Symptoms and treatment of psoriatic arthritis( the unique system of Pegano)
Statistically, 4% of the world's population suffers from psoriasis. In 30% of people with this diagnosis, joints will eventually be affected - psoriatic arthritis will develop. The mechanism of involvement of joint and periarticular tissues is identical to the mechanism of skin lesion in psoriasis and is an autoimmune process. This means that the cells of the patient's immune system attack their own organs and tissues, in this case joints. To date, modern medicine does not know the exact causes that lead to such serious disruptions in the human immune system, so all the traditional treatment of psoriatic arthritis is reduced to alleviating the general condition of the patient, eliminating pathological symptoms and slowing down destructive processes.
Pictured - symptoms of
pathology Symptoms and signs of
The symptoms of psoriatic arthritis are similar to those of other types of arthritis. There is no definite test that allows you to accurately determine the presence of this pathology. Diagnosis is reduced to the analysis of aggregate data on the medical history, life, patient complaints and survey data.
Characteristic features of psoriatic arthritis:
- the appearance of pain in joints with exacerbation of skin manifestations of psoriasis;
- morning stiffness;
- psoriatic skin changes over affected joints;
- local increase in temperature in the affected area;
- arthritis of interphalangeal joints( defeat of small joints of fingers);
- modification of fingers like "sausages";
- defeat of three joints of one finger at once;
- multidirectional subluxations of small joints;
- destruction of bone tissue( osteolysis) inside damaged joints.
A blood test for the presence of rheumatoid antibodies allows doctors to distinguish between psoriatic arthritis and rheumatoid arthritis( abbreviated RA), which is of great diagnostic value.
Official medicine has not yet developed the means to cure psoriasis or psoriatic arthritis. The tasks of traditional treatment:
- reduce pain,
- suppress inflammation,
- reduce immune reactions,
- slow down joint destruction.
In the mild course of the disease, the main treatment is non-steroidal anti-inflammatory drugs( NSAIDs): they suppress the inflammatory reaction and eliminate the pain syndrome.
Treatment with corticosteroid( hormonal) drugs is used in more severe cases, when therapy with NSAIDs is not effective enough and it is necessary to achieve more pronounced anti-inflammatory effect. If appropriate indications are given, intraarticular injections of hormones.
The last means of fighting the disease in the arsenal of physicians are drugs of immunosuppressive action. These drugs suppress the activity of immune cells that attack their own tissues. Such treatment can significantly affect the disease, effectively inhibiting the destruction of joints. However, immunosuppressants suppress all human immunity, which can lead to even more severe complications.
Treatment with folk remedies
While traditional medicine tries to understand the internal processes of the human body and influence them, folk medicine is based on centuries of experience in treatment, long observations of various ailments and the effectiveness of various drugs. There are many recipes for the treatment of psoriatic arthritis with folk remedies, which often cope better with modern medicines.
A special place is given to celery. For the preparation of infusions, broths, ointments, extracts, the leaves and roots of this plant are used - they effectively help to treat psoriatic arthritis:
Forget about the pain in two weeks will help infusion of celery roots. For its preparation, 1 tbsp. Spoon washed and finely chopped celery roots pour two cups of boiling water and insist for 4 hours in the heat. Take a strained infusion of 2 tbsp.spoon 2 times a day before meals. You can add honey to the drink.
Dexterity and mobility to the fingers will return a mixture of celery leaves with lemon and honey. For cooking, grind and mix 500 g of celery, 500 g of lemon with skin and 500 g of honey. The mixture is left in the refrigerator for 3 days. Take 1 tbsp.spoon 30 minutes before meals, 3 times a day.
Juice of celery roots. From 1 kg of roots squeeze the juice, add 2 cups of honey, mix thoroughly and leave the mixture in the refrigerator for a while. Take 1 tbsp.spoon 3 times daily before meals. The course of treatment is 1 month, then a break for a month.
An interesting recipe for the treatment of arthritis of the toes is the use of medium-sized starlets. This herb is widespread throughout the territory of Russia, grows almost on any vegetable garden as a weed. From well-dried stems of grass spread a footbed for shoes, which is then worn on a bare foot. After walking for a day, your feet are washed with warm water. As a result, a pronounced analgesic effect is observed, acute inflammation is eliminated.
General properties of folk remedies:
- With proper application, folk remedies do not harm the human body.
- For effective treatment of psoriatic arthritis, a systematic approach is necessary.
Be sure to read about the treatment of rheumatoid arthritis with folk remedies. RA is also an autoimmune incurable form of the disease, and the principles of non-traditional therapy of both types of ailment are very similar.
Treat the disease, not the symptoms: the Pegaso system
Traditional and, in most cases, traditional medicine treat only the symptoms of psoriatic arthritis: reduce pain, eliminate swelling, relieve inflammation, increase joint mobility. Such therapy can not cure the disease itself and will not help relieve the patient of psoriatic arthritis. All this is due to the fact that the cause of the disease has not yet been established. However, the research of this pathology does not stop. Fundamental work - monograph prof. M. Yu. Peslyaka "Model of psoriasis pathogenesis" - offers a scientifically grounded theory that indicates possible causes of pathological processes and suggests how to treat psoriatic arthritis.
Summarizing the conclusions of M. Peslyak's research, one can say that the main source of psoriatic damage to the body is the intestine with a reduced barrier function and toxins that enter through it.
Based on the same assumptions, in 1998 the method of Pegano was developed, which gained wide popularity due to its effectiveness. This approach demonstrates excellent results in therapy, has many positive reviews.
Basic principles of the PEGANO system:
Diet. Proper nutrition in the disease psoriatic arthritis takes first place in treatment:
- complete refusal of alcohol and smoking;
- exclusion of sharp, fried, fatty foods;
- restriction of salt intake;
- exception from the diet of shellfish;
- meat dishes only from mutton or poultry;
- 2-3 liters of clean water a day.
Cleansing of the intestines:
- Cleansing enemas.
- Colonotherapy - deep cleansing of the intestine with the use of special equipment. During the procedure, more than 40 liters of water or other cleansing liquids are passed through the rectum.
- Sorbents are medications that purify the intestinal lumen, absorbing toxins and harmful substances.
Phytotea. In the system of Pegano, tea is used from safflower and bark of slippery elm. Safflower cleans, and the bark of the slippery elm promotes the restoration of the walls of the intestine.
Manual therapy of the lumbar spine occupies an important place in this system: an experienced specialist can release clamped nerve roots, which regulate the work of all organs of the abdominal cavity.
Psoriatic arthritis requires constant systematic treatment - this approach will help improve the quality of life and overall well-being of a person.
What should the patient do at home?
At the beginning of the remission period( when there are no clinical manifestations of the disease), patients have a chance to maximally stretch this happy time. To do this, you must follow simple recommendations at home:
- Strictly adhere to the diet.
- Maintain a normal body weight. Weight loss will reduce the burden on the joints( if there is excess weight).
- Perform physical exercises of therapeutic gymnastics. Special techniques allow you to remove static tension, relax spasms.
- Avoid stressful situations: pathological stress mechanisms are closely intertwined with exacerbation of psoriasis.
In printed publications and the Internet, you can meet many reviews about the successful fight against the disease of psoriatic arthritis from the patients themselves. Those who follow medical recommendations and lead a healthy lifestyle forget about problems with joints for a long time.
Treatment of psoriatic arthritis with folk remedies
Psoriatic arthritis - inflammation of the joints on the background of an already arisen skin disease. Psoriasis can occur at any age( usually after twenty years) and is chronic. The periods of exacerbation are followed by periods of remission. This pathology is not contagious, affects mainly the skin, but patients may have problems with self-esteem, social isolation and stress due to psoriatic plaques. They are impartial spots of reddish color with small dry scales. Plaques can be located on any part of the body( as on the scalp, face, so on the hands and feet), causing severe itching.
In addition to plaque manifestations of psoriasis - puffing nails, resulting in ulcers, cracks and blisters on the skin. Psoriasis is often complicated by arthritis. The joints of the hands, spine, knees, elbows, hip joints are inflamed. Arthritis can be either one-sided or symmetrical bilateral. The nature of the disease is autoimmune. The immune system takes cells that are related to the organism for foreign ones and attacks them. If you do not treat arthritis, then it practically in all cases leads to complete destruction of tissues, joint deformity, affects the organs( eyes, lungs, kidneys, intestines) and as a consequence disability occurs.
Treatment of psoriatic arthritis is performed by two doctors - a dermatologist and rheumatologist.
The main causes , for which psoriatic arthritis occurs:
- - hereditary predisposition;
- - strong emotional shocks, stress;
- - injuries of the joints;
- - consumption of alcohol in large quantities;
- - infectious diseases.
Symptoms that indicate the development of psoriatic arthritis:
- - the appearance of painful sensations in the area of arthritis-affected joint( mainly in the morning);
- - swelling;
- - a change in the color of the skin from red to cyanotic;
- - movement becomes difficult;
- - if the disease has greatly progressed, then deformation of the joint is formed.
In order to correctly diagnose psoriatic arthritis, the attending physician directs the patient to an X-ray. As additional research - blood and joint fluid.
Treatment of psoriatic arthritis
The treatment of psoriatic arthritis is aimed at eliminating the patient's pain in order to enable him to fully move and work. In addition, it is necessary to influence the inflammatory process in the cartilage, stop its destruction and return the joint to its ability to move.
There is no universal cure for psoriatic arthritis. Doctors recommend a course of medicines, physiotherapy( to maintain muscle tone), ointments and creams, physiotherapy, diet, methods of traditional medicine. In the early stages, it is much easier and quicker to relieve the period of exacerbation and positively influence the restoration of the joint, rather than with a neglected form of arthritis, when surgical intervention is indispensable.
Methods of traditional medicine do not allow self-treatment. Each prescription should be discussed with the attending physician, who will establish the absence of contraindications to the use, safety of the method, advise the necessary dosage and the course of treatment.
Treatment of psoriatic arthritis with folk remedies
Compresses, rubbing, baths
- Compress of raw grated carrots, five drops of vegetable oil and five drops of turpentine, has antimicrobial and fortifying action, deeply penetrates the skin and nourishes the cells of connective tissue. Apply a compress before bedtime, alternating with a compress of aloe.
- Compress from aloe with oil and turpentine is made according to the same recipe as carrot. Aloe has excellent healing properties, positively affecting the affected joints with psoriatic arthritis.
- Powerful anti-inflammatory and analgesic effect gives tincture of lilac buds. They are collected in the spring in the amount of two glasses, mixed with half a liter of alcohol and insist in a dark place for ten days. Tincture rubs the sick joints( arms, legs, spine).Course ten to twelve applications.
Together with the tincture for arthritis, you can apply a wrap from the leaves of lilac. The steamed fresh leaves are applied to the joints, fixed and warmed. In just a few applications, pain and mobility are markedly reduced.
In summer you can prepare yourself a tincture of fresh burdock root. They are excavated, cleaned, crushed and poured with vodka( the liquid level should be 2-3 cm above the crushed roots).The mixture is insisted in a dark place for three weeks. Periodically, the container with tincture must be shaken. The ready mix is used for grinding and for oral administration( half an hour before meals three times a day, one tablespoon).Burdock has antiseptic, analgesic properties, positively affects the condition of the skin and joints.
One of the most effective means for psoriatic arthritis is a decoction of birch buds. They contain almost all known vitamins, promote wound healing, have antiseptic and analgesic properties. Five grams of kidneys should be poured a glass of boiling water and let it simmer on low heat for fifteen minutes. After that, the broth should be poured into a thermos and insist one hour. The whole volume is designed for a four-hour reception in one day( fifty grams each).
In the summer one of the most accessible and effective recipes is the use of the grass of the woodlice. It is collected and freshly stuffed into shoes, which are then worn on bare feet and worn from morning till night.
Ointment from swamp sabelnik deeply penetrates the skin, warms up, anesthetizes and helps to restore cartilage tissue. To make it you will need: a tube of cream, one tablespoon of tincture of saber( sold in a pharmacy), three drops of liquid vitamin E, a teaspoon of honey, a teaspoon of tincture of red pepper. All ingredients must be mixed thoroughly. Apply the ointment several times a day, keep the leftovers in the refrigerator.
With constant use, wrappers from cabbage leaves, burdock or coltsfoot help well. The plants are used fresh, before use, the leaves are heated and produce a number of small incisions along the surface. To improve the effect, smear honey. The compressor is insulated and left overnight.
Compress made of crushed chalk and yogurt is also made for the night, necessarily warming it with a woolen cloth or cotton wool.
Positively affect the skin, well-being and joints of the tub with pine needles. The collected needles are poured with boiling water, insisted and poured into a warm bath, which should be taken fifteen to twenty minutes.
In addition to rubbing, compresses and baths, folk medicine recommends adhering to a diet. A systematic approach to the treatment of psoriatic arthritis is the key to a successful fight against exacerbations.
Authorized food: juices from fruits and vegetables, fish, chicken, rice, porridge( oats, millet, rye, barley), bran, vegetables.
With caution and separately from other products are allowed to eat: apples, melon, bananas, grapefruit.
But completely eliminate from the diet: alcohol, citrus, pomegranates, avocado, raspberries, strawberries, strawberries, salmon, salted fish, sushi, battered dishes, red meat, tomatoes and ketchup, beans, corn.
Methods of traditional medicine have a minimum of contraindications and side effects, unlike many medications. Correctly selected course of treatment with folk remedies will not only save you, but also greatly alleviate the symptoms of psoriatic arthritis, gradually reducing them to a minimum.
Psoriatic arthrosis |MirFB
Features of psoriatic arthrosis
Approximately one-third of patients with psoriasis have psoriatic arthrosis. This is the name for a special type of joint inflammation. First, skin lesions develop, and then the inflammation of the musculoskeletal system can develop.
Why does psoriatic arthrosis appear
This disease occurs when a person's immunity is struggling with their own cells. Thus, this arthrosis belongs to autoimmune diseases. Abnormal work of immunity causes inflammation in the joints.
For today, medicine does not have an accurate explanation for the cause of this phenomenon. It is likely that the emergence of psoriatic arthrosis is facilitated by genetic and environmental factors. In many cases, psoriatic lesion of the organs of motion is family. According to many studies, it is the genetic cells that contribute to the occurrence of this type of joint destruction.
In addition, psoriatic arthrosis can occur as a result of a viral or bacterial infection. It is important that a person has a hereditary predisposition to such types of articular pathologies.
Psoriatic inflammation of the joints can cause such factors:
- Psoriasis is the main factor of pathological changes in these organs. This is due to the peculiarity of the work of the immune system of people suffering from this disease.
- Diseases in the family, it is noted that the development of psoriatic arthrosis has hereditary characteristics. In many people, close relatives can have the same illness.
- Age of the person, although psoriatic arthrosis can be at any age, but most often it occurs between the ages of thirty-five to fifty-five.
Pathogenesis of the disease
With the development of psoriatic arthrosis, the main factor is the pathology of microcirculation in the vessels. In this case, the articular membranes suffer. There is also focal damage to the choroid. This all affects the condition of the joints, which makes a person feel the characteristic symptoms.
In addition, with the development of psoriatic arthrosis there is a spasm of the arteries. This adversely affects the functioning of the body. The vascular wall becomes more compacted and loses its elasticity.
Lesion of joints in psoriasis can be an independent process, and can be combined with other pathological phenomena. The most common systemic manifestations of the psoriatic process are manifested in generalized amyotrophy, polyadenitis, heart defects, amyloidosis, hepatitis, ulcers in the gastrointestinal tract, glomerulonephritis and other serious diseases.
Symptoms of psoriatic joint destruction
In the overwhelming majority of patients, the syndrome of the defeat of these organs begins after skin manifestations of psoriasis. Only in one of five cases, the defeat of the joints precedes skin damage.
In psoriatic arthrosis, joint damage occurs gradually. Patients feel general weakness, pain, including in the muscles. Often the disease begins suddenly - with acute joint pain, inflammation and swelling.
There is also a feature of pain, manifested in the fact that they are most at rest and at night. Patients note the stiffness of movements in the morning. Pain decreases during the day.
With oligoarthritis, no more than four joints of the foot and hand are affected. This is the most common form of the disease. Pay attention sosiskopodobnoe swelling of fingers. The skin over the joints is colored in a scarlet or cyanotic color.
Often arthrosis affects the distal interphalangeal joints. This is the most common clinical form of psoriatic lesion of these organs.
Rheumatoid arthrosis affects more joints. The deformation is disorderly and multidirectional.
There is also a mutating variety of psoriatic arthrosis. It is often able to cause subluxation. Often this is noticeable on the fingers of the foot and hand. These organs are deformed and shortened. Moreover, such lesions can be irreversible. Deformations of the joints occur due to osteolysis, that is, destruction of bone tissue. This symptomatology occurs in patients with severe cutaneous psoriasis. It is often combined with spondyloarthritis - a severe autoimmune disease.
Psoriatic joint damage can occur in the form of spondylitis. In this case, the most often affected parts of the spine. This process occurs either in isolation or in combination with other forms of joint damage.
Malignant course of the disease is possible. It is accompanied by muscle pains, a lesion of the skin, the spine. There is also polyarthritis, fever, in severe cases - cachexia, involvement in the pathological process of the eyes and central nervous system.
Diagnosis of psoriatic arthrosis
Timely diagnosis of joint disease facilitates treatment. First of all, if a patient is suspected of a disease, a consultation of a rheumatologist or dermatologist is necessary.
To diagnose this pathology, the patient is assigned such studies:
- Blood test. It allows to detect the inflammatory process in the body, anemia, the change of some biochemical indicators of blood. The altered level of immunoglobulins is also determined.
- Synovial fluid examination. It is obtained from the joints. Synovial fluid is also tested for the viscosity and content of neutrophils. Reducing the viscosity of the liquid indicates a positive result.
- Radiography. X-rays reveal erosions of the articular surface, a decrease in the width of the joint gaps, signs of ankylosis.
Treatment of illness
Special treatment for psoriatic arthrosis has not been developed. Therefore, doctors focus primarily on reducing inflammation, pain and prevent the loss of joint function.
Treatment with nonsteroidal anti-inflammatory drugs gives good results. Among them - ibuprofen, diclofenac, indomethacin. Stiffness of movements is eliminated by muscle relaxants( baclofen, midokalm).
Systemic treatment of psoriatic arthrosis involves the administration of glucocorticosteroids. To achieve rapid reduction of pain and inflammation, their intraarticular administration is indicated.
Plasmapheresis, electrophoresis, and phonophoresis are used to reduce the activity of the psoriatic process, increase remission, and shorten the period of drug therapy. It showed the effectiveness and treatment of photochemotherapy. It also includes irradiation with ultraviolet rays.
In severe deformities and ankylosis, irreversible disruption of the joints function shows joint endoprosthetics.
Prognosis of psoriatic arthrosis
The course of the disease is chronic. The likelihood of disability with the progression of arthrosis is high. Modern treatment allows you to achieve remission, reduce the rate of inflammation.
Weighed down the prognosis of young age, inferior treatment, severe skin lesion. Prevent the disease due to the unexplained etiology is impossible.
Psoriatic arthritis: symptoms and treatment, photo
Psoriasis is a chronic disease that has a non-infectious nature, which is characterized by a lesion of mainly the skin and a recurrent course. According to statistics, around 120 million people worldwide suffer from psoriasis, which makes the disease very relevant. Even more important is the problem that doctors in many countries are working hard to solve this problem, but they can not really do anything.
Currently, scientists do not know the exact cause of the disease( there are only hypotheses that have different rights to life).The fact that physicians can not establish the factors that cause the development of the disease, predetermines the lack of methods that can help the patient once and for all. Psoriasis always worries patients throughout their life, periodically exacerbating and receding. Doctors do everything possible to ensure that the period of aggravation of the ailment delivered the patient a minimum of anxiety, and the symptoms retreated as quickly as possible. Also, with the help of a special diet and following the recommendations of specialists, it is possible to somewhat reduce the likelihood of exacerbation of the disease, prolonging the period of remission.
As mentioned above, in the vast majority of cases, the disease affects the skin of the patient. However, this is not the only variant of the course of the disease: it is possible to damage the nails, some organs, joints. It is about psoriatic arthritis and will be discussed.
The reasons for the development of psoriatic arthritis
Doctors, although they did not establish the exact cause of the disease, but during the years of research put forward several hypotheses, from different points of view explaining the development of psoriasis.
- Since during the illness the patient has too active keratinization of the upper layers of the epidermis, scientists are trying to figure out what can cause the skin to behave not quite adequately. A number of authors believe that some substances of the immune system penetrate the epidermis of the patient and give him a false signal, according to which the cells begin to rapidly divide. This leads to a significant increase in the number of layers that subsequently die off and begin to peel off, causing the corresponding symptoms.
- According to yet another hypothesis, the lesion of the skin is due to the abnormal activity of one of the leukocyte fractions - T-lymphocytes. Normally, these cells participate in the body's immune response to the invasion of pathogenic viruses and bacteria. In the case of psoriasis, we are talking about a malfunction in the work of these cells and an autoimmune lesion of the skin. However, again, the reason that forces one's own organism to give such an "order" is still unknown.
- Hereditary predisposition increases the likelihood of developing psoriasis. This was proved by observing patients with this disease and their children. If both parents are ill with this ailment, then the chance that their child will also face this problem increases many times. This suggests that there is a specific gene or a combination of genes that increase the likelihood of the patient developing the disease.
- Endocrine disorders and pathology of cells producing melanin( skin pigment) can also cause the development of psoriasis, according to one theory. These disorders, among other things, can generally negatively affect the condition of the skin.
- Infectious diseases( chickenpox, strep throat, etc.) can lead to an exacerbation or development of psoriasis and psoriatic arthritis.
- Neuropsychic overstrain and frequent stress also play a role in activating autoimmune processes in the patient's body.
Currently, the most popular theory is the development of psoriasis, which is based on an imbalance in the patient's individual chemical substances. These are cyclic nucleotides and prostaglandins, normally involved in the regulation of growth factors in the epidermal cells, and the pathological substance epidermopoietin, which is produced by rapidly multiplying cells and causes the epithelium to build up additional layers at an even faster rate. But at the same time, doctors emphasize that this imbalance is not the root cause of the disease, but only a consequence of some external influence that triggers the entire chain.
In psoriasis, doctors talk about the presence of a positive symptom of Kebner - the appearance of pathological foci in a place where the integrity of the epidermis was broken or simply produced its irritation. For example, often in patients psoriatic manifestations on the skin occur in places where the rubber bands are affected by clothing, jewelry and watches. In the case of arthritis, the impact on the joint can be trauma, surgical intervention, the presence of an old scar.
Also contributes to autoimmune disorders, which are observed in severe pathology. Violated blood levels of immunoglobulins M, G, A, antibodies to skin cells and synovial membranes of the joints are detected.
Some researchers argue that even in the absence of clinical manifestations of joint damage in patients with psoriasis, it can not be said that only the skin is affected. When such special radioisotopes were introduced into the body of such people, it was found that they accumulate in large numbers in the joints, indicating an asymptomatic defeat of the latter.
In most cases( about 75%), joint damage occurs with psoriasis after the onset of dermatosis( skin lesions).However, from 12 to 25% of cases of psoriatic arthritis are characterized by the fact that the patient has never had skin manifestations before, and the joints are the first organ affected by the disease. In this case, the diagnosis is somewhat difficult, because doctors can not think about psoriasis immediately.
Doctors distinguish several clinical forms of the disease, depending on which joints are mostly affected.
- Asymmetric oligoarthritis - joint damage only on one side, which practically does not happen when the joints of another etiology are affected. In the case of psoriasis, seven out of ten cases occur in this form. Very often large joints are affected( knee, hip, ankle).
- Arthritis of distal interphalangeal joints - the fingertips of the patient are affected, which affects the fine motor skills of the brushes. It is often combined with the defeat of other joints, it rarely occurs in isolation.
- Symmetric rheumatoid-like arthritis - damage to large and small joints occurs immediately from both sides. More often suffer metacarpophalangeal articulations and distal interphalangeal joints. Unlike rheumatoid arthritis, when deformed, the fingers of the patients are sent in different directions, rather than into one.
- Mutilating arthritis - there is a sharp deformation of the joints( disfigurement).Fingers of the hands and feet can be significantly shortened, bone tissue is destroyed.
- Psoriatic spondylitis - often combined with peripheral joint damage. Characterized by the appearance of pain in the lumbar spine and their subsequent transition to the overlying areas( thoracic and cervical).The field involves and joints between the vertebrae and the ribs.
Symptoms of psoriatic arthritis
Despite the fact that patients complain about pain in different joints, one can find a number of common features for all forms of the disease.
- On palpation the joint is painful.
- There is some swelling, which extends beyond the junction.
- Skin in the affected area acquires a cyanotic or crimson color.
- Swelling of the distal interphalangeal joints and their simultaneous coloring creates a picture of "radish-shaped" deformation.
- Often, patients are affected and nail plates, which during examination worries the doctor and makes you remember about psoriasis.
- Axial lesion of the fingers and feet - a condition in which the patient simultaneously inflamed several interphalangeal joints, and sometimes the metacarpophalangeal joints. The increase in all affected areas in size and the corresponding coloring cause a clinical picture of "sausage-shaped" deformation, when the finger is thickened throughout the length and has a crimson hue.
Signs of malignant form of psoriatic arthritis
This variant of the course of the disease develops in the overwhelming majority of cases of males under 35 years of age. In this case, the patient has a number of symptoms.
- Extremely severe lesion as a result of progression of psoriasis of the skin and joints of the spine.
- Fever( hectic type).
- Patient's debilitated condition develops as a result of sudden changes in body temperature.
- Generalized polyarthritis, accompanied by sharp pains in the affected joints. Also, there is a high probability of forming fibrotic ankylosis and persistent impairment of mobility in the joint.
- Enlargement of lymph nodes.
- Lesion of internal organs: kidney, heart, liver, eyes( conjunctivitis and iridocyclitis), nervous system.
Diagnosis of psoriatic arthritis
For the correct diagnosis, physicians resort to laboratory and instrumental research methods that provide rapid and qualitative diagnostics.
Laboratory studies of
Unfortunately, laboratory tests that are specific to psoriatic joint damage have not yet been developed. Moreover, if small hand joints are affected, the patient generally does not have a change in laboratory parameters.
- A general blood test - there you can find an increase in the rate of erythrocyte sedimentation and an increase in the level of leukocytes. In the case of a malignant course of the disease, anemia is detected.
- The test for the presence of rheumatoid factor is negative.
- Investigation of synovial fluid obtained by joint puncture. A high content of cells, mainly neutrophils, is determined. Also its viscosity is lower than normal. If the process is not pronounced, then in the synovial fluid there are minor deviations, which simply speak of the presence of inflammation.
- X-ray examination is an affordable method that does not require many expenses for its conduct. In the joint cavity, the picture shows proliferative changes, periostitis and other bone growths. Sometimes the disease in pictures resembles rheumatoid arthritis due to the presence of marginal erosions of the epiphyses and signs of bone ankylosis of the joint. With the mutilating form, doctors discover serious changes in the structure of the joint, a change in the shape of its slit. Between the vertebrae in psoriatic spondyloarthritis are visible bone bridges, ossification near the vertebrae.
- Computed tomography is an accurate method that allows you to obtain a layered image of the patient's body. Especially well it is suitable for diagnosis of spinal cord injury. The resulting images are more sharp, they can see more elements in different projections.
There is a list of signs that doctors use to make a diagnosis. For the diagnosis is necessary to have at least 3 criteria, one of which is necessarily the 5th, 6th or 8th.
- The defeat of the distal joints between the phalanges of the toes and hands, in particular the thumbs of the feet. The skin is cyanotic or crimson above it.
- Simultaneous lesion of several joints of one finger( "finger-sausage").
- Earlier defeat of the thumb on the foot.
- Pain of the region of the heels.
- Presence of psoriatic plaques on the skin.
- The presence of psoriasis in close relatives.
- Negative reaction to rheumatoid factor.
- Absence of periarticular osteoporosis, osteolysis with bone dislocation and periosteal overlap on the images.
- Presence of signs of paravertebral ossification on X-ray photographs.
Treatment of psoriatic arthritis
If you compare the disease with rheumatoid arthritis, it becomes clear that the treatment of joint damage with psoriasis is more simple. This is due, above all, to the fact that the patient for decades can be affected by the same joints. If we recall that in 70% of patients the disease proceeds in the form of oligoarthritis, the task becomes even simpler - it is easier to treat one charter than a dozen. But do not forget about other forms of the disease, in which the patient may even die( malignant course).
Doctors always conduct simultaneous treatment and joint damage, and skin manifestations, since the effect in this case is achieved more quickly.
- If the patient has a "winter" form of the disease, ultraviolet irradiation of the affected areas and joints is very good. Regeneration processes are activated in the skin, and the patient quickly gets rid of the manifestations of the disease.
- Locally, both on the joints and on the skin, it is shown to use ointments. Salicylic ointment traditionally has a very large distribution, however, if necessary, hormonal drugs can also be used. Their local use prevents the development of side effects observed with ingestion, and the anti-inflammatory effect is really impressive.
- Sedative drugs also contribute to the onset of remission of the disease. Doctors can prescribe to the patient the intake of plant substances, like valerian or more potent drugs( seduksen - for example).It all depends on the severity of the clinical manifestations of the disease.
- Vitaminotherapy promotes normalization of metabolic processes in the body and normalizes the immune system.
- If the symptoms of the disease are not very pronounced, then doctors can use non-hormonal anti-inflammatory drugs.
- If a fairly large joint is affected, and clinical manifestations greatly impair the patient's quality of life, an emulsion with hydrocortisone can be injected into the intra-articular gap. This provides a direct effect on the affected tissue and prevents unwanted effects that are possible with the spread of hormones throughout the body.
- In the most severe case, doctors use cyclophosphamide, a very potent drug used in the treatment of rheumatoid arthritis. It helps to get rid of torpid inflammation of synovial joint surfaces.
- Taking hormone preparations inside is used if the previous methods did not give the desired effect. You can not abuse these substances and exceed recommended doses, since the disease can go into a malignant variant and not be amenable to further treatment.
- Immunosuppressants - also used in extreme cases, if hormonal drugs do not give the desired effect.
- Methotrexate is a very serious drug that can be used for psoriatic joint damage. Its reception is made according to a strict scheme, it is extremely undesirable to deviate from it.
- Surgical intervention may be required if the patient has persistent synovitis that does not recede from conservative methods. Also surgeons can correct the rough deformation of the joint or eliminate ankylosis with the help of surgery.
Apparently, the methods of treatment of the disease are very serious, which confirms the inadmissibility of self-treatment. It can only aggravate the situation and provoke the development of other diseases in addition to arthritis. Appeal to specialists is the only correct option!
Psoriatic arthritis: treatment with folk remedies, symptoms, diagnostics
Arthritis of joints begins unobtrusively, the disease gradually progresses, acute psoriatic arthritis arises, which eventually transforms into a chronic systemic pathology.
Symptoms of psoriatic arthritis are as follows:
- there is a lesion of the joints of the hands, which, if untimely diagnosis and treatment can lead to even a disability;
- the disease also extends to the feet - affected areas of the joints of the feet, symptomatic are redness of the skin, its swelling;
- , about 5% of patients suffer from such a pathology of bones and joints, with shortening, curving of the fingers and toes, a gradual jointing of joints, and eventually a disability may occur.
It is important that all of the above symptoms are chaotic, asymmetric, so it is not easy to diagnose rheumatoid polyarthritis and psoriasis of bones.
How to identify the disease
Diagnosis of psoriatic arthritis is performed using several medical technologies. It is often problematic to differentiate the rheumatoid arthritis of the joints and distinguish it from diseases such as psoriasis or arthrosis of the bones. Methods for detecting pathology are standard:
- the doctor analyzes the clinical picture, the symptoms of the disease;
- rheumatologist appoints a urinalysis for bacteriological infection;
- biochemical testing of the blood composition is carried out.
The above studies, as well as the external symptoms that distinguish psoriatic arthritis of the joints, allow a specialist to correctly establish a diagnosis - psoriasis of bones or arthritis.
Rheumatoid polyarthritis is detected with the help of tomography and radiographic examination of the joints.
Since recently, patients with suspected psoriatic arthritis have been assigned a test called ACCP.This is a new diagnostic procedure that allows you to finally confirm and rheumatoid arthritis. The test allows you to identify antibodies that are produced with arthritis, prevent complications and possible disability.
The complex of diagnostic measures allows to determine in a timely manner the characteristic symptoms in psoriatic arthritis and to prescribe the correct treatment of the disease.
Traditional drug therapy
The question of how to treat psoriatic arthritis is primarily related to conventional standard techniques. Treatment begins with taking drugs of the non-steroid group - they are prescribed for a long period( at least six months).Choose those medicines that help to overcome psoriatic arthritis, have a high level of efficacy and at the same time have a minor side effect. These include such drugs:
- diclofenac, voltaren( arylacetic acid derivatives);
An integral component of the treatment of diseases of psoriatic arthritis, psoriasis of bones - local intra-articular injections of glucocorticosteroids. In psoriatic arthritis, such injections are shown until all the symptoms of the disease disappear completely. The dose of the drug is due to the size of the affected joint. The use of glucocorticosteroids in the diagnosis of psoriasis provides a good anti-inflammatory effect, and also minimizes painful symptoms in other joints. Such therapy allows to achieve that the disease gradually recedes.
Complex treatment of psoriasis of joints, polyarthritis disease, must necessarily include funds that have a strengthening effect on the patient's immunity. It is these drugs that help to quickly and qualitatively overcome the inflammatory process in the joints of the patient and prevent disability.
Methotrexate is the most prominent representative of the drug group of cytotoxic drugs that are used in the diagnosis of psoriatic arthritis. Methotrexate is indicated in this dosage: 7.5-15 mg per week. Methotrexate is taken three times every 12 hours. Use a drug such as Methotrexate, is allowed for two years. If the patient has not been diagnosed with hepatitis or pulmonary fibrosis, then taking Methotrexate can continue.
The use of any basic therapeutic agents( in particular, such as Methotrexate, Sulfasalazine) is carried out only under the regular supervision of a rheumatologist who prescribes an analysis of urine and blood.
Taking medicines Sulfasalazine and Methotrexate in the diagnosis of psoriatic arthritis can be supplemented with gold medications. Tandem means Methotrexate and Sulfasalazine in psoriatic arthritis are well tolerated by patients and do not produce pronounced side effects.
Sulfasalazine is taken within six months. The effectiveness of the drug depends on the neglect of the disease. A dose of Sulfasalazine is prescribed by a physician individually. Sulfasalazine is combined with physiotherapy methods.
The disease responds well to aromatic retinoids - they suppress skin psoriasis during the period of its exacerbation. Well complements these drugs Sulfasalazine and Methotrexate.
Aminohinolinovye preparations with psoriatic arthritis are ineffective, as the joint syndrome such agents are suppressed weakly, but their use leads to the appearance of exfoliative dermatitis.
Mkb-10( the classification designation of psoriatic arthritis) is treated with ultraviolet irradiation. To the affected microbial-10 sites of the skin are locally applied special medicinal ointments, among which there are also hormonal. At mkb-10 the reception of the vitamin complex( in particular, A, B1, B12), as well as sedative preparations - seduxen, valerian extract, etc., is shown.
Therapeutic gymnastics - compulsory therapy with μb - 10. It is combined with the use of the drug Sulfasalazine. Supplement physical culture with balneological methods:
- treatment with microbes-10 ultrasound with hydrocortisone;
- applications using paraffin;
- with μB-10 - hydrogen sulphide and radon baths.
Deformations that often accompany diagnoses of μB-10, polyarthritis are eliminated by surgery - this helps to prevent disability.
Nature of diet
A diet for psoriatic arthritis requires special attention. The first prohibition is alcohol: psoriasis of joints and arthritis do not tolerate such drinks. The diet excludes the reception of even white and red wine - a patient who has been diagnosed with arthritis, after one glass of alcohol can feel a general weakness and unpleasant pain in the area of the affected joints. The same applies to smoking - polyarthritis and psoriatic spondylitis are sensitive to it: stiffness may appear, joint mobility may decrease, serious complications, even disability, may appear over time.
In psoriatic arthritis, a diet containing many foods rich in calcium is shown. These include dairy products, hard cheese. The diet also involves the use of a variety of berry juices, cranberry morses that fight well with swelling, remove excess fluid from the body of patients.
Diet and nutrition for psoriatic arthritis must necessarily contain a large number of fresh vegetables that contain the necessary amount of vitamins. If you want to cure polyarthritis or psoriasis of joints, a properly selected diet is an indispensable assistant that will complement the treatment prescribed by the doctor.
Non-traditional home therapies
Treatment of the disease with folk remedies is possible only in addition to traditional medicinal techniques.
It is impossible to cure psoriatic arthritis only at home, serious complications and even disability can occur.
Nevertheless, as an additional therapy, treatment with folk remedies is quite acceptable. First of all, psoriatic arthritis, polyarthritis and psoriasis of the bones well "respond" to treatment using pine needles. It has a positive effect on the structure of the joint tissues, protects them with progressive arthritis. Coniferous tinctures cooked on an alcohol basis can be used. Treatment of such a disease as psoriatic arthritis, folk remedies is carried out either orally, and locally - the mixture is applied in the form of compresses to the affected joints. Supplement therapy with drugs Sulfasalazine and Methotrexate.
Another good way for arthritis is a bath for hands and feet from decoction of chamomile, succession. Well, and the usual sea salt also helps - the required amount of the product should be dissolved in water and put the joints in the solution for a time to be dissolved.
With μB-10, you can use a decoction prepared from the broth of burdock root. First you need to thoroughly wash and finely chop the plant. After that, the pieces of burdock are filled with vodka in such a way that its level exceeds them by three centimeters. Insist the remedy for 3 weeks, placing in a warm place. Obtained tincture must regularly rub the affected micro-10 joints. You can take this mixture and oral administration - it is recommended to do this three times a day somewhere 30 minutes before meals. Complemented by traditional methods - use injections of drugs Methotrexate and Sulfasalazine.
When μb-10 shows effective diuretic drugs - their action is mainly aimed at removing from the patient's body excess fluid and salts that are deposited in joints and provoke painful sensations in them. Herbal infusions are designed to remove the inflammatory process in the tissues and reduce their puffiness.
Treatment with folk remedies helps to minimize the effects of psoriasis and protect the patient from the consequences that psoriatic arthritis entails.
Hand X-ray with psoriatic arthropathy
Treatment of psoriatic arthritis must necessarily be complex.
The rheumatologist prescribes medicamental therapy - glucocorticosteroids, anti-inflammatory drugs. Particularly effective in the treatment of a disease such as polyarthritis are different agents of Methotrexate and Sulfasalazine. Taking drugs can be long, since they are virtually devoid of side effects.
If joints are deformed, surgical intervention is indicated. You can treat the disease with folk remedies - coniferous broths, tincture of burdock roots and baths with sea salt
are the best. Physiotherapeutic procedures, therapeutic gymnastics demonstrate high efficiency. Only a rheumatologist can prescribe a course aimed at combating pathology. Self-medication with psoriatic arthritis can lead to disability.