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    Physical activity decreases inflammation linked to psoriatic arthritis

    Exercise represents strategy to manage chronic pain


    One of the challenges with psoriatic arthritis management is differentiating between inflammatory pain and mechanical pain, according to Dr. Chandran. 

    "Many of our patients (with psoriatic arthritis) are overweight and obese, and they have mechanical joint and back pain associated with that," says Dr. Chandran.

    Weight loss and strengthening core muscles through activity are ways to reduce pain (both inflammatory and mechanical) associated with arthritis, points out Dr. Chandran. If back pain becomes a major challenge, medications like non-steroidal, anti-inflammatory drugs can be prescribed. In the setting of chronic musculoskeletal pain, Dr. Chandran notes the use of opioids is discouraged. Inflammatory pain also diminishes with weight loss and increased activity, says Dr. Chandran.

    Patients with psoriatic arthritis can also experience cutaneous pain when their psoriasis is severe, notes Dr. Chandran. As a patient population, psoriatic arthritics appear to tolerate chronic pain better than patients with rheumatoid arthritis, says Dr. Chandran.

    It was shown that patients with psoriatic arthritis have less tenderness when compared to patients with rheumatoid arthritis.2


    2Buskila D, Langevitz P, Gladman DD, Urowitz S, Smythe HA. Patients with rheumatoid arthritis are more tender than those with psoriatic arthritis. J Rheumatol. 1992;19(7):1115-9.

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