What are the recovery options for psoriatic arthritis?

Question

Hello doctor,

I have psoriatic arthritis (psA)and had two knees replaced at the age of 51, which has not been pleasant. The hardware reacts weirdly as the weather changes. My therapist pushes me to exercise, yet my joints remain sore. I had to stop my plumbing business because I could not reach beneath sinks anymore. Biologics have made me feel weaker recently; am I getting resistance?

Skin patches are also worsening particularly around surgical scars. My wife tries to help, but she is tired of nursing me. I am experiencing lower back pain, and is my psA spreading?

I was thinking about disability benefits. Do you have any advice for a guy who is stuck at home?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

It is possible that your current biologic therapy (drugs obtained as isolated from a variety of natural sources like humans, animals, or microorganisms) may not be as effective as it once was.

Psoriatic arthritis (PsA) (a chronic inflammatory disease that affects the joints and skin) treatments sometimes lose effectiveness over time, so you might need an adjustment. Discuss with your rheumatologist (inflammatory specialist) about switching biologics or adding other medications to help control the inflammation.

Cold or damp weather might trigger discomfort around the implants and joints. So I suggest you follow these instructions:

Give gentle, warm compresses on the knees.
Keep warm layers on your knees.
Practice regular movement that can help ease stiffness.
Stay consistent with exercises.

PsA can affect the spine, so the pain in your lower back could be a sign of axial involvement. Anti-inflammatory medications, stretching exercises, and targeted physical therapy can help with back pain.

Support groups for PsA or joint replacement recovery could be beneficial for you.

PsA and multiple joint replacements can qualify you for disability, especially if mobility issues prevent you from doing the work you have done before.

Pursue Hobbies that are easier on the joints, like woodworking projects at a bench height, light gardening, if that is an option, or even learning something new online, which can boost your mental well-being.

I hope this information will help you.

Thank you.