How to control an aggressive form of psoriatic arthritis?

Question

Hi doctor,

My uncle is a 50-year-old guy who works in a construction firm, and he started having severe joint pain and swelling in his knees, lower back, and feet. He also had sharp pain in his Achilles tendon but did not have any skin symptoms of psoriasis. His doctor diagnosed him with a more aggressive form of psoriatic arthritis. But I am confused. Though his skin does not have signs of psoriasis, how can this be psoriatic arthritis? So, my uncle began biologic therapy with Adalimumab to stop joint damage and lessen the inflammation. He also attended physical therapy to improve mobility and strengthen his joints. For flare-ups, he received corticosteroid injections to manage pain and swelling. And what will be the next plan? Will this keep going, or will there be an end to it?

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Continue with the physiotherapy sessions and medications as required. Lifestyle modification is much more needed along with the above. There are a few more things that can be incorporated, like:

1. Proper diet with anti-inflammatory food items. More fiber content and more protein with fewer carbs and less fat.

2. Start with very light-intensity workouts that will help.

3. Stretches are a great way to help release joint pain and inflammation.

4. Daily movement with an equal rest interval is important.

5. To avoid flare-ups, everyday hydration (at least five to six liters) of water is very important.

6. Increase break time in a day and add normal aerobic activities, which will aid in reducing pain and lethargy in the body.

7. Task-specific activities will help to maintain mobility.

There will certainly be an end to all the symptoms the person experiences if the points mentioned are followed correctly and persistently. Regular checkups and staying positive and motivated are what it takes to slow down the signs in the body.

I hope this information helps you.

Revert in case of queries.

Regards.