Psoriatic arthritis affects people with psoriasis. The latter is a skin condition that causes itchy red patches and silvery scales. It affects people across sexes, ages, and races. 1 in 3 people with psoriasis develop psoriatic arthritis, and over 1 million people in the country have this condition. Its symptoms include painful and swollen joints, eye inflammation, and brittle nails. Here are the treatment options, meal plans, and lifestyle changes to help manage psoriatic arthritis:

Treatment options for psoriatic arthritis
Although there is no cure for psoriatic arthritis, getting the proper remedies can help you control the symptoms, manage the pain, and prevent further joint damage. Here are some prescription treatment options for this condition:

Otezla®
Otezla® is a prescription treatment option used for managing psoriasis and psoriatic arthritis. It works by inhibiting the production of an enzyme called phosphodiesterase 4 or PDE4 that causes inflammation in the body. It is taken orally with or without food. One may face side effects on taking Otezla®, which include vomiting, nausea, diarrhea, headache, fatigue, and lower back pain, among others. The more severe side effects include depression and allergic reactions.

Rinvoq®
Rinvoq® is a treatment option prescribed for adults with psoriatic arthritis when other treatments have not worked to manage the condition. It is also used to treat rheumatoid arthritis, severe eczema, ulcerative colitis, and ankylosing spondylitis. Rinvoq® works by inhibiting or suppressing the overactive immune cells that are causing joint inflammation. It blocks the action of enzymes known as Janus kinases that are responsible for causing inflammation. Over time, it can help the joint inflammation reduce significantly. This is an oral once-daily prescription treatment option. It can cause several side effects in certain cases, including immune system issues, blood clots, and allergic reactions. One may also face an increased risk of heart attack if they have pre-existing cardiovascular problems.

Foods to eat and avoid for managing psoriatic arthritis
Here is a list of foods to eat that will help control the inflammation caused by psoriatic arthrits:

Foods rich in Omega-3 fatty acids
Omega-3s are a type of polyunsaturated fatty acid (PUFA) that help in reducing painful flare-ups in psoriatic arthritis patients. Studies show that regular omega-3 intake reduces joint pain and tenderness. Good sources of this nutrient include edamame, walnuts, chia seeds, flax seeds, hemp seeds, seaweed, algae, tuna, salmon, and mackerel.

Whole grains
Insulin resistance is linked to chronic inflammation in the body. Eating unprocessed whole grains that contain fiber decreases insulin resistance and keeps blood sugar levels regulated, thus preventing painful inflammation due to psoriatic arthritis. Examples of foods to eat include whole wheat, corn, brown rice, quinoa, and whole oats.

Fresh fruits and vegetables
Chronic inflammation in the body causes oxidative stress, and this can be reduced by having antioxidant-rich fresh fruits and vegetables. A steady intake of leafy green veggies, dark berries, nuts, and dried and ground spices can help one manage the inflammatory symptoms of the condition.

Some foods worsen inflammation in the body and lead to a higher chance of flare-ups when eaten regularly. Thus, here are the foods to avoid for psoriatic arthritis:

Red meat
Studies show that consuming high amounts of red meat increases your risk of arthritic inflammation, leading to flare-ups. Therefore, people with psoriatic arthritis should avoid red meat as much as possible.

Processed foods
Refined carbohydrates such as pastries and white bread and other processed foods such as French fries, sodas, sweetened beverages, etc., cause insulin resistance. This leads to inflammation in the joints. Hence, people with psoriatic arthritis should have them in minimal quantities.

Dairy
Milk and milk products contain casein, a kind of milk protein. Casein can trigger pain, irritation, and inflammation in the joints. Therefore, avoid dairy if you are affected by psoriatic arthritis.

Lifestyle tips for managing psoriatic arthritis
Here are some lifestyle changes that you can incorporate to help you manage the symptoms of psoriatic arthritis:

Physical activity
Being physically active and exercising for at least 30 minutes a day will strengthen your muscles and reduce stiffness in your joints. You can consider joining swimming or dance classes if time permits. If not, going on brisk walks can also help the condition. It is recommended to consult your doctor to check which exercises are good for you.

Good food and proper hydration
Eating fresh, healthy food and avoiding junk foods will help reduce pain and inflammation caused by arthritis. Additionally, drinking sufficient water is important because when you stay hydrated, the joints in your body are better lubricated. This helps reduce joint pain and inflammation.

Natural remedies to deal with psoriatic arthritis
Aside from the above-mentioned tips, one can also turn to natural remedies such as acupunture and massages to manage the symptoms of the condition.

Spa treatments
A massage by a trained professional can help reduce muscle tension and relieve your stress. Getting a massage regularly will help relieve pain and improve your movement and strength if you are affected by psoriatic arthritis. Acupuncture and acupressure are traditional Chinese treatment options that may be effective in relieving pain and inflammation caused by arthritis. Acupressure is the practice of applying pressure to particular areas of the body. It reduces muscle tension and relieves pain. Before booking an appointment with a trained masseuse, get the go-ahead from your doctor since it is better to avoid any accidental aggravation or flare-up.

Although there is no cure for psoriatic arthritis, you can manage the symptoms and enhance your quality of life by following the prescription options (Otezla®, Rinvoq® etc.,) as recommended, following the lifestyle changes and food tips mentioned above.