What Can I Do To Help My Feet
The most important action is to seek advice and help when you notice any changes in your foot, whatever they may be. You can talk to your GP or local pharmacist for advice. Some problems can be resolved simply. For issues that are more persistent you may be referred to a specialist, such as a dermatologist, rheumatologist, physiotherapist, surgeon or chiropodist/podiatrist.
For general foot care, personal hygiene is important, particularly in avoiding fungal and viral infections. Change shoes and socks regularly, avoid shoes which are ill-fitting or cause bad posture. If you are overweight, losing weight could relieve the pressure on your joints and improve your walking gait.
If you are diagnosed with psoriasis, develop a treatment regime that works for you often, applying treatment after a bath or shower, along with the use of an emollient, can make the process easier.
If you have nail involvement, keep nails trimmed and clean. If they are thick, try trimming them after soaking them in a bath or shower, as this makes them softer and easier to cut. Alternatively, seek an appointment with a chiropodist, which is often available via the NHS.
If you have psoriatic arthritis, it is important to rest inflamed joints. Sourcing footwear that supports the foot and helps to reduce the pressure on the inflamed areas can help, as can inner soles and orthotic supports. Once again, a chiropodist is best placed to advise you.
This article is adapted from The psoriatic foot leaflet.
Symptoms Of Ear Psoriasis
Symptoms of ear psoriasis include:
- Dry patches of skin on or around the ear, appearing red in color on lighter skin and purple on darker skin
- The formation of crusty silvery or gray scales, called plaques
- Temporary hearing loss
- Otitis externa
- Tenderness, burning, or itching outside or within the ear
- A buildup of scaly skin in the ear canal
Temporary hearing loss is perhaps the most concerning complication associated with ear psoriasis. Hearing loss can occur as a result of the buildup of plaques and scales that block the inner ear canal.
People with psoriasis are also more likely to experience a type of hearing loss known as sudden sensorineural hearing loss . SSNHL can affect individuals with psoriasis, even if they dont have psoriasis in their ears. The cause of SSNHL is unknown, but scientists believe its related to an autoimmune attack on a part of the inner ear called the cochlea.
Does This Mean I Will Have Psoriasis For Life
In the absence of a cure you will always have psoriasis, but this does not mean that the signs will always be visible. Normally, the rash tends to wax and wane . There will be periods when your skin is good, with little or no sign of psoriasis. Equally, there will be times when it flares up. The length of time between clear skin and flare-ups differs for each individual and is unpredictable. It may be weeks, months or even years.
You May Like: Medical Treatment For Scalp Psoriasis
How Psoriasis Is Diagnosed
A GP can often diagnose psoriasis based on the appearance of your skin.
In rare cases, a small sample of skin called a biopsy will be sent to the laboratory for examination under a microscope.
You may be referred to a specialist in diagnosing and treating skin conditions if your doctor is uncertain about your diagnosis, or if your condition is severe.
If your doctor suspects you have psoriatic arthritis, which is sometimes a complication of psoriasis, you may be referred to a doctor who specialises in arthritis .
You may have blood tests to rule out other conditions, such as rheumatoid arthritis, and X-rays of the affected joints may be taken.
Sex Fertility And Pregnancy
Sex can sometimes be painful for people with psoriatic arthritis, particularly a woman whose hips are affected. Experimenting with different positions and communicating well with your partner will usually provide a solution.
Psoriatic arthritis wont affect your chances of having children. But if youre thinking of starting a family, its important to discuss your drug treatment with a doctor well in advance. If you become pregnant unexpectedly, talk to your rheumatology department as soon as possible.
The following must be avoided when trying to start a family, during pregnancy and when breastfeeding:
Also Check: Treatments For Plaque Psoriasis Scalp
How To Keep Your Feet Healthy With Psoriatic Arthritis
Psoriatic arthritis is a chronic condition that can get worse over time. A small percentage of people with PsA develop arthritis mutilans, which is a severe and painful form of the disease that can lead to deformity and disability. Though theres no cure for psoriatic arthritis, you can take steps to manage symptoms, control inflammation, and protect your joints. To help keep your feet healthy:
1. Stick to your PsA treatment plan. Your rheumatologist may prescribe nonsteroidal anti-inflammatory drugs to relieve pain and reduce inflammation, disease-modifying antirheumatic drugs to help slow the progression of psoriatic arthritis, or biologics, which are complex, targeted DMARDs that act on certain immune system pathways, to manage psoriatic arthritis symptoms and help prevent disease progression.
2. Lose weight if you need to. Maintaining a healthy weight reduces the amount of stress on the joints in your feet, which can help relieve pain and improve your walking gait. Excess body weight can also increase inflammation, and potentially make arthritis symptoms worse. Check out these weight loss tips that are especially helpful when you have arthritis.
Stretching exercises, especially ones that are focused on the source of your foot pain, such as the plantar fascia or Achilles tendon, can help relieve pain. Talk to your doctor or podiatrist about exercises that are safe for you.
Can Psoriatic Arthritis Affect Other Parts Of The Body
Having psoriatic arthritis can put you at risk of developing other conditions and complications around the body.
The chances of getting one of these are rare. But its worth knowing about them and talking to your doctor if you have any concerns.
Seek urgent medical attention if one or both of your eyes are red and painful, particularly if you have a change in your vision. You could go to your GP, an eye hospital, or your local A& E department.
These symptoms could be caused by a condition called uveitis, which is also known as iritis. It involves inflammation at the front of the eye.
This can permanently damage your eyesight if left untreated.
Other symptoms are:
- blurred or cloudy vision
- sensitivity to light
- not being able to see things at the side of your field of vision known as a loss of peripheral vision
- small shapes moving across your field of vision.
These symptoms can come on suddenly, or gradually over a few days. It can affect one or both eyes. It can be treated effectively with steroids.
Psoriatic arthritis can put you at a slightly higher risk of having a heart condition. You can reduce your risk by:
- not smoking
- staying at a healthy weight
- exercising regularly
- eating a healthy diet, thats low in fat, sugar and salt
- not drinking too much alcohol.
These positive lifestyle choices can help to improve your arthritis and skin symptoms.
Talk to your doctor if you have any concerns about your heart health.
Non-alcoholic fatty liver disease
Also Check: Best Natural Shampoo For Psoriasis
Will My Ear Psoriasis Go Away
There is no cure for psoriasis. However, as experts learn more about the condition, inflammation, and the immune system, more effective treatments are being developed to make symptoms more manageable. Talk with your doctor about available treatment options and recommended lifestyle changes that can help manage your psoriasis.
How Will Psoriatic Arthritis Affect Me
Starting the right treatment as soon as possible will give you the best chance of keeping your arthritis under control and minimise damage to your body.
Psoriatic arthritis can vary a great deal between different people. This makes it difficult to offer advice on what you should expect.
It will usually have some effect on your ability to get around and your quality of life, but treatment will reduce the effect it has.
Psoriatic arthritis can cause long-term damage to joints, bones and other tissues in the body, especially if it isnt treated.
Don’t Miss: What Does Psoriasis Look Like On The Face
Foods That Contain Gluten
Research suggests that people with psoriasis tend to have higher rates of celiac disease. In people with celiac disease, gluten triggers an autoimmune response that causes the body to attack tissues in the small intestine. People with celiac disease need to avoid gluten completely, though some people without the disease have found that reducing gluten in their diet lessens psoriasis flare-ups.
You May Like: Is Silver Sulfadiazine Cream Good For Psoriasis
What Are Other Genital Parts Of Your Body Prone To Psoriasis
Genital psoriasis may flare up on
- Pubis : Psoriasis in the pubis area can be treated in the same way as scalp psoriasis. However, you may need to use a milder treatment because of the sensitive nature of the skin.
- Upper thighs: Psoriasis in this region usually consist of multiple small, round patches of rush that are dark red and scaly. It can easily be irritated, especially when the thighs rub against each other when walking or running.
- Folds between the groin and the thigh: this psoriasis looks non-scaly and reddish white. The skin may also have cracks.
- Anus: Genital psoriasis symptoms on or near the anus, usually looks red, non-scaly and inclined to itchiness. Most times, it is often confused with infections, yeast, ringworm infestation or haemorrhoids itching.
- Buttocks crease: Genital psoriasis between the crease in your buttocks may appear red with thick scales, red and non-scaly.
Dont Miss: How To Cover Up Psoriasis
Don’t Miss: Should You Remove Psoriasis Plaques
What Causes Genital Psoriasis Flare
The risk factors for genital psoriasis are the same as those for psoriasis anywhere on your body. If you have a family history of psoriasis, smoke, or have other health conditions, such as diabetes or high blood pressure, you may have a higher risk of developing psoriasis, according to a 2019 study published in the International Journal of Molecular Sciences.7
If you already have psoriasis, you might notice your symptoms sometimes get worse. This is called a psoriasis flare-up, and means the condition is actively causing visible symptoms. Everyone has different triggers, but there are a few things to note when it comes to genital psoriasis specifically, says Dr. Radusky. One thing that is certainly different in genital psoriasis is how fast a patient can go from symptom-free to flare-up, he says. Athletic activity, wearing tight underwear or tight-fitting clothing, and sexual activity can all trigger a genital psoriasis flare-up, he says.
Scratching Can Irritate Your Skin Which Can Lead To A Psoriasis Flare
It might not be just the red, scaly plaques from psoriasis that drives you nuts. The itch that goes along with psoriasis can bother you even in places that are lesion free. Up to 90 percent of people with psoriasis experience itching, according to the National Psoriasis Foundation, and it can impact your quality of life. It can interfere with your sleep, increase your stress, and even take a toll on your sex life.
Its not always a pure itch, says Gil Yosipovitch, MD, a professor of dermatology at the University of Miami Miller School of Medicine in Florida. Instead, you might feel a burning or pinching sensation. And though the urge to scratch can be hard to resist, scratching can just make psoriasis symptoms worse. Scratching can damage your skin, leading to infection or skin injuries that can trigger a psoriasis flare.
Following your psoriasis treatment plan is the best way to prevent bothersome itching. But there are other steps you can take to find relief when itching strikes.
Also Check: Can Scalp Psoriasis Make Your Hair Fall Out
Problems With The Immune System
Your immune system is your body’s defence against disease and it helps fight infection. One of the main types of cell used by the immune system is called a T-cell.
T-cells normally travel through the body to detect and fight invading germs, such as bacteria. But in people with psoriasis, they start to attack healthy skin cells by mistake.
This causes the deepest layer of skin to produce new skin cells more quickly than usual, triggering the immune system to produce more T-cells.
It’s not known what exactly causes this problem with the immune system, although certain genes and environmental triggers may play a role.
Know The Underlying Causes
Eczema and psoriasis have different causes. Psoriasis is an autoimmune disease, which occurs when your immune system becomes dysfunctional and your skin cells start to grow too fast. The cells that pile up on the top of the skin then lead to the formation of a white scale.
Both genetic and environmental factors may cause eczema. It may be due to the mutation of the gene responsible for creating a protective layer on the top of the skin. Thus, the mutated gene leaves the skin prone to infection and flare. Dry climate can also play a role in triggering eczema.
Recommended Reading: I Have Psoriasis On My Face
Research And Statistics: Who Has Psoriasis
According to the National Psoriasis Foundation, about 7.5 million people in the United States have psoriasis. Most are white, but the skin disease also affects Black, Latino, and Asian Americans as well as Native Americans and Pacific Islanders.
The disease occurs about equally among men and women. According to the National Institutes of Health , it is more common in adults, and you are at a greater risk if someone in your family has it. A study published in September 2016 in the journal PLoS One concluded that interactions between particular genes as well as genetic and environmental factors play an important role in the diseases development.
People with psoriasis generally see their first symptoms between ages 15 and 30, although developing the disease between 50 and 60 years of age is also common.
The biggest factor for determining prognosis is the amount of disease someone has, says Michael P. Heffernan, MD, a dermatologist at the San Luis Dermatology and Laser Clinic in San Luis Obispo, California.
Can I Still Have Sex If I Have Genital Psoriasis
The short answer is yes if it feels good. It all depends on the severity of your flare-up and personal preference. Genital psoriasis doesnt spread by sexual contact, nor does it affect fertility.
If youre having a genital psoriasis flare-up, friction from sexual contact can be painful and might worsen your symptoms. Ask your doctor if condoms or lubricants are advisable and which kinds are best. After having sex, gently clean and pat dry the area completely.
Read Also: What Is The Best Soap For Psoriasis
Causes Triggers And Risk Factors
Psoriasis develops when the body replaces skin cells too fast. Doctors do not fully understand what causes this skin condition, but they believe it to be an autoimmune disease. This means that the bodys immune system attacks healthy tissue, such as skin cells, by mistake.
A persons genes may play a role in the development of psoriasis, and it may run in families. People who have other autoimmune diseases are also more likely to develop psoriasis.
Many people with psoriasis find that certain things trigger or worsen their symptoms. Potential triggers can vary from person-to-person, but may include:
- a recent injury to the skin, such as a cut, insect bite, or sunburn
- weather changes, especially when they cause skin dryness
- an illness or infection
- certain medications
Some people first notice psoriasis after they have experienced a trigger, so may mistake their foot symptoms for an allergic reaction or an infection, such as athletes foot.
Athletes foot is a common fungal infection that occurs on the feet. Unlike psoriasis, it is contagious.
A person can get athletes foot from surfaces, towels, and clothes that have become infected with the fungus.
In most cases, athletes foot requires treatment. However, a person can usually treat the infection at home with over-the-counter antifungal medications.
Some differences between athletes foot and psoriasis include:
Causes Of Psoriasis In The Ears
Psoriasis is a skin disease caused by a persons immune system attacking their own skin. Excess inflammation and activity by the immune system causes skin cells to replicate out of control. Overactive skin-cell production leads to skin buildup, which often appears as the discolored lesions covered with gray or silvery scales characteristic of psoriasis. This response can occur on skin all over the body, including the ears.
Factors that can make psoriasis worse or lead to a flare-up of ear psoriasis may include:
- Cold weather
You May Like: How To Treat Severe Psoriasis
How Can I Get Started With A Psoriasis Diet
If youre going to change your diet to combat psoriasis, Wesdock recommends starting slowly. Jumping into a highly restrictive diet isnt usually sustainable and may deprive you of important nutrients. Instead, start by cutting out some highly processed foods.
Substitute the pastries and cookies with fresh fruit. Opt for herbal tea or water flavored with fresh fruit, mint or cucumber. If you think theres a specific food or ingredient thats triggering psoriasis flare-ups, talk to your doctor or a registered dietitian.
Being overweight or obese can also make psoriasis worse, so you may want to start a weight loss plan that includes fewer calories and smaller portion sizes. Any psoriasis treatment diet should be accompanied by healthy lifestyle choices. Get plenty of sleep and regular exercise, and try to reduce stress in your life. If you smoke, talk to your doctor about a plan to quit.