1. Psoriatic Arthritis Pictures
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Medical Author:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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Medical Editor:

Catherine Burt Driver, MD

Catherine Burt Driver, MD

Catherine Burt Driver, MD, is board certified in internal medicine and rheumatology by the American Board of Internal Medicine. Dr. Driver is a member of the American College of Rheumatology. She currently is in active practice in the field of rheumatology in Mission Viejo, Calif., where she is a partner in Mission Internal Medical Group.

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If your doctor prescribes a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen (Motrin, Ibuprin, Advil, Excedrin IB), and you have morning stiffness, the best time to take the drug may be in the evening after dinner and again when you wake up. Taking these medications with food will reduce stomach upset. Do not take them within an hour of bedtime because they can injure the lining of the esophagus and stomach.

Exercise is important to keep the pain and swelling of arthritis to a minimum. A good exercise program can improve movement, strengthen muscles to stabilize joints, improve sleep, strengthen the heart, increase stamina, reduce weight, and improve physical appearance.

Usually, a normal amount of rest and sleep will help to reduce joint inflammation and fatigue. In a few people, psoriatic arthritis can cause extreme fatigue.

Heat and cold treatments can temporarily reduce pain and joint swelling. You might try soaking in a warm tub or placing a warm compress or cold pack on the painful joint.

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