What Causes Severe Spinal Pain After Waking Up While Having Psoriatic Arthritis?

** Thanks for contacting HCM with your health concern and following is symptom wise approach: 1. The majority of cases of sudden onset [acute] back pain are classified as non specific, but since the pain is chronic and upon waking thus one should exclude possibility of ankylosing spondylitis, nerve root pain [due to prolapsed disc], spinal arthritis [due to psoriatic arthritis] after consulting an Orthopedic surgeon/rheumatologist with relevant examination and investigation, till then Treat on the line of ‘Greeva Vaat’ and since radiation is there to feet follow ‘sciatica treatment’ i. Avoid: urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when sky is covered with clouds, and cold wind. ii. Take: maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, kali marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed butter milk. iii. Fry 250 ml ginger juice in 250 ml of til tail, when 250 ml remains [make sure oil doesn t get burn], filter it after cooling and massage. iv. Boil 1 spoon dried ginger in 4 cups of water till 1 cup remains, filter it and add 2 spoon castor oil and drink. PS. General Instructions i. Maintain straight back posture while sitting or standing. ii. Avoid bending forwards and lifting weights. iii. Sleep on hard mattress. iv. Gentle massage v. back exercises: Leg rising in dorsal recumbent position, pushups, swimming. Spine Management: i. Relax the spine completely. ii. Do not lie face down. iii. Lie on your back with pillow under the knee. iv. Lie on the side with a pillow between the knees. v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music. vi. Take 4 spoons of Tulasi [ocimum sanctum] juice 4 spoons of ginger juice 4 spoons of honey and take for 1 month. . Boil 100 gm black pepper powder in 300 ml til tail--- filter, cool and massage OR mix dried ginger in castor oil and massage.