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Self Help

Exercise is essential to preserve strength and maintain range of motion. Isometric exercise is often prescribed because it appears to be less damaging to inflamed joints. A range of motion program should be coupled with a stretching program. The ancient chinese discipline of Tai Chi combines these two components. Soreness and discomfort after exercise is a sign of over doing it or of choosing the wrong exercise. Stretching exercises are especially useful for spinal arthritis.Cycling if possible is an excellent form of non impactive exercise. Swimming in heated water is possibly the best form of exercise for this condition.

Splints In addition to exercise and localised therapy, a splint can be used to support a joint in a position to improve function and relieve psoriatic arthritis and swelling. It should be stressed that as soon as is possible that the splinted joint should be exercised and returned to unsupported use.

Heat, cold and rest are used to relieve psoriatic arthritis. Immobilising an inflamed swollen area while using ice packs can reduce the swelling and improve range of motion. Osteoporosis may occur with arthritis, particularly with psoriatic spondylitis.This can lead to the danger of fractures from minor trauma. Calcium supplements along with vitamin D can be used as a preventive measure. In addition, drugs that aid calcium metabolism and bone formation may be used. Prolonged bed rest should be avoided and an exercise routine maintained, unless directed by a doctor.

Diet and Climate Changing the diet has not been found to be conclusively useful for psoriatic arthritis. However, a warm, stable climate is in the majority of cases found to have some influence on the general well being of the sufferer. Salt water and Sun can result in dramatic regression of psoriasis. There are no hard and fast rules with this condition what works in one case does not necessarily work in another.

Mental health is as important as any other factor in treatment of this condition. long term psoriasis can lead to depression and it is vital that the individual maintains as healthy a mental state as is possible. Onset of limited mobility to a previously fit person can induce feelings ranging from resentment to despair this coupled with the disfigurement and consequent lack of self esteem resulting from the skin complaint is a powerful modifier to a persons overall mental health. Effort must be made by friends and family to introduce the sufferer to new activities to replace ones which can't be undertaken due to disability.

Nail care

One part of the body that is particularly susceptible to psoriasis is the nails on both fingers and toes Psoriasis develops on the beds of the nails and can be seen in mild cases as a discoloration on the bed of the nail. As the nail grows the patch of psoriasis moves with it until it reaches the end of the nail it will then cause the nail to separate from the bed. The result is detachment of the nail and a mass of dead skin beneath it. As the hands and feet are frequently exposed to moisture the skin scale usually becomes wet and in this moist environment secondary bacterial and fungal infection can develop. The treatment that I have found most effective is to first soften the nails in soap and hot water. Then lever up the nail and carefully trim it back until all the affected area has been removed. The dead skin can be removed and normal medication applied if this is done regularly it prevents fungal and bacterial infection of the nail beds, which can be very stubborn to treat. An effective treatment for fungal and bacterial infections under the nails is Extra Virgin Olive oil 250 ml with 2-3 drops of Tea Tree Oil. Both are natural products with good anti-fungal and bactericidal properties they can be safely mixed with your current medication. .

Scale removal.

It is a vital part of treatment that all excessive dead skin is removed as it developed and dead skin removal should form part of every psoriatics daily grooming routine. If the dead skin is allowed to build up the skin can form large platelets which when moved in everyday activities cause the thin skin beneath to tear causing bleeding and discomfort. It is possible to have scale build-up several millimeters thick. Use agents to soften and remove plaques a good example is salycilic acid this compound softens and removes scale. Take a shower or bath to soften the scale and then remove by rubbing with the fingers or a wash cloth. Use enough friction to remove the dead skin without breaking the skin underneath. Following a shower use an emolument to contain the moisture and lubricate the skin. A very effective treatment can be made using extra virgin olive oil and Vaseline mixed 50% 50%. This compound penetrates and lubricates the skin check for sensitivity before use.