How is PsA treated?
Whilst there is no cure for PsA, it is a treatable condition and can be effectively managed with medications and other strategies.
1. Medications
Non-steroidal anti-inflammatory drugs (NSAIDs) are often prescribed to reduce pain and swelling. However, these drugs will only reduce symptom but have no effect on stopping the progression of the disease
Disease-modifying anti-rheumatic drugs (DMARDs) are prescribed to slow the progression and protect the joints from further irreversible damage. As they may take some time to work, low dose steroids may be prescribed concurrently to control inflammation in the initial stages. Some examples include methotrexate, sulfasalazine, leflunomide and ciclosporin.
Biologic agents and small molecules which can control the disease quickly and effectively, are prescribed for patients who are intolerant of or have poor response to other medications. Whilst effective, they can be more expensive and not every one with PsA would need or are suitable for such medications.
2. Exercise and physiotherapy is important for rebuilding of the muscles and ligaments that have been weakened by the arthritis. This helps to stabilise the joints. Typically, your doctor would recommend you to a physiotherapist. You would be advised to follow the exercises prescribed at home.
3. Surgery is sometimes needed to correct joint deformity or replace a destroyed joint.
