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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Stiffness And Lesions Due To Psoriatic-arthritis

Hi Doc: Do you know much about Paso-Arthritis? I am 63, have had the disease since I was 21. Tried many natural (Dead Sea) and medical ( Methotrexate) before going on Otezla 2 and a half years ago. It was miraculous! I returned to Mountain Biking, Tennis and other sports. About 6 months ago lesions started RE-appearing. Then pain and stiffness. I need some relief other then Ibuprofen. I am scared to go on Biologics. Any suggestions?
Fri, 7 Sep 2018
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Orthopaedic Surgeon,  's  Response
Hi,

Psoriasis arthritis affects Large joints. Joints disease worsens with skin lesions. Treatment is two way:
1. Treatment of skin lesions
2. Treatment of joint disease.

Joint involvement usually decreases as skin lesions are controlled. Primary line of joint treatment is disease modifying agents Like Sulfasalazine and Methotrexate which you have taken. If they are not giving relief next line of treatment is biological agents. They are very effective to control disease visit to rheumatologist is recommended.

Hope I have answered your query. Let me know if I can assist you further.
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Suggest Treatment For Painful Stiffness And Lesions Due To Psoriatic-arthritis

Hi, Psoriasis arthritis affects Large joints. Joints disease worsens with skin lesions. Treatment is two way: 1. Treatment of skin lesions 2. Treatment of joint disease. Joint involvement usually decreases as skin lesions are controlled. Primary line of joint treatment is disease modifying agents Like Sulfasalazine and Methotrexate which you have taken. If they are not giving relief next line of treatment is biological agents. They are very effective to control disease visit to rheumatologist is recommended. Hope I have answered your query. Let me know if I can assist you further.