I would appreciate more like how it will eat away at your bone and joints. Also how it can affect your heart and eyes your organs and more. I have it so chronic it affects my teeth and jaw my throat. neck bottom of my foot wrists ,fingers shoulders, back and please explain how it changes every day. I have it daily in 4 to 7 areas. It is painful day and night. I never sleep correctly because of the extreme pain. I am basically disabled at 56. It is said this condition may stream from out tendons. My nails are affected and I need help for almost everything. Doctors should give even more attention to this condition. I want to say it was at menopause when it surfaced. Please really talk about what we should expect at a chronic level. EVEN ON TREMFYA (biologic)I am in AMAZING PAIN AND LOCKING OF JOINTS AT 56...😢 people look at me strange because I cannot pull a door to walk in or I have to ask to help fill medical paperwork because I cannot hold a pen or hold a cup. I eat with a plastic fork because it will not hurt me it is lighter. Please go further in research I am too young to loose my life without a normal life.
I'm so sorry to hear how this has affected you. Yes, I will put doing a deeper dive into psoriasis and psoriatic arthritis on my list of future topics.
I was misdiagnosed for 25 years. My psoriatic arthritis in combination with spondylitis has been a debilitating disease. I am now using an electric wheelchair due to the fact of the arthritis has affected every major joint in my body and also smaller joints. I live in chronic pain. When I have a flare up the pain can get so intense that I think about suicide. I am now taking Cosentyx and have been doing so for two years it helps some and allows me to function on a daily basis.
In my experience with PsA, diet is not that influential on symptoms. Flares come and go as they please. I think people overstate the importance of diet to try to regain a sense of control of their body because this disease has a mind of its own. Not to say just let yourself go and have a bad diet, but you cannot rid yourself of flares by going gluten free, sugar free, etc. Have a good balanced diet but don’t go crazy with restrictions. Have a beer or a cookie once in a while and don’t blame it for your symptoms because it just isn’t true. It isn’t worth starving yourself and then also being in pain because you’re just double-punishing yourself! Exercise and medications (biologics) are the only real ways to manage this hell.
I have had amazing results with diet change. I'm off my meds and it keeps getting better. I've began doing 3 day bone broth fasts to reset my gut. The immune system is primarily located in the gut. I believe this disease really stems from gut issues which directly affect the immune response.
I was originally misdiagnosed with RA, before I saw a rheumatologist, who listened to me and asked questions for about 10 minutes straight and ended by saying “I think you have psoriatic arthritis.” I had been telling different primary doctors that I think I had PsA for a while and they all shut me down. It felt good for the rheumatologist to confirm my suspicions because I felt like it wasn’t just all in my head. I’ve also just recently been diagnosed with ankylosing spondylitis in addition, but my rheumatology team agrees that I most likely have both. Fun! This was super informative, so thank you!
@ Chelsea Writes - You are lucky you met a real specialist. As for me, I completely stopped going to the clinic for psoriasis treatment relying mostly on my own research and analysis ... It was more or less manageable until recently when I got very stressed / depressed by what Russia is doing against Ukraine, so it triggered a so powerful outburst of psoriatic arthritis that I never experienced before....
I’m happy I found this. I have been dealing with this for so long. I didn’t get psoriasis part until the last couple years. I went to drs in my early 20s about 4-5 different ones and was brushed off with discouraging tone. Assuming I just wanted pain killers. I stopped going to drs entirely. Then found a PA that heard me out referred me to a Rheumatologist. Got Dx properly. Felt good to be heard. Just starting the journey. Hoping for relief. It has taken a toll on my mental health just sucking it up and powering through daily.
I have Psoratic arthritis….diagnosed 8 years ago ,This runs in my family . My uncle had it and my grandfather . I have it and my niece also has it . I am an MSN,RN for 38 years .My arthritis is very painful and it affects my spine ,knee , hand ( one side only ) . My arthritis is attacking my joints severely and one finger joint is severely deformed. Anyway thank you for all your information..I have a long story 😂 I am still working at the hospital..I’m tough ..
I had no issues with my joints until i caught covid. Now my fingers on my left hand hurts all the time. Stiffness, swelling, itching and burning. Its been miserable. I think they intentionally put something in the man made virus to destroy our joints and lungs.
Does anyone else have psoratic arthritis and ankylosing spondylitis? Ive just been diagnosed after 10 years of crazy pain and wondering if anyone has regained a "normal" life again? Sending ye all power ♡
can you get diagnosed with psoriatic arthritis WITHOUT psoriasis? my rheumatologist just diagnosed me with PsA basing it on about a half a centimeter of dry skin (confirmed by my family doctor) which is completely gone now for 6 months (its dry skin) and a dactilytis which I never had. please help.
Your videos are the best. I was diagnosed with PsA and I have not had a skin flare ever! Your information made me feel like I wasn’t the odd woman out..lol I also have Hashimoto’s disease and degenerative arthritis and I didn’t know you could have PsA with it! Please keep up the excellent work and thank you for sharing your knowledge with us. Many times we are so hurried in our appointments we don’t get our questions answered thoroughly so your videos fill a big gap for me. Thank you so much, Dr. Ortiz!
The answer to arthritis is MORINGA POWDER, I have arthritis all over my body and tried everything but MORINGA has took the pain away and is resorting my bones and skin
Thank you for this. It answers so many questions I have about my own problems and condition. I have swollen thumbs and forefingers, swollen ankles and stiffness in the morning and two identical patches of psoriasis on the side of both my lower legs. One doctor sent me for surgery to release my tendons as he thought this was the cause of the swelling and stiffness, and another thought I had Achilles tendonitis. Nothing has improved and as a last resort I’ve been researching the internet and your video came up. I know this is what I have and am now going to see my doctor again but this time armed with the correct information. Thank you.
You have swollen non-weight bearing joints aka your hands /‘fingers and your doctor thought you needed surgery and didn’t check for arthritis ? You need a New doctor. For real . Sounds like they just push surgeries for Money like some dentists do with root canals .
This is my story exactly! I have had plantar fasciitis on the left, achilles tendonitis on the right for 14 months, with major difficulty walking and swelling. Had gastroc recission surgery without relief. After a year of suffering and searching the internet I finally figured out PsA. (Swollen toe was the magic additional search term when I finally got that symptom.) Dr. Ortiz's videos helped me figure it out, then it was confirmed after that. Very thankful for these videos.
I was only diagnosed because I went to the ER for what felt like an ovarian cyst rupture. They casually, at the end of the imaging report, slid in that I have findings consistent with Sacroiliitis. That's a big deal for a woman that's relatively healthy and under 35. It was swept aside, of course. Next, the extreme fatigue and knee pain. For a while, I felt like I had dropped an arch in my foot, and I'm unsure how that is supposed to feel. I was limping around at work and a client was so kind to me, she brought me orthotics for my shoes. Finally, a Rheumatologist referral. I gave him my medical history, mentioned the imaging and diagnosis of SI, and he asked if I'd ever been diagnosed with Psoriasis. Well, yes, indeed I have! I was an infant. He looked at my nails, which at the time were full of ridges and flaking off, thin, breaking, you name it. He basically diagnosed me right there. NOT EATING GLUTEN HAS MADE SUCH A MASSIVE DIFFERENCE. Talk to your doctor!
6 is a hard one because the medications maybe available but not always accessible because insurance companies deny claims for it. ive had psa for a long time and only have tried humira because of my insurance making it so difficult. also psa is highly debilitating. a lot of dr and people in genral dont realize the impact it has on someomes financial and social lives . its a horrible horrible disease
It’s true, insurance companies play a large role in the medications that are available to people. It’s frustrating for the doctors and clinics as well. Hang in there!
Not just psa but psoriasis itself can be very debilitating. I went for months where i couldn't wear shoes or socks and barely walk because of blisters, had to wear gloves on my hands all the time. It got better for me and i get flare ups with psa but not much damage except my spine is bad. Thankfully i had very good specialists 👍
I'm having a major psa flare up right now and Humira stopped working for me a long time ago. My insurance keeps denying coverage for anything else, even though my doc sent all kinds of paperwork to them to explain why I need something else. However still can't get anything else and I'm in misery 😔 It's crazy that insurance companies and big pharma get to decide people's tx's and not the doctor, who has a Phd and years of experience in his practice.
@@fingerbang666 - 😥 🙏🏻 I guess, I understand what you're saying. My conditions worsened so fast due to the stress and depression I'm going through... So, I have developed my own onthological theory of psoriasis. Having considered my entire life as if under a microscope, I came to a conclusion that this kind of immune self-aggression might be provoked by a deep dissatisfaction the mind could feel with regards to one's own physical, psychological conditions, triggered by the absence of love and hostility of the world... to the point one could feel this world alien... In such a case, human subconscious gives an order of self-destruction by committing a corporeal damage, like some commit suicide... I wish this statement could be seen by a specialist to reflect upon and, possibly, to conduct a research in the field...
I feel bad for U.S citizens issues involving GPs/hospital fees. In Australia, you see your GP & no fee. PBS prescriptions are $5.95. Our Medicare system is great. There's no mortgaging our homes for an operation
I’m a PsA patient in Melbourne. I can tell you how difficult it is to find a good GP here and to get on PBS subsidised biologics it has been two years with mainly MTX. Little improvement n finally my rheumatologist is moving me to biologics. Slow n frustrating!
My symptoms started w skin flares (that stayed, didn’t come and go). A biologic has. Early cleared it up. I’ve started having pain in first and second joints of a couple fingers wo redness. One hip can really flare when I walk. Main question I have is about something I’ve heard of recently-LDN treatment for inflammation. Have you had any experience with this?
I’m 33 years old, just got diagnosed with PsA. Pain started about 10 months ago in my right foot, 2nd toe in from the big toe. Swollen and stiff.. eventually became all the toes and heal pain started. Then developed on both feet about equally bad. Had a very hard time walking, would just fall due to pain. Was the worst in the morning or after sitting for some time. PCP thought was plantar fasciitis. Seen podiatrist, same diagnosis. Chiropractor worked for a few months on my feet twice a week, limited to no improvement. Developed a lot of body stiffness along with the foot pain during these few months. Only thing that worked was Prednisone, but as soon as I got off it pain returned. Was referred to neurologist by my chiropractor after no progress being made. Had full work up and MRI’s. Found bone spur and bulged disc c5/6. Neurosurgeon determined that there was not enough pressure on the cord to be causing my symptoms and surgery was not worth risk at my age. 2nd opinion confirmed this as well. Was then referred by Neurosurgeon to a rheumatologist, finally after 10 months I was diagnosed properly. I have no rashes but do have psoriasis patch on my scalp I thought was just dandruff. Been on 15mg/ day of prednisone for 2 months before the rheumatology appointment and that took care of 90% of my pain. Now starting on methotrexate and slow taper off of the prednisone. Wish me luck. Sorry for any typos, did this quickly on my phone.
Good luck to you. I hope you feel better soon. I was diagnosed a year ago with phoriatic arthritis. I was in so much pain I couldn't walk. As soon as I got to see a rheumatologist she put me on 60mg of predisnalone. It helped immediately. I've been taking methotrexate since January. 20 mg but unfortunately it's not working for me. I am soon to go on biologics. I've had skin psoriasis for many years. Hopefully you're on the path to feel 'normal' again now you're on the treatment pathway 🤞
Hey my friend I have psoriasis, had if for the last 15 -20 years, mild case. About 10-11 months ago my right foot second toe started to hurt and swell up. I thought it was just an injury I got or something. But it wouldn’t go away. Then my left ankle felt sprained but X rays said it wasn’t. Then back to my right foot the second toe pain spread to the 3 rd toe so now it’s both toes. Mornings are the worst and walking is hard. Primary Doctor thankfully said she believes I have Psa so she sent my to a specialist this Monday for further examination. Please let me know how you are doing on the new meds ? Are you able to walk normally again ?
Omg, I'm 32 years old, for 6 months i think i had plantar fastiicis. But also 6 months i've had swollen pinky on left hand, traumologists didn't gave me appointment appointment for rheumatologist for 4 months. Now i've been officially diagnosed with PA and I'm starting to take metothrexate injections. I feel awful and tired, my left hand is in pain, I can't get fingers to form a fist, lost a lot of movement capabilities in fingers and it hurts to do basic tasks
@@RangerDK21Methotrexate (pill) on its own didn’t work for me so they added Humira.. within the first week after the first shot I regained full motion in my hand and then the foot pain started to go away as well. Been over a year now and I feel great, no swelling or pain. Take Humira 40mg pen every other week and methotrexate pills once weekly with folic acid daily. No side effects from the Humira that I’ve noticed. Good luck but I can’t recommend Humira enough
@@sidoniomarscalle9828Methotrexate (pill) on its own didn’t work for me so they added Humira.. within the first week after the first shot I regained full motion in my hand and then the foot pain started to go away as well. Been over a year now and I feel great, no swelling or pain. Take Humira 40mg pen every other week and methotrexate pills once weekly with folic acid daily. No side effects from the Humira that I’ve noticed. Good luck but I can’t recommend Humira enough
I was diagnosed with Psoriasis in my early 30s now I’ve had so much fatigue, joint and muscle pain and I was just diagnosed with PsA and will go on Humira. I hope it gets approved and hope it works.
Hello from New Zealand. I have been daiogised with Psoriasis Arthritis and mild Sjorgens syndrome. It took a while for them to daiogised. I show no Psoriasis on my skin but have very painful swollen joints. After many trails of drugs I now take Humira which has been a game changer for me.
Sorry for the disruption, it took a while for the doctors to finally agree as to what type I had as both parents have Arthritis. After many years of trials with drugs I now take Humira which is a life changer for me. I currently have no Psoriasis any where on my body which people don't understand because as soon as you say Psoriasis they look for rashes which I find very frustrating. Thank you your video was very helpful.
Have PSA in the joint in my toes at the joint right next to the nail. It’s wicked painful when it flares but it can be calmed with a quick change in diet. Also, I was aware of the possibility for a decade as I had this accumulation growing under my toe nails and a 30 year history of psoriasis. Good on the docs for letting me know what to look for. I’m 48.
Dr Ortiz, Thank you for this presentation. More than 2 years ago I was diagnosed with psoriatic arthritis, which initially showed up in my left toes. A dermatologist had recently put me on Otezla, and it quickly cleared up the psoriasis. A podiatrist saw my toes , which became inflamed, and sent me to a rheumatologist. By that point, I was on Otezla for a few months and the foot felt better too. Out of nowhere, I was hit with a massive case of shingles of the eyes & face. Three of the doctors were convinced that Otezla caused it. A year ago when the toe pain started up, the rheumatologist put me on Cosentyx. After one injection, five days later, the shingles returned to my eye but was quickly distinguished 10:36 with Valcyclovir. A new rheumatologist believes that Otezla is the remedy that won’t lower my immune system. Do you agree? The joint pain six months ago has spread to my left hand & toes still bad.
I was diagnosed with this after lumps developed on my left hand.I'd originally been diagnosed with ezecma and after the condition didn't respond to anything they threw at it a hospital decided that it was psoriasis but it was neither it was a very rare cancer called Mycosis Fungoides and the lumps where malignant tumours which lead to an amputation of a finger and part of the thumb.
THANK YOU for this info. I am just starting my 3td biologic this year. I was on Xeljanz for the longest time but then got really bad about 4 years ago. But my doc made one change (to Enbril) and even though it didn't really help, there I stayed for 3 years. I think between my not speaking up loudly about how I really felt AND the fact that I am overweight and older I was shoved to the side and not really closely listened to. Now I have so much pain in my knees, shoulders, back etc that my life has become very small. Finally, I changed doctors and we are aggressively trying to find something that will work. Taltz is next up. Secretly I am worried that nothing will work and I will just end up in a wheelchair. This disease is like a cruel joke. I used to work out 3x a week, cook, entertain, and go out with friends. No more. I am trying to remain positive, but it is hard to keep hopeful when the pain is so bad. I am so glad I found this channel. I will follow the videos and read all the comments with great interest.
Very similar to me ! Nearly 2 years and getting worse. Just saw r.consulant had blood test abd x rays on hands and feet. Been on steroids for 4 weeks now and I'm waiting to get results which I am desperate for as this is not living. I wish you well. I too will follow these videos .
If you can try LDN and /or PEA. I got side effects and had to stop, but they both got rid of my pain and bought my C reactive protein levels down to normal. The side effects were extreme insomnia. I'm very sensitive to drugs. Good luck.
My docs can’t get an actual diagnosis but swears I have it . I got Epstein Barr about 7 yrs ago and I’m not even sure what that is but ever since then all I know is I’m falling apart ! And my skin joints and body are a mess . Double pneumonia in the hospital 4 times in 3 years . I’m so overwhelmed. Methotrexate did wonders for pain but severely weakened my immune system even worse that it already was and I got all kinds of skin infections! So now I’m on hydroxychloraquin. Doesn’t do much, My 2 nd Rheumatologist which is my current thinks I may be at the start osteoarthritis and my family dr thinks I have psoriatic arthritis along with my 1st rheumatologist. Insurance 🤦🏻♀️. I wish it was easier to diagnose ppl !
My rheumatologist is reluctant to discuss her diagnosis of PsA on me with me. We seem to be limping along on changing doses of methotrexate; and very little is presented regarding what ‘flare up’ feels like or what the normal progression is for this affliction. Do medications (pills/biologics) merely treat symptoms or do any of them hold prospect for curing PsA?
My chiropractor told me I can have psoriatic arthritis. I went to him thinking the pain was sciatic nerve. After doing an X-ray he told me it could be psoriatic arthritis. I currently suffer from plaque psoriasis. Should I request a referral to a specialist ?
Thanks for this video. I was just diagnosed yesterday with PsA. I work in physical therapy and suspected I had it. Mine presents very much like RA (MCPs, PIPs and same joints affected in feet). I so appreciate your channel. Very helpful!
Does anyone know if water itchiness is related to this. I have been suffering from this for about 7 years. My doctor just diagnosed me with psa because of swelling and stomach issues. He saw a rough patch on my elbow and did tests. I'm constantly itchy if I have a shower or go to the pool in summer
Yes I am the same . 2 years ago I developed dry skin on my heal & elbow which developed into a large blister overnight . Then all my skin felt raw painfull & itchy . Having a shower was like a million hot needles on my skin . This flare up was 2 years . I never thought water could be so painfull ! Today I shower quickly with luke warm water & apply cream all over body once dry . I take antihistamines on top of my medication. Hope this helps
High doses of fish oil daily helps mooe effectively then pain killers. Pain killers actually make it worse as you irritate swollen areas when the nerves are sedated. A muscle hangover. I take 12,000 mg a day. No pain
What about cancer low immunization and a severe flare after 14th surgery. It's bad on skin joint bone. Left mastoid area swollen in lymph noids from getting sick at schools.
I’ll tell you what, I thought I was dying I was in so much pain.. And out of nowhere, too, really.. I was diagnosed with psoriasis, but nobody told me about this.. The ER doctors were stumped, too, but I eventually got to a specialist, who diagnosed me in seconds (the nail pits were the clincher).. I appreciate the info, and even though I’m not exactly sure what a gluten-free diet is, I cut out all the sugars.. And it certainly helps, I’m guessing?.. Thank you again..
Psoriatic Arthritis can mimic different types of Arthritis, sometimes i can get rheumatoid symptoms like pain in metacarpals and sometimes osteo symptoms
It’s actually easy to distinguish between the arthritis types ..I had a MRI and my rheumatologist could tell the difference between osteo and PSA right away ,,I have both ,.i am an MSN,RN
MRIs, X-rays and ultrasound can easily reveal whether it’s RA or osteoarthritis. RA causes inflammation, synovitis hypertrophy and bones erosion. Osteoarthritis is very different: damage to the cartilage due to over use. There can be swelling but not to the degree of an AI disorder like RA.
I have just been DX with psoriatic arthritis. I have ankylondis spondilysis, complete bone fusion in neck and partial lumbar spine. Also my psoriasis is pretty bad and I have those attractive sausage fingers and bad heal pain with extreme swelling.. I haven't had any remission in the last 7 months. I have started Cimvia injections q2 weeks and take Lyrica and steroids to help some with pain. When could I expect remission?
@@carlasmallwood7174 well I hope I can thank you. I had surgery a week ago.A Neurosurgeon in Huntsville Alabama had my case. I had a laminectomy with fusion on my ceverical spine so I'm in a lot of pain. I hope it helps.
@@carlasmallwood7174 I hope so too. 🙏🙏Its so painful. I guess it's because after they take the vertebrae out they have to sew back the muscle to the Bone.
Hi! I was diagnosed with Psa after under treatment for psoriasis for 2 years. Suddenly my breast up to my back is in pain coz of swelling so my rheumatologist said it is indeed Psa. Does psa apply on muscles as well? Thanks!
THat is a great question and I hope the doc see's this and weighs in. I developed Fibromyalgia (in addition to the PsA) and some nights my whole body feels like it is throbbing with pain - muscles, tissues, everything. Maybe they should check you for fibro.
i was diagnosed last year and have questioned it since. i have no skin issues and never have . my sister and mums hands look same as mine. they have been diagnosed with osteo. why would i have something different.
I've had psoriasis since I was 6, first symptoms of arthritis when I was 13, diagnosed at 17, been on and off medicine. I'm 24 now and all my doctors don't really care, because I'm so young they think I can deal with it, literally had a doctor tell me that. Despite numerous x-rays and MRIs tell otherwise.
