reason or trigger of such immune system attacks is unknown. However, genetic factors, environmental factors, and other aspects, such as a person’s food choices, lifestyle choices, and pollution, may increase the risk of psoriasis and, eventually, psoriatic arthritis. As a result, it is safe to say that psoriatic arthritis is a painful condition with unknown sources.
Genetics is a significant risk factor. Healthcare research has found frequent cases of psoriatic arthritis to be hereditary. In other words, it tends to run in families across generations. Nearly half of those with this condition have one or more relatives suffering from it. While people with a family history of psoriatic arthritis may not develop the disorder right away, they are seemingly more vulnerable to the environmental triggers that cause it than others.
Treatments and remedies
Many therapies reduce the ferocity of psoriatic arthritis in patients. A few such treatment alternatives include:
Joint replacement surgery
Psoriatic arthritis adversely affects various joints in the body, either through inflammation or epidermal damage. Treating the condition in its early stages gives doctors a much-needed headstart and enables them to reduce its severity. Joint replacement surgery is among the more efficient solutions. In this surgery, doctors carefully remove a person’s affected joints. They then replace them with joints made of plastic and metal. It is one of the more effective solutions to address psoriatic arthritis.
Light therapy
Light therapy involves using a mix of specific tried-and-tested treatment alternatives followed by exposing patients to bright light. This light helps treat psoriasis-based skin rashes effectively in patients. Light therapy is an effective treatment option for several other types of skin conditions too.
Besides these treatment alternatives, patients can follow specific lifestyle changes and home remedies to lower the aggressive nature of psoriatic arthritis. A few examples are:
Daily exercise
One of the leading causes of psoriatic arthritis is joint stiffness. Exercise facilitates the movement of joints, muscles, bones, and other body parts, preventing stiffness from setting in. Patients must incorporate at least 30 minutes of exercise daily to gain more energy and keep the joints healthy. Besides helping with joint movement, exercise relieves stress and anxiety that may arise as a result of such chronic conditions.
Hot and cold packs
Muscle soreness is another major cause of psoriatic arthritis. Using hot compresses or warm packs helps relieve muscle soreness. On the other hand, cold packs reduce joint pain. Patients can consult a doctor to learn the correct method of using hot and cold packs. The remedy must be followed correctly for the best results in the long term.