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Fitnessmaniac
New Member


Date Joined Jun 2008
Total Posts : 5
   Posted 6/13/2008 6:56 AM (GMT -7)   
My DH was diagnosed with Psoriatic Arthritis a couple of weeks ago.  He was in severe pain in his hips and shoulders.  He had been treated for Psoriasis in January with a topical spray.  The Dermatologist asked him if he had any joint problems.  No..he didn't. 
about a month after using the topical spray his psoriasis was gone..but..he started hurting bad in his hips and shoulders.
We went to Rhuemy. She said he has Psoriatic Arthritis. She recommended Humira. 
He took his first injection last Friday.  The next day he was feeling better!  For the next couple of days he was feeling better as long as he took Advil several times a day.
 
Now...he says his hips and shoulders hurt..but not nearly as bad..However..his neck and between his shoulder blades hurt.  What's up with that?
 
Do any of you have this pain?  (neck and between shoulder blades) 
 
Does this all sound like Psoriatic Arthritis?
 
Also..BIG question..what is the prognosis for Psoriatic Arthritis?
 
Thanks for any help.

Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 7077
   Posted 6/13/2008 4:23 PM (GMT -7)   
I have a disease closely related to Psoriatic Arthritis [PsA]. Bpth your husband's disease and mine belong to the family of Spondylitis Diseases. I first took Remicade, and then Humira for my problem. Remicade worked great for 2.5 years then stopped working. Then I started Humira which worked somewhat for me. I had to stop the Humira due to a reaction to it.

If you go to the link I am going to put at the bottom of this message, you will find one of the best description of PsA and the other diseases in the family. When you get to the site, look on the top bar and go to about Spondylitis. Once there you will see a listing of the diseases on the left. I hope that gets you the indepth information you want.
http://www.spondylitis.org/main.aspx


Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?
 


Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 6/15/2008 1:10 PM (GMT -7)   

Hey there.. welcome to the forum!  I have Psoriasis and PsA like your husband.. however, I am on Enbrel and Methotrexate for it.. I also have the pain in my spine and neck.. my rheumy told me that this is very common of PsA.. I looked it up on the Mayo Clinic's website, and this is what I found:

Signs and symptoms

Psoriatic arthritis may affect one joint or many. Signs and symptoms of psoriatic arthritis include:

  • Pain in affected joints
  • Swollen joints
  • Joints that are warm to the touch

Patterns of joint pain in psoriatic arthritis
Doctors have identified five patterns in which psoriatic arthritis typically occurs. Most people move from one pattern of psoriatic arthritis to another throughout their lives. Treatment usually varies based on the pattern of joint involvement you experience. Patterns of psoriatic arthritis include:

  • Pain in joints on one side of your body. The mildest form of psoriatic arthritis, called asymmetric psoriatic arthritis, usually affects joints on only one side of your body or different joints on each side — including those in your hip, knee, ankle or wrist. One to three joints are generally involved, and they're often tender and red. When asymmetric arthritis occurs in your hands and feet, swelling and inflammation in the tendons can cause your fingers and toes to resemble small sausages (dactylitis).
  • Pain in joints on both sides of your body. Symmetric psoriatic arthritis usually affects four or more of the same joints on both sides of your body. More women than men have symmetric psoriatic arthritis, and psoriasis associated with this condition tends to be severe.
  • Pain in your finger joints. Distal interphalangeal (DIP) joint predominant psoriatic arthritis is rare and occurs mostly in men. DIP affects the small joints closest to the nails (distal joints) in the fingers and toes.
  • Pain in your spine. This form of psoriatic arthritis, called spondylitis, can cause inflammation in your spine as well as stiffness and inflammation in your neck, lower back or sacroiliac joints. Inflammation can also occur where ligaments and tendons attach to your spine. As the disease progresses, movement tends to become increasingly painful and difficult.
  • Destructive arthritis. A small percentage of people with psoriatic arthritis have arthritis mutilans — a severe, painful and disabling form of the disease. Over time, arthritis mutilans destroys the small bones in the hands, especially the fingers, leading to permanent deformity and disability.

Here is the link to the website, that has lots of other info as well:  http://www.mayoclinic.com/health/psoriatic-arthritis/DS00476/DSECTION=1

Please let us know how you and your hubby are doing.. take good care..

Duck


Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ


Fitnessmaniac
New Member


Date Joined Jun 2008
Total Posts : 5
   Posted 6/15/2008 6:17 PM (GMT -7)   
Thank you both for the links. I will read them for sure. :)
His Rhuemy didn't say anything about Spondylitis..however..I'm wondering if, since his neck and upper back hurts that it could be that.

Is Spondylitis from Psoriatic Arthritis? Or..is it a separate disease?

I am still finding it so surprising that my DH has PsA. It came up so quick. Four months ago..we were just dealing with Psoriasis. Now this. :(

Thank you both again. :)

Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 6/16/2008 3:56 PM (GMT -7)   
Hey there.. Spondylitis can be a type of Psoriatic Arthritis (see the blue in the post above).. but there are other types as well, that spondylitis.org goes into..

Did your hubby tell the doc that his neck and upper back hurt? Ok, I just re-read your post, the neck and back pain started after the Humira, right? Did his rheumy say why she didn't start him on Enbrel first? I'm just curious, 'cause Enbrel is prescribed for psoriasis and psoriatic arthritis usually before Humira.. hhmm..
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ


Fitnessmaniac
New Member


Date Joined Jun 2008
Total Posts : 5
   Posted 6/20/2008 12:57 PM (GMT -7)   

My DH's Rhuemy prescribed the Humira after she gave us a choice of Humira and Embrel.  She sent us home with pamplets to read about both.  We chose the Humira because the injections are only once every 2 weeks.  The Embrel had to be taken once a week.  Since my DH travels some (so do both of us) we decided on the Humira.

Don't they do the same thing? Only one is once a week and the other every 2 weeks? I didn't know that Embrel usually is prescribed before Humira. hmmm.  Curious on that one.  The Rhuemy didn't say that.  Thanks so much for the information. :)


Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 6/24/2008 5:23 PM (GMT -7)   
my rheumy told me that Enbrel is usually more effective on psoriasis, than Humira, I think it was the first biologic to actually be proven to help with psoriasis.. but since then (I first saw him in 2005) Humira and Remicade have also been proven.. So that's probably why they gave you the option of either or.. I know if I had built up a tolerence to the Enbrel, my rheumy was going to switch me to Humira.. but so far, so good.
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ

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