Monday, October 3, 2022

Psoriatic Arthritis And Parkinson’s Disease

Tips For Vertigo Management

NPF Webinar: The Need for Continued Medical Innovation in Psoriatic Arthritis

It’s hard to live with vertigo. While you’re waiting to get help, try to avoid getting into dangerous situations like driving, standing on public transportation, or riding a bike.

Stabilize yourself by sitting or lying down during a dizzy spell. Lean on a wall, shopping cart, or something stable if you are unable to sit. I know these things aren’t always practical. We all have busy lives and can’t take the time to stop, but safety should always be your priority.

Don’t be afraid to ask for help and let others know what’s going on. Many people have experienced vertigo or know someone who does and understand how dangerous it could be. In my experience, others have expressed empathy when I’ve needed accommodations.

I’m thankful for how much others have helped me they’ve been my rock while my world was spinning. Or, at least helped me dodge all the people at the train station.

Stages Of Parkinsons Disease

Experts have identified a general Parkinsons progression and created a set of Parkinsons stages, which can help determine where you are at in the disease and what your prognosis might be. However, not everybody progresses through Parkinsons disease in the same way or on the same time frame. Some people skip stages or rapidly progress to later stages. Others live for many years with mild or moderate Parkinsons and never reach the more advanced stage of the illness.

Here are five commonly recognized stages of Parkinsons, including what symptoms you might expect. Treatment also can occur during these stages to help prevent or delay later stages of the illness. This can include medication, , and lifestyle changes, such as a healthy diet and exercise program.

Availability Of Data And Materials

All the data is underlying the present study from the National Health Insurance Research database and Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan. Local interested researchers or cooperators can obtain the data through formal application to the Ministry of Health and Welfare, Taiwan.

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Seek Help From A Doctor

If you’re experiencing vertigo, it’s essential to seek help from a doctor. It may mean it’s time to adjust your treatment plan, including adding the option of more physical therapy.

It can also mean new medications such as Dramamine to reduce the spinning sensation or muscle relaxers. Even if you feel sure that your dizziness is brought on by PsA, you should still check in with your doctor.

Can Psoriatic Arthritis Affect The Esophagus

Psoriasis  Causes, Symptoms, Diagnosis, Treatment ...

Psoriatic arthritis is an autoimmune condition that affects many parts of the body, such as the eyes and gastrointestinal tract, including the esophagus. Symptoms of PsA may include inflamed, itchy skin, swollen joints, and the possibility of infections.

The inability to swallow effectively is known as dysphagia. Studies have not yet found a clear link between PsA and dysphagia, but research is ongoing.

This article examines whether PsA affects the esophagus. It also explores potential esophageal-related problems PsA may cause and possible treatment options.

People who have dysphagia may experience symptoms such as:

  • difficulty swallowing starchy foods, such as bread or potatoes
  • feeling as though food is too big to swallow
  • pain in the chest when food travels down the esophagus
  • acid reflux after a meal or after eating particular foods
  • gastroparesis, where the stomach muscles that push food through the intestines stop working or slow down
  • weakness in the esophagus that can cause a pocket to form and trap food
  • inflammatory bowel syndrome that has links to PsA through triggering chronic inflammation
  • ulcerative colitis that relates to PsA and may cause mouth ulcers

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Is Vertigo A Side Effect Of Psoriatic Arthritis

While it’s true that some people with PsA experience vertigo due to their condition, it’s not safe to make assumptions. It could be a side effect of a medication or a sign something else is going on.

For example, sometimes during allergy season, I experience vertigo if I’m suffering from a lot of sinus congestion. Treating my allergies with nasal steroids significantly reduces my symptoms!

If you suspect your jaw is the cause of your dizziness, it helps to see a dentist. There are many options to help treat TMJ inflammation, such as splinting, physical therapy, or even acupuncture. Addressing the issue at the source will significantly reduce or could eliminate vertigo.

What Happens If Psoriasis Is Left Untreated

Managing your psoriasis can be an ongoing process for some people, but there are numerous medications that can help relieve your specific symptoms. Aside from plaques and itchy skin, you may also develop pitted nails, cracked and dry skin, and skin pain1. And if you don’t treat these symptoms, your psoriasis could become more severe. For example, you might have more plaques on your body or you could even develop a more severe form of the condition. Talking to your doctor as soon as you experience symptoms can help you prevent this from happening and can help you find relief.

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Baseline Demographics Of The Study Population

Baseline characteristics of participants are described in Table . Among the 535,927 patients with psoriasis, 499,488 patients had no evidence of receiving systemic agents for psoriasis, while 36,439 patients had received systemic treatment for psoriasis.

Table 1 Baseline demographics of patients with psoriasis and controls without psoriasis.

Are There Any Side Effects

Is That Joint Pain Psoriatic Arthritis?

There are minimal unwanted side effects. Stem cells are harvested from the patients own body and there is minimal to no risk of transplant rejection and/or cross contamination. The side effects of a bone marrow aspiration are: Soreness and/or swelling in the following 3 days and maybe a little bruising on the aspiration site. If any other source of stem cells needs to be used for this application, any other alternatives will be presented by the doctors recommendation according to the needs of the patient. There is a positive side effect on this type of infusion and that is because stem cells travel through blood around the body, many of them attach to damaged tissue in the internal organs of the body. A regenerative process to those organs takes place, improving their function and efficiency. We have seen an overall wellness benefit with a huge impact on the health of patients.

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Warning Disclaimer Use For Publication

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.

Hyperuricemia In Psoriatic Arthritis: Epidemiology Pathophysiology And Clinical Implications

  • 1Geriatric Medicine Unit, Department of Medical Functional Area, San Giovanni di Dio Hospital, Crotone, Italy
  • 2Medicine and Rheumatology Unit, Istituto di Ricovero e Cura a Carattere Scientifico Istituto Ortopedico Rizzoli , Bologna, Italy
  • 3Rheumatology Unit, Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
  • 4Unit of Allergology, Immunology, Rheumatology, Department of Medicine, Universit√† Campus Bio-Medico Di Roma, Rome, Italy
  • 5Department of Biomedical and Neuromotor Sciences , Alma Mater Studiorum University of Bologna, Bologna, Italy

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Diagnosis Of Psoriatic Arthritis

If you think you may have psoriatic arthritis, or have some symptoms you are concerned about, visit your GP in the first instance. If your GP thinks you may have some form of arthritis, they will probably refer you to a rheumatologist, who will conduct tests to diagnose you.

There are many different types of arthritis, so it can take some time to find out the exact condition you have. You may have blood tests, X-rays, and other types of scans and tests to make a firm diagnosis.

How Is Psoriatic Arthritis Diagnosed 12

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There is no conclusive test for psoriatic arthritis and it can therefore be a difficult condition to diagnose. Rheumatologists look for swollen and painful joints, certain patterns of arthritis, and skin and nail changes. X-rays are often taken to look for joint damage. MRI, ultrasound or CT scans can be used to look at the joints in more detail. Blood tests may be carried out to rule out other types of arthritis that have similar signs and symptoms, such as rheumatoid arthritis.

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What Are The Symptoms

Psoriasis usually precedes arthritis. The distribution of the signs and symptoms of psoriatic arthritis depends upon the type and the joints involved. For example:

  • Joint pain: joints of the fingers, toes, knees, ankle and feet can be involved. There is pain in the small joints due to inflammation. Sometimes it may swell so much giving it a sausage finger appearance.
  • Stiffness: joint stiffness is usually worse in the mornings which makes it harder for the patient to stand and start his daily activities, some sort of exercises are performed to alleviate the stiffness. It may mimic RA .
  • Back pain and stiffness in lower back which may be also related to spondylitis.
  • Enthesitis and tendonitis of surrounding bones.
  • Chest pain and shortness of breath may be seen as well in some cases.

Musculoskeletal Conditions And Pain In Parkinsons Disease

Musculoskeletal problems cause significant pain and physical disability in the general population, and they are even more commonly experienced in people with PD. Estimates range from 40-85% of people with PD experiencing pain, and the most common pain is musculoskeletal pain. Most of the pain from musculoskeletal causes seems to be related to the rigidity and the loss of voluntary movement seen in PD. Musculoskeletal problems also greatly reduce the quality of life in people with PD. Physical therapy and exercise can help reduce the pain and improve range of motion.1

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Treatments For Psoriatic Arthritis

There are psoriatic arthritis treatments available that may help with the condition.

There is not yet a cure for psoriatic arthritis, but there are psoriatic arthritis treatments available to help manage pain, reduce inflammation, and slow down the progression of the disease, to help prevent permanent or further joint damage. Getting an early diagnosis is really important, so that a person can start treatment and get their symptoms under control. With the right course of treatment, many people are able to have a good quality of life and sense of wellbeing, although the condition may still present challenges.

Medication used in psoriatic arthritis treatment may include one, or a combination, of the following drugs:

Biological therapies

These drugs may well have side effects which can be challenging for some people, and some drugs do not work as well for some as they do for others. Your specialist will work with you to ensure your medication regime is working, and may make changes along the way. Many medications will also help control psoriasis on the skin, and topical treatments applied to the skin to help with psoriasis may, in turn, help with the arthritic symptoms.

It is rare for a person to be recommended surgery for psoriatic arthritis, which may only be necessary if a joint has become so badly damaged that it needs replacing.

Psoriatic Arthritis Worsens Quality Of Life In Patients With Psoriasis

Addressing Disease Progression in Psoriatic Arthritis: Optimizing Targeted Therapies

People with psoriasis/psoriatic arthritis have a decreased ability to participate in social roles and activities and more depressive symptoms than those with psoriasis alone, according to a research letter published online July 21 in the British Journal of Dermatology.

George C. Gondo, from the National Psoriasis Foundation in Portland, Oregon, and colleagues surveyed 1,570 individuals with psoriatic disease to examine the impact of PsA. A total of 758 individuals with psoriasis and PsA were compared to 736 individuals with psoriasis alone.

The researchers found that 29.3 percent of the respondents reported some limitation in their ability to participate in social roles and activities, 23.4 percent experienced depression in the previous two weeks, and 40.6 percent reported a moderate to very large effect of their skin disease on quality of life , after adjustment for age and skin disease severity. Individuals with psoriasis/PsA had worse outcomes compared with those with psoriasis alone, when controlling for skin disease severity, age, and number of comorbidities other than depression. A decreased ability to participate in social roles and activities and more depression symptoms were reported by those with psoriasis/PsA. There were no significant differences noted in dermatologic-specific QoL for those with psoriasis/PsA versus psoriasis alone. Worse dermatologic-specific QoL was seen in association with higher skin disease severity.

Explore further

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Products For Psoriatic Arthritis

Psoriatic arthritis symptoms such as pain, restricted movement and fatigue can make mobility or some daily activities more difficult for some people. If this is the case for you or someone you know, you may wish to find out if you are eligible for an Occupational Therapy assessment via your local social services team. An OT may be able to recommend different ways you can do tasks, to make them easier. Sometimes they are able to suggest daily living aids to help, which are special types of equipment to use at home and when you are out of the house, to help with mobility or making daily tasks easier. Visit the PAPAA website for more information about occupational therapy and psoriatic arthritis.

Here, we suggest some psoriatic arthritis aids that may help with a variety of daily activities:

Preparing food & drinks

Visit the NHS website for more information about eating a balanced diet.

Some people choose to take supplements for psoriatic arthritis such as omega 3, which is an essential fatty acid that reduces inflammation in the body. There is little evidence to suggest adding psoriatic arthritis supplements to your diet have an effect on your condition but speak to your GP in the first instance.

Living With Psoriatic Arthritis

Read on to find out more about the positives and challenges of living with psoriatic arthritis.

Receiving a diagnosis of psoriatic arthritis can be concerning, but there are ways to live well with the condition. Many people respond well to psoriatic arthritis treatment and are able to live life to the full. Other people may have difficulties in everyday life, or find living with a long term condition takes its toll on their emotional wellbeing.

In this section, we consider what it is like for people living with psoriatic arthritis. We recommend daily living aids for arthritis that some people use to help them carry out daily tasks that their condition is causing difficulty with. We explore how to live a healthy life and how this can affect your experience of the condition, including eating a healthy psoriatic arthritis diet.

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Parkinsons Disease Life Expectancy

Most people with Parkinsons can have a normalor close to normallife expectancy today, thanks to new medications, therapies, and other treatments. Survival rates for those with typical Parkinsons disease are either the same as for the general population or shortened by about a year, studies show.

Risk factors for earlier mortality with Parkinsons include:

  • Being diagnosed before age 70

  • Having early in the disease

  • Developing Parkinsons

People with Parkinsons dont die from the disease itself, but from associated complications, such as infections or injuries . Cardiovascular disease is another common cause of death.

Treatments and lifestyle improvements, can help forestall cognitive decline, lower your risk of falls and strengthen your cardiovascular system. These can help improve your quality of life and, by slowing progression of the illness, potentially keep you living longer.

Researchers are continuing to explore new treatments that they hope will one day lead to better therapies for Parkinsons, which will result in an improved prognosis.

Painful Joints And Weakened Bones

Umbilical Cord Blood Stem Cell Treatment for Psoriatic ...

For about a third of people with psoriasis, the immune system also attacks the joints. This triggers inflammation and swollen, painful joints. This condition is called psoriatic arthritis.

Psoriatic arthritis often appears 10 years after psoriasis develops. It can affect different parts of your body, such as your fingers, toes, and spine.

Other symptoms of psoriatic arthritis include:

  • Fatigue
  • Stiff, tender, swollen, and throbbing joints or tendons
  • Reduced range of motion

Although theres no cure, a doctor can prescribe treatments to ease the pain and prevent permanent damage to your joints.

Along with harming joints, psoriasis can also weaken bones. Research shows that people with psoriasis are three times as likely to have bone loss, called osteopenia, and the bone disease osteoporosis. It also raises your risk of breaking a bone.

Thats because chronic inflammation can take a toll on your skeleton. People with psoriasis also tend to have low levels of bone-building vitamin D. Whats more, steroids — a common treatment for psoriasis — can weaken bones over time.

Psoriasis raises your odds of getting osteoporosis by 30%

These two conditions often overlap, but you can get one without having the other.

30% of people with psoriasis will also get psoriatic arthritis.

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Types Of Psoriatic Arthritis

There are a few types of psoriatic arthritis including:

Symmetric joints on both sides of the body are affected

Asymmetric affects various joints without any symmetry and may make fingers look swollen

Distal interphalangeal predominant affects the nails and joints close to the nails

Spondylitis affects the spine

Arthritis mutilans the rarest type which causes significant deformity in many people

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