I'm 52 years old male. I'm detected psoriasis 22 years ago. Initially I was having a scaly patches periodically. Subsequently the spots are permanent and become larger size all over body and scalp. Since last 10 year my fingers started swelling and bend at tip. Now my joints knee backbone ribs and wrist having high restrictions and pain on moments. Some fingers are also swelled. Presently I am taking methotrexate 10 mg weekly and diclophenac as pain killers. Please advice me medicines. With regards, goresh.
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Physiotherapy and exercise - psoriatic arthritis therapeutic exercises therapeutic exercises are activities based on your exact needs. They are designed to reach a certain goal, eg to increase muscle strength. There are two types used for arthritis: range of motion and strengthening. Range of motion exercises help to maintain joint movement, relieve stiffness and restore flexibility. To increase or maintain range and flexibility you need to take your joints and muscles to their limits. Range of movement exercises should be carried out daily. Strengthening exercises help maintain or increase muscle strength. To strengthen a muscle you need to apply resistance to the movement. This can be done using your own body weight, weights or resistance bands. Strengthening exercises should be performed on alternate days and not when a joint is hot (feels warm when touched) and painful unless you are supervised by a physiotherapist. The following exercises are just some examples to get you started. A health professional can design a programme for your specific needs. Fingers and hands 1. Forearm supported on a table, hand relaxed over the edge. Extend the wrist and clench your fist - relax and let your hand relax. Repeat ten times. 2. Clasp your hands together and support your forearms on a table with your hands over the edge. Bend your wrist up and down. Repeat five times. 3. Forearm on a table, elbow tucked in to your side and palm turned down. Alternately, turn your palm to face up, then down, keeping elbow still. Repeat ten times. 4. Elbow on table with hand up. Straighten your fingers out then bend them to touch your fingertips to the base of your fingers. Repeat ten times. 5. Palm on table. Lift each finger individually off the table. Repeat five times. 6. Elbow on table with hand up. Bring the tip of the thumb to the tip of the little finger, repeat to other fingers in sequence. Repeat five times. Neck and back for the first three exercises sit up straight in a supportive chair, ie one with back support. 1. Tilt your head towards one shoulder until you feel the stretch on the opposite side. Hold for approximately five seconds. Repeat to the other side. 2. Turn your head to one side until you feel the stretch. Hold for approximately five seconds. Repeat to the other side. Repeat five times to each side. 3. Pull your chin in, keeping your neck and back straight (not tipping your head forwards). Hold at the end position and feel the stretch in your neck. Repeat five times. 4. Lie on your back with your hands on your stomach, legs bent at the knee, feet flat on the bed or floor. Tighten your stomach muscles to flatten your lower back against the bed. Hold for five seconds, repeat ten times. 5. Lie on your back as with the previous exercise. Keeping your shoulders down flat, slowly roll your knees from side to side. Hold for five seconds, repeat ten times. 6. Lie on your back as before. Push down through your heels to lift your bottom and lower back off the bed. Hold for five seconds, repeat ten times. Feet and toes 1. Press your toes down and shorten your foot by pulling up the arch on the inside of the foot. Repeat on the other foot. 2. Lie with your legs out straight and pull your feet up, then push your feet down. Repeat ten times. 3. Wiggle your toes. Repeat ten times. 4. Circle your feet around one way, then the other way. Repeat ten times. Hips and knees 1. Lie face down with both legs outstretched for five minutes. Then gently bend each knee to its limit, then relax with your legs straight. Repeat five times with a 30-second break. 2. Sit with your legs outstretched on a firm bed. Press each knee down onto the bed to straighten it. Hold for five seconds. Relax. Repeat five times. 3. Lie on your back with your knees bent up and feet flat on bed. Bend each knee in turn up to meet your stomach, straighten and lower to the bed. Repeat five times. Jaw gently open the mouth to its full width. Stretch a little and hold for five seconds. Then close your mouth completely. Repeat five times. Recreational exercise this type of exercise includes any form of movement or relaxation that refreshes the body and mind. Recreational exercises or activities improve your fitness and help maintain or improve joint range of motion and muscle strength. They add to a therapeutic programme but do not replace it. ?swimming is a good all-round exercise that does not stress your joints. Psoriasis is not generally affected by the chlorine in swimming pool water, but if you find it becomes itchy when dry, apply some barrier cream before you swim and after your shower at the end. ?walking is another good way of exercising. If your arthritis affects your feet make sure you wear a wellfitting pair of shoes, and insoles if they have been prescribed for you. ?cycling can be an alternative to walking and is often more comfortable on the feet. ?activities such as yoga, pilates and other complementary therapies may be beneficial for people with arthritis. Contact your local council offices or community centres for further information and details of classes or events.
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