Psoriatic Arthritis

Psoriatic Arthritis

What is psoriatic Arthritis?

Psoriatic arthritis is a form of arthritis that affects around 10 to 30% of people who have psoriasis. Usually, people who have psoriatic arthritis will have the history of Psoriasis but in some people joint problems can begin before skin lesions appear.

What are the symptoms of psoriatic arthritis?

Common symptoms of psoriatic arthritis are

  • Scaly plaques in skin
  • Generalised fatigue
  • Joint pain
  • Stiffness
  • Swelling
  • Tenderness
  • Difficulty in movements
  • Nail changes
Psoriatic Arthritis

Types of Psoriatic Arthritis:

There are five main types of Psoriatic arthritis

     1.  Asymmetric Arthritis

It is mild in nature and seen 70% of psoriatic arthritis cases. It can occur in any joint, but not necessarily the same joints on both sides of the body. Fingers and toes can become enlarged and “sausage-like.”

     2.  Symmetric Arthritis

It can resemble rheumatoid arthritis (RA) and seen 25% of psoriatic arthritis cases. Affects the same joints on both sides of the body.

     3.  Arthritis Mutilans

A severe, deforming, and destructive type of Psoriatic arthritis that usually affects the small joints of the hands and feet.

     4.  Spondylitis

Spine is effected

     5.  Distal Interphalangeal Predominant (DIP)

Fingers are more involved.

Timely taken treatment for psoriasis will not only able to subside psoriasis but more importantly it prevents the risk to develop other chronic and serious health conditions like psoriatic arthritis, Cardiovascular Disease, Diabetes, Depression, cancer, obesity, metabolic syndrome and other immune-related conditions.  In Ayurveda with the symptoms of Psoriatic Arthritis  are seen  under the  Kusta (Skin Disease) and Vatarakta( Joint disorder with involvement of skin).

Ayurvedic view

In Psoriasis, we can see Vata and Kapha dosha’s involvement more predominantly and in few cases along with Pitta dosha. When theses dosha’s (body humor) gets aggravated furthermore due to consumption of causative factors, the aggravated dosha’s gradually moves to the deeper dhatu’s like Asthi (bone). When these dosha’s gets lodged in joints it produce sandhi shooala (pain in joints) and sandhi vikriti(changes in jointresulting in Psoriatic Arthritis.

Ayurvedic Treatment for Psoriatic Arthritis:

Coming to the treatment aspects of Psoriatic Arthritis in Ayurveda, it aims at the following points.

  • Avoiding causative factors responsible for imbalance the dosha’s.
  • Elimination of aggravated dosha’s
  • Harmonising the dosha’s.
  • Preventing further aggravation of disease.
  • Restorative or regenerative procedure to reverse the pathology.

Treatments

  • Panchakarma Treatments:

Panchakarma treatments like Vamana, Virechana, Vasti, Raktamokshana are done considering the strength of the patient and other parameters.

  • External Treatments:

External treatments are selected according to the condition with different medications and procedures to harmonise the dosha’s. The following are the few generally used treatments in Psoriatic Arthritis.

  1. Takradhara
  2. Parisheka
  3. Lepana
  4. Dhara
  5. Abhyanga
  6. Swedana 

Best results can be attained when the patient is ready to accept the treatment protocol and conditions fixed by the Ayurveda doctor. If it is in the initial stage it can be cured without much delay. Otherwise, regular treatment continuing for months will be needed. All depends on how the patient accepts the treatment modalities and how strictly follows the dietary  protocol and lifestyle for the rest of the life.

A strict diet regime has to be followed during the entire treatment period and it is better to continue with advised food and lifestyle to prevent the reoccurrence.

*  “Results may vary from person to person.”