There are simple exercises you can do when sitting or lying down to keep your joints moving. Every little movement and step really does help in the long-term. Starting off slowly, and gradually increasing the amount you do can be a good way to start exercising. If you have psoriatic arthritis, you can still be very active — though you may need to build up to this.
It improves stamina, strength and flexibility, which are three important areas of fitness. There are many good ways to exercise and the key is to find something you enjoy as this will help you to keep doing it. You may find that exercising with your partner, a friend or a relative helps as you can support one another. Group fitness classes can be good fun, if you find the right one for you. Keeping active is good for your emotional well-being and confidence, as well as making you feel better physically.
This is particularly important if you have psoriatic arthritis. Being overweight will put extra strain on your joints, such as your hips, knees and back. A healthy diet is also good for your heart health.
Psoriasis Types, Symptoms & Causes | NIAMS
Eating plenty of fresh fruit and vegetables, and drinking around two litres of water a day is also good for your health. Talk to your doctor, a dietitian or visit the NHS Eatwell Guide website if you need more information. The right amount of sunshine can make psoriasis better, at least in the short term. Too much sun and sunburn though can make psoriasis worse. Smoking can make psoriasis worse. It can also increase the likelihood of some of the potential complications — such as heart problems. If you smoke your doctor can give you advice and support to help you stop, or you can visit the NHS Smokefree website.
Some people with psoriatic arthritis find complementary treatments are helpful, but you should always talk to your doctor first if you want to try them. Complementary treatments come from a variety of cultural and historical backgrounds. And there are alternative medicines that can be taken as pills or applied as creams. These can include:.
Why it happens
You may be entitled to free support from your local authority to help make life around the home easier. You could be offered aids that help with everyday tasks, as well as minor adaptations to your home, to help you get around. For more information, visit this website for a needs assessment: www. We explain which foods are most likely to help and how to lose weight if you need to. Find out more about exercising with arthritis and what types of exercises are beneficial for certain conditions.
Having psoriatic arthritis may make some aspects of working life more challenging. The Government scheme Access to Work is a grant that can pay for equipment to help you with activities such as answering the phone, going to meetings, and getting to and from work. The Equality Act, and the Disability Discrimination Act in Northern Ireland makes it unlawful for employers to treat anyone with a disability less favourably than anyone else. Your employer may need to make adjustments to your working environment, so you can do your job comfortably and safely.
You might be able to change some aspects of your job or working arrangements, or train for a different role. Your manager or HR department might be a good place to start. Sex can sometimes be painful for people with psoriatic arthritis, particularly a woman whose hips are affected. Experimenting with different positions and communicating well with your partner will usually provide a solution.
If you become pregnant unexpectedly, talk to your rheumatology department as soon as possible. The following must be avoided when trying to start a family, during pregnancy and when breastfeeding:. Your rheumatology department will be able to tell you which ones. A flare-up of your arthritis during pregnancy can be harmful for you and your baby.
Psoriasis and psoriatic arthritis can run in families.
As treatments continue to improve, people with psoriatic arthritis in years to come can expect a better outlook. If you have any questions or concerns, talk to your doctor. Having a long-term health condition can affect your mood and confidence, which can have an impact on your work, social life and relationships. Talk things over with your partner, or a friend, relative or doctor if your condition is getting you down.
Versus Arthritis has an online community that could connect you with other people with psoriatic arthritis. Talking therapies can be useful. For example, cognitive behaviour therapy CBT may help you. The aim of CBT is to help people deal with problems in a more positive way, by breaking them down into smaller parts. Staying physically active will help with pain and stiffness. It will also make you feel better about yourself. Continuing with your normal routine, hobbies and social life as much as possible can be good for your emotional health and well-being.
Having psoriatic arthritis can put added strain on relationships with partners and close relatives. Support and understanding from those closest to you can be very important. Good two-way communication and understanding can help.
Encourage your partner and close relatives to learn about psoriatic arthritis. Family therapy sessions might help.
The relationship charity Relate could be a good place to turn. In , research led by our centre for genetics and genomics at the University of Manchester identified genetic variants associated with psoriatic arthritis, but not with psoriasis or rheumatoid arthritis. This helped to establish psoriatic arthritis as a condition in its own right. The findings could lead to the development of drugs specifically for psoriatic arthritis.
What to know about psoriasis
The trial found that patients treated this way, required fewer hospital- and community-based services excluding rheumatology appointments than patients receiving the standard care. We are currently funding a study at the University of Glasgow that aims to find out whether a molecule called ILa can reduce inflammation in inflammatory arthritis, including psoriatic arthritis, and if it could be used to develop new treatments.
Evidence shows that patients who adopt this proactive approach are more likely to be satisfied with care and have improved symptoms. This could lead to early intervention with treatment, or ideally preventative treatment. This could help scientists develop an easy diagnostic test, which could also be used to predict how severe the condition will become.
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This may lead to the development of new treatments. I work as a manager with Jaguar Land Rover, and I travel the world with my job. I am mum to Carys, who is 12, and wife to Andrew.
The journey to here has included many steroid injections into various joints, surgery on both knees and many painful days. At the age of 23, I was going to aerobic classes two to three times a week, I was swimming before work too. When my left knee started to swell, my GP put it down to 'fluid on the knee' due to too much exercise. It got so big I couldn't walk without limping. On a trip home to Belfast, my mum sent me to our family GP — who diagnosed me with psoriatic arthritis.
I was devastated and cried all the way home. I assumed my life was over and that I'd be in a wheelchair by I was keen to get back to my exciting life in London, so a rheumatologist drained my knee and gave me a steroid injection. For the next year I regularly had my knee drained and had steroid injections until the rheumatologist said the next step would be keyhole surgery. During that period, I was living alone in a bedsit.
I had a turning point. I cried so hard one night that I couldn't go into work the next day, not due to my arthritis, but due to having the puffiest eyes I'd ever seen.
I made a decision that day — I would never feel sorry for myself again. I picked myself up, dusted myself off and marched onwards to my dream — happiness. I moved to the Midlands with work and met Andrew. After we got married, we wanted to have kids. So, I came off my medication, which was very poor advice from my rheumatologist at the time, as my condition spiralled. And my husband saw my arthritis in all its glory.