To deal with psoriatic arthritis symptoms during a flare-up, take these steps.
1. Take Steps to Decrease Pain and Stiffness
- For occasional discomfort, Fields says, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil) or naproxen (Aleve) can be beneficial. Ask your doctor about increasing the dose during a flare-up.
- You can also try heat or ice at the source of discomfort, Fields says. Wrap cold packs in a towel and apply for no more than 15 or 20 minutes. Similarly, try a warm compress or heating pad for 20 minutes.
[3]
- If pain persists, Fields adds, your doctor may recommend prescription pain medication or a steroid injection at the affected joint.
2. Check in With Your Doctor
If you’ve stopped taking your medication, call your doctor to work out a plan for restarting and adjusting doses. Or if you’re not sure how to handle the flare on your own, seek advice from your rheumatologist.
3. Moderate Your Exercise Routine
Proper exercise is essential to keep joints and tendons loose, strengthen muscles, and maintain a healthy weight.
[4]
During a flare-up, try gentler exercises, such as walking, swimming, or yoga. If your condition is keeping you from exercising, work with a physical therapist to get moving again.
4. Reduce Stress During a Flare
Not only is stress a psoriatic arthritis trigger, but research has shown that “persistent stress and pain can mutually reinforce and exacerbate one another.”
[5]
Breath work and deep-breathing exercises can help relieve stress,
[6]
as can meditation. You can also try stress-relieving techniques like massage and acupuncture.
[7]
Reach out for emotional support. Let your family and friends know you’re having a flare and that you could use some help or even just an ear to listen.
5. Get Extra Rest When Symptoms Are Flaring
This may be easier said than done, especially if pain is disrupting your sleep. Sleep disorders such as insomnia and obstructive sleep apnea are more common in people with psoriatic arthritis and psoriasis, according to the Arthritis Foundation.
[8]
To improve sleep quality, try practicing good sleep habits, such as going to bed early enough to get adequate sleep, and stress-reduction techniques to help you sleep well.
It’s also important to pace yourself during the day and not overdo it. Conserve your energy by prioritizing what you need to do and taking breaks.
6. Consider Using Assistive Devices
Your doctor may recommend various devices to provide additional support for an affected joint. A splint can be used to hold a joint in the best position for improved function or to relieve pain and swelling. If foot or heel pain are concerns, wear comfortable, supportive shoes and consider foot orthotics such as shoe inserts or pads that may provide relief and improve your gait. Talk to your doctor about your specific symptoms.
