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Tips for Psoriatic Arthritis...As Winter is Coming...

201306Dec
Tips for Psoriatic Arthritis...Thanksgiving Cooking Tips for Psoriatic ArthritisThanksgiving doesn't have to mean sore hands and stiff knees from spending too much time in the kitchen.There was a time with psoriatic arthritis nearly made professional chef Paul Toffoli hang up the kitchen towel. But with some carefully selected equipment and a few modifications, Toffoli is back to chopping and slicing for a living."No one wants to concede, especially those recipes they grew up with," he said. "Food is comfort. The smell of a roast, or chili, something that has been simmering all day, the right spices … we don't know how to make medication, but we can make food."If your psoriatic arthritis is making you think twice about adding to the Thanksgiving table...Use a kitchen stool at the counter instead of standing for extended periods of time.Use different, larger joints to complete kitchen tasks. For example, use a sponge and a flat palm instead of a rag, which must be grasped, to wipe down countertops.Try what occupational therapists call "adjusted movement patterns," such as holding a spoon like a dagger to reduce stress on small joints.Slide heavy items across the counter instead of lifting them.Seek out the right equipment, including food processors or countertop choppers, angled measuring cups (to help avoid the need to bend over), self-opening scissors, hands-free can and jar openers, and ergonomic knives.For the upcoming winter season this moght help the patients of Psoriatic Arthritis...
About Psoriatic ArthritisUp to 30 percent of people with psoriasis develop psoriatic arthritis. Early recognition, diagnosis and treatment of psoriatic arthritis are critical to relieve pain and inflammation and help prevent progressive joint damage.Symptoms and diagnosisPsoriatic arthritis symptoms and diagnosisPsoriatic arthritis can develop slowly with mild symptoms, or it can develop quickly and be severe. Early recognition, diagnosis and treatment of psoriatic arthritis can help prevent or limit extensive joint damage that occurs in later stages of the disease...Diagnosing Psoriatic ArthritisHands x-ray with psoriatic arthritis Psoriatic arthritis can develop slowly with mild symptoms, or it can develop quickly and be severe. Early recognition, diagnosis and treatment of psoriatic arthritis can help prevent or limit extensive joint damage that occurs in later stages of the disease.Generally, one or more of the following symptoms appears:Feet x-ray with psoriatic arthritisGeneralized fatigueTenderness, pain and swelling over tendonsSwollen fingers and toesStiffness, pain, throbbing, swelling and tenderness in one or more jointsA reduced range of motionMorning stiffness and tirednessNail changes—for example, the nail separates from the nail bed and/or becomes pitted and mimics fungus infectionsRedness and pain of the eye, such as conjunctivitisThe disease can develop in a joint after an injury and may mimic a cartilage tear. The diagnosis of psoriatic arthritis may sometimes be made only after repeated episodes. Muscle or joint pain can occur without joint inflammation (swelling). Tendonitis and bursitis may be prominent features. Swelling of the fingers and toes can suggest a "sausage-like" appearance, known as dactylitis. Psoriatic arthritis usually affects the distal joints (those closest to the nail) in fingers or toes. The lower back, wrists, knees or ankles also may be affected.In 85 percent of patients, skin disease precedes joint disease. Therefore, it is important to tell your dermatologist if you have any aches and pains. It is important to note that having a severe case of psoriasis does not necessarily mean a person will have a severe case of psoriatic arthritis. A person could have few skin lesions, but have many joints affected by the arthritis.

Tests to Confirm the Diagnosis

A person with joint aches and pains should talk to a doctor about diagnosis and treatment. Primary-care doctors or dermatologists can treat psoriatic arthritis, but psoriatic arthritis patients should consider seeing a rheumatologist, a doctor who specializes in arthritis.
There is no definitive test for psoriatic arthritis. The diagnosis is made mostly on a clinical basis and by a process of elimination. Medical history, physical examination, blood tests, MRIs and X-rays of the joints that have symptoms may be used to diagnose psoriatic arthritis. It is important to communicate your history of psoriasis to your doctor.
The symptoms of psoriatic arthritis are similar to those of three other arthritic diseases: rheumatoid arthritis, gout and reactive arthritis. Rheumatoid arthritis generally involves joints symmetrically distributed on both sides of the body, and it may produce bumps under the skin that are not present in psoriatic arthritis. However, some forms of psoriatic arthritis look very similar. The simultaneous presence of psoriasis on the skin and nail changes supports a diagnosis of psoriatic arthritis.
A certain antibody, called a rheumatoid factor, is normally present in rheumatoid arthritis. The rheumatoid factor is not usually found in the blood of psoriatic arthritis patients. A blood test for that antibody may help distinguish between the two diseases. A person can have rheumatoid arthritis and psoriatic arthritis, but that is rare. Many of the treatments for psoriatic arthritis and rheumatoid arthritis overlap.
Likewise, it is possible to have gout along with psoriasis and psoriatic arthritis. If you have an excruciatingly painful attack in a joint, particularly in the big toe, you may want to have a test for gout. Fluid drawn from the affected joint is examined to resolve the diagnosis of gout or psoriatic arthritis. Psoriatic arthritis patients are commonly misdiagnosed as having gout, because they often have elevated serum uric acid levels, which also can be caused by taking low-dose aspirin or by increased skin cell turnover. It is important to distinguish between the two forms of arthritis, because they may be treated with different medications.
In the very early stages of the disease, X-rays usually do not reveal signs of arthritis and may not help in making a diagnosis. In the later stages, X-rays may show changes that are characteristic of psoriatic arthritis but not found with other types of arthritis, such as the "pencil in cup" phenomenon where the end of the bone gets whittled down to a sharp point. Changes in the peripheral joints and in the spine support the diagnosis of psoriatic arthritis. However, most of the changes occur in the later stages of the disease.

Classification of Psoriatic Arthritis

Just like psoriasis, psoriatic arthritis ranges from mild to severe. The number of joints affected will have a large impact on the particular treatment plan a rheumatologist will recommend, and the prognosis for an individual. Even a small number of inflamed joints, however, can have a profound impact on pain and function and factors into the treatment decisions.
Psoriatic arthritis of a mild form is sometimes referred to as oligoarticular, meaning it affects four or fewer joints in the body. Others may have a more severe polyarticular form (affecting four or more joints). All types of psoriatic arthritis (PsA) are characterized by pain, swelling and stiffness in the joints.
Psoriatic arthritis can involve the peripheral joints (the joints of your arms and legs, including the elbows, wrists, hands and feet) or less commonly, the axial skeleton (primarily your spine, hips and shoulders).

Spondylitis

Spondylitis...psoriatic-arthritis-classification-spondylitis Spondylitis is inflammation of the spinal column. It is present in some individuals with psoriatic arthritis and it commonly occurs with other forms of psoriatic arthritis. The main symptoms are inflammation with stiffness of the neck, lower back and sacroiliac joints. Spinal arthritis makes joint motion in these areas painful and difficult.

Enthesitis

Enthetsitis-psoriatic-arthritis-classification-enthesitis Enthesitis refers to inflammation of entheses, the site where ligaments or tendons insert into the bones. Common locations for enthesitis include the bottoms of the feet, the Achilles' tendons, and the places where ligaments attach to the ribs, spine, and pelvis. It is a distinctive feature of psoriatic arthritis and does not occur with other forms of arthritis like rheumatoid arthritis or osteoarthritis. Enthesitis can make the tissues in the affected area become ropey (known as fibrosis) or solid (known as ossification or calcification).

Dactylitis

Dactylitis-psoriatic-arthritis-classification-dactylitis 
Dactylitis, or "sausage digits," refers to inflammation/swelling of an entire finger or toe. It occurs due to inflammation of the small joints and enthesitis of the surrounding tendons. Dactylitis is another distinguishing indicator of psoriatic arthritis. Usually dactylitis involves a few fingers and/or toes, but not in a symmetric pattern (different toes and fingers are affected on different sides of the body).
 Ayurveda MangementAyurvedic treatment of Psoriatic arthritis consists of the following procedures:
  • "Snehan" ( use of local and oral medicated lubricants)
  • "Swedan" (local fomentation)
  • "Lep" (Local application of medications)
  • "Anuloman" ( mild laxative treatment for prolonged periods)
  • "Raktamokshan" (blood letting)
  • "Dahan" (local heat branding ) and
  • "Shaman" ( symptomatic oral treatment).
Atharva Ayurveda has developed Unique PMAAA for Psoriasis and Psoriatic Arthritis...Feel free to book Your Appointment for on line consultation for Psoriasis and all Skin Diseases... Do  write us at [email protected]
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    Panchakarma therapy is also used as a purification therapy to cleanse the body before starting a treatment. A diseased body can be compared to a soiled cloth which can not be colored as we desire. Hence to attain the maximum benefits , the body has to be purified or cleaned before starting the treatment.The cleared channels help medicines to penetrate the deeper tissues.

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    Currently Doing Research Project Title “Clinical study to evaluate the efficacy and safety of Polyherbal powder in patients with vitiligo.”with The Department Of Pharmaceuticals Sciences,Saurashtra University,Rajkot. Currently Doing One More Research Project Title “An open label study to evaluate the efficacy and safety of Polyherbal formulations in patients with mild to moderate psoriasis”

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