Other Causes Of Chest And Back Pain
- Panic attack : people who suffer from intense fear, accompanied by palpitations, rapid breathing, profuse sweating, shortness of breath, nausea, dizziness and fear of death, have symptoms of a panic attack. These signs are usually accompanied by chest pain that radiates to other parts of the body such as the back.
- Herpes zoster : popularly known as shingles, it is a lesion that occurs in the form of a rash, rash or blisters on the skin by a virus called varicella-zoster, the same virus that causes chickenpox. After the person has suffered from chickenpox, this virus can remain in the body without causing any alteration but, over time, it can reappear in the form of these skin lesions that can cover part of the chest and back , either from the left or the right side, even reaching up to the face. Likewise, it is characterized by a sharp, stabbing pain in the area of the body where the lesions appear.
Symptoms Of Psoriatic Arthritis
The severity of the condition can vary considerably from person to person. Some people may have severe problems affecting many joints, whereas others may only notice mild symptoms in 1 or 2 joints.
There may be times when your symptoms improve and periods when they get worse .
Relapses can be very difficult to predict, but can often be managed with medicine when they do occur.
Treatment For Psoriatic Arthritis
Treatment for psoriatic arthritis aims to:
- relieve symptoms
- slow the condition’s progression
- improve quality of life
This usually involves trying a number of different medicines, some of which can also treat the psoriasis. If possible, you should take 1 medicine to treat both your psoriasis and psoriatic arthritis.
The main medicines used to treat psoriatic arthritis are:
- non-steroidal anti-inflammatory drugs
- biological therapies
Read Also: Aleve Or Advil For Lower Back Pain
Get To Know Psoriatic Arthritis
Psoriasis is an immune system condition that causes the skin to inflame and regenerate at faster rates. This rapid turnover of skin cells results in scales and red patches. Psoriasis patches can widely range from tiny spots of scaling to major eruptions that cover large areas of the body, such as lower back, elbows, knees, legs, soles of the feet, scalp, face and palms. There are approximately 35% of the patients with psoriasis have arthritis with joint and back pain. This condition is known as psoriatic arthritis. The most common signs and symptoms of arthritis involve the joint pain, stiffness, swelling and redness. Pain or tenderness can manifest in different forms, affecting either one or multiple joints. Chronic arthritis can induce high degree of inflammation, resulting in swollen fingers. In some cases, migratory arthritis occurs when pain spreads from one joint to another. The first joint may start to feel better before pain starts in a different joint. Some forms of arthritis can cause back pain, leading to loss of flexibility in the spine. In addition, some patients might experience foot pain, especially in the sole or the Achilles tendon.
Who Will Be Responsible For My Healthcare
Youre likely to see a team of healthcare professionals.
Your doctor, usually a rheumatologist, will be responsible for your overall care. And a specialist nurse may help monitor your condition and treatments. A skin specialist called a dermatologist may be responsible for the treatment of your psoriasis.
You may also see:
- a physiotherapist, who can advise on exercises to help maintain your mobility
- an occupational therapist, who can help you protect your joints, for example, by using splints for the wrist or knee braces. You may be advised to change the way you do some tasks to reduce the strain on your joints.
- a podiatrist, who can assess your footcare needs and offer advice on special insoles and good supportive footwear.
Don’t Miss: Will Aleve Help With Back Pain
Three Signs Point To A Diagnosis Of Psoriatic Arthritis
LOS ANGELES, California If a patient with psoriasis presents with dactylitis, inflammatory back pain, and/or tendon inflammation, think psoriatic arthritis until proven otherwise.
Amanda Mixon speaks at the 19th Annual Fall Dermatology Conference of the Society of Dermatology Physician Assistants .
At the annual fall meeting of the Society of Dermatology Physician Assistants, Amanda Mixon, PA-C, said that psoriatic arthritis occurs in 20% to 30% of individuals with psoriasis, “but my guess is that number is higher than that.” Mixon practices at the Colorado Center for Arthritis and Osteoporosis, Longmont, Colorado. Psoriasis usually precedes PsA by 8 to 10 years, and PsA affects both genders equally, usually in the fourth decade of life. Genetic and environmental factors play a role.
On clinical presentation, 95% of patients with PsA have peripheral joint disease in the form of synovitis, tenosynovitis, dactylitis, and/or enthesitis, often asymmetric. “They can have little psoriasis and terrible arthritis, or vice versa,” Mixon said. “They don’t automatically correlate with each other. The one thing that does, though, is nail psoriasis. That will correlate with dactylitis, which is basically an inflamed sausage-like finger or toe, which happens for no apparent reason. That is a classic finding of psoriatic arthritis, a slam dunk. It’s important to refer those patients to a rheumatologist.”
Tips For Living With Joint Pain And Swelling
Protecting your joints from stress and damage is a key way to reduce pain and swelling. For example, you can use your entire hand or body to carry out tasks like lifting and pushing4. Your joints will also have less strain on them if you maintain a healthy body weight through a nutritious diet and regular exercise . Exercise can also help keep your joints lubricated and flexible, as well as building muscle to take pressure off the joints5.
Don’t Miss: Exercise For Lower Back Pain Mayo Clinic
Join A Community That Understands
MyPsoriasisTeam is the social network for people with psoriasis and psoriatic arthritis. On MyPsoriasisTeam, members of a community of more than 87,000 strong provide each other with support, share their stories, and discuss life with psoriasis and PsA.
Do you experience PsA symptoms in your knees? How do you manage your pain? Join MyPsoriasisTeam today and share your story in the comments below, or start a conversation by posting on your Activities page.
Psoriatic Arthritis Vs Ankylosing Spondylitis
It may be difficult for a doctor to determine whether a person has psoriatic arthritis in the spine or ankylosing spondylitis. Both conditions cause pain and stiffness in the spinal joints.
Ankylosing spondylitis is a form of arthritis that mainly affects the spine, but it can develop in other joints. It causes inflammation and severe discomfort. In serious cases, new bone matter forms, fusing the bones in the spine and significantly limiting mobility.
To ensure correct diagnosis of psoriatic arthritis or ankylosing spondylitis, a person should see a rheumatologist. They will assess the personâs symptoms and take into account the family history and the results of imaging and blood tests when making a diagnosis.
Psoriatic arthritis in the spine can also develop in other areas, such as the hands and feet. Symptoms can range from mild to severe.
A person with this type of arthritis in the spine may experience any combination of the following symptoms:
- back pain that disrupts sleep
- pain that gets better with exercise and worse with rest
- pain with no known cause
- pain in the hips or buttocks
- skin issues, including scaly plaques that may be itchy
- reduced range of motion in the affected joints
- general fatigue
- joint stiffness, which may last for more than 30 minutes, after rest or in the morning
Symptoms of psoriatic arthritis can grow worse, then lessen or disappear for a time. Many people refer to a period of worsened symptoms as a flare.
Also Check: Is Aleve Good For Back Pain
Managing Chronic Pain And Fatigue
The key to reducing pain is reducing inflammation.
Thanksgiving 2019. Andrea Klockow of Alpharetta, Georgia, notices the middle finger on her right hand looks really âcreepyâ â like a sausage. Fortunately, it goes away, and Klockow doesnât give it much more thought.
Over the next four months, though, she starts struggling with overwhelming fatigue, sore fingers and pain in her ankles and knees. âMy joints, particularly the joints in my fingers, hurt the most,â 36-year-old Klockow recalls.
Summer 2020. Klockowâs scalp begins to itch so badly that it wakes her up from a deep sleep. âI couldnât see what was going on with my scalp, but I suspected something was up because I have always been a very sound sleeper,â she says. Klockow knows not to take all these symptoms lying down, so back to the rheumatologist she goes. This time, the rheumatologist suspects Klockow has psoriatic arthritis and suggests she see a dermatologist.
The dermatologist examines Klockow, looks at her scalp and puts her on a biologic, which works like a charm for her itching. âWithin 10 days of my first injection, I was starting to feel great,â Klockow says. The biologic doesnât help the joint pain as much right away, but her doctors tell her to be patient. With time, it will help her PsA as well, they say. They turn out to be right about that too. âNow I have all my energy back, and my joints donât hurt,â Klockow says happily.
Chest And Back Pain At The Same Height
Chest and back pain at the same height, such as the one that occurs between the shoulder blades, specifically in the upper back and chest, can have many causes, ranging from a muscle strain, which is the cause more common, even an organic problem.
However, the main cause of chest and back pain at the same height is stress, anxiety and being subjected to depressive symptoms . These alterations contribute to the appearance of anxiety, nervousness, tightness and pain in both the upper back and the chest.
These discomforts can be controlled as the necessary treatment to manage stress and anxiety is carried out.
Don’t Miss: Back Pain Advil
What To Do About Your Symptoms
If youre experiencing any of the symptoms above and have psoriasis, seek help from your health care provider to consider a possible evaluation with a rheumatologist. Getting treatment early can help you avoid further joint damage and pain.
To find a Banner Health specialist near you, visit bannerhealth.com.
How Is Toenail Psoriasis Treated
Unfortunately, not many good treatment options exist for toenail psoriasis. Conservative treatment usually begins with topical corticosteroid creams or ointments, or non-steroidal alternatives such as Tazorac and Dovonex.
The drawback to these creams and ointments is that they may not penetrate the nail plate adequately. Also, long-term steroid use can cause the skin and nails to thinwhich takes months to grow out.
Another treatment option is phototherapy. This involves treating the nails with topical or systemic psoralen compounds, which cause the nail to respond to ultraviolet light.
According to some experts, the best treatment involves intralesional steroid injections. This means injecting cortisone into the base of the nail and into the nail folds alongside it. This treatment can be effective, and when done properly it is not as painful as it sounds.
Proper care of your feet and nails is vitally important if you have psoriasis. Avoid getting pedicures, as nail salon personnel often treat the nails roughly, and many of them trim cuticles, , which allows bacteria to enter the nail , and is especially bad for persons affected with toenail psoriasis.
Keep your toenails short to avoid injury, and try to keep the nail folds clean and dry. Above all, one of the best treatments for psoriatic nails is control of your overall psoriasis.
Don’t Miss: Does Aleve Help Back Pain
Deformed Hands And Feet
The most severe form of PsA is called arthritis mutilans. It causes inflammation that damages the small bones in your hands and feet. Your fingers and toes might become deformed and hard to move. They could also get shorter due to bone loss. This rare form affects fewer than 5% of people with PsA.
Dealing With These Conditions Can Be Difficult Enough Without The Added Stress Of Losing Your Hair Luckily Any Loss Is Usually Temporary Heres How To Safeguard Your Strands
If youre one of the roughly 2 percent of Americans who have psoriasis, a chronic condition that typically causes raised, red patches of skin topped with silvery scales, theres a good chance that it has impacted your scalp. This also holds true for the more than 40 percent of people with psoriasis who also have psoriatic arthritis , a form of arthritis that can appear in combination with psoriasis.
Psoriasis causes skin cells to divide about 10 times faster than normal. The excess cells pile up on the surface of the skin, causing scaly patches of itchy, dry skin. Known as plaques, these lesions often itch, burn, and sting.
Also Check: Is Advil Good For Back Pain
Past Research And Achievements In This Area
In 2015, research led by our centre for genetics and genomics at the University of Manchester identified genetic variants associated with psoriatic arthritis, but not with psoriasis or rheumatoid arthritis. This helped to establish psoriatic arthritis as a condition in its own right. The findings could lead to the development of drugs specifically for psoriatic arthritis.
Later in the same year, our TICOPA trial looked at the benefits of early aggressive drug treatment for people with psoriatic arthritis followed by an increase in drug dosage if initial treatment isnt working. The trial found that patients treated this way, required fewer hospital- and community-based services than patients receiving the standard care.
What Causes The Burning Sensation
Some people with skin psoriasis also contract psoriatic arthritis in the joints, especially the fingers, leaving them red, puffy and sometimes warm to the touch. In these cases, a deep burning could stem from the inflammation.
When the burning is clearly in your skin rather than your joints, it is likely related to the nerve response in this layer of tissue. These burning sensations could call for slightly different treatment than you might use for itch.
How to Modify Your Approach
If the burning is worse than the itching, you probably wont find relief in a warm shower, hot compress, or lotion with capsaicin . Instead, you might want to try a cooling pack, or switch to a gentle moisturizing cream you keep in the fridge for a cooling affect when you slather it on your skin.
When to See a Doctor
When the burning comes with redness, heat, pus or swelling, you could have an infection. This is especially likely if the plaque has cracked or your scratching has broken the skin around the affected area.
If your burning brings these other symptoms, comes on unexpectedly, or worsens over the course of a day, see your doctor as soon as possible to get the antibiotics you need to clear up the problem.
Read Also: Aleve Good For Back Pain
Impacts Of Psoriatic Arthritis In The Knees
PsA tends to be asymmetric, meaning different joints on either side of the body are affected . Symptoms in the knees can be mild and develop slowly or arise suddenly and severely. Arthritis usually follows the appearance of psoriasis on the skin. In addition to pain, swelling, and stiffness in the knee joints, PsA can lead to enthesitis and peripheral arthritis.
How Psoriatic Arthritis In The Spine Is Treated
Another reason its important to talk to your doctor if you think you might have spondylitis is that early treatment reduces the risk of progressive loss of spinal mobility and function. A number of treatments can help reduce pain and other symptoms associated with spondylitis in people with psoriatic arthritis, including:
- Tumor necrosis factor inhibitors
- Biologic drugs, including interleukin -12, IL-17, or IL-23 inhibitors
- Physical therapy
Youll likely be on at least one of these medications long term, because odds are good that it will work. Most patients improve, and we see fairly high rates of remission, says Davis.
Don’t Miss: Aleve For Lower Back Pain
Alternate Heat And Cold
When your muscles are sore, try alternating hot and cold compresses on the sore areas. Heat helps alleviate pain and tension by loosening the muscles around the joints and increasing flexibility and circulation. Cold, on the other hand, helps reduce inflammation and dull pain.
Note that because heat and cold are psoriasis triggers for many people who also have psoriasis, you may need to avoid one or the other of these treatments. You know your body best, so choose based on that knowledge.
How Did I Get Toenail Psoriasis
It is not known exactly what causes psoriasis. The disease is known to have a strong genetic componenta third of all sufferers have a family history of psoriasis, and if an identical twin develops the disease it is 70% likely that the other twin will also develop itbut other factors also seem to have an effect.
Certain drugs and medications have been reported to cause psoriasis, and lifestyle factors such as drug and alcohol abuse, stress, smoking, and obesity are all known to exacerbate existing cases. Environmental factors such as excessive heat or dryness can also have this effect.
You May Like: Ibuprofen For Back Pain Dosage
The Effects Of Psoriatic Arthritis On The Body
PsA is an autoimmune disorder that causes the immune system to attack healthy parts of the body, mostly the skin and the joints.
This causes pain, stiffness, and swelling in the joints, either singly or throughout the body. Early treatment is essential to avoid long-term joint and tissue deterioration.
Psoriatic arthritis usually develops within 10 years of developing psoriasis. Skin psoriasis causes flare-ups of red, patchy skin that can occur anywhere on the body.
According to the National Psoriasis Foundation, about 30 percent of people with psoriasis eventually develop PsA.
In some cases, PsA is diagnosed before you have skin psoriasis because the arthritic symptoms might be more noticeable.
Its also possible to develop PsA without having psoriasis, especially if you have a family history of psoriasis. Both skin psoriasis and inflammatory types of arthritis are considered autoimmune disorders.
PsA is a chronic, or long-term, condition. Anyone can get it, but its most common between ages 30 and 50 years. Since theres no cure, treatment is aimed at managing symptoms and preventing permanent joint damage.
Research theorizes that genetics play a part in the development of psoriatic arthritis. Scientists are trying to find out which genes are involved. Identifying the genes may allow the development of gene therapy treatment.