What to Expect as Psoriatic Arthritis Progresses

Early Psoriatic Arthritis Stages

Psoriatic arthritis (PsA) develops in four stages: the preclinical stage, where those with psoriasis (PsO) are at higher risk but have no symptoms; the subclinical stage, where inflammation is visible on imaging but not yet symptomatic; the prodromal stage, marked by early signs like fatigue or mild joint discomfort; and the clinical stage, when noticeable joint symptoms such as swelling, pain, and stiffness appear.

What Tests Confirm PsA?

Tests used to diagnose psoriatic arthritis include:

• Sedimentation rate (ESR): Measures how quickly red blood cells fall to the bottom of a test tube. Faster sedimentation can indicate inflammation in the body.
• Imaging tests: X-rays, CT scans, MRIs, and ultrasounds help detect joint damage, inflammation, or enthesitis (inflammation where tendons or ligaments attach to bones).
• Skin biopsy: In some cases, a skin biopsy may be performed to help identify changes in the skin linked to psoriasis and support the diagnosis of PsA.
• Blood tests: Blood tests are crucial in diagnosing PsA by checking for the absence of rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibodies, which are typically negative in PsA.

Can You Stop Psoriatic Arthritis?

There is no cure for PsA and joint damage cannot be reversed. However, the disease can be slowed down, and treatment works best when it is started in the early stages of the disease.

Living a Normal Life with PsA

Psoriatic arthritis often affects quality of life, particularly in terms of physical, emotional, and social well-being. Pain, fatigue, sleep difficulties, anxiety, and depression are common challenges for many people. With that being said, by managing the disease effectively, it’s totally possible to live a normal, fulfilling life.

Managing Psoriatic Arthritis Effectively

Managing psoriatic arthritis effectively involves a mix of medications, lifestyle changes, and therapies. To improve quality of life, focus on:

• Staying active: Regular, low-impact exercises like swimming, cycling, or walking can help manage joint pain and improve flexibility, making it easier to stay mobile and reduce stiffness.
• Eating healthy: A balanced, anti-inflammatory diet can help maintain a healthy weight and reduce flare-ups, supporting overall joint and skin health.
• Managing stress: Techniques like yoga and meditation can lower stress levels, which in turn helps reduce inflammation and improve emotional well-being.
• Regular check-ups: Regular visits with healthcare providers help track disease progression and adjust treatments to keep symptoms under control.
• Healthy weight management: Maintaining a healthy weight reduces stress on joints and helps prevent disease flare-ups, improving overall mobility and comfort.
• Avoiding smoking: Smoking can worsen inflammation and increase the risk of joint damage, so quitting can help protect your joints and improve treatment effectiveness.
• Finding support: Emotional and social support from family, friends, or a therapist can improve mental health and overall quality of life, especially during tough times.
• Prioritizing sleep: Good sleep hygiene helps manage fatigue and supports mental health, making it easier to cope with the physical challenges of PsA.
• Medications: Taking prescribed treatments, including NSAIDs, corticosteroids, and immunosuppressants, helps control inflammation and prevent joint damage.
• Personalized treatments: Options like ultraviolet light therapy, splints, or surgery can be used when necessary to manage symptoms and repair joint damage.
• Physical and occupational therapy: Physical therapy can improve joint and muscle function, while occupational therapy helps you perform daily activities with less pain or difficulty.

Summary

Psoriatic arthritis (PsA) develops in stages: preclinical, subclinical, prodromal, and clinical, with symptoms worsening as the disease progresses. The severity and pace of progression can vary widely, and early identification of the stages allows for better management. By staying active, eating a balanced diet, managing stress, and following treatment plans, individuals with PsA can reduce flare-ups and maintain a good quality of life.