How to treat psoriatic arthritis?

summary

Psoriatic arthritis is mainly manifested as asymmetric arthritis, mainly involving the distal joints of fingers. It can also occur in the proximal interphalangeal joints, metacarpophalangeal joints, large joints of feet and limbs, knees, shoulders, elbows, etc. Finger, toe joint can be red and swollen, how is psoriatic arthritis treated? Now let's take a look.

How to treat psoriatic arthritis?

First, non steroidal anti-inflammatory drugs are the first choice for the treatment of psoriasis arthritis. Steroid can be used reasonably in acute stage. It is effective to control the symptoms of acute phase, but it can not be used for a long time. Gold preparations are effective and easily tolerated for many arthritis. For patients with severe psoriatic arthritis, if other drugs are ineffective, amiodarone can be used. It should be stopped after controlling the disease. For advanced cases of large joints such as knee and hip, joint fusion or artificial joint replacement can be used

Second: for most patients with active arthritis of the extremities and mild spinal lesions, only one NSAID is needed. It is generally believed that indomethacin is more effective than aspirin and ibuprofen, but recently more non steroidal anti-inflammatory drugs (NSAIDs), such as chinoli, voltalin, melitone, and norfloxacin, have been used. If one NSAID has poor efficacy, it can be replaced by another, but it should be used for more than one week to judge the efficacy.

Third: for patients with single joint involvement or obvious calcaneal tendinitis, local injection of limeida long-acting hormone preparation can be taken, but the injection should avoid the skin lesion area to prevent infection. For patients with serious disease and difficult to control the disease with general drugs, immunosuppressants can be considered. These drugs are not only effective for psoriasis, but also have obvious effect on arthritis, Methotrexate, a folic acid antagonist, is commonly used in clinic. It has certain side effects and should be used under the guidance of doctors.

matters needing attention

1. According to the seasonal changes, timely increase or decrease clothing, especially the protection of joint parts. 2. In winter, we must do a good job in hand, foot and joint parts of the cold insulation work. 3. Soak hands and feet with hot water before going to bed every night to facilitate local blood circulation. Fourth: moderate sports, enhance the flexibility of hands and feet.