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There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter ..."/><meta data-rh="true" property="optimizely" content="Optimizely is supported by this application but is not enabled for this page."/> <script data-rh="true"> window.usnFirstByteTime = new Date(); performance && performance.mark && performance.mark('ttfb'); </script><script data-rh="true" type="text/javascript"> var utag_data = {"bucket_tags":["patient-advice-include-consumer-advice","atlasconditionguide","condition-guide-related-bone-joint-disease","conditions","health-care","patient-advice"],"article_byline":"Elaine K. 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About half of Americans have at least one of these.","page_container":"containers/pages/health/conditions/guide/index.js","tealium_environment":"prod","site_version":"atlas"}; (function() { function usnRandId() {return (new Date().getTime() % 100000000000 + Math.random()).toString().replace(".", "");} function get(name) {return (("; " + document.cookie).split("; " + name + "=")[1] || "").split(";")[0];} function cookie(name, val) {return name + "=" + val + "; path=/; domain=.usnews.com";} function permacookie(name, val) {var d = new Date();d.setTime(d.getTime() + 365 * 24 * 60 * 60 * 1000);return cookie(name, val) + "; expires=" + d.toUTCString();} window.usn_permacookie = permacookie; var usn_pageview_id = usnRandId(); var usn_session_id = get("usn_session_id"); if (!usn_session_id) { usn_session_id = usnRandId(); document.cookie = cookie("usn_session_id", usn_session_id); } var usn_visitor_id = get("usn_visitor_id"); if (!usn_visitor_id) { // This should always be set by Akamai, but if not, fake it here. usn_visitor_id = usnRandId(); document.cookie = permacookie("usn_visitor_id", usn_visitor_id); } var usn_src = get("usn_src"); var query = window.location.search && window.location.search.substr(1).split('&'); if (query) { var pair; while (pair = query.pop()) { if (pair.indexOf("src=") === 0) { var src = pair.substr(4); usn_src = usn_src || src; if (usn_src.indexOf(src) === -1) { usn_src += ',' + src; } document.cookie = permacookie("usn_src", usn_src); } } } var vertical = utag_data.site_vertical && utag_data.site_vertical.toLowerCase(); if (vertical && vertical !== 'generic') { document.cookie = cookie("cogv", vertical); } utag_data.usn_src = usn_src; utag_data.usn_pageview_id = usn_pageview_id; utag_data.usn_hit_id = usnRandId(); utag_data.usn_session_id = usn_session_id; utag_data.usn_visitor_id = usn_visitor_id; function identify_utag_data() { var awsCognitoEmail = get("coge"); if (awsCognitoEmail) { // Sanitize email address awsCognitoEmail = awsCognitoEmail.trim().toLowerCase(); } utag_data.aws_cognito_sub = get("cogsub"); utag_data.aws_cognito_email = awsCognitoEmail; utag_data.sailthru_email_hashed = get("usn_sailthru_hash"); } identify_utag_data(); window.usn_identify_utag_data = identify_utag_data; // Global Privacy Control is not supported by many browsers but legally required to respond to if (typeof(navigator) !== 'undefined' && navigator.globalPrivacyControl) { document.cookie = permacookie("usprivacy", "1YYY"); } }()); </script><script data-rh="true" type="application/ld+json">{"image":{"@type":"ImageObject","width":"970","url":"https://web.archive.org/web/20230316230559/https://www.usnews.com/dims4/USNEWS/9830cdf/2147483647/crop/2000x1334%2B0%2B0/resize/970x647/quality/85/?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2F3b%2Fe702d0614a6eac05187514bd0d3a%2F190304-seniorpatientdoctor-stock.jpg","height":"647"},"wordCount":1929,"keywords":["Elaine K. Howley","arthritis","psoriatic arthritis","patients","patient advice","steroids","health","dermatology","rheumatology","patient-advice-include [Consumer Advice]","atlasconditionguide","condition-guide-related-bone-joint-disease","Conditions","Health Care","Patient Advice"],"articleBody":"Arthritis is an umbrella term that simply describes joint inflammation. There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter of all adults. But not all forms of arthritis are created equal. Some, like psoriatic arthritis, are related to immune disorders and can cause a lot of pain and disability.Psoriatic arthritis is one of several inflammatory forms of arthritis, and it's related to the common skin disorder psoriasis. Psoriasis is a chronic skin problem that speeds up the life cycle of skin cells. This causes a rapid build-up of cells on the surface of the skin that collect in red, scaly patches. It can be very itchy and painful.The Arthritis Foundation reports that about 30 percent of people with psoriasis \"also develop a form of inflammatory arthritis called psoriatic arthritis.\" Like psoriasis, psoriatic arthritis is an autoimmune disorder, meaning that the immune system begins attacking the body's normal cells, causing inflammation, swelling, pain and eventually damage to the joints.Dr. David Pugliese, a rheumatologist at Geisinger in Danville, Pennsylvania, says that psoriatic arthritis is one of \"a whole host of autoimmune conditions,\" that cause joint pain, swelling and other complications. \"These conditions can give people arthritis and come with their own host of immune concerns that we need to monitor,\" Pugliese says, so it's important to speak with your doctor if you notice any arthritis-like symptoms in any of your joints.Within psoriatic arthritis, there are three main types. Symmetric psoriatic arthritis affects about 50 percent of patients, and it occurs in joints on both sides of the body. Asymmetric psoriatic arthritis affects about 35 percent of people with psoriatiac arthritis. It's generally considered the mildest form and tends to affect three or fewer joints. Three other types of psoriatic arthritis make up the rest of cases. Arthritis mutilans occurs in the fingers and toes and is an advanced, deforming type of psoriatic arthritis. Spondylitis impacts the shoulders and neck. And distant interphalangeal predominant psoriatic arthritis impacts the joints at the ends of the fingers.The Arthritis Foundation reports that \"most people with psoriatic arthritis have skin symptoms before joint symptoms.\" Skin symptoms of psoriasis include: Red patches of raised or inflamed skin. Whitish or silvery scales or plaques on those red patches. Dry skin that cracks or bleeds. Tenderness, itching or burning around the site of the patches. Thick, pitted or ridged nails. Swollen and stiff joints.But for some people, psoriatic arthritis can develop in the absence of any skin symptoms. \"You don't have to have psoriasis to have psoriatic arthritis,\" says Dr. Esther Lipstein-Kresch, chief of rheumatology at ProHEALTH Care in New York. That can sometimes make diagnosis difficult, as the symptoms that accompany psoriatic arthritis may sometimes be similar to those of other forms of inflammatory arthritis.Common symptoms of psoriatic arthritis include: Swollen, painful joints. Joint stiffness, especially first thing in the morning. Sausage-like swelling along the length of the fingers or toes. Tendon or ligament pain. Reduced range of motion. Skin rashes and pitted nails. Fatigue. Redness and irritation of the eyes and distorted vision.One of the key distinguishing features of psoriatic arthritis is the development of \"sausage-shaped deformity,\" Lipstein-Kresch says. \"It can happen in the toes and fingers,\" and it can be very uncomfortable. This particular type of swelling is less likely to occur in rheumatoid arthritis so it's often a differentiator in helping your doctor make the right diagnosis.Another feature of psoriatic arthritis is the development of bone fusions, \"where the bones literally fuse together,\" Lipstein-Kresch says, a condition called ankylosis. This usually only happens in severe cases that aren't well managed. \"If you're unlucky enough to fuse your wrist in a really bad position when it's flexed, you wind up like that the rest of your life. Sometimes people fuse in a neutral position, which is good because if it's fused, it doesn't hurt that much and they can still use their hands.\" In fact, surgical fusion is sometimes used as a treatment for psoriatic arthritis and other inflammatory arthritis conditions.While ankyloses can also occur in other inflammatory arthritis conditions, such as rheumatoid arthritis, \"psoriatic arthritis generally has more fusion than rheumatoid arthritis. But hopefully in this day and age with all these new biologic medications and other disease-modifying drugs, people wouldn't get fusion,\" Lipstein-Kresch says.To diagnose a case of psoriatic arthritis, your doctor will conduct a thorough physical exam and take an extensive medical history. Your rheumatologist may also order some blood tests to gauge how much inflammation you have in your body or X-ray images of your symptomatic joints to take a look at what's going on inside them. You may also have MRIs, ultrasounds or CT scans to look at the extent of damage in your joints.Although there isn't a specific blood test currently in use that can say definitively that you have psoriatic arthritis, your rheumatologist will likely order some blood tests to rule out other forms of inflammatory arthritis, such as rheumatoid arthritis. These tests look for an antibody in the blood called the rheumatoid factor. Even if your RF test comes back negative, it doesn't necessarily mean you don't have rheumatoid arthritis. Lipstein-Kresch says that about 85 percent of people with rheumatoid arthritis will have a positive RF factor test but \"the other 15 percent won't. Those people have what's called zero-negative RA.\"Even a positive RF test doesn't completely rule out a diagnosis of psoriatic arthritis, as the two conditions can coexist, although the National Psoriasis Foundation reports this coexistence of conditions is rare. Nevertheless, it's important to work with a doctor who has experience in treating arthritis conditions to be sure you're arriving at the right diagnosis. \"Even though we have some tools we use in terms of immunological testing that are helpful, ultimately (the correct diagnosis) still boils down to what the patient looks like on exam and what kind of story they are telling,\" Pugliese says.Psoriatic arthritis occurs when the body's immune system misidentifies normal cells as foreign invaders and goes on the attack. The National Psoriasis Foundation reports that skin symptoms are present before the development of joint pain in about 85 percent of cases.It's not entirely clear why psoriatic arthritis develops in some people and not others, but genetics are likely part of the answer, as well as environmental factors. People with a family history of either psoriasis or psoriatic arthritis are at higher risk of developing the disorder.It's believed that physical trauma or certain environmental factors, such as the introduction of a bacterial or viral infection, could sometimes trigger the immune response that develops into psoriatic arthritis in some people.Age may also be a risk factor. Although anyone can develop psoriatic arthritis at any age, the Mayo Clinic reports that \"it occurs most often in adults between the ages of 30 and 50.\"Although there's currently no cure for psoriatic arthritis, the condition can be managed. Patients may be offered a range of different medications, including: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs reduce inflammation and relieve pain. Some, such as ibuprofen (Advil, Motrin IB, etc.) and naproxen sodium (Aleve) are available over the counter. Your doctor may prescribe stronger NSAIDs to improve symptoms of psoriatic arthritis. Disease-modifying antirheumatic drugs (DMARDs). These drugs stall the progression of psoriatic arthritis and may be used to treat other forms of inflammatory arthritis. Methotrexate (Trexall), leflunomide (Arava) and sulfasalazine (Azulfidine) are three common DMARDs used to treat psoriatic arthritis. Steroids. Powerful anti-inflammatories, steroids such as prednisone (Deltasone, Rayos and Prednisone Intensol) can help bring down a flare-up of psoriatic arthritis or other inflammatory arthritis disorders quickly. Steroids have been around a long time, and \"are still excellent medications in terms of cooling things down,\" Lipstein-Kresch says. \"When you see somebody who is really inflamed and has a lot of pain, can't sleep and can't function, the steroids make a tremendous difference very rapidly.\" But she says these are generally used sparingly as they can have some harsh side effects when used long-term. Steroids may also be used in combination with other medications to help prime the body's response for the effects of biologic or other medications. Immunosuppressants. In immune disorders, the body's natural defense mechanism – the immune system – works overtime and on the wrong targets. By tamping down some of this response, some patients may find some relief from autoimmune conditions such as psoriatic arthritis. Azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune) are two immunosuppressant drugs that may be used to treat the condition. Biologics. In the past decade, new medications have emerged to help patients deal with a number of inflammatory arthritis conditions. The NPF reports that these types of drugs are administered by injection or intravenous infusion and are derived from living cells cultured in a lab. Among these are: TNF-alpha inhibitors.These medications target tumor necrosis factor-alpha, an inflammatory substance produced by the body. By inhibiting the production of this substance, that may lead to reduced pain and stiffness and relief from joint swelling. Etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira), are three examples of this class of drug. Interleukin inhibitors.These drugs selectively target certain cytokines (a kind of protein) involved in inflammatory and immune responses. Examples include secukinumab (Cosentyx), ixekizumab (Taltz), brodalumab (Siliq) and ustekinumab (Stelara). T-Cell inhibitors.T-cells are a kind of white blood cell that create inflammation in psoriatic disease. The drug abatacept (Orencia) may help tamp down some of this response. Few patients progress to the point of needing surgery, but it can be an option in some cases. In a procedure called synovectomy, your doctor might remove the damaged or diseased tissue from inside the joint. In other cases, a patient may undergo a joint replacement surgery, joint resurfacing or realignment surgery or a bone fusion to relieve pain in a problematic joint.Another hallmark of psoriatic arthritis is frequent flare-ups, or periods when the disease seems worse, followed by periods of fewer symptoms. Managing this ebb and flow is an important part of living with the disease.Because autoimmune disorders are so closely associated with excessive levels of inflammation in the body, some doctors and patients believe that diet can impact the severity of symptoms. \"There are a million and one diets you could find online, and some people come in and tell me every time they have something fried, their arthritis flares up. Or they gave up gluten and feel better, even though there's no indication that they actually have a gluten sensitivity,\" Lipstein-Kresch says. It's hard to know exactly what might help most in which situation, so it's best to talk with your doctor about what's best for you.In general, it's believed that foods high in omega-3 fatty acids, such as fish, healthy oils and nuts, could help reduce inflammation in the body. A diet rich in brightly colored fruits and vegetables will also provide lots of antioxidants, which may also help control inflammation. Some studies have connected red meat, high-fat and high-cholesterol foods with increased inflammation, but Lipstein-Kresch says the evidence is \"soft\" and her best advice is to \"eat healthy.\"Exercising regularly is also typically recommended to keep your joints moving as smoothly as possible, retain as much range of motion as possible and to keep your weight in check. When your body is strong, you'll be better able to cope with your condition.","@type":"NewsArticle","author":[{"image":"https://web.archive.org/web/20230316230559/https://www.usnews.com/dims4/USNEWS/b28125c/2147483647/thumbnail/300x300/quality/85/?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","@type":"Person","jobTitle":"Contributor","name":"Elaine K. Howley","url":"https://web.archive.org/web/20230316230559/https://www.usnews.com/topics/author/elaine-k-howley"}],"description":"Know the basics on symptoms, diagnosis and treatment to help as you battle the disease.","dateModified":"2019-07-22T11:25-0400","mainEntityOfPage":{"@type":"WebPage","name":"A Patient’s Guide to Psoriatic Arthritis","@id":"https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/psoriatic-arthritis","url":"https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/psoriatic-arthritis"},"@context":"https://web.archive.org/web/20230316230559/http://www.schema.org","datePublished":"2019-07-22T11:25-0400","dateCreated":"2019-07-22T11:25-0400","publisher":{"@type":"Organization","name":"U.S. News & World 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Surgery</option></optgroup><optgroup label="Other Conditions"><option value="https://health.usnews.com/conditions/hyperkalemia">Hyperkalemia</option><option value="https://health.usnews.com/conditions/obesity">Obesity</option><option value="https://health.usnews.com/conditions/norovirus">Norovirus</option><option value="https://health.usnews.com/conditions/raynauds-syndrome">Raynaud's Syndrome</option><option value="https://health.usnews.com/conditions/vaccinations">Vaccinations</option></optgroup></select></div><button data-tracking-id="conditions_dropdown_menu" background="/web/20230316230559im_/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/white" border="#9297A1" class="Button__ButtonDeprecated-suns4m-1 ZsShn"><div class="button-content"><svg role="img" fill="#fff" width="1.125rem" height="1.125rem" class="Icon-sc-9wq8ul-0 hiHdJZ"><use xlink:href="/web/20230316230559im_/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/psoriatic-arthritis?int=hp_condition_guide_section_health#search" filter="0"></use></svg></div></button></div></div></div><p class="Heading-sc-1w5xk2o-0 cEJMIE">Psoriatic Arthritis Advice</p><ul><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 llcDMm"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="What Is Psoriatic Arthritis?" data-tracking-placement="left-rail" href="#overview" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX svXmv">What Is Psoriatic Arthritis?</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Types" data-tracking-placement="left-rail" href="#types" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Types</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Symptoms" data-tracking-placement="left-rail" href="#symptoms" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Symptoms</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Diagnosis" data-tracking-placement="left-rail" href="#diagnosis" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Diagnosis</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Causes" data-tracking-placement="left-rail" href="#causes" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Causes</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Treatment" data-tracking-placement="left-rail" href="#treatment" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Treatment</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Health Care Providers" data-tracking-placement="left-rail" href="#providers" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Health Care Providers</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Management" data-tracking-placement="left-rail" href="#management" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Management</a></li><li class="SubNavVertical__NavLi-sc-1ug4ekn-4 fBGuGz"><div class="active-indicator"></div><a data-tracking-id="article_assembly_click" data-tracking-campaign="Related Articles" data-tracking-placement="left-rail" href="#related-articles" class="Anchor-byh49a-0 SubNavVertical__NavLink-sc-1ug4ekn-5 cxkicX bXSYFn">Related Articles</a></li></ul></div></div></nav></div></div><div class="Cell-sc-1abjmm4-0 jHkzqw"><div id="usn-toc-content" class="guide__ArticleBodyContainer-sc-136lmpg-0 hZuNfS"><div id="ad-in-text-target" class="Box-w0dun1-0 article-body__ArticleBox-sc-138p7q2-2 dWWnRo eYFKbH"><div class="Raw-slyvem-0 bCYKCn"><p>Arthritis is an umbrella term that simply describes joint inflammation. There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter of all adults. But not all forms of arthritis are created equal. Some, like psoriatic arthritis, are related to immune disorders and can cause a lot of pain and disability.</p></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="render-ad-default__InArticleSpace-boq8av-0 iscxUE mb5 mt6"><div><div class="Ad__Container-sc-1ah7c5n-0 cJsgjY RectToLeaderboardAd__CustomLeaderboardAd-sc-18ls5m1-0 eerTMw"><div id="ad" class="ad" data-dimensions="728x90" data-ad-props="{"type":"lb","dimensions":"728x90","separator":"_","lazy":false,"borderColor":"#D3D7DC","insetSpacing":1,"autoRefresh":false,"breakpoint":"large","className":"RectToLeaderboardAd__CustomLeaderboardAd-sc-18ls5m1-0 eerTMw","mobileType":"mad","mediaTypes":["banner"],"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div><div class="Ad__Container-sc-1ah7c5n-0 eMRjsm RectToLeaderboardAd__CustomRectAd-sc-18ls5m1-1 fXMqkv"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"breakpoint":"large","className":"RectToLeaderboardAd__CustomRectAd-sc-18ls5m1-1 fXMqkv","dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div></div></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="What Is Psoriatic Arthritis?" id="overview">What Is Psoriatic Arthritis?</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Psoriatic arthritis is one of several inflammatory forms of arthritis, and it's related to the common skin disorder psoriasis. Psoriasis is a chronic skin problem that speeds up the life cycle of skin cells. This causes a rapid build-up of cells on the surface of the skin that collect in red, scaly patches. It can be very itchy and painful.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>The Arthritis Foundation reports that about 30 percent of people with psoriasis "also develop a form of inflammatory arthritis called psoriatic arthritis." Like psoriasis, psoriatic arthritis is an autoimmune disorder, meaning that the immune system begins attacking the body's normal cells, causing inflammation, swelling, pain and eventually damage to the joints.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>Dr. David Pugliese, a rheumatologist at <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/best-hospitals/area/pa/geisinger-medical-center-6230550">Geisinger</a> in Danville, Pennsylvania, says that psoriatic arthritis is one of "a whole host of autoimmune conditions," that cause joint pain, swelling and other complications. "These conditions can give people arthritis and come with their own host of immune concerns that we need to monitor," Pugliese says, so it's important to speak with your doctor if you notice any arthritis-like symptoms in any of your joints.</p></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><react-trigger trigger="view"><h3 class="Heading-sc-1w5xk2o-0 lgyqEx">Read More About Psoriatic Arthritis</h3><div class="Box-w0dun1-0 PromoListEnhancement__Columns-sc-1iati3y-0 dWWnRo gvUSLK"><div spacing="3" class="MediaLinkBoxed__Container-sc-1m4ue7d-0 bgWBUj"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/wellness/fitness/slideshows/how-to-practice-yoga-when-you-have-arthritis-or-another-chronic-condition" class="MediaLinkBoxed__ContainerLink-sc-1m4ue7d-1 iPxaMy"></a><div class="MediaLinkBoxed__InnerContainer-sc-1m4ue7d-4 dJZCrW"><div class="MediaLinkBoxed__Content-sc-1m4ue7d-5 iPlzuO p2"><a 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src="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000016b-32b0-d597-a17f-3eb594d00000/190607-lighttherapy-stock.jpg?update-time=1559923613535&size=responsiveSquare150" class="MediaLinkBoxed__ImageStyled-sc-1m4ue7d-2 ijwHKs"/></a></div></div><div spacing="3" class="MediaLinkBoxed__Container-sc-1m4ue7d-0 bgWBUj"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/arthritis/managing-arthritis-in-hands" class="MediaLinkBoxed__ContainerLink-sc-1m4ue7d-1 iPxaMy"></a><div class="MediaLinkBoxed__InnerContainer-sc-1m4ue7d-4 dJZCrW"><div class="MediaLinkBoxed__Content-sc-1m4ue7d-5 iPlzuO p2"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/arthritis/managing-arthritis-in-hands" class="Anchor-byh49a-0 eMEqFO"><div class="Paragraph-sc-1iyax29-0-div MediaLinkBoxed__Text-sc-1m4ue7d-7 cjfzFA dlEzBu">How to Deal With Arthritis in the Hands</div></a></div><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/arthritis/managing-arthritis-in-hands" class="MediaLinkBoxed__Aside-sc-1m4ue7d-6 bmgxZx"><img loading="lazy" src="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000015e-3df4-d369-a3de-3ffdfc520000/170901-seniormedication-stock.jpg?update-time=1504278077516&size=responsiveSquare150" class="MediaLinkBoxed__ImageStyled-sc-1m4ue7d-2 ijwHKs"/></a></div></div><div spacing="3" class="MediaLinkBoxed__Container-sc-1m4ue7d-0 bgWBUj"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/skin-disease/psoriasis" class="MediaLinkBoxed__ContainerLink-sc-1m4ue7d-1 iPxaMy"></a><div class="MediaLinkBoxed__InnerContainer-sc-1m4ue7d-4 dJZCrW"><div class="MediaLinkBoxed__Content-sc-1m4ue7d-5 iPlzuO p2"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/skin-disease/psoriasis" class="Anchor-byh49a-0 eMEqFO"><div class="Paragraph-sc-1iyax29-0-div MediaLinkBoxed__Text-sc-1m4ue7d-7 cjfzFA dlEzBu">A Patient’s Guide to Psoriasis</div></a></div><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/skin-disease/psoriasis" class="MediaLinkBoxed__Aside-sc-1m4ue7d-6 bmgxZx"><img loading="lazy" src="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/00000169-da39-d2dd-a3f9-fefbdfa10000/190401-psoriasisarm-stock.jpg?update-time=1554144466729&size=responsiveSquare150" class="MediaLinkBoxed__ImageStyled-sc-1m4ue7d-2 ijwHKs"/></a></div></div><div spacing="3" class="MediaLinkBoxed__Container-sc-1m4ue7d-0 bgWBUj"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/psoriasis/living-with-psoriasis" class="MediaLinkBoxed__ContainerLink-sc-1m4ue7d-1 iPxaMy"></a><div class="MediaLinkBoxed__InnerContainer-sc-1m4ue7d-4 dJZCrW"><div class="MediaLinkBoxed__Content-sc-1m4ue7d-5 iPlzuO p2"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/psoriasis/living-with-psoriasis" class="Anchor-byh49a-0 eMEqFO"><div class="Paragraph-sc-1iyax29-0-div MediaLinkBoxed__Text-sc-1m4ue7d-7 cjfzFA dlEzBu">What’s It Like Living With Psoriasis?</div></a></div><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/psoriasis/living-with-psoriasis" class="MediaLinkBoxed__Aside-sc-1m4ue7d-6 bmgxZx"><img loading="lazy" src="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/00000169-ee45-d018-a7fb-fedf1c640000/190405-elbowpsoriasis-stock.jpg?update-time=1554480749698&size=responsiveSquare150" class="MediaLinkBoxed__ImageStyled-sc-1m4ue7d-2 ijwHKs"/></a></div></div><div spacing="3" class="MediaLinkBoxed__Container-sc-1m4ue7d-0 bgWBUj"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/articles/is-thumb-joint-replacement-surgery-right-for-you" class="MediaLinkBoxed__ContainerLink-sc-1m4ue7d-1 iPxaMy"></a><div class="MediaLinkBoxed__InnerContainer-sc-1m4ue7d-4 dJZCrW"><div class="MediaLinkBoxed__Content-sc-1m4ue7d-5 iPlzuO p2"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/articles/is-thumb-joint-replacement-surgery-right-for-you" class="Anchor-byh49a-0 eMEqFO"><div class="Paragraph-sc-1iyax29-0-div MediaLinkBoxed__Text-sc-1m4ue7d-7 cjfzFA dlEzBu">Thumb Joint Replacement Surgery for Arthritis</div></a></div><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/articles/is-thumb-joint-replacement-surgery-right-for-you" class="MediaLinkBoxed__Aside-sc-1m4ue7d-6 bmgxZx"><img loading="lazy" src="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000016c-0016-d518-afed-2b1e7b600000/190717-thumbpain-stock.jpg?update-time=1563369603586&size=responsiveSquare150" class="MediaLinkBoxed__ImageStyled-sc-1m4ue7d-2 ijwHKs"/></a></div></div></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Types" id="types">Types</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Within psoriatic arthritis, there are three main types. Symmetric psoriatic arthritis affects about 50 percent of patients, and it occurs in joints on both sides of the body. Asymmetric psoriatic arthritis affects about 35 percent of people with psoriatiac arthritis. It's generally considered the mildest form and tends to affect three or fewer joints. Three other types of psoriatic arthritis make up the rest of cases. Arthritis mutilans occurs in the fingers and toes and is an advanced, deforming type of psoriatic arthritis. Spondylitis impacts the shoulders and neck. And distant interphalangeal predominant psoriatic arthritis impacts the joints at the ends of the fingers.</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="render-ad-default__InArticleSpace-boq8av-0 iscxUE mb5 mt6"><div><div class="Ad__Container-sc-1ah7c5n-0 cJsgjY RectToLeaderboardAd__CustomLeaderboardAd-sc-18ls5m1-0 eerTMw"><div id="ad" class="ad" data-dimensions="728x90" data-ad-props="{"type":"lb","dimensions":"728x90","separator":"_","lazy":false,"borderColor":"#D3D7DC","insetSpacing":1,"autoRefresh":false,"breakpoint":"large","className":"RectToLeaderboardAd__CustomLeaderboardAd-sc-18ls5m1-0 eerTMw","mobileType":"mad","mediaTypes":["banner"],"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div><div class="Ad__Container-sc-1ah7c5n-0 eMRjsm RectToLeaderboardAd__CustomRectAd-sc-18ls5m1-1 fXMqkv"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"breakpoint":"large","className":"RectToLeaderboardAd__CustomRectAd-sc-18ls5m1-1 fXMqkv","dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div></div></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Symptoms" id="symptoms">Symptoms</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p>The Arthritis Foundation reports that "most people with psoriatic arthritis have skin symptoms before joint symptoms." Skin symptoms of psoriasis include:</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li> Red patches of raised or inflamed skin.</li> <li> Whitish or silvery scales or plaques on those red patches.</li> <li> Dry skin that cracks or bleeds.</li> <li> Tenderness, itching or burning around the site of the patches.</li> <li> Thick, pitted or ridged nails.</li> <li> Swollen and stiff joints.</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>But for some people, psoriatic arthritis can develop in the absence of any skin symptoms. "You don't have to have psoriasis to have psoriatic arthritis," says Dr. Esther Lipstein-Kresch, chief of rheumatology at ProHEALTH Care in New York. That can sometimes make diagnosis difficult, as the symptoms that accompany psoriatic arthritis may sometimes be similar to those of other forms of inflammatory arthritis.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>Common symptoms of psoriatic arthritis include:</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li> Swollen, painful joints.</li> <li> Joint stiffness, especially first thing in the morning.</li> <li> Sausage-like swelling along the length of the fingers or toes.</li> <li> Tendon or ligament pain.</li> <li> Reduced range of motion.</li> <li> Skin rashes and pitted nails.</li> <li> Fatigue.</li> <li> Redness and irritation of the eyes and distorted vision.</li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>One of the key distinguishing features of psoriatic arthritis is the development of "sausage-shaped deformity," Lipstein-Kresch says. "It can happen in the toes and fingers," and it can be very uncomfortable. This particular type of swelling is less likely to occur in <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/arthritis/rheumatoid-arthritis">rheumatoid arthritis</a> so it's often a differentiator in helping your doctor make the right diagnosis.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>Another feature of psoriatic arthritis is the development of bone fusions, "where the bones literally fuse together," Lipstein-Kresch says, a condition called ankylosis. This usually only happens in severe cases that aren't well managed. "If you're unlucky enough to fuse your wrist in a really bad position when it's flexed, you wind up like that the rest of your life. Sometimes people fuse in a neutral position, which is good because if it's fused, it doesn't hurt that much and they can still <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/arthritis/arthritis-in-hands">use their hands</a>." In fact, surgical fusion is sometimes used as a treatment for psoriatic arthritis and other inflammatory arthritis conditions.</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p>While ankyloses can also occur in other inflammatory arthritis conditions, such as rheumatoid arthritis, "psoriatic arthritis generally has more fusion than rheumatoid arthritis. But hopefully in this day and age with all these new biologic medications and other disease-modifying drugs, people wouldn't get fusion," Lipstein-Kresch says.</p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Diagnosis" id="diagnosis">Diagnosis</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p>To diagnose a case of psoriatic arthritis, your doctor will conduct a thorough physical exam and take an extensive medical history. <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/health-care/patient-advice/articles/how-can-i-find-the-best-rheumatologist">Your rheumatologist</a> may also order some blood tests to gauge how much inflammation you have in your body or X-ray images of your symptomatic joints to take a look at what's going on inside them. You may also have MRIs, ultrasounds or CT scans to look at the extent of damage in your joints.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>Although there isn't a specific blood test currently in use that can say definitively that you have psoriatic arthritis, your rheumatologist will likely order some blood tests to rule out other forms of inflammatory arthritis, such as rheumatoid arthritis. These tests look for an antibody in the blood called the rheumatoid factor. Even if your RF test comes back negative, it doesn't necessarily mean you don't have rheumatoid arthritis. Lipstein-Kresch says that about 85 percent of people with rheumatoid arthritis will have a positive RF factor test but "the other 15 percent won't. Those people have what's called zero-negative RA."</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p>Even a positive RF test doesn't completely rule out a diagnosis of psoriatic arthritis, as the two conditions can coexist, although the National Psoriasis Foundation reports this coexistence of conditions is rare. Nevertheless, it's important to work with a doctor who has experience in treating arthritis conditions to be sure you're arriving at the right diagnosis. "Even though we have some tools we use in terms of immunological testing that are helpful, ultimately (the correct diagnosis) still boils down to what the patient looks like on exam and what kind of story they are telling," Pugliese says.</p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Causes" id="causes">Causes and Risk Factors</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Psoriatic arthritis occurs when the body's immune system misidentifies normal cells as foreign invaders and goes on the attack. The National Psoriasis Foundation reports that skin symptoms are present before the development of joint pain in about 85 percent of cases.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>It's not entirely clear why psoriatic arthritis develops in some people and not others, but genetics are likely part of the answer, as well as environmental factors. People with a family history of either psoriasis or psoriatic arthritis are at higher risk of developing the disorder.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>It's believed that physical trauma or certain environmental factors, such as the introduction of a bacterial or viral infection, could sometimes trigger the immune response that develops into psoriatic arthritis in some people.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>Age may also be a risk factor. Although anyone can develop psoriatic arthritis at any age, the Mayo Clinic reports that "it occurs most often in adults between the ages of 30 and 50."</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Treatment" id="treatment">Treatment</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Although there's currently no cure for psoriatic arthritis, the condition can be managed. Patients may be offered a range of different medications, including:</p></div><react-trigger trigger="view"><div class="ArticleBodyRawList__ListContainer-sc-18hlulv-0 dbATXA"><ul> <li><b>Nonsteroidal anti-inflammatory drugs (NSAIDs). </b>NSAIDs reduce inflammation and relieve pain. Some, such as ibuprofen (Advil, Motrin IB, etc.) and naproxen sodium (Aleve) are <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/wellness/articles/best-otc-pain-medications">available over the counter</a>. Your doctor may prescribe stronger NSAIDs to improve symptoms of psoriatic arthritis.</li> <li><b>Disease-modifying antirheumatic drugs (DMARDs). </b>These drugs stall the progression of psoriatic arthritis and may be used to treat other forms of inflammatory arthritis. Methotrexate (Trexall), leflunomide (Arava) and sulfasalazine (Azulfidine) are three common DMARDs used to treat psoriatic arthritis.</li> <li><b>Steroids. </b>Powerful anti-inflammatories, steroids such as prednisone (Deltasone, Rayos and Prednisone Intensol) can help bring down a flare-up of psoriatic arthritis or other inflammatory arthritis disorders quickly. Steroids have been around a long time, and "are still excellent medications in terms of cooling things down," Lipstein-Kresch says. "When you see somebody who is really inflamed and has a lot of pain, can't sleep and can't function, the steroids make a tremendous difference very rapidly." But she says these are generally used sparingly as they can have some harsh side effects when used long-term. Steroids may also be used in combination with other medications to help prime the body's response for the effects of biologic or other medications.</li> <li><b>Immunosuppressants. </b>In immune disorders, the body's natural defense mechanism – the immune system – works overtime and on the wrong targets. By tamping down some of this response, some patients may find some relief from autoimmune conditions such as psoriatic arthritis. Azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune) are two immunosuppressant drugs that may be used to treat the condition.</li> <li><b>Biologics. </b>In the past decade, new medications have emerged to help patients deal with a number of inflammatory arthritis conditions. The NPF reports that these types of drugs are administered by injection or intravenous infusion and are derived from living cells cultured in a lab. Among these are: <ul> <li><b>TNF-alpha inhibitors.</b>These medications target tumor necrosis factor-alpha, an inflammatory substance produced by the body. By inhibiting the production of this substance, that may lead to reduced pain and stiffness and relief from joint swelling. Etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira), are three examples of this class of drug.</li> <li><b>Interleukin inhibitors.</b>These drugs selectively target certain cytokines (a kind of protein) involved in inflammatory and immune responses. Examples include secukinumab (Cosentyx), ixekizumab (Taltz), brodalumab (Siliq) and ustekinumab (Stelara).</li> <li><b>T-Cell inhibitors.</b>T-cells are a kind of white blood cell that create inflammation in psoriatic disease. The drug abatacept (Orencia) may help tamp down some of this response.</li> </ul><p></p></li> </ul></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p>Few patients progress to the point of needing surgery, but it can be an option in some cases. In a procedure called synovectomy, your doctor might remove the damaged or diseased tissue from inside the joint. In other cases, a patient may undergo a joint replacement surgery, joint resurfacing or realignment surgery or a bone fusion to relieve pain in a problematic joint.</p></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="render-ad-default__InArticleSpace-boq8av-0 iscxUE mb5 mt6"><div><div class="Ad__Container-sc-1ah7c5n-0 cJsgjY RectToLeaderboardAd__CustomLeaderboardAd-sc-18ls5m1-0 eerTMw"><div id="ad" class="ad" data-dimensions="728x90" data-ad-props="{"type":"lb","dimensions":"728x90","separator":"_","lazy":false,"borderColor":"#D3D7DC","insetSpacing":1,"autoRefresh":false,"breakpoint":"large","className":"RectToLeaderboardAd__CustomLeaderboardAd-sc-18ls5m1-0 eerTMw","mobileType":"mad","mediaTypes":["banner"],"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"disableInitialHeight":false}"></div></div><div class="Ad__Container-sc-1ah7c5n-0 eMRjsm RectToLeaderboardAd__CustomRectAd-sc-18ls5m1-1 fXMqkv"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"breakpoint":"large","className":"RectToLeaderboardAd__CustomRectAd-sc-18ls5m1-1 fXMqkv","dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div></div></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Health Care Providers" id="providers">Health Care Providers That Treat Psoriatic Arthritis</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><react-trigger trigger="view"></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><react-trigger trigger="view"><div spacing="5" class="Box-w0dun1-0 HospitalsNearby__Section-d0xz6x-0 eLivRJ hIYVtP"></div></react-trigger><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Management" id="management">Management</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><div class="Raw-slyvem-0 bCYKCn"><p>Another hallmark of psoriatic arthritis is frequent flare-ups, or periods when the disease seems worse, followed by periods of fewer symptoms. <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/health-care/patient-advice/articles/2017-11-17/relieving-arthritis-pain-with-heat-or-cold-therapy">Managing this ebb and flow</a> is an important part of living with the disease.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>Because autoimmune disorders are so closely associated with excessive levels of inflammation in the body, some doctors and patients believe that <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/health-care/patient-advice/articles/2017-04-05/are-there-ways-diet-can-influence-rheumatoid-arthritis">diet can impact the severity of symptoms</a>. "There are a million and one diets you could find online, and some people come in and tell me every time they have something fried, their arthritis flares up. Or they gave up gluten and feel better, even though there's no indication that they actually have a gluten sensitivity," Lipstein-Kresch says. It's hard to know exactly what might help most in which situation, so it's best to talk with your doctor about what's best for you.</p></div><div class="Raw-slyvem-0 bCYKCn"><p>In general, it's believed that foods high in omega-3 fatty acids, such as fish, healthy oils and nuts, could help reduce inflammation in the body. A diet rich in brightly colored fruits and vegetables will also provide lots of antioxidants, which may also help control inflammation. Some studies have connected red meat, high-fat and high-cholesterol foods with increased inflammation, but Lipstein-Kresch says <a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/health-news/blogs/eat-run/articles/2018-10-11/your-anti-inflammatory-diet-is-probably-just-the-opposite">the evidence is "soft"</a> and her best advice is to "eat healthy."</p></div><div class="Ad__Container-sc-1ah7c5n-0 jFyEsy lg-hide" spacing="5"><div id="ad" class="ad" data-dimensions="300x250" data-ad-props="{"type":"rect","mobileType":"mrect","separator":"_","lazy":false,"className":"lg-hide","spacing":5,"spacingTop":5,"dimensions":"300x250","mobileDimensions":"300x250,320x50,300x50","mediaTypes":["banner"],"desktopInitialHeight":250,"mobileInitialHeight":50,"bidders":true,"targeting":{},"scrollRefresh":false,"visibilityOffset":300,"insetSpacing":1,"autoRefresh":false,"disableInitialHeight":false}"></div></div><div class="Raw-slyvem-0 bCYKCn"><p><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/health-care/for-better/articles/2017-05-03/how-to-exercise-when-you-have-arthritis-of-the-knees">Exercising regularly</a> is also typically recommended to keep your joints moving as smoothly as possible, retain as much range of motion as possible and to keep your weight in check. When your body is strong, you'll be better able to cope with your condition.</p></div><div class="Raw-slyvem-0 bCYKCn"><h2><label data-toc-text="Related Articles" id="related-articles">Related Articles</label></h2></div><div class="Raw-slyvem-0 bCYKCn"><p></p></div><react-trigger trigger="view"><div spacing="6" class="related-articles__LoadMoreSection-sc-7t4v99-0 gUoQpn"><div class="LoadMoreWrapper__Container-zwyk5c-0 eLsfbZ"><div class="Box-w0dun1-0 MediaObject__Container-sc-19vl09d-0 knONpq jNLpAT story story" spacing="4"><div class="Box-w0dun1-0 MediaObject__Content-sc-19vl09d-3 dWWnRo lhdCWz"><p class="Heading-sc-1w5xk2o-0 Kicker__KickerBlock-k30x22-0 cyfevJ kQavME"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions" class="Anchor-byh49a-0 Kicker__KickerAnchor-k30x22-1 eMEqFO bpOKWX">Conditions</a></p><h3 class="Heading-sc-1w5xk2o-0 ctIhvB story-headline"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/gout/foods-to-avoid-with-gout" class="Anchor-byh49a-0 dKVMQA">Foods to Avoid With Gout</a></h3><p class="Paragraph-sc-1iyax29-0 hoVLCB Hide-kg09cx-0 hWOBmI">Plus, here’s what you should eat and drink.</p><p class="Paragraph-sc-1iyax29-0 Byline-sc-7cv027-0 hnLxKw eInBRL"><span size="2" class="Span-sc-19wk4id-0 MediaObject__AuthorSpan-sc-19vl09d-6 lnnsuc cpEGnO sm-hide"><span size="2" class="Span-sc-19wk4id-0 MediaObject__AuthorName-sc-19vl09d-5 lnnsuc lgGpza"><span></span>Michael O. 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Howley</span></span><span class="sm-hide">May 26, 2020</span></p></div><div class="Box-w0dun1-0 MediaObject__ImageContainer-sc-19vl09d-1 dWWnRo hcnlit"><a class="Anchor-byh49a-0 eMEqFO story-image" aria-label="Immunologist vs. Rheumatologist: What's the Difference?" href="https://web.archive.org/web/20230316230559/https://health.usnews.com/health-care/conditions/articles/immunologist-vs-rheumatologist-whats-the-difference"><picture class="Image__Picture-sc-412cjc-0"><source srcset="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000015f-92dd-de76-a15f-bafdbc760000/171106-bonedensity-stock.jpg?update-time=1509997628266&size=responsive640" data-srcset="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000015f-92dd-de76-a15f-bafdbc760000/171106-bonedensity-stock.jpg?update-time=1509997628266&size=responsive640" media="(min-width: 640px)"/><img src="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000015f-92dd-de76-a15f-bafdbc760000/171106-bonedensity-stock.jpg?update-time=1509997628266&size=responsiveSquare150" loading="lazy" alt="" class="Image__PictureImage-sc-412cjc-1 gBOJbW Image-sc-412cjc-2 MediaObject__MediaImage-sc-19vl09d-2 kQDDcT eTWZwK" role="presentation"/></picture></a></div></div><div class="Box-w0dun1-0 MediaObject__Container-sc-19vl09d-0 knONpq jNLpAT story story" spacing="4"><div class="Box-w0dun1-0 MediaObject__Content-sc-19vl09d-3 dWWnRo lhdCWz"><p class="Heading-sc-1w5xk2o-0 Kicker__KickerBlock-k30x22-0 cyfevJ kQavME"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions" class="Anchor-byh49a-0 Kicker__KickerAnchor-k30x22-1 eMEqFO bpOKWX">Conditions</a></p><h3 class="Heading-sc-1w5xk2o-0 ctIhvB story-headline"><a href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/osteoporosis/articles/osteoporosis-vs-osteoarthritis" class="Anchor-byh49a-0 dKVMQA">Osteoporosis vs. Osteoarthritis: What’s the Difference?</a></h3><p class="Paragraph-sc-1iyax29-0 hoVLCB Hide-kg09cx-0 hWOBmI">These two totally different conditions are sometimes confused. Here’s what you should know about each.</p><p class="Paragraph-sc-1iyax29-0 Byline-sc-7cv027-0 hnLxKw eInBRL"><span size="2" class="Span-sc-19wk4id-0 MediaObject__AuthorSpan-sc-19vl09d-6 lnnsuc cpEGnO sm-hide"><span size="2" class="Span-sc-19wk4id-0 MediaObject__AuthorName-sc-19vl09d-5 lnnsuc lgGpza"><span></span>Michael O. Schroeder</span></span><span class="sm-hide">Jan. 30, 2020</span></p></div><div class="Box-w0dun1-0 MediaObject__ImageContainer-sc-19vl09d-1 dWWnRo hcnlit"><a class="Anchor-byh49a-0 eMEqFO story-image" aria-label="Osteoporosis vs. Osteoarthritis: What’s the Difference?" href="https://web.archive.org/web/20230316230559/https://health.usnews.com/conditions/bone-and-joint-disease/osteoporosis/articles/osteoporosis-vs-osteoarthritis"><picture class="Image__Picture-sc-412cjc-0"><source srcset="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000016f-f707-dccd-adef-ff1ffce10000/200130-stock.jpg?update-time=1580397621306&size=responsive640" data-srcset="https://web.archive.org/web/20230316230559im_/https://www.usnews.com/object/image/0000016f-f707-dccd-adef-ff1ffce10000/200130-stock.jpg?update-time=1580397621306&size=responsive640" media="(min-width: 640px)"/><img 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There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter ..."}],"utag_data":{"bucket_tags":["patient-advice-include-consumer-advice","atlasconditionguide","condition-guide-related-bone-joint-disease","conditions","health-care","patient-advice"],"article_byline":"Elaine K. 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Howley,arthritis,psoriatic arthritis,patients,patient advice,steroids,health,dermatology,rheumatology,patient-advice-include [Consumer Advice],atlasconditionguide,condition-guide-related-bone-joint-disease,Conditions,Health Care,Patient Advice","zone":"edit","description":"Know the basics on symptoms, diagnosis and treatment to help as you battle the disease.","robots":"max-image-preview:large","title":"A Patient’s Guide to Psoriatic Arthritis","canonical_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Fpsoriatic-arthritis"},"request_info":{"environment":null,"port":null,"environment_affix":"","subdomain":"health","request_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Fpsoriatic-arthritis?int=hp_condition_guide_section_health"},"structured_data":{"image":{"@type":"ImageObject","width":"970","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F9830cdf\u002F2147483647\u002Fcrop\u002F2000x1334%2B0%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2F3b%2Fe702d0614a6eac05187514bd0d3a%2F190304-seniorpatientdoctor-stock.jpg","height":"647"},"wordCount":1929,"keywords":["Elaine K. Howley","arthritis","psoriatic arthritis","patients","patient advice","steroids","health","dermatology","rheumatology","patient-advice-include [Consumer Advice]","atlasconditionguide","condition-guide-related-bone-joint-disease","Conditions","Health Care","Patient Advice"],"articleBody":"Arthritis is an umbrella term that simply describes joint inflammation. There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter of all adults. But not all forms of arthritis are created equal. Some, like psoriatic arthritis, are related to immune disorders and can cause a lot of pain and disability.Psoriatic arthritis is one of several inflammatory forms of arthritis, and it's related to the common skin disorder psoriasis. Psoriasis is a chronic skin problem that speeds up the life cycle of skin cells. This causes a rapid build-up of cells on the surface of the skin that collect in red, scaly patches. It can be very itchy and painful.The Arthritis Foundation reports that about 30 percent of people with psoriasis \"also develop a form of inflammatory arthritis called psoriatic arthritis.\" Like psoriasis, psoriatic arthritis is an autoimmune disorder, meaning that the immune system begins attacking the body's normal cells, causing inflammation, swelling, pain and eventually damage to the joints.Dr. David Pugliese, a rheumatologist at Geisinger in Danville, Pennsylvania, says that psoriatic arthritis is one of \"a whole host of autoimmune conditions,\" that cause joint pain, swelling and other complications. \"These conditions can give people arthritis and come with their own host of immune concerns that we need to monitor,\" Pugliese says, so it's important to speak with your doctor if you notice any arthritis-like symptoms in any of your joints.Within psoriatic arthritis, there are three main types. Symmetric psoriatic arthritis affects about 50 percent of patients, and it occurs in joints on both sides of the body. Asymmetric psoriatic arthritis affects about 35 percent of people with psoriatiac arthritis. It's generally considered the mildest form and tends to affect three or fewer joints. Three other types of psoriatic arthritis make up the rest of cases. Arthritis mutilans occurs in the fingers and toes and is an advanced, deforming type of psoriatic arthritis. Spondylitis impacts the shoulders and neck. And distant interphalangeal predominant psoriatic arthritis impacts the joints at the ends of the fingers.The Arthritis Foundation reports that \"most people with psoriatic arthritis have skin symptoms before joint symptoms.\" Skin symptoms of psoriasis include: Red patches of raised or inflamed skin. Whitish or silvery scales or plaques on those red patches. Dry skin that cracks or bleeds. Tenderness, itching or burning around the site of the patches. Thick, pitted or ridged nails. Swollen and stiff joints.But for some people, psoriatic arthritis can develop in the absence of any skin symptoms. \"You don't have to have psoriasis to have psoriatic arthritis,\" says Dr. Esther Lipstein-Kresch, chief of rheumatology at ProHEALTH Care in New York. That can sometimes make diagnosis difficult, as the symptoms that accompany psoriatic arthritis may sometimes be similar to those of other forms of inflammatory arthritis.Common symptoms of psoriatic arthritis include: Swollen, painful joints. Joint stiffness, especially first thing in the morning. Sausage-like swelling along the length of the fingers or toes. Tendon or ligament pain. Reduced range of motion. Skin rashes and pitted nails. Fatigue. Redness and irritation of the eyes and distorted vision.One of the key distinguishing features of psoriatic arthritis is the development of \"sausage-shaped deformity,\" Lipstein-Kresch says. \"It can happen in the toes and fingers,\" and it can be very uncomfortable. This particular type of swelling is less likely to occur in rheumatoid arthritis so it's often a differentiator in helping your doctor make the right diagnosis.Another feature of psoriatic arthritis is the development of bone fusions, \"where the bones literally fuse together,\" Lipstein-Kresch says, a condition called ankylosis. This usually only happens in severe cases that aren't well managed. \"If you're unlucky enough to fuse your wrist in a really bad position when it's flexed, you wind up like that the rest of your life. Sometimes people fuse in a neutral position, which is good because if it's fused, it doesn't hurt that much and they can still use their hands.\" In fact, surgical fusion is sometimes used as a treatment for psoriatic arthritis and other inflammatory arthritis conditions.While ankyloses can also occur in other inflammatory arthritis conditions, such as rheumatoid arthritis, \"psoriatic arthritis generally has more fusion than rheumatoid arthritis. But hopefully in this day and age with all these new biologic medications and other disease-modifying drugs, people wouldn't get fusion,\" Lipstein-Kresch says.To diagnose a case of psoriatic arthritis, your doctor will conduct a thorough physical exam and take an extensive medical history. Your rheumatologist may also order some blood tests to gauge how much inflammation you have in your body or X-ray images of your symptomatic joints to take a look at what's going on inside them. You may also have MRIs, ultrasounds or CT scans to look at the extent of damage in your joints.Although there isn't a specific blood test currently in use that can say definitively that you have psoriatic arthritis, your rheumatologist will likely order some blood tests to rule out other forms of inflammatory arthritis, such as rheumatoid arthritis. These tests look for an antibody in the blood called the rheumatoid factor. Even if your RF test comes back negative, it doesn't necessarily mean you don't have rheumatoid arthritis. Lipstein-Kresch says that about 85 percent of people with rheumatoid arthritis will have a positive RF factor test but \"the other 15 percent won't. Those people have what's called zero-negative RA.\"Even a positive RF test doesn't completely rule out a diagnosis of psoriatic arthritis, as the two conditions can coexist, although the National Psoriasis Foundation reports this coexistence of conditions is rare. Nevertheless, it's important to work with a doctor who has experience in treating arthritis conditions to be sure you're arriving at the right diagnosis. \"Even though we have some tools we use in terms of immunological testing that are helpful, ultimately (the correct diagnosis) still boils down to what the patient looks like on exam and what kind of story they are telling,\" Pugliese says.Psoriatic arthritis occurs when the body's immune system misidentifies normal cells as foreign invaders and goes on the attack. The National Psoriasis Foundation reports that skin symptoms are present before the development of joint pain in about 85 percent of cases.It's not entirely clear why psoriatic arthritis develops in some people and not others, but genetics are likely part of the answer, as well as environmental factors. People with a family history of either psoriasis or psoriatic arthritis are at higher risk of developing the disorder.It's believed that physical trauma or certain environmental factors, such as the introduction of a bacterial or viral infection, could sometimes trigger the immune response that develops into psoriatic arthritis in some people.Age may also be a risk factor. Although anyone can develop psoriatic arthritis at any age, the Mayo Clinic reports that \"it occurs most often in adults between the ages of 30 and 50.\"Although there's currently no cure for psoriatic arthritis, the condition can be managed. Patients may be offered a range of different medications, including: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs reduce inflammation and relieve pain. Some, such as ibuprofen (Advil, Motrin IB, etc.) and naproxen sodium (Aleve) are available over the counter. Your doctor may prescribe stronger NSAIDs to improve symptoms of psoriatic arthritis. Disease-modifying antirheumatic drugs (DMARDs). These drugs stall the progression of psoriatic arthritis and may be used to treat other forms of inflammatory arthritis. Methotrexate (Trexall), leflunomide (Arava) and sulfasalazine (Azulfidine) are three common DMARDs used to treat psoriatic arthritis. Steroids. Powerful anti-inflammatories, steroids such as prednisone (Deltasone, Rayos and Prednisone Intensol) can help bring down a flare-up of psoriatic arthritis or other inflammatory arthritis disorders quickly. Steroids have been around a long time, and \"are still excellent medications in terms of cooling things down,\" Lipstein-Kresch says. \"When you see somebody who is really inflamed and has a lot of pain, can't sleep and can't function, the steroids make a tremendous difference very rapidly.\" But she says these are generally used sparingly as they can have some harsh side effects when used long-term. Steroids may also be used in combination with other medications to help prime the body's response for the effects of biologic or other medications. Immunosuppressants. In immune disorders, the body's natural defense mechanism – the immune system – works overtime and on the wrong targets. By tamping down some of this response, some patients may find some relief from autoimmune conditions such as psoriatic arthritis. Azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune) are two immunosuppressant drugs that may be used to treat the condition. Biologics. In the past decade, new medications have emerged to help patients deal with a number of inflammatory arthritis conditions. The NPF reports that these types of drugs are administered by injection or intravenous infusion and are derived from living cells cultured in a lab. Among these are: TNF-alpha inhibitors.These medications target tumor necrosis factor-alpha, an inflammatory substance produced by the body. By inhibiting the production of this substance, that may lead to reduced pain and stiffness and relief from joint swelling. Etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira), are three examples of this class of drug. Interleukin inhibitors.These drugs selectively target certain cytokines (a kind of protein) involved in inflammatory and immune responses. Examples include secukinumab (Cosentyx), ixekizumab (Taltz), brodalumab (Siliq) and ustekinumab (Stelara). T-Cell inhibitors.T-cells are a kind of white blood cell that create inflammation in psoriatic disease. The drug abatacept (Orencia) may help tamp down some of this response. Few patients progress to the point of needing surgery, but it can be an option in some cases. In a procedure called synovectomy, your doctor might remove the damaged or diseased tissue from inside the joint. In other cases, a patient may undergo a joint replacement surgery, joint resurfacing or realignment surgery or a bone fusion to relieve pain in a problematic joint.Another hallmark of psoriatic arthritis is frequent flare-ups, or periods when the disease seems worse, followed by periods of fewer symptoms. Managing this ebb and flow is an important part of living with the disease.Because autoimmune disorders are so closely associated with excessive levels of inflammation in the body, some doctors and patients believe that diet can impact the severity of symptoms. \"There are a million and one diets you could find online, and some people come in and tell me every time they have something fried, their arthritis flares up. Or they gave up gluten and feel better, even though there's no indication that they actually have a gluten sensitivity,\" Lipstein-Kresch says. It's hard to know exactly what might help most in which situation, so it's best to talk with your doctor about what's best for you.In general, it's believed that foods high in omega-3 fatty acids, such as fish, healthy oils and nuts, could help reduce inflammation in the body. A diet rich in brightly colored fruits and vegetables will also provide lots of antioxidants, which may also help control inflammation. Some studies have connected red meat, high-fat and high-cholesterol foods with increased inflammation, but Lipstein-Kresch says the evidence is \"soft\" and her best advice is to \"eat healthy.\"Exercising regularly is also typically recommended to keep your joints moving as smoothly as possible, retain as much range of motion as possible and to keep your weight in check. When your body is strong, you'll be better able to cope with your condition.","@type":"NewsArticle","author":[{"image":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","@type":"Person","jobTitle":"Contributor","name":"Elaine K. 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There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter of all adults. But not all forms of arthritis are created equal. Some, like psoriatic arthritis, are related to immune disorders and can cause a lot of pain and disability.\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj","static_template":true,"id":"00000156-523e-d46d-a956-573fb84f0000","label":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"What Is Psoriatic Arthritis?\" id=\"overview\"\u003EWhat Is Psoriatic Arthritis?\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EPsoriatic arthritis is one of several inflammatory forms of arthritis, and it's related to the common skin disorder psoriasis. Psoriasis is a chronic skin problem that speeds up the life cycle of skin cells. This causes a rapid build-up of cells on the surface of the skin that collect in red, scaly patches. It can be very itchy and painful.\u003C\u002Fp\u003E","\u003Cp\u003EThe Arthritis Foundation reports that about 30 percent of people with psoriasis \"also develop a form of inflammatory arthritis called psoriatic arthritis.\" Like psoriasis, psoriatic arthritis is an autoimmune disorder, meaning that the immune system begins attacking the body's normal cells, causing inflammation, swelling, pain and eventually damage to the joints.\u003C\u002Fp\u003E","\u003Cp\u003EDr. David Pugliese, a rheumatologist at \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fbest-hospitals\u002Farea\u002Fpa\u002Fgeisinger-medical-center-6230550\"\u003EGeisinger\u003C\u002Fa\u003E in Danville, Pennsylvania, says that psoriatic arthritis is one of \"a whole host of autoimmune conditions,\" that cause joint pain, swelling and other complications. \"These conditions can give people arthritis and come with their own host of immune concerns that we need to monitor,\" Pugliese says, so it's important to speak with your doctor if you notice any arthritis-like symptoms in any of your joints.\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"promo-list-enhancement","data":{"id":"0000016c-1a2c-ddc2-a5fc-1feff4b10000","permalink":"","articles":{"template":"templates\u002Fcommon\u002Fcontainer\u002Fvertical.nunj","disable_sticky":true,"permalink":"","items":[{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F55\u002Ff0033694c77f42f58dd1d42d93d720\u002F52368Slideshow_YogaClass_012414.jpg","caption":"Yoga class","title":"Slideshow_YogaClass_012414.jpg","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000143-ced8-d22e-aff3-fffc60100001\u002F52368Slideshow_YogaClass_012414.jpg?update-time=1490361956161","update_time":1490361956161,"alt_text":"Yoga class","width":0,"legacy_id":"52368","id":"00000143-ced8-d22e-aff3-fffc60100001","credit":"(iStockphoto)","permalink":"","pending_approval":false,"height":0,"taggable_publish_date":"2017-03-24T13:25:56.161Z"},"heading":"How to Practice Yoga When You Have Arthritis","deck":"Gentle yoga can help alleviate symptoms, experts say. ","short_headline":"How to Practice Yoga When You Have Arthritis","blurb":"Gentle yoga can help alleviate symptoms, experts say. ","black_text":false,"is_logo":false,"id":"0000015a-f20b-d3a2-afde-f3af708e0001","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Ffitness\u002Fslideshows\u002Fhow-to-practice-yoga-when-you-have-arthritis-or-another-chronic-condition","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Fitness","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Ffitness","campaign_id":"Fitness"},"headline":"How to Practice Yoga When You Have Arthritis","authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fc4\u002F95\u002Fc972889e40319f62cb8d43d0bf08\u002Fruben-castaneda.jpg","caption":"Ruben Castaneda","title":"Ruben_Castaneda_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61b7-d187-a5cb-ffbfe6bd0000\u002Fruben-castaneda.jpg?update-time=","alt_text":"Ruben Castaneda","width":0,"id":"00000180-61b7-d187-a5cb-ffbfe6bd0000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fen.wikipedia.org\u002Fwiki\u002FRuben_Castaneda","education":"University of Southern California","role":"Staff Writer","short_bio":"Ruben Castaneda has worked at U.S. News since September 2016. Castaneda has written extensively about Baby Boomer health and exercise habits, strategies for losing weight, health care issues affecting distressed communities, yoga and substance misuse. He has over two decades of experience and received several awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F7ec0a45\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Fc4%2F95%2Fc972889e40319f62cb8d43d0bf08%2Fruben-castaneda.jpg","bio":"\u003Cb\u003ERuben Castaneda\u003C\u002Fb\u003E has worked at U.S. News since September 2016. Castaneda has written extensively about Baby Boomer health and exercise habits, strategies for losing weight, health care issues affecting distressed communities, yoga and substance misuse. In 2018, the National Press Foundation chose Castaneda as one of 15 journalists nationwide to participate in a deep dive seminar into reporting on the opioids crisis. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EIn 2017, the USC Center for Health Journalism named Castaneda one of 24 journalists chosen from around the nation to participate in the center's National Fellowship. Castaneda was awarded a grant from the Dennis A. Hunt Health Journalism Fund. The grant helped support Castaneda's reporting for a five-part series U.S. News published focusing on how the Trump administration's immigration policies are affecting the health and well-being of children of immigrants, their parents and health care providers and teachers who work with the kids. He has appeared multiple times on \"Just Ask David,\" a podcast that covers health and beauty issues. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EBefore joining U.S. News, Castaneda worked as a reporter for 22 years at The Washington Post, where he primarily covered crime in the District of Columbia and courts and police misconduct in Prince George's County, Maryland. His 2014 nonfiction book, \"S Street Rising: Crack, Murder and Redemption in D.C.\" chronicles Castaneda's struggle with crack addiction while covering the crime beat for the Post during the violent crack era. The Post named \"S Street\" one of 50 notable works of nonfiction published that year. Castaneda has also appeared on NPR, CNN's \"Reliable Sources\" and on several local TV news shows . \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EHe has written for Politico, Washington City Paper, Los Angeles Weekly and Hispanic Magazine. Castaneda is a member of the Association of Health Care Journalists and the National Association of Hispanic Journalists. Castaneda graduated with a degree in journalism from the University of Southern California and completed a six-week fellowship at Duke University, part of a partnership with The Post. ","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fruben-castaneda-14039a12\u002F","experience":"Journalism, Strategic Communication, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002FRCastanedaUSN?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor","name":"Ruben Castaneda","id":"00000157-005f-d00c-a1d7-4affd8340000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fruben-castaneda"}],"pubdate":"March 24, 2017"},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fb0\u002F27\u002F19f9eca34fac9d518787310fda9e\u002F190607-lighttherapy-stock.jpg","caption":"Using controlled and directed beams of certain bandwidths of light, light therapy can penetrate the plaques and reduce inflammation.","cms_seo_keywords":[],"title":"190607_LightTherapy","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F0000016b-32b0-d597-a17f-3eb594d00000\u002F190607-lighttherapy-stock.jpg?update-time=1559923613535","update_time":1559923613535,"alt_text":"Photodynamic therapy. Patient undergoing photodynamic therapy.","width":2000,"id":"0000016b-32b0-d597-a17f-3eb594d00000","credit":"(Getty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":1333,"taggable_publish_date":"2019-06-07T16:06:52.724Z"},"sources":[{"website":{"permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwexnermedical.osu.edu\u002Fdepartments\u002Finternal-medicine\u002Fdermatology\u002Fteam\u002Fjessica-kaffenberger-md","target":"_blank"},"name":"Jessica Kaffenberger, MD","id":"0000016b-28db-d91a-a97b-7cdb12b40000","permalink":""},{"website":{"permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.pennmedicine.org\u002Fproviders\u002Fprofile\u002Fjoel-gelfand","target":"_blank"},"name":"Joel Gelfand, MD, MSCE","id":"0000016b-28dc-d91a-a97b-7cdd1b0d0000","permalink":""}],"heading":"Light Therapy for Psoriasis","deck":"Types, effectiveness and side effects of this noninvasive treatment for certain types of psoriasis.","short_headline":"Light Therapy for Psoriasis","blurb":"Types, effectiveness and side effects of this noninvasive treatment for certain types of psoriasis.","black_text":false,"is_logo":false,"id":"0000016b-28bc-d44a-a37f-39bce3320000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fskin-disease\u002Fpsoriasis\u002Farticles\u002Flight-therapy-for-psoriasis","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"Light Therapy for Psoriasis","publications":[],"authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6d\u002F82\u002F922a73b048ff9f6114ab235ec604\u002Felaine-k-howley.jpg","caption":"Elaine K. Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. 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Here's what you need to know.","short_headline":"How to Deal With Arthritis in the Hands","blurb":"This condition can cause crippling hand pain. Here's what you need to know.","black_text":false,"is_logo":false,"id":"00000169-9b9d-d3c8-a96d-dfbf2d090000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Farthritis\u002Fmanaging-arthritis-in-hands","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"How to Deal With Arthritis in the Hands","authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6b\u002Fff\u002F199ed7f648f78a558ef228540b9d\u002Fheidi-godman.jpg","caption":"Heidi Godman","title":"Heidi_Godman_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf8f2e0000\u002Fheidi-godman.jpg?update-time=","alt_text":"Heidi Godman","width":0,"id":"00000180-61ba-d187-a5cb-ffbf8f2e0000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"education":"West Virginia University","role":"Contributor","short_bio":"Heidi Godman reports on health for U.S. News, with a focus on middle and older age. She has over two decades of experience and her work has appeared in dozens of publications, including the Harvard Health Letter (where she serves as executive editor), the Chicago Tribune, Orlando Sentinel and Cleveland Clinic Heart Advisor. ","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fab85a48\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6b%2Fff%2F199ed7f648f78a558ef228540b9d%2Fheidi-godman.jpg","bio":"\u003Cb\u003EHeidi Godman\u003C\u002Fb\u003E reports on health for U.S. News, with a focus on middle and older age. Her work has appeared in dozens of publications, including the Harvard Health Letter (where she serves as executive editor), the Chicago Tribune, Baltimore Sun, Orlando Sentinel and Cleveland Clinic Heart Advisor. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EGodman spent more than 20 years as a TV news anchor and health reporter at ABC affiliate WWSB and more than five years as the host of a daily health talk radio show on WSRQ-FM. Heidi has interviewed surgeons in operating rooms, scientists in laboratories and patients in all phases of treatment. She's earned numerous awards for outstanding health reporting and was the first TV broadcaster in the nation to be named a journalism fellow of the American Academy of Neurology. Heidi graduated from West Virginia University with a degree in journalism. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttp:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fheidigodman","experience":"Editing, Writing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Fhgodman?lang=en","email_address":"health@heidigodman.com","name":"Heidi Godman","id":"0000015a-d841-d3ef-a3fa-da77f26f0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fheidi-godman"}],"pubdate":"March 22, 2019"},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fa8\u002F10\u002F9456144c41deaca1c512ee86280e\u002F190401-psoriasisarm-stock.jpg","caption":"Men are using his hands to scratch the arm ulcers. Diseases caused by abnormalities of the lymph. Psoriasis is a skin disease.","cms_seo_keywords":[],"title":"190401_PsoriasisArm","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000169-da39-d2dd-a3f9-fefbdfa10000\u002F190401-psoriasisarm-stock.jpg?update-time=1554144466729","update_time":1554144466729,"alt_text":"Men are using his hands to scratch the arm ulcers. Diseases caused by abnormalities of the lymph. Psoriasis is a skin disease.","width":2000,"id":"00000169-da39-d2dd-a3f9-fefbdfa10000","credit":"(Getty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":1333,"taggable_publish_date":"2019-04-01T18:47:45.894Z"},"sources":[],"heading":"A Patient’s Guide to Psoriasis","deck":"What to know about the disease's causes, complications, treatments and more.","short_headline":"A Patient’s Guide to Psoriasis","blurb":"What to know about the disease's causes, complications, treatments and more.","black_text":false,"is_logo":false,"id":"0000016b-b36f-d21b-adeb-bfff71740000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fskin-disease\u002Fpsoriasis","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"A Patient’s Guide to Psoriasis","publications":[],"authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6d\u002F82\u002F922a73b048ff9f6114ab235ec604\u002Felaine-k-howley.jpg","caption":"Elaine K. Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. 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Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. Howley","id":"0000015a-4cf7-dd9c-adff-eef78c050000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Felaine-k-howley"}],"pubdate":"April 5, 2019"},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Ff6\u002F6a\u002Fbeb2c7ab4ec191262c830997e98e\u002F190717-thumbpain-stock.jpg","caption":"While medication can typically treat osteoarthritis in the thumb joint, surgery might be recommended for more severe cases.","cms_seo_keywords":[],"title":"190717_ThumbPain","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F0000016c-0016-d518-afed-2b1e7b600000\u002F190717-thumbpain-stock.jpg?update-time=1563369603586","update_time":1563369603586,"alt_text":"A woman has pain in the fingers, hands, and joints","width":2000,"id":"0000016c-0016-d518-afed-2b1e7b600000","credit":"(Getty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":1333,"taggable_publish_date":"2019-07-17T13:20:02.301Z"},"sources":[{"name":"Peyton L. Hays, MD","id":"0000016b-f6e6-d958-adef-f7f726630000","permalink":""},{"name":"Ying Chi, MD","id":"0000016b-f6e7-d947-a56f-f6ef7e750000","permalink":""},{"name":"C. Liam Dwyer, MD","id":"0000016b-f6e8-d958-adef-f7ff42960000","permalink":""}],"heading":"Thumb Joint Replacement Surgery for Arthritis","short_headline":"Thumb Joint Replacement Surgery for Arthritis","deck":"Severe osteoarthritis of the thumb can result in the need for joint replacement surgery. Learn about the different surgery options.","blurb":"Severe osteoarthritis of the thumb can result in the need for joint replacement surgery. Learn about the different surgery options.","black_text":false,"is_logo":false,"id":"0000016b-f6b4-db82-ab7b-f7f707fa0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Farticles\u002Fis-thumb-joint-replacement-surgery-right-for-you","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"Is Thumb Joint Replacement Surgery Right for You?","publications":[],"authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6d\u002F82\u002F922a73b048ff9f6114ab235ec604\u002Felaine-k-howley.jpg","caption":"Elaine K. Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. Howley","id":"0000015a-4cf7-dd9c-adff-eef78c050000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Felaine-k-howley"}],"pubdate":"July 17, 2019"}]}},"label":"Read More About Psoriatic Arthritis"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Types\" id=\"types\"\u003ETypes\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EWithin psoriatic arthritis, there are three main types. Symmetric psoriatic arthritis affects about 50 percent of patients, and it occurs in joints on both sides of the body. Asymmetric psoriatic arthritis affects about 35 percent of people with psoriatiac arthritis. It's generally considered the mildest form and tends to affect three or fewer joints. Three other types of psoriatic arthritis make up the rest of cases. Arthritis mutilans occurs in the fingers and toes and is an advanced, deforming type of psoriatic arthritis. Spondylitis impacts the shoulders and neck. And distant interphalangeal predominant psoriatic arthritis impacts the joints at the ends of the fingers.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":1},"\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj","static_template":true,"id":"00000156-523e-d46d-a956-573fb84f0000","label":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Symptoms\" id=\"symptoms\"\u003ESymptoms\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe Arthritis Foundation reports that \"most people with psoriatic arthritis have skin symptoms before joint symptoms.\" Skin symptoms of psoriasis include:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003E Red patches of raised or inflamed skin.\u003C\u002Fli\u003E\n \u003Cli\u003E Whitish or silvery scales or plaques on those red patches.\u003C\u002Fli\u003E\n \u003Cli\u003E Dry skin that cracks or bleeds.\u003C\u002Fli\u003E\n \u003Cli\u003E Tenderness, itching or burning around the site of the patches.\u003C\u002Fli\u003E\n \u003Cli\u003E Thick, pitted or ridged nails.\u003C\u002Fli\u003E\n \u003Cli\u003E Swollen and stiff joints.\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EBut for some people, psoriatic arthritis can develop in the absence of any skin symptoms. \"You don't have to have psoriasis to have psoriatic arthritis,\" says Dr. Esther Lipstein-Kresch, chief of rheumatology at ProHEALTH Care in New York. That can sometimes make diagnosis difficult, as the symptoms that accompany psoriatic arthritis may sometimes be similar to those of other forms of inflammatory arthritis.\u003C\u002Fp\u003E","\u003Cp\u003ECommon symptoms of psoriatic arthritis include:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003E Swollen, painful joints.\u003C\u002Fli\u003E\n \u003Cli\u003E Joint stiffness, especially first thing in the morning.\u003C\u002Fli\u003E\n \u003Cli\u003E Sausage-like swelling along the length of the fingers or toes.\u003C\u002Fli\u003E\n \u003Cli\u003E Tendon or ligament pain.\u003C\u002Fli\u003E\n \u003Cli\u003E Reduced range of motion.\u003C\u002Fli\u003E\n \u003Cli\u003E Skin rashes and pitted nails.\u003C\u002Fli\u003E\n \u003Cli\u003E Fatigue.\u003C\u002Fli\u003E\n \u003Cli\u003E Redness and irritation of the eyes and distorted vision.\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EOne of the key distinguishing features of psoriatic arthritis is the development of \"sausage-shaped deformity,\" Lipstein-Kresch says. \"It can happen in the toes and fingers,\" and it can be very uncomfortable. This particular type of swelling is less likely to occur in \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Frheumatoid-arthritis\"\u003Erheumatoid arthritis\u003C\u002Fa\u003E so it's often a differentiator in helping your doctor make the right diagnosis.\u003C\u002Fp\u003E","\u003Cp\u003EAnother feature of psoriatic arthritis is the development of bone fusions, \"where the bones literally fuse together,\" Lipstein-Kresch says, a condition called ankylosis. This usually only happens in severe cases that aren't well managed. \"If you're unlucky enough to fuse your wrist in a really bad position when it's flexed, you wind up like that the rest of your life. Sometimes people fuse in a neutral position, which is good because if it's fused, it doesn't hurt that much and they can still \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Farthritis\u002Farthritis-in-hands\"\u003Euse their hands\u003C\u002Fa\u003E.\" In fact, surgical fusion is sometimes used as a treatment for psoriatic arthritis and other inflammatory arthritis conditions.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":2},"\u003Cp\u003EWhile ankyloses can also occur in other inflammatory arthritis conditions, such as rheumatoid arthritis, \"psoriatic arthritis generally has more fusion than rheumatoid arthritis. But hopefully in this day and age with all these new biologic medications and other disease-modifying drugs, people wouldn't get fusion,\" Lipstein-Kresch says.\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Diagnosis\" id=\"diagnosis\"\u003EDiagnosis\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003ETo diagnose a case of psoriatic arthritis, your doctor will conduct a thorough physical exam and take an extensive medical history. \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fpatient-advice\u002Farticles\u002Fhow-can-i-find-the-best-rheumatologist\"\u003EYour rheumatologist\u003C\u002Fa\u003E may also order some blood tests to gauge how much inflammation you have in your body or X-ray images of your symptomatic joints to take a look at what's going on inside them. You may also have MRIs, ultrasounds or CT scans to look at the extent of damage in your joints.\u003C\u002Fp\u003E","\u003Cp\u003EAlthough there isn't a specific blood test currently in use that can say definitively that you have psoriatic arthritis, your rheumatologist will likely order some blood tests to rule out other forms of inflammatory arthritis, such as rheumatoid arthritis. These tests look for an antibody in the blood called the rheumatoid factor. Even if your RF test comes back negative, it doesn't necessarily mean you don't have rheumatoid arthritis. Lipstein-Kresch says that about 85 percent of people with rheumatoid arthritis will have a positive RF factor test but \"the other 15 percent won't. Those people have what's called zero-negative RA.\"\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":3},"\u003Cp\u003EEven a positive RF test doesn't completely rule out a diagnosis of psoriatic arthritis, as the two conditions can coexist, although the National Psoriasis Foundation reports this coexistence of conditions is rare. Nevertheless, it's important to work with a doctor who has experience in treating arthritis conditions to be sure you're arriving at the right diagnosis. \"Even though we have some tools we use in terms of immunological testing that are helpful, ultimately (the correct diagnosis) still boils down to what the patient looks like on exam and what kind of story they are telling,\" Pugliese says.\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Causes\" id=\"causes\"\u003ECauses and Risk Factors\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EPsoriatic arthritis occurs when the body's immune system misidentifies normal cells as foreign invaders and goes on the attack. The National Psoriasis Foundation reports that skin symptoms are present before the development of joint pain in about 85 percent of cases.\u003C\u002Fp\u003E","\u003Cp\u003EIt's not entirely clear why psoriatic arthritis develops in some people and not others, but genetics are likely part of the answer, as well as environmental factors. People with a family history of either psoriasis or psoriatic arthritis are at higher risk of developing the disorder.\u003C\u002Fp\u003E","\u003Cp\u003EIt's believed that physical trauma or certain environmental factors, such as the introduction of a bacterial or viral infection, could sometimes trigger the immune response that develops into psoriatic arthritis in some people.\u003C\u002Fp\u003E","\u003Cp\u003EAge may also be a risk factor. Although anyone can develop psoriatic arthritis at any age, the Mayo Clinic reports that \"it occurs most often in adults between the ages of 30 and 50.\"\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":4},"\u003Ch2\u003E\u003Clabel data-toc-text=\"Treatment\" id=\"treatment\"\u003ETreatment\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EAlthough there's currently no cure for psoriatic arthritis, the condition can be managed. Patients may be offered a range of different medications, including:\u003C\u002Fp\u003E","\u003Cul\u003E \n \u003Cli\u003E\u003Cb\u003ENonsteroidal anti-inflammatory drugs (NSAIDs). \u003C\u002Fb\u003ENSAIDs reduce inflammation and relieve pain. Some, such as ibuprofen (Advil, Motrin IB, etc.) and naproxen sodium (Aleve) are \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Farticles\u002Fbest-otc-pain-medications\"\u003Eavailable over the counter\u003C\u002Fa\u003E. Your doctor may prescribe stronger NSAIDs to improve symptoms of psoriatic arthritis.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EDisease-modifying antirheumatic drugs (DMARDs). \u003C\u002Fb\u003EThese drugs stall the progression of psoriatic arthritis and may be used to treat other forms of inflammatory arthritis. Methotrexate (Trexall), leflunomide (Arava) and sulfasalazine (Azulfidine) are three common DMARDs used to treat psoriatic arthritis.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003ESteroids. \u003C\u002Fb\u003EPowerful anti-inflammatories, steroids such as prednisone (Deltasone, Rayos and Prednisone Intensol) can help bring down a flare-up of psoriatic arthritis or other inflammatory arthritis disorders quickly. Steroids have been around a long time, and \"are still excellent medications in terms of cooling things down,\" Lipstein-Kresch says. \"When you see somebody who is really inflamed and has a lot of pain, can't sleep and can't function, the steroids make a tremendous difference very rapidly.\" But she says these are generally used sparingly as they can have some harsh side effects when used long-term. Steroids may also be used in combination with other medications to help prime the body's response for the effects of biologic or other medications.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EImmunosuppressants. \u003C\u002Fb\u003EIn immune disorders, the body's natural defense mechanism – the immune system – works overtime and on the wrong targets. By tamping down some of this response, some patients may find some relief from autoimmune conditions such as psoriatic arthritis. Azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune) are two immunosuppressant drugs that may be used to treat the condition.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EBiologics. \u003C\u002Fb\u003EIn the past decade, new medications have emerged to help patients deal with a number of inflammatory arthritis conditions. The NPF reports that these types of drugs are administered by injection or intravenous infusion and are derived from living cells cultured in a lab. Among these are: \n \u003Cul\u003E \n \u003Cli\u003E\u003Cb\u003ETNF-alpha inhibitors.\u003C\u002Fb\u003EThese medications target tumor necrosis factor-alpha, an inflammatory substance produced by the body. By inhibiting the production of this substance, that may lead to reduced pain and stiffness and relief from joint swelling. Etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira), are three examples of this class of drug.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EInterleukin inhibitors.\u003C\u002Fb\u003EThese drugs selectively target certain cytokines (a kind of protein) involved in inflammatory and immune responses. Examples include secukinumab (Cosentyx), ixekizumab (Taltz), brodalumab (Siliq) and ustekinumab (Stelara).\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003ET-Cell inhibitors.\u003C\u002Fb\u003ET-cells are a kind of white blood cell that create inflammation in psoriatic disease. The drug abatacept (Orencia) may help tamp down some of this response.\u003C\u002Fli\u003E \n \u003C\u002Ful\u003E\u003Cp\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFew patients progress to the point of needing surgery, but it can be an option in some cases. In a procedure called synovectomy, your doctor might remove the damaged or diseased tissue from inside the joint. In other cases, a patient may undergo a joint replacement surgery, joint resurfacing or realignment surgery or a bone fusion to relieve pain in a problematic joint.\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj","static_template":true,"id":"00000156-523e-d46d-a956-573fb84f0000","label":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Health Care Providers\" id=\"providers\"\u003EHealth Care Providers That Treat Psoriatic Arthritis\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"dynamic-enhancement","component":"DynamicEnhancement\u002FDoctorsNearby.js","endpoint":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fdoctors\u002Fsearch-data?specialty=Rheumatology","black_text":false,"heading":"Rheumatologists Near You","id":"0000016c-6d68-d43d-adef-7fe946760000","label":"Rheumatologists Near You","permalink":""},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"dynamic-enhancement","component":"DynamicEnhancement\u002FHospitalsNearby.js","endpoint":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fbest-hospitals\u002Fsearch-data?specialty_id=REPRHEU","black_text":false,"heading":"Best Nearby Hospitals for Rheumatology","id":"0000016c-6d67-d33a-a1ff-ede7fefa0001","label":"Best Nearby Hospitals for Rheumatology","permalink":""},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Management\" id=\"management\"\u003EManagement\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EAnother hallmark of psoriatic arthritis is frequent flare-ups, or periods when the disease seems worse, followed by periods of fewer symptoms. \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fpatient-advice\u002Farticles\u002F2017-11-17\u002Frelieving-arthritis-pain-with-heat-or-cold-therapy\"\u003EManaging this ebb and flow\u003C\u002Fa\u003E is an important part of living with the disease.\u003C\u002Fp\u003E","\u003Cp\u003EBecause autoimmune disorders are so closely associated with excessive levels of inflammation in the body, some doctors and patients believe that \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fpatient-advice\u002Farticles\u002F2017-04-05\u002Fare-there-ways-diet-can-influence-rheumatoid-arthritis\"\u003Ediet can impact the severity of symptoms\u003C\u002Fa\u003E. \"There are a million and one diets you could find online, and some people come in and tell me every time they have something fried, their arthritis flares up. Or they gave up gluten and feel better, even though there's no indication that they actually have a gluten sensitivity,\" Lipstein-Kresch says. It's hard to know exactly what might help most in which situation, so it's best to talk with your doctor about what's best for you.\u003C\u002Fp\u003E","\u003Cp\u003EIn general, it's believed that foods high in omega-3 fatty acids, such as fish, healthy oils and nuts, could help reduce inflammation in the body. A diet rich in brightly colored fruits and vegetables will also provide lots of antioxidants, which may also help control inflammation. Some studies have connected red meat, high-fat and high-cholesterol foods with increased inflammation, but Lipstein-Kresch says \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-news\u002Fblogs\u002Feat-run\u002Farticles\u002F2018-10-11\u002Fyour-anti-inflammatory-diet-is-probably-just-the-opposite\"\u003Ethe evidence is \"soft\"\u003C\u002Fa\u003E and her best advice is to \"eat healthy.\"\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":5},"\u003Cp\u003E\u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Ffor-better\u002Farticles\u002F2017-05-03\u002Fhow-to-exercise-when-you-have-arthritis-of-the-knees\"\u003EExercising regularly\u003C\u002Fa\u003E is also typically recommended to keep your joints moving as smoothly as possible, retain as much range of motion as possible and to keep your weight in check. When your body is strong, you'll be better able to cope with your condition.\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Related Articles\" id=\"related-articles\"\u003ERelated Articles\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Frelated-articles\u002Frelated-articles.nunj","finite":false,"id":"0000016d-bbd2-d734-a36d-fffbb60a0000","label":"Infinite Scroll – Related Articles - Arthritis","permalink":"","related_content":[{"image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000178-b1bb-deba-af79-fffbb3340000\u002F210408-soda-stock.jpg?update-time=1617889685768","update_time":1617889685768,"alt_text":"Man gets soda from soda machine","base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Ff5\u002F0c\u002F67cdbacd4be68b7d49eeb48ca899\u002F210408-soda-stock.jpg","caption":"","id":"00000178-b1bb-deba-af79-fffbb3340000","title":"210408_soda","credit":"(Getty Images)","permalink":""},"sources":[{"name":"Roberto Caricchio, MD, FACR","bio":"Caricchio is chief of rheumatology at the Lewis Katz School of Medicine at Temple University and director of the Temple Lupus Clinic at Temple University Hospital in Philadelphia.","id":"0000017a-5d3a-d8fe-ad7b-ff7acff90000","permalink":""},{"name":"Ken Saag, MD, MSC","bio":"Saag is a rheumatologist and a professor of medicine at the University of Alabama at Birmingham.","id":"0000017a-5d3b-d8fe-ad7b-ff7bc3b40000","permalink":""},{"name":"Rebecca Tuetken, MD, PhD","bio":"Tuetken is a rheumatologist and clinical professor of internal medicine at the University of Iowa Hospitals & Clinics.","id":"0000017a-5d39-daae-a17e-fdf9e4fa0000","permalink":""}],"deck":"Plus, here’s what you should eat and drink.","short_headline":"Foods to Avoid With Gout","id":"00000169-97a3-d615-a77b-9fbf3a0e0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fgout\u002Ffoods-to-avoid-with-gout","overline":{"new_window":false,"text":"Conditions","permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions"},"headline":"Foods to Avoid With Gout","authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F49\u002F30\u002F214edd8848ff83dec20a3e1719b1\u002Fmichael-o-schroeder.jpg","caption":"Michael O. Schroeder","title":"Michael_O._Schroeder_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61b1-d187-a5cb-ffbd4b090000\u002Fmichael-o-schroeder.jpg?update-time=","alt_text":"Michael O. Schroeder","width":0,"id":"00000180-61b1-d187-a5cb-ffbd4b090000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"education":"Wabash College; Indiana University","role":"Former Staff Writer","short_bio":"Michael O. Schroeder was a health editor at U.S. News from 2015-2020. With over two decades of experience, he wrote health stories on a wide range of topics from mental health to medication side effects, and he managed the blog For Parents. Schroeder is also an active member of the Association of Health Care Journalists.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F77c9e7e\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F49%2F30%2F214edd8848ff83dec20a3e1719b1%2Fmichael-o-schroeder.jpg","bio":"\u003Cb\u003EMichael O. Schroede\u003C\u002Fb\u003Er was a health editor at U.S. News from 2015-2020. With over two decades of experience, he wrote health stories on a wide range of topics from mental health to medication side effects, and he managed the blog \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Ffor-parents\"\u003EFor Parents\u003C\u002Fa\u003E. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003ESchroeder reported on health and wellness since 2005, and he's also covered everything from business news to governmental affairs for various newspapers. His stories have also been published in HuffPost, MSN, Yahoo!, WTOP, The Washington Post and The Indianapolis Star. He's also an active member of the Association of Health Care Journalists. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003ESchroeder has a bachelor’s degree in English from Wabash College and a master’s degree in journalism from Indiana University. ","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fmichael-schroeder-b4b3765\u002F","experience":"Journalism","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002F@mikeschroederin","email_address":"mschroeder@usnews.com","name":"Michael O. Schroeder","id":"0000014c-5b46-d82a-affe-df56133e0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fmichael-o-schroeder"},{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F15\u002Ffb\u002Fb9d0c04b47d996c725ba99c23510\u002Fdeena-adimoolam-md.jpg","caption":"Deena Adimoolam","title":"Deena_Adimoolam_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61c0-d187-a5cb-ffdd96b20000\u002Fdeena-adimoolam-md.jpg?update-time=","alt_text":"Deena Adimoolam","width":0,"id":"00000180-61c0-d187-a5cb-ffdd96b20000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.summithealth.com\u002Fdoctors\u002Fdeena-adimoolam-md","education":"Mount Sinai, Yale University","role":"Contributor","credentials":"MD","short_bio":"\u003Cb data-rte2-sanitize=\"bold\"\u003EDeena Adimoolam, MD\u003C\u002Fb\u003E, is board-certified in internal medicine and endocrinology, diabetes and metabolism. She has more than 15 years of experience and currently serves as an advisory committee member for the Endocrine Society. Adimoolam has also contributed numerous pieces to U.S. News' Eat+Run blog over the years.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fc63e61c\u002F2147483647\u002Fcrop\u002F1200x1200%2B0%2B0\u002Fresize\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F15%2Ffb%2Fb9d0c04b47d996c725ba99c23510%2Fdeena-adimoolam-md.jpg","bio":"\u003Ch3\u003EExperience\u003C\u002Fh3\u003E\u003Cbr\u002F\u003E\u003Cul\u003E\u003Cli data-rte2-sanitize=\"ul\"\u003EBoard-certified in internal medicine and endocrinology, diabetes and metabolism.\u003C\u002Fli\u003E\u003Cli data-rte2-sanitize=\"ul\"\u003EFormer assistant professor of medicine at the Icahn School of Medicine.\u003C\u002Fli\u003E\u003Cli data-rte2-sanitize=\"ul\"\u003EServes on national advisory committees for the Endocrine Society and the American Diabetes Association.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cbr\u002F\u003E\u003Cb data-rte2-sanitize=\"bold\"\u003EDeena Adimoolam, MD\u003C\u002Fb\u003E, is board-certified in internal medicine and endocrinology, diabetes and metabolism. She obtained her medical degree at Mount Sinai in New York and completed her internal medicine residency and endocrinology fellowship training at Yale University. During her career, she has received many awards for her humanism in medicine, community involvement and patient care. She is dedicated to health education and improving health care disparities in underserved communities. She was honored by former President Clinton for her work in public health.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe worked as an assistant professor of medicine at the Icahn School of Medicine and served as associate program director for the endocrinology fellowship for many years.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EAdimoolam uses her specialized skill set in endocrinology to focus on her interests of disease prevention, food as medicine, obesity, weight loss, metabolism and diabetes. She serves on national advisory committees for the Endocrine Society and the American Diabetes Association. She is an advocate for disease prevention through food and lifestyle changes, and helps patients live a healthier lifestyle by sharing her “SHD” (simple, healthy, delicious) recipes to empower the public to make healthier decisions with food and demonstrate that healthy eating doesn’t need to be expensive or complicated.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EAdimoolam has published research and many articles related to diabetes, metabolism and obesity. She serves as an expert for many media platforms and has written articles for Huffington Post, ABC and CBS. 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Syndrome","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fraynauds-syndrome"},{"heading":"Vaccinations","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fvaccinations"}]}]}]}}},"errors":[]},"src\u002Fcontainers\u002Fpages\u002Fhealth\u002Fconditions\u002Fguide\u002Findex.js|article":{"data":{"adhesion_overlay":null,"alert_configuration":null,"shouldDisableAds":false,"utag_data":{"bucket_tags":["patient-advice-include-consumer-advice","atlasconditionguide","condition-guide-related-bone-joint-disease","conditions","health-care","patient-advice"],"article_byline":"Elaine K. 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Howley,arthritis,psoriatic arthritis,patients,patient advice,steroids,health,dermatology,rheumatology,patient-advice-include [Consumer Advice],atlasconditionguide,condition-guide-related-bone-joint-disease,Conditions,Health Care,Patient Advice","zone":"edit","description":"Know the basics on symptoms, diagnosis and treatment to help as you battle the disease.","robots":"max-image-preview:large","title":"A Patient’s Guide to Psoriatic Arthritis","canonical_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Fpsoriatic-arthritis"},"breadcrumbs":[{"name":"Home","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002F"},{"name":"Conditions","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions"},{"name":"A Patient’s Guide to Psoriatic Arthritis","url":""}],"corrections":[],"sources":[],"article":{"id":"0000016c-1a27-d136-a9ed-7be73d3c0001","deck":"Know the basics on symptoms, diagnosis and treatment to help as you battle the disease.","display_headline":"A Patient’s Guide to Psoriatic Arthritis","short_headline":"A Patient’s Guide to Psoriatic Arthritis","kicker":null,"reverse_rail":null,"vertical":"Health","site_product":"Conditions","section":null,"sectionId":null,"date":"July 22, 2019, at 11:25 a.m. ","superheroPosition":"bottomLeft","superheroImageAlignment":"centerCenter","commentary_article":false,"disable_anyclip":false,"language":null,"sailthru_section":null,"sailthru_rec_mode":null,"main_enhancement":null,"remove_superhero_gradient":false,"hideImage":true,"image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000169-4acb-d7a3-a17b-7aeb59b20000\u002F190304-seniorpatientdoctor-stock.jpg?update-time=1551800078578","caption":"","credit":"(Getty Images)","alt":"Female doctor examining wrist of senior patient in clinic examination room","width":2000,"height":1333},"badge":null,"body":["\u003Cp\u003EArthritis is an umbrella term that simply describes joint inflammation. There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter of all adults. But not all forms of arthritis are created equal. Some, like psoriatic arthritis, are related to immune disorders and can cause a lot of pain and disability.\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj","static_template":true,"id":"00000156-523e-d46d-a956-573fb84f0000","label":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"What Is Psoriatic Arthritis?\" id=\"overview\"\u003EWhat Is Psoriatic Arthritis?\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EPsoriatic arthritis is one of several inflammatory forms of arthritis, and it's related to the common skin disorder psoriasis. Psoriasis is a chronic skin problem that speeds up the life cycle of skin cells. This causes a rapid build-up of cells on the surface of the skin that collect in red, scaly patches. It can be very itchy and painful.\u003C\u002Fp\u003E","\u003Cp\u003EThe Arthritis Foundation reports that about 30 percent of people with psoriasis \"also develop a form of inflammatory arthritis called psoriatic arthritis.\" Like psoriasis, psoriatic arthritis is an autoimmune disorder, meaning that the immune system begins attacking the body's normal cells, causing inflammation, swelling, pain and eventually damage to the joints.\u003C\u002Fp\u003E","\u003Cp\u003EDr. David Pugliese, a rheumatologist at \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fbest-hospitals\u002Farea\u002Fpa\u002Fgeisinger-medical-center-6230550\"\u003EGeisinger\u003C\u002Fa\u003E in Danville, Pennsylvania, says that psoriatic arthritis is one of \"a whole host of autoimmune conditions,\" that cause joint pain, swelling and other complications. \"These conditions can give people arthritis and come with their own host of immune concerns that we need to monitor,\" Pugliese says, so it's important to speak with your doctor if you notice any arthritis-like symptoms in any of your joints.\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"promo-list-enhancement","data":{"id":"0000016c-1a2c-ddc2-a5fc-1feff4b10000","permalink":"","articles":{"template":"templates\u002Fcommon\u002Fcontainer\u002Fvertical.nunj","disable_sticky":true,"permalink":"","items":[{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F55\u002Ff0033694c77f42f58dd1d42d93d720\u002F52368Slideshow_YogaClass_012414.jpg","caption":"Yoga class","title":"Slideshow_YogaClass_012414.jpg","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000143-ced8-d22e-aff3-fffc60100001\u002F52368Slideshow_YogaClass_012414.jpg?update-time=1490361956161","update_time":1490361956161,"alt_text":"Yoga class","width":0,"legacy_id":"52368","id":"00000143-ced8-d22e-aff3-fffc60100001","credit":"(iStockphoto)","permalink":"","pending_approval":false,"height":0,"taggable_publish_date":"2017-03-24T13:25:56.161Z"},"heading":"How to Practice Yoga When You Have Arthritis","deck":"Gentle yoga can help alleviate symptoms, experts say. ","short_headline":"How to Practice Yoga When You Have Arthritis","blurb":"Gentle yoga can help alleviate symptoms, experts say. ","black_text":false,"is_logo":false,"id":"0000015a-f20b-d3a2-afde-f3af708e0001","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Ffitness\u002Fslideshows\u002Fhow-to-practice-yoga-when-you-have-arthritis-or-another-chronic-condition","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Fitness","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Ffitness","campaign_id":"Fitness"},"headline":"How to Practice Yoga When You Have Arthritis","authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fc4\u002F95\u002Fc972889e40319f62cb8d43d0bf08\u002Fruben-castaneda.jpg","caption":"Ruben Castaneda","title":"Ruben_Castaneda_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61b7-d187-a5cb-ffbfe6bd0000\u002Fruben-castaneda.jpg?update-time=","alt_text":"Ruben Castaneda","width":0,"id":"00000180-61b7-d187-a5cb-ffbfe6bd0000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fen.wikipedia.org\u002Fwiki\u002FRuben_Castaneda","education":"University of Southern California","role":"Staff Writer","short_bio":"Ruben Castaneda has worked at U.S. News since September 2016. Castaneda has written extensively about Baby Boomer health and exercise habits, strategies for losing weight, health care issues affecting distressed communities, yoga and substance misuse. He has over two decades of experience and received several awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F7ec0a45\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Fc4%2F95%2Fc972889e40319f62cb8d43d0bf08%2Fruben-castaneda.jpg","bio":"\u003Cb\u003ERuben Castaneda\u003C\u002Fb\u003E has worked at U.S. News since September 2016. Castaneda has written extensively about Baby Boomer health and exercise habits, strategies for losing weight, health care issues affecting distressed communities, yoga and substance misuse. In 2018, the National Press Foundation chose Castaneda as one of 15 journalists nationwide to participate in a deep dive seminar into reporting on the opioids crisis. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EIn 2017, the USC Center for Health Journalism named Castaneda one of 24 journalists chosen from around the nation to participate in the center's National Fellowship. Castaneda was awarded a grant from the Dennis A. Hunt Health Journalism Fund. The grant helped support Castaneda's reporting for a five-part series U.S. News published focusing on how the Trump administration's immigration policies are affecting the health and well-being of children of immigrants, their parents and health care providers and teachers who work with the kids. He has appeared multiple times on \"Just Ask David,\" a podcast that covers health and beauty issues. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EBefore joining U.S. News, Castaneda worked as a reporter for 22 years at The Washington Post, where he primarily covered crime in the District of Columbia and courts and police misconduct in Prince George's County, Maryland. His 2014 nonfiction book, \"S Street Rising: Crack, Murder and Redemption in D.C.\" chronicles Castaneda's struggle with crack addiction while covering the crime beat for the Post during the violent crack era. The Post named \"S Street\" one of 50 notable works of nonfiction published that year. Castaneda has also appeared on NPR, CNN's \"Reliable Sources\" and on several local TV news shows . \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EHe has written for Politico, Washington City Paper, Los Angeles Weekly and Hispanic Magazine. Castaneda is a member of the Association of Health Care Journalists and the National Association of Hispanic Journalists. Castaneda graduated with a degree in journalism from the University of Southern California and completed a six-week fellowship at Duke University, part of a partnership with The Post. ","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fruben-castaneda-14039a12\u002F","experience":"Journalism, Strategic Communication, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002FRCastanedaUSN?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor","name":"Ruben Castaneda","id":"00000157-005f-d00c-a1d7-4affd8340000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fruben-castaneda"}],"pubdate":"March 24, 2017"},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fb0\u002F27\u002F19f9eca34fac9d518787310fda9e\u002F190607-lighttherapy-stock.jpg","caption":"Using controlled and directed beams of certain bandwidths of light, light therapy can penetrate the plaques and reduce inflammation.","cms_seo_keywords":[],"title":"190607_LightTherapy","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F0000016b-32b0-d597-a17f-3eb594d00000\u002F190607-lighttherapy-stock.jpg?update-time=1559923613535","update_time":1559923613535,"alt_text":"Photodynamic therapy. Patient undergoing photodynamic therapy.","width":2000,"id":"0000016b-32b0-d597-a17f-3eb594d00000","credit":"(Getty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":1333,"taggable_publish_date":"2019-06-07T16:06:52.724Z"},"sources":[{"website":{"permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwexnermedical.osu.edu\u002Fdepartments\u002Finternal-medicine\u002Fdermatology\u002Fteam\u002Fjessica-kaffenberger-md","target":"_blank"},"name":"Jessica Kaffenberger, MD","id":"0000016b-28db-d91a-a97b-7cdb12b40000","permalink":""},{"website":{"permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.pennmedicine.org\u002Fproviders\u002Fprofile\u002Fjoel-gelfand","target":"_blank"},"name":"Joel Gelfand, MD, MSCE","id":"0000016b-28dc-d91a-a97b-7cdd1b0d0000","permalink":""}],"heading":"Light Therapy for Psoriasis","deck":"Types, effectiveness and side effects of this noninvasive treatment for certain types of psoriasis.","short_headline":"Light Therapy for Psoriasis","blurb":"Types, effectiveness and side effects of this noninvasive treatment for certain types of psoriasis.","black_text":false,"is_logo":false,"id":"0000016b-28bc-d44a-a37f-39bce3320000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fskin-disease\u002Fpsoriasis\u002Farticles\u002Flight-therapy-for-psoriasis","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"Light Therapy for Psoriasis","publications":[],"authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6d\u002F82\u002F922a73b048ff9f6114ab235ec604\u002Felaine-k-howley.jpg","caption":"Elaine K. Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. 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Here's what you need to know.","short_headline":"How to Deal With Arthritis in the Hands","blurb":"This condition can cause crippling hand pain. Here's what you need to know.","black_text":false,"is_logo":false,"id":"00000169-9b9d-d3c8-a96d-dfbf2d090000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Farthritis\u002Fmanaging-arthritis-in-hands","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"How to Deal With Arthritis in the Hands","authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6b\u002Fff\u002F199ed7f648f78a558ef228540b9d\u002Fheidi-godman.jpg","caption":"Heidi Godman","title":"Heidi_Godman_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf8f2e0000\u002Fheidi-godman.jpg?update-time=","alt_text":"Heidi Godman","width":0,"id":"00000180-61ba-d187-a5cb-ffbf8f2e0000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"education":"West Virginia University","role":"Contributor","short_bio":"Heidi Godman reports on health for U.S. News, with a focus on middle and older age. She has over two decades of experience and her work has appeared in dozens of publications, including the Harvard Health Letter (where she serves as executive editor), the Chicago Tribune, Orlando Sentinel and Cleveland Clinic Heart Advisor. ","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fab85a48\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6b%2Fff%2F199ed7f648f78a558ef228540b9d%2Fheidi-godman.jpg","bio":"\u003Cb\u003EHeidi Godman\u003C\u002Fb\u003E reports on health for U.S. News, with a focus on middle and older age. Her work has appeared in dozens of publications, including the Harvard Health Letter (where she serves as executive editor), the Chicago Tribune, Baltimore Sun, Orlando Sentinel and Cleveland Clinic Heart Advisor. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EGodman spent more than 20 years as a TV news anchor and health reporter at ABC affiliate WWSB and more than five years as the host of a daily health talk radio show on WSRQ-FM. Heidi has interviewed surgeons in operating rooms, scientists in laboratories and patients in all phases of treatment. She's earned numerous awards for outstanding health reporting and was the first TV broadcaster in the nation to be named a journalism fellow of the American Academy of Neurology. Heidi graduated from West Virginia University with a degree in journalism. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttp:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fheidigodman","experience":"Editing, Writing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Fhgodman?lang=en","email_address":"health@heidigodman.com","name":"Heidi Godman","id":"0000015a-d841-d3ef-a3fa-da77f26f0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fheidi-godman"}],"pubdate":"March 22, 2019"},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fa8\u002F10\u002F9456144c41deaca1c512ee86280e\u002F190401-psoriasisarm-stock.jpg","caption":"Men are using his hands to scratch the arm ulcers. Diseases caused by abnormalities of the lymph. Psoriasis is a skin disease.","cms_seo_keywords":[],"title":"190401_PsoriasisArm","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000169-da39-d2dd-a3f9-fefbdfa10000\u002F190401-psoriasisarm-stock.jpg?update-time=1554144466729","update_time":1554144466729,"alt_text":"Men are using his hands to scratch the arm ulcers. Diseases caused by abnormalities of the lymph. Psoriasis is a skin disease.","width":2000,"id":"00000169-da39-d2dd-a3f9-fefbdfa10000","credit":"(Getty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":1333,"taggable_publish_date":"2019-04-01T18:47:45.894Z"},"sources":[],"heading":"A Patient’s Guide to Psoriasis","deck":"What to know about the disease's causes, complications, treatments and more.","short_headline":"A Patient’s Guide to Psoriasis","blurb":"What to know about the disease's causes, complications, treatments and more.","black_text":false,"is_logo":false,"id":"0000016b-b36f-d21b-adeb-bfff71740000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fskin-disease\u002Fpsoriasis","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"A Patient’s Guide to Psoriasis","publications":[],"authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6d\u002F82\u002F922a73b048ff9f6114ab235ec604\u002Felaine-k-howley.jpg","caption":"Elaine K. Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. Howley","id":"0000015a-4cf7-dd9c-adff-eef78c050000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Felaine-k-howley"}],"pubdate":"July 2, 2019"},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fc5\u002F0f\u002F3f4e622a4feeb46029c066813e40\u002F190405-elbowpsoriasis-stock.jpg","caption":"The toughest aspects of living with psoriasis are often the social consequences and the mental health impact.","cms_seo_keywords":[],"title":"190405_ElbowPsoriasis","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000169-ee45-d018-a7fb-fedf1c640000\u002F190405-elbowpsoriasis-stock.jpg?update-time=1554480749698","update_time":1554480749698,"width":2000,"id":"00000169-ee45-d018-a7fb-fedf1c640000","credit":"(Getty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":1333,"taggable_publish_date":"2019-04-05T16:12:28.818Z"},"heading":"What’s It Like Living With Psoriasis?","deck":"This common skin condition can impact every dimension of life.","short_headline":"What’s It Like Living With Psoriasis?","blurb":"This common skin condition can impact every dimension of life.","black_text":false,"is_logo":false,"id":"00000169-e405-de5b-ad7b-f705b7610000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fpsoriasis\u002Fliving-with-psoriasis","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"What’s It Like Living With Psoriasis?","authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6d\u002F82\u002F922a73b048ff9f6114ab235ec604\u002Felaine-k-howley.jpg","caption":"Elaine K. Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. Howley","id":"0000015a-4cf7-dd9c-adff-eef78c050000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Felaine-k-howley"}],"pubdate":"April 5, 2019"},{"template":"templates\u002Fcommon\u002Fmedia-object\u002Fpromo-%AREA%.nunj","image":{"image_source_type":{"name":"STOCK","value":"Stock","ordinal":2},"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Ff6\u002F6a\u002Fbeb2c7ab4ec191262c830997e98e\u002F190717-thumbpain-stock.jpg","caption":"While medication can typically treat osteoarthritis in the thumb joint, surgery might be recommended for more severe cases.","cms_seo_keywords":[],"title":"190717_ThumbPain","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F0000016c-0016-d518-afed-2b1e7b600000\u002F190717-thumbpain-stock.jpg?update-time=1563369603586","update_time":1563369603586,"alt_text":"A woman has pain in the fingers, hands, and joints","width":2000,"id":"0000016c-0016-d518-afed-2b1e7b600000","credit":"(Getty Images)","cms_seo_robots":[],"permalink":"","pending_approval":false,"height":1333,"taggable_publish_date":"2019-07-17T13:20:02.301Z"},"sources":[{"name":"Peyton L. Hays, MD","id":"0000016b-f6e6-d958-adef-f7f726630000","permalink":""},{"name":"Ying Chi, MD","id":"0000016b-f6e7-d947-a56f-f6ef7e750000","permalink":""},{"name":"C. Liam Dwyer, MD","id":"0000016b-f6e8-d958-adef-f7ff42960000","permalink":""}],"heading":"Thumb Joint Replacement Surgery for Arthritis","short_headline":"Thumb Joint Replacement Surgery for Arthritis","deck":"Severe osteoarthritis of the thumb can result in the need for joint replacement surgery. Learn about the different surgery options.","blurb":"Severe osteoarthritis of the thumb can result in the need for joint replacement surgery. Learn about the different surgery options.","black_text":false,"is_logo":false,"id":"0000016b-f6b4-db82-ab7b-f7f707fa0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Farticles\u002Fis-thumb-joint-replacement-surgery-right-for-you","overline":{"pull_cta_url":false,"pull_short_headline":false,"new_window":false,"text":"Conditions","permalink":"","type":"internal-profile","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions","campaign_id":"Conditions"},"headline":"Is Thumb Joint Replacement Surgery Right for You?","publications":[],"authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F6d\u002F82\u002F922a73b048ff9f6114ab235ec604\u002Felaine-k-howley.jpg","caption":"Elaine K. Howley","title":"Elaine_K._Howley_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61ba-d187-a5cb-ffbf31e90000\u002Felaine-k-howley.jpg?update-time=","alt_text":"Elaine K. Howley","width":0,"id":"00000180-61ba-d187-a5cb-ffbf31e90000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.elainekhowley.com\u002F","education":"Georgetown University, Emerson College","role":"Contributor","short_bio":"Elaine Howley began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Ms. Howley has over two decades of experience and has earned several writing awards.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","bio":"\u003Cb\u003EElaine Howley\u003C\u002Fb\u003E began writing for U.S. News in 2017, covering breast cancer and COPD. Since then, her reporting has evolved to cover lung cancer, senior care issues, doctor finding and other aspects of modern health care. Howley has over two decades of experience.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EPrior to writing for U.S. News, Howley worked as Publications Manager for U.S. Masters Swimming and Managing Editor of SWIMMER magazine. Her freelance work has also appeared in a variety of print and online publications including 5280 magazine, AARP.org, Atlas Obscura, espnW and Outdoor Swimmer magazine based in the United Kingdom. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe is a member in good standing of the American Society of Journalists and Authors and the Association of Health Care Journalists. Specializing in health, sports and history topics, Howley has earned several writing awards, placing first in the Writer’s Digest Annual Writing Competition for four years - 2012, 2013, 2020 and 2021 - for her feature profile stories that appeared in SWIMMER magazine and Outdoor Swimmer magazine. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003EA southern New Jersey native, Howley earned a bachelor’s degree from Georgetown University (German language and studio art double major) and a master’s degree in publishing and writing from Emerson College in Boston. In addition to her writing, she is also a working artist, specializing in pastel portraits of animals. She currently lives in greater Boston. \u003Cbr\u002F\u003E","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Felainekhowley\u002F","experience":"Journalism, Editing","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Femkhowley","name":"Elaine K. Howley","id":"0000015a-4cf7-dd9c-adff-eef78c050000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Felaine-k-howley"}],"pubdate":"July 17, 2019"}]}},"label":"Read More About Psoriatic Arthritis"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Types\" id=\"types\"\u003ETypes\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EWithin psoriatic arthritis, there are three main types. Symmetric psoriatic arthritis affects about 50 percent of patients, and it occurs in joints on both sides of the body. Asymmetric psoriatic arthritis affects about 35 percent of people with psoriatiac arthritis. It's generally considered the mildest form and tends to affect three or fewer joints. Three other types of psoriatic arthritis make up the rest of cases. Arthritis mutilans occurs in the fingers and toes and is an advanced, deforming type of psoriatic arthritis. Spondylitis impacts the shoulders and neck. And distant interphalangeal predominant psoriatic arthritis impacts the joints at the ends of the fingers.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":1},"\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj","static_template":true,"id":"00000156-523e-d46d-a956-573fb84f0000","label":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Symptoms\" id=\"symptoms\"\u003ESymptoms\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EThe Arthritis Foundation reports that \"most people with psoriatic arthritis have skin symptoms before joint symptoms.\" Skin symptoms of psoriasis include:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003E Red patches of raised or inflamed skin.\u003C\u002Fli\u003E\n \u003Cli\u003E Whitish or silvery scales or plaques on those red patches.\u003C\u002Fli\u003E\n \u003Cli\u003E Dry skin that cracks or bleeds.\u003C\u002Fli\u003E\n \u003Cli\u003E Tenderness, itching or burning around the site of the patches.\u003C\u002Fli\u003E\n \u003Cli\u003E Thick, pitted or ridged nails.\u003C\u002Fli\u003E\n \u003Cli\u003E Swollen and stiff joints.\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EBut for some people, psoriatic arthritis can develop in the absence of any skin symptoms. \"You don't have to have psoriasis to have psoriatic arthritis,\" says Dr. Esther Lipstein-Kresch, chief of rheumatology at ProHEALTH Care in New York. That can sometimes make diagnosis difficult, as the symptoms that accompany psoriatic arthritis may sometimes be similar to those of other forms of inflammatory arthritis.\u003C\u002Fp\u003E","\u003Cp\u003ECommon symptoms of psoriatic arthritis include:\u003C\u002Fp\u003E","\u003Cul\u003E\n \u003Cli\u003E Swollen, painful joints.\u003C\u002Fli\u003E\n \u003Cli\u003E Joint stiffness, especially first thing in the morning.\u003C\u002Fli\u003E\n \u003Cli\u003E Sausage-like swelling along the length of the fingers or toes.\u003C\u002Fli\u003E\n \u003Cli\u003E Tendon or ligament pain.\u003C\u002Fli\u003E\n \u003Cli\u003E Reduced range of motion.\u003C\u002Fli\u003E\n \u003Cli\u003E Skin rashes and pitted nails.\u003C\u002Fli\u003E\n \u003Cli\u003E Fatigue.\u003C\u002Fli\u003E\n \u003Cli\u003E Redness and irritation of the eyes and distorted vision.\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EOne of the key distinguishing features of psoriatic arthritis is the development of \"sausage-shaped deformity,\" Lipstein-Kresch says. \"It can happen in the toes and fingers,\" and it can be very uncomfortable. This particular type of swelling is less likely to occur in \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Frheumatoid-arthritis\"\u003Erheumatoid arthritis\u003C\u002Fa\u003E so it's often a differentiator in helping your doctor make the right diagnosis.\u003C\u002Fp\u003E","\u003Cp\u003EAnother feature of psoriatic arthritis is the development of bone fusions, \"where the bones literally fuse together,\" Lipstein-Kresch says, a condition called ankylosis. This usually only happens in severe cases that aren't well managed. \"If you're unlucky enough to fuse your wrist in a really bad position when it's flexed, you wind up like that the rest of your life. Sometimes people fuse in a neutral position, which is good because if it's fused, it doesn't hurt that much and they can still \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Farthritis\u002Farthritis-in-hands\"\u003Euse their hands\u003C\u002Fa\u003E.\" In fact, surgical fusion is sometimes used as a treatment for psoriatic arthritis and other inflammatory arthritis conditions.\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":2},"\u003Cp\u003EWhile ankyloses can also occur in other inflammatory arthritis conditions, such as rheumatoid arthritis, \"psoriatic arthritis generally has more fusion than rheumatoid arthritis. But hopefully in this day and age with all these new biologic medications and other disease-modifying drugs, people wouldn't get fusion,\" Lipstein-Kresch says.\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Diagnosis\" id=\"diagnosis\"\u003EDiagnosis\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003ETo diagnose a case of psoriatic arthritis, your doctor will conduct a thorough physical exam and take an extensive medical history. \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fpatient-advice\u002Farticles\u002Fhow-can-i-find-the-best-rheumatologist\"\u003EYour rheumatologist\u003C\u002Fa\u003E may also order some blood tests to gauge how much inflammation you have in your body or X-ray images of your symptomatic joints to take a look at what's going on inside them. You may also have MRIs, ultrasounds or CT scans to look at the extent of damage in your joints.\u003C\u002Fp\u003E","\u003Cp\u003EAlthough there isn't a specific blood test currently in use that can say definitively that you have psoriatic arthritis, your rheumatologist will likely order some blood tests to rule out other forms of inflammatory arthritis, such as rheumatoid arthritis. These tests look for an antibody in the blood called the rheumatoid factor. Even if your RF test comes back negative, it doesn't necessarily mean you don't have rheumatoid arthritis. Lipstein-Kresch says that about 85 percent of people with rheumatoid arthritis will have a positive RF factor test but \"the other 15 percent won't. Those people have what's called zero-negative RA.\"\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":3},"\u003Cp\u003EEven a positive RF test doesn't completely rule out a diagnosis of psoriatic arthritis, as the two conditions can coexist, although the National Psoriasis Foundation reports this coexistence of conditions is rare. Nevertheless, it's important to work with a doctor who has experience in treating arthritis conditions to be sure you're arriving at the right diagnosis. \"Even though we have some tools we use in terms of immunological testing that are helpful, ultimately (the correct diagnosis) still boils down to what the patient looks like on exam and what kind of story they are telling,\" Pugliese says.\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Causes\" id=\"causes\"\u003ECauses and Risk Factors\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EPsoriatic arthritis occurs when the body's immune system misidentifies normal cells as foreign invaders and goes on the attack. The National Psoriasis Foundation reports that skin symptoms are present before the development of joint pain in about 85 percent of cases.\u003C\u002Fp\u003E","\u003Cp\u003EIt's not entirely clear why psoriatic arthritis develops in some people and not others, but genetics are likely part of the answer, as well as environmental factors. People with a family history of either psoriasis or psoriatic arthritis are at higher risk of developing the disorder.\u003C\u002Fp\u003E","\u003Cp\u003EIt's believed that physical trauma or certain environmental factors, such as the introduction of a bacterial or viral infection, could sometimes trigger the immune response that develops into psoriatic arthritis in some people.\u003C\u002Fp\u003E","\u003Cp\u003EAge may also be a risk factor. Although anyone can develop psoriatic arthritis at any age, the Mayo Clinic reports that \"it occurs most often in adults between the ages of 30 and 50.\"\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":4},"\u003Ch2\u003E\u003Clabel data-toc-text=\"Treatment\" id=\"treatment\"\u003ETreatment\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EAlthough there's currently no cure for psoriatic arthritis, the condition can be managed. Patients may be offered a range of different medications, including:\u003C\u002Fp\u003E","\u003Cul\u003E \n \u003Cli\u003E\u003Cb\u003ENonsteroidal anti-inflammatory drugs (NSAIDs). \u003C\u002Fb\u003ENSAIDs reduce inflammation and relieve pain. Some, such as ibuprofen (Advil, Motrin IB, etc.) and naproxen sodium (Aleve) are \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Farticles\u002Fbest-otc-pain-medications\"\u003Eavailable over the counter\u003C\u002Fa\u003E. Your doctor may prescribe stronger NSAIDs to improve symptoms of psoriatic arthritis.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EDisease-modifying antirheumatic drugs (DMARDs). \u003C\u002Fb\u003EThese drugs stall the progression of psoriatic arthritis and may be used to treat other forms of inflammatory arthritis. Methotrexate (Trexall), leflunomide (Arava) and sulfasalazine (Azulfidine) are three common DMARDs used to treat psoriatic arthritis.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003ESteroids. \u003C\u002Fb\u003EPowerful anti-inflammatories, steroids such as prednisone (Deltasone, Rayos and Prednisone Intensol) can help bring down a flare-up of psoriatic arthritis or other inflammatory arthritis disorders quickly. Steroids have been around a long time, and \"are still excellent medications in terms of cooling things down,\" Lipstein-Kresch says. \"When you see somebody who is really inflamed and has a lot of pain, can't sleep and can't function, the steroids make a tremendous difference very rapidly.\" But she says these are generally used sparingly as they can have some harsh side effects when used long-term. Steroids may also be used in combination with other medications to help prime the body's response for the effects of biologic or other medications.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EImmunosuppressants. \u003C\u002Fb\u003EIn immune disorders, the body's natural defense mechanism – the immune system – works overtime and on the wrong targets. By tamping down some of this response, some patients may find some relief from autoimmune conditions such as psoriatic arthritis. Azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune) are two immunosuppressant drugs that may be used to treat the condition.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EBiologics. \u003C\u002Fb\u003EIn the past decade, new medications have emerged to help patients deal with a number of inflammatory arthritis conditions. The NPF reports that these types of drugs are administered by injection or intravenous infusion and are derived from living cells cultured in a lab. Among these are: \n \u003Cul\u003E \n \u003Cli\u003E\u003Cb\u003ETNF-alpha inhibitors.\u003C\u002Fb\u003EThese medications target tumor necrosis factor-alpha, an inflammatory substance produced by the body. By inhibiting the production of this substance, that may lead to reduced pain and stiffness and relief from joint swelling. Etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira), are three examples of this class of drug.\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003EInterleukin inhibitors.\u003C\u002Fb\u003EThese drugs selectively target certain cytokines (a kind of protein) involved in inflammatory and immune responses. Examples include secukinumab (Cosentyx), ixekizumab (Taltz), brodalumab (Siliq) and ustekinumab (Stelara).\u003C\u002Fli\u003E \n \u003Cli\u003E\u003Cb\u003ET-Cell inhibitors.\u003C\u002Fb\u003ET-cells are a kind of white blood cell that create inflammation in psoriatic disease. The drug abatacept (Orencia) may help tamp down some of this response.\u003C\u002Fli\u003E \n \u003C\u002Ful\u003E\u003Cp\u003E\u003C\u002Fp\u003E\u003C\u002Fli\u003E\n\u003C\u002Ful\u003E","\u003Cp\u003EFew patients progress to the point of needing surgery, but it can be an option in some cases. In a procedure called synovectomy, your doctor might remove the damaged or diseased tissue from inside the joint. In other cases, a patient may undergo a joint replacement surgery, joint resurfacing or realignment surgery or a bone fusion to relieve pain in a problematic joint.\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj","static_template":true,"id":"00000156-523e-d46d-a956-573fb84f0000","label":"templates\u002Fcommon\u002Fads\u002Fleaderboard-b.nunj"},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Health Care Providers\" id=\"providers\"\u003EHealth Care Providers That Treat Psoriatic Arthritis\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"dynamic-enhancement","component":"DynamicEnhancement\u002FDoctorsNearby.js","endpoint":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fdoctors\u002Fsearch-data?specialty=Rheumatology","black_text":false,"heading":"Rheumatologists Near You","id":"0000016c-6d68-d43d-adef-7fe946760000","label":"Rheumatologists Near You","permalink":""},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"dynamic-enhancement","component":"DynamicEnhancement\u002FHospitalsNearby.js","endpoint":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fbest-hospitals\u002Fsearch-data?specialty_id=REPRHEU","black_text":false,"heading":"Best Nearby Hospitals for Rheumatology","id":"0000016c-6d67-d33a-a1ff-ede7fefa0001","label":"Best Nearby Hospitals for Rheumatology","permalink":""},"\u003Cp\u003E\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Management\" id=\"management\"\u003EManagement\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E","\u003Cp\u003EAnother hallmark of psoriatic arthritis is frequent flare-ups, or periods when the disease seems worse, followed by periods of fewer symptoms. \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fpatient-advice\u002Farticles\u002F2017-11-17\u002Frelieving-arthritis-pain-with-heat-or-cold-therapy\"\u003EManaging this ebb and flow\u003C\u002Fa\u003E is an important part of living with the disease.\u003C\u002Fp\u003E","\u003Cp\u003EBecause autoimmune disorders are so closely associated with excessive levels of inflammation in the body, some doctors and patients believe that \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Fpatient-advice\u002Farticles\u002F2017-04-05\u002Fare-there-ways-diet-can-influence-rheumatoid-arthritis\"\u003Ediet can impact the severity of symptoms\u003C\u002Fa\u003E. \"There are a million and one diets you could find online, and some people come in and tell me every time they have something fried, their arthritis flares up. Or they gave up gluten and feel better, even though there's no indication that they actually have a gluten sensitivity,\" Lipstein-Kresch says. It's hard to know exactly what might help most in which situation, so it's best to talk with your doctor about what's best for you.\u003C\u002Fp\u003E","\u003Cp\u003EIn general, it's believed that foods high in omega-3 fatty acids, such as fish, healthy oils and nuts, could help reduce inflammation in the body. A diet rich in brightly colored fruits and vegetables will also provide lots of antioxidants, which may also help control inflammation. Some studies have connected red meat, high-fat and high-cholesterol foods with increased inflammation, but Lipstein-Kresch says \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-news\u002Fblogs\u002Feat-run\u002Farticles\u002F2018-10-11\u002Fyour-anti-inflammatory-diet-is-probably-just-the-opposite\"\u003Ethe evidence is \"soft\"\u003C\u002Fa\u003E and her best advice is to \"eat healthy.\"\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Fads\u002Farbitrary-body-rectangle-wrapper.nunj","hide":false,"alignment":"right","ad_num":5},"\u003Cp\u003E\u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fhealth-care\u002Ffor-better\u002Farticles\u002F2017-05-03\u002Fhow-to-exercise-when-you-have-arthritis-of-the-knees\"\u003EExercising regularly\u003C\u002Fa\u003E is also typically recommended to keep your joints moving as smoothly as possible, retain as much range of motion as possible and to keep your weight in check. When your body is strong, you'll be better able to cope with your condition.\u003C\u002Fp\u003E","\u003Ch2\u003E\u003Clabel data-toc-text=\"Related Articles\" id=\"related-articles\"\u003ERelated Articles\u003C\u002Flabel\u003E\u003C\u002Fh2\u003E","\u003Cp\u003E\u003C\u002Fp\u003E",{"template":"templates\u002Fcommon\u002Frelated-articles\u002Frelated-articles.nunj","finite":false,"id":"0000016d-bbd2-d734-a36d-fffbb60a0000","label":"Infinite Scroll – Related Articles - Arthritis","permalink":"","related_content":[{"image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000178-b1bb-deba-af79-fffbb3340000\u002F210408-soda-stock.jpg?update-time=1617889685768","update_time":1617889685768,"alt_text":"Man gets soda from soda machine","base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Ff5\u002F0c\u002F67cdbacd4be68b7d49eeb48ca899\u002F210408-soda-stock.jpg","caption":"","id":"00000178-b1bb-deba-af79-fffbb3340000","title":"210408_soda","credit":"(Getty Images)","permalink":""},"sources":[{"name":"Roberto Caricchio, MD, FACR","bio":"Caricchio is chief of rheumatology at the Lewis Katz School of Medicine at Temple University and director of the Temple Lupus Clinic at Temple University Hospital in Philadelphia.","id":"0000017a-5d3a-d8fe-ad7b-ff7acff90000","permalink":""},{"name":"Ken Saag, MD, MSC","bio":"Saag is a rheumatologist and a professor of medicine at the University of Alabama at Birmingham.","id":"0000017a-5d3b-d8fe-ad7b-ff7bc3b40000","permalink":""},{"name":"Rebecca Tuetken, MD, PhD","bio":"Tuetken is a rheumatologist and clinical professor of internal medicine at the University of Iowa Hospitals & Clinics.","id":"0000017a-5d39-daae-a17e-fdf9e4fa0000","permalink":""}],"deck":"Plus, here’s what you should eat and drink.","short_headline":"Foods to Avoid With Gout","id":"00000169-97a3-d615-a77b-9fbf3a0e0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fgout\u002Ffoods-to-avoid-with-gout","overline":{"new_window":false,"text":"Conditions","permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions"},"headline":"Foods to Avoid With Gout","authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F49\u002F30\u002F214edd8848ff83dec20a3e1719b1\u002Fmichael-o-schroeder.jpg","caption":"Michael O. Schroeder","title":"Michael_O._Schroeder_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61b1-d187-a5cb-ffbd4b090000\u002Fmichael-o-schroeder.jpg?update-time=","alt_text":"Michael O. Schroeder","width":0,"id":"00000180-61b1-d187-a5cb-ffbd4b090000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"education":"Wabash College; Indiana University","role":"Former Staff Writer","short_bio":"Michael O. Schroeder was a health editor at U.S. News from 2015-2020. With over two decades of experience, he wrote health stories on a wide range of topics from mental health to medication side effects, and he managed the blog For Parents. Schroeder is also an active member of the Association of Health Care Journalists.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F77c9e7e\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F49%2F30%2F214edd8848ff83dec20a3e1719b1%2Fmichael-o-schroeder.jpg","bio":"\u003Cb\u003EMichael O. Schroede\u003C\u002Fb\u003Er was a health editor at U.S. News from 2015-2020. With over two decades of experience, he wrote health stories on a wide range of topics from mental health to medication side effects, and he managed the blog \u003Ca href=\"https:\u002F\u002Fhealth.usnews.com\u002Fwellness\u002Ffor-parents\"\u003EFor Parents\u003C\u002Fa\u003E. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003ESchroeder reported on health and wellness since 2005, and he's also covered everything from business news to governmental affairs for various newspapers. His stories have also been published in HuffPost, MSN, Yahoo!, WTOP, The Washington Post and The Indianapolis Star. He's also an active member of the Association of Health Care Journalists. \u003Cbr\u002F\u003E\u003Cbr\u002F\u003ESchroeder has a bachelor’s degree in English from Wabash College and a master’s degree in journalism from Indiana University. ","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fmichael-schroeder-b4b3765\u002F","experience":"Journalism","twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002F@mikeschroederin","email_address":"mschroeder@usnews.com","name":"Michael O. Schroeder","id":"0000014c-5b46-d82a-affe-df56133e0000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fmichael-o-schroeder"},{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F15\u002Ffb\u002Fb9d0c04b47d996c725ba99c23510\u002Fdeena-adimoolam-md.jpg","caption":"Deena Adimoolam","title":"Deena_Adimoolam_bio","tags":[],"series_tags":[],"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000180-61c0-d187-a5cb-ffdd96b20000\u002Fdeena-adimoolam-md.jpg?update-time=","alt_text":"Deena Adimoolam","width":0,"id":"00000180-61c0-d187-a5cb-ffdd96b20000","credit":"U.S. News & World Report","permalink":"","pending_approval":false,"height":0},"website":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.summithealth.com\u002Fdoctors\u002Fdeena-adimoolam-md","education":"Mount Sinai, Yale University","role":"Contributor","credentials":"MD","short_bio":"\u003Cb data-rte2-sanitize=\"bold\"\u003EDeena Adimoolam, MD\u003C\u002Fb\u003E, is board-certified in internal medicine and endocrinology, diabetes and metabolism. She has more than 15 years of experience and currently serves as an advisory committee member for the Endocrine Society. Adimoolam has also contributed numerous pieces to U.S. News' Eat+Run blog over the years.","image_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fc63e61c\u002F2147483647\u002Fcrop\u002F1200x1200%2B0%2B0\u002Fresize\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F15%2Ffb%2Fb9d0c04b47d996c725ba99c23510%2Fdeena-adimoolam-md.jpg","bio":"\u003Ch3\u003EExperience\u003C\u002Fh3\u003E\u003Cbr\u002F\u003E\u003Cul\u003E\u003Cli data-rte2-sanitize=\"ul\"\u003EBoard-certified in internal medicine and endocrinology, diabetes and metabolism.\u003C\u002Fli\u003E\u003Cli data-rte2-sanitize=\"ul\"\u003EFormer assistant professor of medicine at the Icahn School of Medicine.\u003C\u002Fli\u003E\u003Cli data-rte2-sanitize=\"ul\"\u003EServes on national advisory committees for the Endocrine Society and the American Diabetes Association.\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cbr\u002F\u003E\u003Cb data-rte2-sanitize=\"bold\"\u003EDeena Adimoolam, MD\u003C\u002Fb\u003E, is board-certified in internal medicine and endocrinology, diabetes and metabolism. She obtained her medical degree at Mount Sinai in New York and completed her internal medicine residency and endocrinology fellowship training at Yale University. During her career, she has received many awards for her humanism in medicine, community involvement and patient care. She is dedicated to health education and improving health care disparities in underserved communities. She was honored by former President Clinton for her work in public health.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EShe worked as an assistant professor of medicine at the Icahn School of Medicine and served as associate program director for the endocrinology fellowship for many years.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EAdimoolam uses her specialized skill set in endocrinology to focus on her interests of disease prevention, food as medicine, obesity, weight loss, metabolism and diabetes. She serves on national advisory committees for the Endocrine Society and the American Diabetes Association. She is an advocate for disease prevention through food and lifestyle changes, and helps patients live a healthier lifestyle by sharing her “SHD” (simple, healthy, delicious) recipes to empower the public to make healthier decisions with food and demonstrate that healthy eating doesn’t need to be expensive or complicated.\u003Cbr\u002F\u003E\u003Cbr\u002F\u003EAdimoolam has published research and many articles related to diabetes, metabolism and obesity. She serves as an expert for many media platforms and has written articles for Huffington Post, ABC and CBS. She has been interviewed as a medical expert for national news outlets like PIX 11, Fox, CBS and local networks on a wide range of health topics.","instagram":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.instagram.com\u002Fdoctor_deena\u002F?hl=en","linkedin":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.linkedin.com\u002Fin\u002Fdeena-adimoolam-gupta-md-40b38119b\u002F","experience":"Endocrinology, Diabetes, Metabolism","author_type":{"name":"MEDICAL_REVIEWER","ordinal":0,"type":"Medical Reviewer","blurb":"Medically reviewed by"},"reviewer_specialty":{"path":"#endocrinology","name":"Endocrinology","id":"0000017a-3a44-d70b-a57a-ff65f5d60000","permalink":""},"twitter":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Ftwitter.com\u002Fdoctor_deena\u002Fstatus\u002F621001528564948992?lang=en","name":"Deena Adimoolam","id":"00000178-1e12-d0c1-a17c-fff32c310000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Ftopics\u002Fauthor\u002Fdeena-adimoolam-md"}],"pubdate":"Nov. 9, 2021"},{"image":{"resize_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fobject\u002Fimage\u002F00000173-0a97-dc82-ad7b-6eb71f6c0000\u002F200701-jointpainhand-stock.jpg?update-time=1593610582913","update_time":1593610582913,"alt_text":"Close-up of unrecognizable woman sitting in living room holding hand in pain","base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002Fa9\u002F19\u002Fb11eef064f75a635f8b543e81766\u002F200701-jointpainhand-stock.jpg","caption":"","id":"00000173-0a97-dc82-ad7b-6eb71f6c0000","title":"200701_JointPainHand","credit":"(Getty Images)","permalink":""},"sources":[{"website":{"text":"Dunphy is an orthopedic surgeon with Hoag Orthopedic Institute in Orange County, California. ","permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.hoagorthopedicinstitute.com\u002Ffind-a-doctor\u002Fd\u002Ftaylor-r-dunphy-md\u002F","target":"_blank"},"name":"Taylor R. Dunphy, MD","bio":"Dunphy is an orthopedic surgeon with Hoag Orthopedic Institute in Orange County, California, which is the largest volume orthopedic hospital on the West Coast.","id":"0000016a-e53e-d75c-a97e-f7ff056c0000","permalink":""},{"name":"Julie Eller","bio":"Eller is director, patient centered strategies, help and support with the Arthritis Foundation. She manages the Arthritis Foundation's Live Yes! 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Here’s what you should know about each.","id":"0000016f-ed6e-d6cb-a7ef-ff6fe9c90000","permalink":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Fosteoporosis\u002Farticles\u002Fosteoporosis-vs-osteoarthritis","overline":{"new_window":false,"text":"Conditions","permalink":"","type":"external","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions"},"headline":"Osteoporosis vs. Osteoarthritis: What’s the Difference?","publications":[],"authors":[{"should_disable_ads":false,"image":{"base_url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fcmsmedia\u002F49\u002F30\u002F214edd8848ff83dec20a3e1719b1\u002Fmichael-o-schroeder.jpg","caption":"Michael O. 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About half of Americans have at least one of these.","page_container":"containers\u002Fpages\u002Fhealth\u002Fconditions\u002Fguide\u002Findex.js"},"meta_tags":[{"name":"brightspot.contentId","content":"0000016c-1a27-d136-a9ed-7be73d3c0001"},{"property":"og:site_name","content":"US News & World Report"},{"property":"og:title","content":"A Patient’s Guide to Psoriatic Arthritis"},{"property":"og:description","content":"Know the basics on symptoms, diagnosis and treatment to help as you battle the disease."},{"property":"og:url","content":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Fpsoriatic-arthritis"},{"property":"og:image","content":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F9830cdf\u002F2147483647\u002Fcrop\u002F2000x1334%2B0%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2F3b%2Fe702d0614a6eac05187514bd0d3a%2F190304-seniorpatientdoctor-stock.jpg"},{"property":"og:image:secure_url","content":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F9830cdf\u002F2147483647\u002Fcrop\u002F2000x1334%2B0%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2F3b%2Fe702d0614a6eac05187514bd0d3a%2F190304-seniorpatientdoctor-stock.jpg"},{"property":"twitter:image","content":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F9830cdf\u002F2147483647\u002Fcrop\u002F2000x1334%2B0%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2F3b%2Fe702d0614a6eac05187514bd0d3a%2F190304-seniorpatientdoctor-stock.jpg"},{"property":"og:type","content":"article"},{"property":"og:site_name","content":"US News & World Report"},{"property":"og:url","content":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fhealth.usnews.com\u002Fconditions\u002Fbone-and-joint-disease\u002Farthritis\u002Fpsoriatic-arthritis"},{"name":"twitter:card","content":"summary_large_image"},{"name":"twitter:site","content":"@USNews"},{"name":"twitter:title","content":"A Patient’s Guide to Psoriatic Arthritis"},{"name":"twitter:description","content":"Know the basics on symptoms, diagnosis and treatment to help as you battle the disease."},{"name":"google-site-verification","content":"owJBuFHD3VHcTSsnPSOYizmUcs3GSBjbx09vBbBi1MM"},{"name":"msvalidate.01","content":"A8E47FA91124063A4A9C78AD5273DC0F"},{"property":"fb:app_id","content":"130063997038366"},{"property":"sailthru.date","content":"2019-07-22T11:25Z"},{"property":"sailthru.author","content":"Elaine K. Howley"},{"property":"sailthru.site_portal","content":"Wellness"},{"property":"sailthru.description","content":"Know the basics on symptoms, diagnosis and treatment to help as you battle the disease."},{"property":"sailthru.title","content":"A Patient’s Guide to Psoriatic Arthritis"},{"property":"sailthru.vertical","content":"Health"},{"property":"vertical","content":"Health"},{"property":"sailthru.image.full","content":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F9830cdf\u002F2147483647\u002Fcrop\u002F2000x1334%2B0%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2F3b%2Fe702d0614a6eac05187514bd0d3a%2F190304-seniorpatientdoctor-stock.jpg"},{"property":"sailthru.tags","content":"arthritis,psoriatic-arthritis,patients,patient-advice,steroids,health,dermatology,rheumatology,patient-advice-include-consumer-advice,atlasconditionguide,condition-guide-related-bone-joint-disease"},{"property":"preview","content":"Arthritis is an umbrella term that simply describes joint inflammation. There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter ..."}],"structured_data":{"image":{"@type":"ImageObject","width":"970","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002F9830cdf\u002F2147483647\u002Fcrop\u002F2000x1334%2B0%2B0\u002Fresize\u002F970x647\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2Ffc%2F3b%2Fe702d0614a6eac05187514bd0d3a%2F190304-seniorpatientdoctor-stock.jpg","height":"647"},"wordCount":1929,"keywords":["Elaine K. Howley","arthritis","psoriatic arthritis","patients","patient advice","steroids","health","dermatology","rheumatology","patient-advice-include [Consumer Advice]","atlasconditionguide","condition-guide-related-bone-joint-disease","Conditions","Health Care","Patient Advice"],"articleBody":"Arthritis is an umbrella term that simply describes joint inflammation. There are more than 100 types of arthritis, and they all can have different triggers and characteristics. As such, arthritis is one of the most common chronic conditions, affecting about 54 million Americans or nearly a quarter of all adults. But not all forms of arthritis are created equal. Some, like psoriatic arthritis, are related to immune disorders and can cause a lot of pain and disability.Psoriatic arthritis is one of several inflammatory forms of arthritis, and it's related to the common skin disorder psoriasis. Psoriasis is a chronic skin problem that speeds up the life cycle of skin cells. This causes a rapid build-up of cells on the surface of the skin that collect in red, scaly patches. It can be very itchy and painful.The Arthritis Foundation reports that about 30 percent of people with psoriasis \"also develop a form of inflammatory arthritis called psoriatic arthritis.\" Like psoriasis, psoriatic arthritis is an autoimmune disorder, meaning that the immune system begins attacking the body's normal cells, causing inflammation, swelling, pain and eventually damage to the joints.Dr. David Pugliese, a rheumatologist at Geisinger in Danville, Pennsylvania, says that psoriatic arthritis is one of \"a whole host of autoimmune conditions,\" that cause joint pain, swelling and other complications. \"These conditions can give people arthritis and come with their own host of immune concerns that we need to monitor,\" Pugliese says, so it's important to speak with your doctor if you notice any arthritis-like symptoms in any of your joints.Within psoriatic arthritis, there are three main types. Symmetric psoriatic arthritis affects about 50 percent of patients, and it occurs in joints on both sides of the body. Asymmetric psoriatic arthritis affects about 35 percent of people with psoriatiac arthritis. It's generally considered the mildest form and tends to affect three or fewer joints. Three other types of psoriatic arthritis make up the rest of cases. Arthritis mutilans occurs in the fingers and toes and is an advanced, deforming type of psoriatic arthritis. Spondylitis impacts the shoulders and neck. And distant interphalangeal predominant psoriatic arthritis impacts the joints at the ends of the fingers.The Arthritis Foundation reports that \"most people with psoriatic arthritis have skin symptoms before joint symptoms.\" Skin symptoms of psoriasis include: Red patches of raised or inflamed skin. Whitish or silvery scales or plaques on those red patches. Dry skin that cracks or bleeds. Tenderness, itching or burning around the site of the patches. Thick, pitted or ridged nails. Swollen and stiff joints.But for some people, psoriatic arthritis can develop in the absence of any skin symptoms. \"You don't have to have psoriasis to have psoriatic arthritis,\" says Dr. Esther Lipstein-Kresch, chief of rheumatology at ProHEALTH Care in New York. That can sometimes make diagnosis difficult, as the symptoms that accompany psoriatic arthritis may sometimes be similar to those of other forms of inflammatory arthritis.Common symptoms of psoriatic arthritis include: Swollen, painful joints. Joint stiffness, especially first thing in the morning. Sausage-like swelling along the length of the fingers or toes. Tendon or ligament pain. Reduced range of motion. Skin rashes and pitted nails. Fatigue. Redness and irritation of the eyes and distorted vision.One of the key distinguishing features of psoriatic arthritis is the development of \"sausage-shaped deformity,\" Lipstein-Kresch says. \"It can happen in the toes and fingers,\" and it can be very uncomfortable. This particular type of swelling is less likely to occur in rheumatoid arthritis so it's often a differentiator in helping your doctor make the right diagnosis.Another feature of psoriatic arthritis is the development of bone fusions, \"where the bones literally fuse together,\" Lipstein-Kresch says, a condition called ankylosis. This usually only happens in severe cases that aren't well managed. \"If you're unlucky enough to fuse your wrist in a really bad position when it's flexed, you wind up like that the rest of your life. Sometimes people fuse in a neutral position, which is good because if it's fused, it doesn't hurt that much and they can still use their hands.\" In fact, surgical fusion is sometimes used as a treatment for psoriatic arthritis and other inflammatory arthritis conditions.While ankyloses can also occur in other inflammatory arthritis conditions, such as rheumatoid arthritis, \"psoriatic arthritis generally has more fusion than rheumatoid arthritis. But hopefully in this day and age with all these new biologic medications and other disease-modifying drugs, people wouldn't get fusion,\" Lipstein-Kresch says.To diagnose a case of psoriatic arthritis, your doctor will conduct a thorough physical exam and take an extensive medical history. Your rheumatologist may also order some blood tests to gauge how much inflammation you have in your body or X-ray images of your symptomatic joints to take a look at what's going on inside them. You may also have MRIs, ultrasounds or CT scans to look at the extent of damage in your joints.Although there isn't a specific blood test currently in use that can say definitively that you have psoriatic arthritis, your rheumatologist will likely order some blood tests to rule out other forms of inflammatory arthritis, such as rheumatoid arthritis. These tests look for an antibody in the blood called the rheumatoid factor. Even if your RF test comes back negative, it doesn't necessarily mean you don't have rheumatoid arthritis. Lipstein-Kresch says that about 85 percent of people with rheumatoid arthritis will have a positive RF factor test but \"the other 15 percent won't. Those people have what's called zero-negative RA.\"Even a positive RF test doesn't completely rule out a diagnosis of psoriatic arthritis, as the two conditions can coexist, although the National Psoriasis Foundation reports this coexistence of conditions is rare. Nevertheless, it's important to work with a doctor who has experience in treating arthritis conditions to be sure you're arriving at the right diagnosis. \"Even though we have some tools we use in terms of immunological testing that are helpful, ultimately (the correct diagnosis) still boils down to what the patient looks like on exam and what kind of story they are telling,\" Pugliese says.Psoriatic arthritis occurs when the body's immune system misidentifies normal cells as foreign invaders and goes on the attack. The National Psoriasis Foundation reports that skin symptoms are present before the development of joint pain in about 85 percent of cases.It's not entirely clear why psoriatic arthritis develops in some people and not others, but genetics are likely part of the answer, as well as environmental factors. People with a family history of either psoriasis or psoriatic arthritis are at higher risk of developing the disorder.It's believed that physical trauma or certain environmental factors, such as the introduction of a bacterial or viral infection, could sometimes trigger the immune response that develops into psoriatic arthritis in some people.Age may also be a risk factor. Although anyone can develop psoriatic arthritis at any age, the Mayo Clinic reports that \"it occurs most often in adults between the ages of 30 and 50.\"Although there's currently no cure for psoriatic arthritis, the condition can be managed. Patients may be offered a range of different medications, including: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs reduce inflammation and relieve pain. Some, such as ibuprofen (Advil, Motrin IB, etc.) and naproxen sodium (Aleve) are available over the counter. Your doctor may prescribe stronger NSAIDs to improve symptoms of psoriatic arthritis. Disease-modifying antirheumatic drugs (DMARDs). These drugs stall the progression of psoriatic arthritis and may be used to treat other forms of inflammatory arthritis. Methotrexate (Trexall), leflunomide (Arava) and sulfasalazine (Azulfidine) are three common DMARDs used to treat psoriatic arthritis. Steroids. Powerful anti-inflammatories, steroids such as prednisone (Deltasone, Rayos and Prednisone Intensol) can help bring down a flare-up of psoriatic arthritis or other inflammatory arthritis disorders quickly. Steroids have been around a long time, and \"are still excellent medications in terms of cooling things down,\" Lipstein-Kresch says. \"When you see somebody who is really inflamed and has a lot of pain, can't sleep and can't function, the steroids make a tremendous difference very rapidly.\" But she says these are generally used sparingly as they can have some harsh side effects when used long-term. Steroids may also be used in combination with other medications to help prime the body's response for the effects of biologic or other medications. Immunosuppressants. In immune disorders, the body's natural defense mechanism – the immune system – works overtime and on the wrong targets. By tamping down some of this response, some patients may find some relief from autoimmune conditions such as psoriatic arthritis. Azathioprine (Imuran, Azasan) and cyclosporine (Gengraf, Neoral, Sandimmune) are two immunosuppressant drugs that may be used to treat the condition. Biologics. In the past decade, new medications have emerged to help patients deal with a number of inflammatory arthritis conditions. The NPF reports that these types of drugs are administered by injection or intravenous infusion and are derived from living cells cultured in a lab. Among these are: TNF-alpha inhibitors.These medications target tumor necrosis factor-alpha, an inflammatory substance produced by the body. By inhibiting the production of this substance, that may lead to reduced pain and stiffness and relief from joint swelling. Etanercept (Enbrel), infliximab (Remicade) and adalimumab (Humira), are three examples of this class of drug. Interleukin inhibitors.These drugs selectively target certain cytokines (a kind of protein) involved in inflammatory and immune responses. Examples include secukinumab (Cosentyx), ixekizumab (Taltz), brodalumab (Siliq) and ustekinumab (Stelara). T-Cell inhibitors.T-cells are a kind of white blood cell that create inflammation in psoriatic disease. The drug abatacept (Orencia) may help tamp down some of this response. Few patients progress to the point of needing surgery, but it can be an option in some cases. In a procedure called synovectomy, your doctor might remove the damaged or diseased tissue from inside the joint. In other cases, a patient may undergo a joint replacement surgery, joint resurfacing or realignment surgery or a bone fusion to relieve pain in a problematic joint.Another hallmark of psoriatic arthritis is frequent flare-ups, or periods when the disease seems worse, followed by periods of fewer symptoms. Managing this ebb and flow is an important part of living with the disease.Because autoimmune disorders are so closely associated with excessive levels of inflammation in the body, some doctors and patients believe that diet can impact the severity of symptoms. \"There are a million and one diets you could find online, and some people come in and tell me every time they have something fried, their arthritis flares up. Or they gave up gluten and feel better, even though there's no indication that they actually have a gluten sensitivity,\" Lipstein-Kresch says. It's hard to know exactly what might help most in which situation, so it's best to talk with your doctor about what's best for you.In general, it's believed that foods high in omega-3 fatty acids, such as fish, healthy oils and nuts, could help reduce inflammation in the body. A diet rich in brightly colored fruits and vegetables will also provide lots of antioxidants, which may also help control inflammation. Some studies have connected red meat, high-fat and high-cholesterol foods with increased inflammation, but Lipstein-Kresch says the evidence is \"soft\" and her best advice is to \"eat healthy.\"Exercising regularly is also typically recommended to keep your joints moving as smoothly as possible, retain as much range of motion as possible and to keep your weight in check. When your body is strong, you'll be better able to cope with your condition.","@type":"NewsArticle","author":[{"image":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20230316230559\u002Fhttps:\u002F\u002Fwww.usnews.com\u002Fdims4\u002FUSNEWS\u002Fb28125c\u002F2147483647\u002Fthumbnail\u002F300x300\u002Fquality\u002F85\u002F?url=https%3A%2F%2Fwww.usnews.com%2Fcmsmedia%2F6d%2F82%2F922a73b048ff9f6114ab235ec604%2Felaine-k-howley.jpg","@type":"Person","jobTitle":"Contributor","name":"Elaine K. 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