Psoriatic arthritis is a chronic skin disease which inhibits the movement of joints and causes acute skin and jointinflammation causing psoriasis and inflammatory arthritis. This disease can be mild in nature with occasional flare ups but in some people it can take an aggravated form into severe malformation of the joints and increased pain. PSA is not similar in everybody yet a prolonged case can indeed damage the bones at the joints if its not treated well in time. One can exhibit red patches of scratchy skin with a thick skin coating followed by acute inflammation and scaling. People suffer at the elbows, fingers, knees areas behind the ears and scalp. Even the eyes can exhibit the pain. Although no proper etiology of occurrence is noted, it is felt that autoimmune response in the body is being one of the primary factors. Other factors like genetic inheritance can also transfer traces of the disease to the children.
This is a grave scenario because a certain part of American population is affected by it. There is no age classification as such as the symptoms can be found in 20 years old and above. Psoriatic arthritis tends to pass easily onto the people who have already had psoriasis. It can also affect the tips of the fingers and toes, their distal joints and the back. Regular exercises like movement of the joints, stretching and bending like jogging or walking will help relieve the pain. Constant mobility does help in this regard. About 25% people prone to psoriasis also get joint inflammation.It has different names in different areas like ankylosing spondylitis and arthritis with Crohn's disease and ulcerative colitis. Spinal inflammation is referred to as spondyloarthropathy.
There are five types of psoriatic arthritis. For proper treatment of the kind you have, it is relevant to note the type and characteristic of the disease to understand its algorithms so that proper intervention can be pursued to treat it early.The various points or identifiers where PSA can exist are the types detailed below:
Symmetric psoriatic arthritis: Systemic means that multiple parts of the body are influenced rather than just the joints. The primary arthritishas painful inflamed joints but this plight has the same joints affected and it is often found in multiple matching pairs where opposite side of the body is influenced. There are around 50% people who face range of motion problems in this type, moreover this is a destructive disease and it has resemblance torheumatoid arthritis.
Asymmetric psoriatic arthritis: Just opposite of symptomatic PSA, asymmetric psoriatic arthritis affects only a few joints in the body. The areas are not defined but the nature of concern can be identified to a large or small part anywhere in your body. There is acute swelling where this formation occurs. Asymmetric psoriatic arthritis does not fall to matching pairs of joints on opposite sides of the body. It can be caused to the knee, hip or fingers in large or small patches. Extreme swelling can elicit greater pain to the hip or toes. Even multiple fingers can cause pain during movement.
Distal interphalangeal predominant (DIP) PSA: This type of psoriatic arthritis targets only the small joints in the fingers and toes closest to the nail. It can be similarly confused with osteoarthritis. DIP PSA can fall into grave problems once your joint cartilage starts chipping off and the bones become weaker and unstable making joint movement even more difficult and challenging.
Another type of PSA is called Pott's disease. It is a tuberculous disease of the vertebrae where the vertebra column experiences stiffness and pain on motion. Some other identifiers are tenderness on pressure and occasional abdominal pain. Abscess formation and paralysis could be seen further.
Spondylitis: Another form of PSA that targets the spinal column and causes inflammation and stiffness in the vertebrae line including the neck, lower back, spine or sacroiliac region. It makes movement difficult and can attack connective tissue, such as ligaments, or cause arthritic disease in the joints of the arms, hips, legs, or feet.
Ankylosing spondylitis is synonymous to spondylitis as a painful disorder of the spine and sacroiliac joints.While there is quite a similarity between Pott’s disease and Ankylosing spondylitis, the latter can be associated with the HLA-B27 gene and prevalent more in men around the age group of 20-30 years. This type causes morning stiffness for more than 30 minutes and the back pain offer interrupts sleeping patterns. We can notice chest expansion along with thoracic kyphosis and loss of spinal flexion.
Arthritis mutilans: The deadly form of arthritis is known as Arthritis mutilans. It is the most severe disease that deforms the joints, hands and fingers. Literally, this destructive type primarily affects the small joints in the fingers and toes closest to the nail. So it leads to loss of motion and function of the area involved. Frequent lower back pain and neck pain can be identified to this disease. However, this type of psoriatic arthritis is very uncommon.
Psoriatic arthritis definitely has identifiable factors like skin redness, distorted patchy areas of dry skin, swelling of the joints in fingers or toes, back and extremity pain that are common with PsA going to the bones and causing plantar fasciitis and Achilles tendinitis.Pain score increases in the lower calf muscles to your heel bone.Spondylitis makes the pain travel down in the vertebrae through the neck and making it uneasy to sit, stand or walk. While loss of motion and stiffness are knowncauses, people can also have nail stiffness and color changes. There could be roughness or pits to the nail plate as well. Fatigue, eye pain, anemia are some likely additional conditions. But one needs to be aware of similarities in pain and pain associated with psoriatic arthritis to identify and cure this painful phenomenon.