Psoriatic Arthritis

Early diagnosis and treatment are important. Our experienced health care team will provide diagnostic testing, education, physical activity programs, and the latest medicines.

Because the skin is often affected, we have a close working relationship with URMC dermatologists. We will help you coordinate the appointments you need for lab work, X-rays, and any other test that may be needed.

One of our expert rheumatologists will make a diagnosis based on exam findings and test results and sometimes an ultrasound. If your skin is affected and you’re not already seeing a dermatologist, we’ll refer you to one.

There is no cure for psoriatic arthritis, but medications can improve pain and swelling and help prevent joint damage, and some can also help with skin symptoms.

For some people, new treatments make it possible to control symptoms completely or close to it. It’s important to know that no single treatment works for all patients.

Treatments Include:

Medications

• Non-steroidal Anti-inflammatory Drugs (NSAIDs): NSAIDs reduce or relieve pain and help reduce swelling in your joints so you feel better. Some NSAIDs, such as ibuprofen and naproxen, are available over the counter. Others require a prescription.
• Disease Modifying Anti-Rheumatic Drugs (DMARDs): These medications decrease inflammation and protect joints from permanent damage. DMARDS take several weeks to begin working. Examples include sulfasalazine, methotrexate, and leflunomide.
• Biologics: Biologics are medications that block proteins which cause inflammation and joint damage. They can be used with a DMARD or alone. Biologics cannot be taken orally. Examples include adalimumab and etanercept.

Lifestyle Changes

• Healthy Eating: The right combination of different foods can help you feel your best and maintain a healthy weight. Foods rich in omega-3s and antioxidants may help control inflammation. UR Medicine nutritionists can help you develop a diet plan that works best for you. Learn about the UR Medicine Improve Nutrition Program.
• Staying Active: Physical activity will improve your energy level, range of motion, and flexibility as well as increase bone strength and reduce morning stiffness. People with Psoriatic arthritis can safely exercise with the proper program, and we have informational materials to get you started. UR Medicine physical therapists can also work with you to devise an exercise regimen that is best for you. Learn more about UR Medicine Physical Therapy.
• Preventing Other Illnesses: Healthy eating and staying active will also help you maintain a healthy cholesterol level, normal blood sugar, and normal blood pressure, which can reduce your risk of many diseases such as heart disease, stroke, and kidney disease.