Psoriatic arthritis flare can have many potential triggers. But treatment is available.
Psoriatic arthritis, or PsA, is a chronic autoimmune condition that can cause inflammation and joint pain in those living with the condition. Flare ups of PsA are common and may be triggered by certain environmental, physical, or emotional factors.
In this blog post, we’ll discuss some potential triggers of PsA episodes and possible treatments, including the first-line starting point utilizing functional medicine for psoriasis. By understanding the different symptoms and triggers that can bring about a PsA episode, sufferers will be better equipped to manage their condition and live life with greater ease.
The Link Between Psoriasis and PsA
Psoriasis and psoriatic arthritis are strongly linked, with around 30 percent of people with psoriasis developing psoriatic arthritis. Psoriasis is an autoimmune disorder that causes red scaly patches on the skin, while psoriatic arthritis is a form of inflammatory arthritis. It affects the joints, causing pain and swelling, as well as fatigue and other various symptoms.
The cause of psoriatic arthritis is not currently known, however experts believe it to be related to the body’s immune system; those with psoriasis are more likely to develop the condition due to their already weakened immunity. Psoriasis can also lead to joint damage over time, which can increase the risk develop psoriasis and of developing psoriatic arthritis. While there isn’t a cure for either condition, treatment options exist that may help manage symptoms and improve quality of life.
Symptoms of PsA Flare-ups
Psoriatic arthritis (PsA) flares can cause severe pain, stiffness, and swelling of the joints in the body. They can also result in areas of skin becoming tender and inflamed, with red patches that are covered in silvery scales. During a flare-up people may also experience fatigue and an overall feeling of being unwell, as well as other flu-like symptoms such as fever or chills. In some cases the flare-up may affect internal organs, causing chest pain, shortness of breath or a weakened immune function. It is important to seek medical treatment immediately if any of these symptoms develop.
What does a Psoriatic Arthritis flare feel like?
Psoriatic arthritis (PsA) flares can feel like a sharp, stabbing pain in the joints that can make movement difficult. The skin around the affected joints also may become inflamed, red, and scaly. Some symptoms also include fatigue, fever, and difficulty sleeping. This flare-up of PsA can last anywhere from days to weeks and is often accompanied by stiffness and swelling in the affected area before subsiding.
It is important to note that individuals with psoriatic arthritis may experience flares intermittently or even continuously over time as well as periods of remission when symptoms are milder or nonexistent.
Joint Swelling from Psoriatic Arthritis Flares
Those who develop psoriasis may begin to experience joint problems such as swelling and pain.
Joint swelling and pain from psoriatic arthritis flares can be very debilitating for those who suffer from it. Symptoms of PsA swelling include stiffness, tenderness, redness, warmth, swelling, and decreased range of motion in the affected joints. When psoriatic arthritis flares are experienced, it is important to speak with a doctor to determine the best course of action for treatment.
Depending on the severity of the psoriatic arthritis flare-up and its symptoms, treatment may involve lifestyle changes such as rest or physical therapy; medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or biologic agents; or surgery. Proper care should also be taken to reduce stress levels and get proper nutrition in order to maintain overall health.
Swollen Fingers or Toes are Signs of Psoriatic Arthritis
Psoriatic disease can present as swollen fingers or toes. It’s not always easy to recognize this symptom, as it often varies in severity and can cause changes in the nails. These nail changes can include pitting, thickening, discoloration, ridges, lines and even separation from the nail bed.
Swelling in swollen joints of the fingers or toes should be checked by a physician right away if any of these symptoms are present, as they could be signs of psoriatic arthritis. Early diagnosis and treatment is important for managing this condition properly.
Skin Symptoms Often Caused by Psoriatic Arthritis Flares
Psoriasis symptoms are not limited to joint pain and swelling. The inflammation can also travel throughout the body, causing common skin lesions on the body, making it difficult to find relief.
Psoriatic arthritis flares are often accompanied by other skin symptoms such as red patches of skin, itching or burning sensations, or even dryness or flakiness. It is important to receive prompt medical attention if any of these skin issues occur in order to make sure that they are treated properly and do not worsen over time.
Nail Changes Can be Psoriatic Arthritis Symptoms
Psoriatic disease can cause nail changes, a common symptom of psoriatic arthritis (PsA) flares. These changes can include pitting, discoloration, and crumbling of the nail as well as deformity of the nail bed and cuticles.
In some cases, Flares from PsA can cause nails to come loose from their beds. It is important to note that these skin symptoms may not be immediately recognizable, but they can become more prominent over time. Taking good care of your nails and looking for any changes is key to recognizing these skin symptoms often caused by psoriatic arthritis flares.
Lower Back Pain is an Underestimated Symptom of PsA Flare-Up
Sometimes those with psoriatic arthritis experience low back pain that could be a condition called spondylitis.
Psoriasis symptoms can sometimes be overlooked. One example is lower back pain which is often overlooked as a symptom of PsA flare-up. Despite being one of the most common forms of arthritis, many people don’t realize that lower back pain can be a sign of PsA. Lower back pain associated with a PsA flare-up can range from mild to severe, and can be accompanied by more symptoms such as stiffness, swelling and redness in the area. Because it is so easily mistaken for other conditions, lower back pain is often not taken seriously or treated properly when it comes to PsA. However, recognizing this symptom and seeking treatment for it early on can help to prevent more serious issues from occurring down the line.
Eye Problems and Additional Symptoms in People with Psoriatic Arthritis
Other easily overlooked symptoms include eye problems such as redness and light sensitivity. When combined with more common symptoms associated with psoriatic arthritis like inflammation of the joints, fatigue, and skin rash, it is important to seek medical attention. This is especially true if any of these symptoms become persistent or more intense. By understanding the signs and symptoms of this condition, people with PsA can better manage their flares and improve their overall quality of life.
Not Everyone with PsA Experiences Eye inflammation
Disease activity of PsA can vary widely. Not everyone with PSA symptoms experiences eye inflammation. Some people may have only mild to moderate symptoms, while others may experience no symptoms at all. Many people who have been diagnosed with PSA can go on to live normal, healthy lives without any eye inflammation or other issues. Treatment for those who do experience ocular inflammation can often be managed with topical steroids, anti-inflammatory medications and other treatments that aim to reduce discomfort and prevent progression of the condition.
PsA Flare Triggers That Can Worsen Symptoms
Chronic diseases such as psoriatic arthritis (PsA) can have triggers that vary from person to person, but generally stem from the same sources. Common triggers include stress and fatigue, physical overuse or injury, cold weather, infections, and certain medications. In order to manage psoritatic flare-up it is important to try to identify personal triggers and take steps to avoid them.
This could be as simple as avoiding stressful situations or getting more rest when feeling fatigued. Participating in gentle forms of exercise such as walking, yoga, swimming or Tai Chi can help maintain joint flexibility and strength without triggering a flare-up. Additionally, regular visits with a doctor can reduce the risk of infection which is another common cause of psoriatic arthritis flare-up. Finally, maintaining a healthy diet rich in Omega-3 fats can help keep inflammation under control and reduce flare risk.
Avoiding Triggers to Prevent PsA Flare-up
Disease flares with PsA can be prevented by being aware of and avoiding triggers that can cause them. Common triggers include stress, certain weather conditions, fatigue, injury, and certain foods. People with PsA should take time to identify which activities or environmental factors tend to trigger flare-ups for them and then work on avoiding these triggering situations as much as possible.
Additionally, it’s important for people with PsA to practice self-care techniques such as getting enough rest and eating a healthy diet in order to provide the body with extra protection against flare-ups. Learning how to recognize and avoid triggers can greatly reduce the frequency and intensity of PsA episodes.
Certain Medications Can Effect Psoriatic Skin Flares
PsA medications and other drugs can have either a positive or negative effect on psoriatic flares. Anti-inflammatory drugs and biologic agents are used to reduce inflammation and slow the progression of psoriasis. Corticosteroids are commonly used to control the itchiness and flaking associated with a psoriatic episode, while immune modulators, such as methotrexate, may be prescribed to help stop the body from producing too many extra skin cells.
Additionally, some medications used for other conditions, such as high blood pressure or depression, can inadvertently trigger a flare-up. Therefore, it is important for anyone managing psoriasis to keep in close contact with their doctor and review any changes in medication or dosage. Medications should not be the only approach considered for PsA, functional medicine for psoriasis and psoriatic arthritis should be the first-line approach, and medication should be complimentary.
Will Skipping or Stopping Psoriatic Arthritis Medication Cause a Flare Up?
Skipping or stopping psoriatic arthritis medication can cause a PsA episode in some cases. If a patient suddenly discontinues the medication, inflammation can return to the joints and skin, leading to pain, swelling, and tenderness. This is why it is important for patients to discuss any changes in their treatment plan with their doctor prior to making any decisions.
It is also important to remember that psoriatic arthritis experience flares can also happen even when taking medications as prescribed, so it is important for patients to stay aware of their symptoms and alert their doctors of any changes as soon as possible.
Unhealthy Lifestyle and Chronic Illness
Chronic illness like psoriatic arthritis (PsA) can result from having an unhealthy lifestyle. PsA is a type of autoimmune disorder that causes inflammation and irritation of the joints, as well as other areas of the body such as the skin and nails. Common symptoms include stiffness, tenderness, pain, swelling, and red patches on the skin. This condition can be caused by genetic factors or environmental triggers such as smoking and stress.
To reduce your risk of developing psoriatic arthritis and other chronic illnesses, it is important to maintain a healthy lifestyle with regular exercise, a balanced diet, and stress management techniques. Additionally, if you have a family history of psoriasis or other chronic conditions, getting regular check-ups with a doctor is important so they can monitor your condition.
Injury or Illness can trigger Psoriatic Arthritis Flares
PsA symptoms can be triggered by injury or illness. When an injury occurs, the body’s natural response is to attack the damaged tissues, which can cause inflammation to affect joints and lead to a flare-up in psoriatic arthritis.
Likewise, if someone with psoriatic arthritis becomes ill with something like the flu or a cold virus, the body’s immunity may become overactive and cause inflammation in the joints. In either case, proper medical care and rest are essential for helping manage flares associated with injury or illness.
Skin Conditions and Skin Infections Related to Psoriatic Disease
Injury or illness can trigger flares for those who have been diagnosed with psoriatic arthritis.
Psoriatic arthritis flares can be triggered by injury or illness. Skin conditions, skin lesions and skin infections related to psoriatic disease can also appear during flare-ups. These include psoriasis, nail disease and scalp psoriasis.
Psoriasis is a chronic skin condition characterized by red and scaly patches on the skin. Nail disease is a common symptom of a psoriatic arthritis flare ups in which nails become thickened, pitted or discolored.
Scalp psoriasis is an inflammatory condition in which red, itchy patches form on the scalp. It may be accompanied by hair loss in some cases. Patients should take note of any new skin condition or skin trauma that occurs during a flare period as these may be signs that their psoriatic arthritis has flared up again.
Managing Psoriatic Arthritis Flares
If you’ve been diagnosed with psoriatic arthritis, managing psoriatic arthritis flares can be difficult, but it is important to identify and manage symptoms early so that they don’t become worse.
The best way to do this is to work with a team of providers. Specifically, you need a functional medicine psoriasis doctor and your primary care doctor to create a treatment plan that works for you. This may include diet, lifestyle, supplementation, and taking prescribed medications, practicing relaxation techniques, and engaging in physical activity that helps reduce inflammation and pain.
Additionally, reducing stress levels through lifestyle changes such as getting adequate rest, eating a balanced diet and avoiding certain triggers can help minimize the severity and frequency of flares. Staying on top of regular check-ups with your doctor will also help ensure that any issues are addressed promptly and prevent further deterioration of joint health.
Finding a Treatment Plan for a PsA Flare
Why treat psoriatic arthritis? Finding a treatment plan for a PsA episode can be difficult and requires the help of a physician. It’s important to keep an open dialogue with the doctor to ensure that any medications prescribed will help alleviate symptoms and potential side effects.
Treatments may include pain relievers, anti-inflammatory drugs, or physical therapy, but putting together a healthcare team and implementing functional medicine for psoriasis is one of the most powerful things you can do to support your psoriasis.
Regular monitoring for signs of disease activity is critical for the optimal treatment of psoriatic arthritis. Some flares can be so mild that they don’t produce enough warning signs to diagnose them promptly. To reduce the risk of future flares, it is important to stick with a consistent routine and watch for potential triggers such as high stress or lack of sleep.
Regular exercise and stretching are especially helpful in maintaining flexibility while reducing inflammation. In severe cases, biologics may be prescribed which target specific molecules involved in the immune system’s inflammatory response.
With proper care and frequent communication between patient and provider, treatment plans can be tailored to each patient’s individual circumstances to promote remission and minimize flares over time.
Treatment Options to Manage Inflammation and Pain
Options to manage psoriasis symptoms of inflammation and pain associated with PsA vary depending on the severity of the condition. For mild inflammation and pain, over-the-counter medications such as ibuprofen, naproxen, aspirin, or acetaminophen can be taken. Prescription medications such as corticosteroids can also help reduce inflammation and pain.
Physical therapy is another option for managing inflammation and associated pain. Exercises that improve range of motion and strengthen muscles around the affected area can help reduce stress on tissues as well as reduce swelling.
For more severe cases of inflammation, doctors may prescribe immunosuppressants or other strong medications to control the overactive immune response. In addition to medication, lifestyle changes such as dietary modifications and stress management strategies may also help relieve symptoms associated with chronic inflammation.
Try Heat and Cold Therapy to Relieve Psoriatic Arthritis Inflammation
In some cases, you may be able to relieve inflammation of psoriatic arthritis flare ups through great treatment options like heat and cold therapy. Heat therapy, such as applying a hot compress or taking a warm bath, can help relax muscles and reduce stiffness.
Cold therapy, such as applying an ice pack or taking a cold shower, can help reduce swelling and numb the pain. Both types of therapies should be used in moderation and should not be used together since they can cause further inflammation. Additionally, it is important to talk with your doctor before trying either type of therapy to ensure it is appropriate for your condition.
People Diagnosed with Psoriatic Arthritis Can Manage Stress to Prevent Flare Ups
People diagnosed with psoriatic arthritis (PsA) can manage their stress levels in order to prevent flare-ups. Stress is a known trigger for PsA, and can cause symptoms to worsen. By reducing overall stress levels through activities such as meditation, exercise and getting quality sleep, people with psoriatic arthritis can reduce their risk of flare-ups.
Additionally, participating in support groups and talking to family and friends can help reduce stress as well as provide additional support. Taking breaks throughout the day and practicing deep breathing techniques can also be beneficial when it comes to managing stress levels. With proper care and management techniques, people living with PsA may be able to keep flare-ups at bay.
Modify Your Lifestyle to Improve Your Immune System
If you have PsA avoid permanent joint damage by modifying your daily lifestyle choices. Try to limit fatty meats, incorporate more water, and eat more healthy fruits and vegetables.
People with psoriatic arthritis can make changes to their lifestyle, which can have a huge impact on their immunity. A functional medicine doctor for psoriasis can help you determine an individualized approach to your diet, lifestyle, and supplementation to support your psoriatic arthritis.
Eating a balanced diet full of fruits, vegetables, healthy proteins, and plenty of water is essential for boosting immunity.
Exercise is also important for keeping the body strong and healthy. Incorporating regular exercise into your daily routine will help strengthen the body’s ability to fight off disease.
Getting enough rest and relaxation regularly is also important for helping your immune system stay strong.
Finally, being mindful of hygiene practices such as washing hands regularly and avoiding contact with people who are sick can be beneficial in keeping the immune system running smoothly. Taking these steps can give your immune system the boost it needs to keep you healthy and feeling great.
Reduce Your Activity Levels While Managing Psoriatic Disease Flares
When it comes to managing inflammatory symptoms of psoriatic arthritis flare, one of the best things you can do is reduce your activity levels. This means avoiding physical activities that may cause pain or stress on your joints, like running, jumping or lifting heavy objects. It also means taking regular breaks throughout the day and focusing on gentle stretching and low-impact exercises that can help reduce inflammation.
Taking these measures can help to minimize flare ups while still allowing you to maintain an active lifestyle. Additionally, it is important to pay attention to how certain foods, beverages, and medications can affect your symptoms; some foods may act as triggers for flares, so being mindful of what you are eating is key. You may also want to work with a functional medicine doctor for psoriasis that can help you evaluate food sensitivities and other immune triggers through blood testing for a truly individualized approach.
Lastly, getting enough rest and avoiding stressful situations whenever possible should be a top priority in order to manage psoriatic arthritis flares more effectively.
Incorporate Gentle Exercise Once Psoriatic Arthritis Symptoms Improve
Mild exercise like Tai Chi is gentle on knee joints and can help with joint stiffness and other joint problems without causing extra stress to your body.
Once psoriatic arthritis symptoms begin to improve, it is important to incorporate gentle exercise into your lifestyle. This can help reduce inflammation and pain associated with the condition.
Exercise can also help improve overall physical health and mental wellbeing as well as reduce stress levels. Gentle forms of exercise such as yoga, tai chi, and walking are especially beneficial in helping to manage psoriasis. Regular exercise can help keep skin moisturized and even help reduce flare-ups from occurring. In addition, it may also help reduce fatigue which is a common symptom of psoriasis.
Take care of your Mental Health
Mental and emotional health is an important part of our overall wellbeing and is essential to living a healthy and happy life. Taking care of your emotional health can be difficult, so seeking help from a therapist or counselor can be beneficial in achieving better mental wellbeing.
A mental health professional has the expertise to assess where help is needed, and then provide guidance on how best to manage any issues. They will also be able to provide support and advice on lifestyle changes which can help improve one’s mental state. With the help of a mental wellness professional, individuals can take steps towards managing their mental and emotional health in a positive way that works for them.
Antirheumatic Drugs: Adjust or Change Your Medication Dose
Disease Modifying Antirheumatic Drugs (DMARDs) are often used to treat rheumatoid disorders, such as osteoarthritis and rheumatoid arthritis. Adjusting or changing the dose of DMARDs is an important step in managing these conditions. It is important for a person to regularly monitor their symptoms so that their doctor can adjust the dose accordingly. A doctor may suggest a different dose based on how well the current treatment is working, any side effects that are experienced, and any changes in health status. If an individual is experiencing undesirable side effects or their condition is not improving with their current medication, they should consult their doctor to determine whether adjusting or changing the dosage of DMARDs could be beneficial.
Frequently Asked Questions: Psoriasis and Psoriatic Arthritis
Q: What is psoriatic arthritis?
A: Psoriatic arthritis is an inflammatory form of arthritis that affects up to 30% of people with psoriasis. It can cause joint pain, swelling and damage in the joints, tendons and ligaments.
Q: What triggers psoriasis flares?
A: There are many potential triggers for psoriasis flares. Common triggers for skin flares include stress, skin trauma, certain medications, infection, cold weather and hormonal changes.
Q: What is ankylosing spondylitis (AS)?
A: AS is an inflammatory type of arthritis that affects the spine and other peripheral joints like hips and shoulders. Symptoms include back and joint pain, and stiffness that worsens with activity or rest (especially in the morning).
Q: Is there a psoriatic disease connection spondylitis and ankylosing spondylitis (AS) ?
A: Yes. Psoriatic disease and (AS) have been linked by research, as they are both autoimmune diseases that can cause inflammation of the joints. Additionally, some people with one of these disorders may develop the other.
Q: Can knee pain be a symptom of psoriatic arthritis?
Yes: Yes, knee pain can be a symptom of psoriatic arthritis. It is often accompanied by other symptoms such as swelling, stiffness, and decreased range of motion. Knee pain should be evaluated by a doctor to determine if it is caused by an underlying condition such as psoriatic arthritis or another form of inflammatory arthritis itself. In some cases, imaging tests may be necessary to make a diagnosis.
Q: What is the National Psoriasis Foundation?
A: The National Psoriasis Foundation (NPF) is a non-profit organization dedicated to finding a cure for psoriasis and providing resources for those living with this condition through awareness campaigns, advocacy efforts, education programs, research grants & more.
Q: What resources does the National Psoriasis Foundation provide?
A: The National Psoriasis Foundation provides patient support services including online resources such as educational materials on psoriasis management, financial assistance programs and access to clinical trials among others.
Q: Are all joints affected by psoriatic arthritis?
A: No – only certain joints are typically affected by psoriatic arthritis. These joint problems include the spine, hips and shoulders; however, other parts of the body may be affected as well.
Dr. Shook works with clients across the US via telemedicine to help people with psoriasis get testing to help identify many of the triggers that may activate the immune system and drive their symptoms. To learn more about working with Dr. Shook, please visit the application for care page here: Functional Medicine for Psoriasis
- You may also want to read:
- Learn Dr. Shook’s Functional Medicine Approach
- Need Help? We work with people virtually across the US and in other countries.
Pingback: Psoriasis and eczema are two of the most common skin conditions among adults. Root cause treatments using Functional Medicine for Psoriasis lead the way.
Pingback: Psoriasis vs. Rosacea: Differences, Treatment, and Other Conditions