Dealing with a psoriatic arthritis flare-up can feel like your body is staging a revolt, but you don’t have to surrender. For many, over-the-counter pain relievers offer a starting point for managing discomfort during these periods.
Easing Psoriatic Arthritis Flare-Ups: A Practical Guide
Table of Contents
Simple strategies to navigate pain, stress, and fatigue when psoriatic arthritis symptoms surge.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) can provide relief from pain and stiffness.
- Gentle exercise, like walking or swimming, can help keep joints mobile during a flare.
- Managing stress through techniques like deep breathing and meditation is crucial.
- Prioritizing rest and pacing yourself are essential for conserving energy.
1. Tackle Pain and Stiffness Head-On
For occasional discomfort, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil) or naproxen (Aleve) can be beneficial. It’s always best to discuss with your doctor about potentially increasing the dose during a flare-up. You can also experiment with heat or ice at the source of discomfort. Wrap cold packs in a towel and apply for no more than 15 or 20 minutes. Alternatively, a warm compress or heating pad for 20 minutes might offer more soothing relief.
If pain persists despite these measures, your doctor may recommend prescription pain medication or a steroid injection directly into the affected joint.
2. Reconnect With Your Doctor
If you’ve stopped taking your prescribed medication, it’s important to call your doctor to discuss a plan for restarting and adjusting your dosage. Don’t hesitate to seek advice from your rheumatologist if you’re unsure how to manage the flare on your own.
3. Adjust Your Exercise Routine
Regular exercise is essential for maintaining joint and tendon flexibility, strengthening muscles, and achieving a healthy weight. During a flare-up, however, it’s wise to switch to gentler activities like walking, swimming, or yoga. If your condition is hindering your ability to exercise, working with a physical therapist can help you regain movement.
4. Minimize Stress During a Flare
Stress isn’t just a byproduct of psoriatic arthritis; it can actually trigger flare-ups. Research indicates that “persistent stress and pain can mutually reinforce and exacerbate one another.” Practicing breath work and deep-breathing exercises can be a powerful way to relieve stress, as can meditation. Consider exploring other stress-reducing techniques like massage and acupuncture.
Don’t underestimate the power of emotional support. Let your family and friends know you’re experiencing a flare and could use some assistance or simply a listening ear.
5. Prioritize Rest When Symptoms Intensify
Getting enough rest can be challenging when pain disrupts sleep. Sleep disorders such as insomnia and obstructive sleep apnea are more common in individuals with psoriatic arthritis and psoriasis, according to the Arthritis Foundation. To improve sleep quality, establish good sleep habits, such as going to bed early enough to get adequate rest, and incorporate stress-reduction techniques into your bedtime routine.
Pacing yourself throughout the day and avoiding overexertion is also crucial. Conserve your energy by prioritizing essential tasks and taking frequent breaks.
6. Explore Assistive Devices
Your doctor may suggest various devices to provide additional support for an affected joint. A splint can help hold a joint in an optimal position for improved function or to alleviate pain and swelling. If you’re experiencing foot or heel pain, wearing comfortable, supportive shoes and considering foot orthotics—such as shoe inserts or pads—may provide relief and improve your gait. Discuss your specific symptoms with your doctor to determine the best course of action.
