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What Causes Severe Joint Pain And Stiffness In Shoulders In A Psoriasis Patient?

Posted on Fri, 10 Jun 2016

Question: I have extreme pain in all joints and I also have psoriasis. I have such stiffness also and can barely move my shoulders due to pain, I was taking declofenac which helps greatly but I don't have any more. I am wondering about the orencia to treat both

Answered by Dr. Naval Mendiratta (1 hour later)

Brief Answer:
Psoriatic arthritis

Detailed Answer:
good evening

thank you for writing on health care magic

Well you seem to be developing psoriatic arthritis , common in people with long standing psoriasis.Slowly it is involving all your joints.

As for it s management, you can take diclofenac or selective Cox 2 inhibitors like celecoxib.. But orencia is not the first drug of choice . You need to start on tablet methotrexate first as it is the best oral drug still available for psoriasis and psoriatic arthritis. A little slow to act but if tolerated you will do good in it.

As per studies orencia is still.not the drug of choice for psoriasis. either you need to take infliximab or humira or etarnacept as the choices if methotrexate fails. But yes start on methotrexate

I.hope the information was useful

Do let me know for more queries

regards
dr naval

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naval Mendiratta (4 hours later)

Are you able to prescribe the medication?

Answered by Dr. Naval Mendiratta (12 hours later)

Brief Answer:
Presciption

Detailed Answer:
Good evening

Well, these are stronger medications and cant be prescribed online. Plus your country wont accept online prescriptions. You will need to meet a rheumatologist for it and get your treatment sorted

Do let me know for more queries

Regards
Dr Naval

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar