Psoriatic arthritis is a long-term inflammatory arthritis that occurs in people affected by the autoimmune disease psoriasis. The classic feature of psoriatic arthritis is swelling of entire fingers and toes with a sausage-like appearance. This often happens in association with changes to the nails such as small depressions in the nail (pitting), thickening of the nails, and detachment of the nail from the nailbed. Skin changes consistent with psoriasis e.g. red, scaly, and itchy plaques frequently occur before the onset of psoriatic arthritis but psoriatic arthritis can precede the rash in 15% of affected individuals. Having this disease of peculiar nature, Siddha Spirituality of Swami Hardas Life System appeals to our valuable readers to know in-depth about psoriatic arthritis for well-being.
Psoriatic arthritis Symptoms
Pain
Pain, swelling, or stiffness in one or more joints is commonly present in psoriatic arthritis. Psoriatic arthritis is inflammatory, and affected joints are generally red or warm to the touch. The joints of the hand that is involved in psoriasis are the proximal interphalangeal (PIP), the distal interphalangeal (DIP), the metacarpophalangeal (MCP), and the wrist.
Sausage-like swelling
In addition to affecting the joints of the hands and wrists, psoriatic arthritis may affect the fingers, nails, and skin. Sausage-like swelling in the fingers or toes, known as dactylitis, may occur.
Scaly skin lesions
Psoriasis can also cause changes to the nails, such as pitting or separation from the nail bed, onycholysis, hyperkeratosis under the nails, and horizontal ridging. Psoriasis classically presents with scaly skin lesions, which are most commonly seen over extensor surfaces such as the scalp, natal cleft, and umbilicus.
Feet and ankles
In psoriatic arthritis, pain can occur in the area of the sacrum i.e. the lower back, above the tailbone, as a result of sacroiliitis or spondylitis, which is present in 40% of cases. Pain can occur in and around the feet and ankles, especially enthesitis in the Achilles tendon or plantar fasciitis in the sole of the foot.
Extreme exhaustion
Along with the above-noted pain and inflammation, there is extreme exhaustion that does not go away with adequate rest. The exhaustion may last for days or weeks without abatement. Psoriatic arthritis may remain mild or may progress to a more destructive joint disease.
Psoriatic arthritis Causes
The exact causes are not yet known, but a number of genetic associations have been identified in a genome-wide association study of psoriasis and psoriatic arthritis including HLA-B27.
Psoriatic arthritis Diagnosis
There is no definitive test to diagnose psoriatic arthritis. Symptoms of psoriatic arthritis may closely resemble other diseases, including rheumatoid arthritis. A rheumatologist may use physical examinations, health history, blood tests, and x-rays to accurately diagnose psoriatic arthritis.
Factors that contribute to a diagnosis of psoriatic arthritis include the following:
- Psoriasis in the patient, or a family history of psoriasis or psoriatic arthritis.
- A negative test result for rheumatoid factor, a blood factor associated with rheumatoid arthritis.
- Arthritis symptoms in the distal Interphalangeal articulations of the hand i.e. the joints closest to the tips of the fingers. This is not typical of rheumatoid arthritis.
- Ridging or pitting of fingernails or toenails, which is associated with psoriasis and psoriatic arthritis.
- Radiologic images demonstrating degenerative joint changes.
Other symptoms that are more typical of psoriatic arthritis than other forms of arthritis include enthesitis at the back of the heel or the plantar fascia i.e. bottom of the feet and dactylitis i.e. sausage-like swelling of the fingers or toes.
Differential diagnosis
Several conditions can mimic the clinical presentation of psoriatic arthritis including rheumatoid arthritis, osteoarthritis, reactive arthritis, gouty arthritis, systemic lupus erythematosus, and inflammatory bowel disease-associated arthritis.
In contrast to psoriatic arthritis, rheumatoid arthritis tends to affect the proximal joints e.g. the metacarpophalangeal joints, which involves a greater number of joints than psoriatic arthritis and affects them symmetrically. The involvement of the spinal joints is more suggestive of psoriatic arthritis than rheumatoid arthritis. Osteoarthritis shares certain clinical features with psoriatic arthritis such as its tendency to affect multiple distal joints in an asymmetric pattern.
Unlike psoriatic arthritis, osteoarthritis does not typically involve inflammation of the sacroiliac joint. Psoriatic arthritis sometimes affects only one joint and is sometimes confused for gout or pseudogout when this happens.
Psoriatic arthritis Classification
There are five main types of psoriatic arthritis:
- Oligoarticular: This type affects around 70% of patients and is generally mild. This type does not occur in the same joints on both sides of the body and usually only involves fewer than 3 joints.
- Polyarticular: This type accounts for around 25% of cases, and affects five or more joints on both sides of the body simultaneously. This type is most similar to rheumatoid arthritis and is disabling in around 50% of all cases.
- Arthritis mutilans (M07.1): Affects less than 5% of patients and is a severe, deforming, and destructive arthritis. This condition can progress over months or years causing severe joint damage. Arthritis mutilans has also been called chronic absorptive arthritis and may be seen in rheumatoid arthritis as well.
- Spondyloarthritis (M07.2): This type is characterized by stiffness of the neck or the sacroiliac joint of the spine, but can also affect the hands and feet, in a similar fashion to symmetric arthritis.
- Distal interphalangeal predominant (M07.0): It is inflammation and stiffness in the joints nearest to the ends of the fingers and toes.
Psoriatic arthritis Treatment
The underlying process in psoriatic arthritis is inflammation; therefore, treatments are directed at reducing and controlling inflammation. Milder cases of psoriatic arthritis may be treated with NSAIDs alone; however, there is a trend toward earlier use of disease-modifying antirheumatic drugs or biological response modifiers to prevent irreversible joint destruction.
Nonsteroidal anti-inflammatory drugs
Typically the medications first prescribed for psoriatic arthritis are NSAIDs such as ibuprofen and naproxen, followed by more potent NSAIDs like diclofenac, indomethacin, and etodolac.
NSAIDs can irritate the stomach and intestine, and long-term use can lead to gastrointestinal bleeding. Coxibs (COX-2 inhibitors) e.g. Celecoxib or Etoricoxib, are associated with a statistically significant 50 to 66% relative risk reduction in gastrointestinal ulcers and bleeding complications compared to traditional NSAIDs, but carry an increased rate of cardiovascular events such as myocardial infarction (MI) or heart attack, and stroke. Both COX-2 inhibitors and other non-selective NSAIDs have potential adverse effects that include damage to the kidneys.
Disease-modifying antirheumatic drugs
Rather than just reducing pain and inflammation, this class of drugs helps limit the amount of joint damage that occurs in psoriatic arthritis. Most DMARDs act slowly and may take weeks or even months to take full effect.
Drugs such as methotrexate or leflunomide are commonly prescribed; other DMARDS used to treat psoriatic arthritis include cyclosporin, azathioprine, and sulfasalazine. According to a recent Cochrane review, low dose oral methotrexate was slightly more effective than placebos.
Immunosuppressant drugs can also reduce PSORIASIS skin symptoms but can lead to LIVER and KIDNEY problems and an increased risk of serious infection.
Biological response modifiers
Unlike traditional DMARDS that affect the entire immune system, biologics target specific parts of the immune system, which are given by injection or intravenous (IV) infusion.
Biologics prescribed for psoriatic arthritis are TNF inhibitors, including infliximab, etanercept, golimumab, and certolizumab pegol.
Phosphodiesterase-4 inhibitors
A first-in-class treatment option for the management of psoriatic arthritis. By inhibiting PDE4, an enzyme that breaks down cyclic adenosine monophosphate, cAMP levels rise, resulting in the down-regulation of various pro-inflammatory factors including TNF, interleukin 17, and interleukin 23, as well as the up-regulation of anti-inflammatory factor interleukin 10.
Side effects include headaches, back pain, nausea, diarrhea, fatigue, nasopharyngitis, and upper respiratory tract infections, as well as depression and weight loss.
Other treatments
Doctors may use joint injections with corticosteroids in cases where one joint is severely affected. In psoriatic arthritis patients with severe joint damage, orthopedic surgery may be implemented to correct joint destruction, usually with the use of a joint replacement. Surgery is effective for pain-alleviation, correcting joint disfigurement, and reinforcing joint usefulness and strength.
Ayurveda for Psoriatic arthritis
When the Kushta, especially complicated skin conditions not responding to any medicines or treatments advised in Kushta when treated with some formulations explained in the treatment of Vatarakta have found to give stunning results.
Ayurvedic treatises give a clear idea that certain skin disorders are related to joint disorders and they can be dealt with in identical ways by identical approaches in terms of formulations and treatment strategies.
If the skin component is more i.e. if the psoriasis is evident by the skin picture and if the patient also has joint involvement, we shall treat on the basis of Kushta treatment line up.
If the skin component is less or if it has been treated so that the lesions are not available or feebly available and if the patient has developed the arthritis component on a later period, we shall treat that condition on the lines of Vatarakta. In these conditions, the joint manifestations are superseding those of skin.
If the joint pains or arthritis has been diagnosed as Psoriatic arthritis by modern parameters, the job becomes easy.
Following treatments are of immense use in Psoriatic arthritis:
- Lepa – external application of medicinal pastes
- Abhyanga – herbal oil massage
- Parisheka – stream pouring or sprinkling or showering of medicinal liquids like decoctions, medicated milk, oil, etc over the afflicted areas
- Avagahana – dipping the afflicted parts or joints in the medicinal liquids
- Upanaha – poultice
Siddha remedies for Psoriatic arthritis
1. Siddha preventive measures
Everybody must practice Siddha preventive measures, whether a person is affected with psoriatic arthritis or not, but preventive measures are the primary steps for switching on to any other Siddha remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectuality, and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans the energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail of the benefits by practicing them sincerely, and regularly. For the ease of understanding what Siddha preventive measures are, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to psoriatic arthritis with Siddha remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation, or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana
Recite this Sadhana with a Sankalp “My problems of the psoriatic arthritis are solved as early as possible and I should gain health”, which should be repeated in mind 3 – 3 times every after each stanza. Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice a day. To know more, please click on this link.
4. CCPE products
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for psoriatic arthritis as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on the affected joint, and naval for another 30 to 60 seconds, which finishes within almost 3 – 6 minutes.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over the affected joint, and naval for 6 – 12 minutes. You may need to have 3-4 Boosters, which establishes positivity.
5. A daily routine
In general, a daily routine may look like this:
- Increase physical activities e.g. exercise, walking, swimming
- Consume Sattvik diet
- Perform breathing exercises regularly
- Apply free Siddha remedies a minimum 3 times a day, as explained above
- Practice Ananda meditation or Acem meditation regularly
- Chant any mantra as per your religion or belief while lying down for better sleep
- Perform Swayamsiddha Agnihotra daily, if feasible
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 15 days.
Training of Swami Hardas Life System
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
Conclusion
In view of the above, I am confident that you have learned about psoriatic arthritis, symptoms, causes, diagnosis, classification, treatments, Ayurveda, and Siddha remedies. Now, you have become self-sufficient, hence it’s the right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
However, keep learning and practicing the free Siddha remedies, which would help guide how to solve various problems regarding health, peace, and progress, without money and medicines.
After reading this article, how would you rate it? Would you please let me know your precious thoughts?
DISCLAIMER
The opinions expressed in this article are the personal opinions of the concerned site owners. Siddha Spirituality For Health is not responsible for the accuracy, completeness, suitability, or validity of any information on this article. However, it is advisable to consult a specialist in the concerned field before availing of the benefits. Hence we do not assume any responsibility or liability for the same.
Reference:
- https://en.wikipedia.org/wiki/Psoriatic_arthritis
- https://www.psoriasistreatmentbangalore.com/ayurvedic-treatment-for-psoriatic-arthritis/
Well explained. Although such cases have been noticed by me, I did not know the name of this disease. Thanks for letting us enhance our knowledge. We can now guide needy people.
So nice of you, Madam! It’s the spirit needed nowadays. If certain things are not directly needed by us, we can at least know so that we can help or guide others. It’s a good attitude and I appreciate it. You are certainly possessing a helping nature. Please continue thinking beyond yourself, which is a great service. May God bless you with health, peace, and progress!!!
Thank You Sir
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You’re most welcome, Prashant! Thanks for your need projected for Alopecia Aretia!! I’m glad to inform you that I’ve already published the article on this subject and a link has been sent to you through Linkedin yesterday. Please refer and find out the remedies, which would help you get instant relief. Thanks and stay connected!!!