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Treatments for Psoriasis/Psoriatic Arthritis

While their effects are quite different, psoriasis and psoriatic arthritis are often related. Both involve inflammation caused by a faulty immune system response. With psoriasis, immune dysfunction causes the skin to develop red scaly patches, while psoriatic arthritis is associated with swollen, painful joints.  

It’s possible to have psoriasis and never develop symptoms of psoriatic arthritis. In general, people with severe forms of psoriasis have the greatest risk of experiencing joint dysfunction.  

How Psoriasis and Psoriatic Arthritis Are Treated 

Doctors may recommend one or more of the following medications to manage psoriasis symptoms: 

  • Ointments containing corticosteroids can be applied directly to rough patches of skin. Doctors may also prescribe topical retinoids, synthetic vitamin D creams, and coal tar (a byproduct of coal manufacturing). 
  • Oral retinoids may be recommended if topical solutions don’t work. This is often the case when people experience severe psoriasis.  
  • Injectable medications, such as methotrexate and biologics, also help reduce inflammation, which can alleviate psoriasis symptoms.  

Some psoriasis medications carry a risk of serious side effects. Accordingly, patients must understand these risks before starting a new medication regimen.  

As for psoriatic arthritis, treatments include: 

  • NSAIDs, which are available in over the counter and prescription forms, reduce inflammation in the joints. This alleviates pain and stiffness.  
  • DMARDs are medications that reduce the rate at which psoriatic arthritis progresses. They can also prevent permanent joint damage from occurring.  
  • Biologic agents are a type of DMARD that impacts how the immune system functions to manage psoriatic arthritis symptoms.  
  • Apremilast medications work by reducing enzyme activity associated with the body’s inflammatory response. This treatment is often recommended when a person can’t take DMARDs or biologic agents.  

Other Treatments for Psoriasis and Psoriatic Arthritis 

Light therapy, which involves controlled exposure to ultraviolet rays, can also help manage skin inflammation in people with psoriasis. With psoriatic arthritis, doctors may perform joint replacement surgery if damage is significant. Physical and occupational therapy are also beneficial. 

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.