Psoriatic arthritis causes complaints rehab

Psoriatic arthritisWhen rheumatism gets under the skin. Psoriasis is a type of rheumatoid arthritis
Common skin disease. Although it has long been known that the disease can also affect the joints, the diagnosis of "psoriatic rheumatism" (Psoriatic arthritis) often diagnosed at a very late stage. The complex diagnosis is the core area of the internal rheumatologist.


The cause of psoriasis is inflammation, which occurs because the immune system makes mistakes. Every day, the human immune cells have to recognize and fight bacteria and viruses. This can lead to confusion: The body's own structures are recognized as foreign and fought by the immune system.

Inflammation occurs in the skin, joints, tendon insertions, tendon sheaths and spine, which can trigger severe pain.


Joints: Due to joint swelling of the hand and finger joints, many affected people have difficulty clenching a fist or using their hands to perform simple everyday tasks, such as. B. to open a bottle, to perform. Painful inflammation of the knees leads to incorrect loading with muscular imbalances.

Skin: Psoriasis skin changes are experienced by many patients as very stressful because they are visible to the environment. Itching can be another distressing symptom.

tendon insertions: Relatively typical for "psoriatic rheumatism" is pain in the heel due to inflammation of the Achilles tendon. In many cases, the inflammations are misinterpreted as heel spurs for a long time. A targeted ultrasound examination by a specialist in joint ultrasound can provide clarity.

Spine: Typical of inflammation of the spine is the morning pain from which sufferers wake up. The involvement of the spine can cause stiffening of the spine.

Osteoporosis: The risk of osteoporosis is increased in patients with "psoriatic rheumatism. There are three main reasons for this: immobility due to pain, cortisone therapy and the inflammation itself. Inflammations of the eye (iris). of the intestine can occur. The multitude of symptoms can lead to psychological problems.

Therapy in rehabilitation

Joints: Joint inflammation can cause changes in the joint capsules. The surrounding musculature reacts by shortening and weakening. In rehabilitation, occupational therapists and physiotherapists train the mobility of the joints and an improvement of the musculature. Specialized clinics offer occupational therapy "hand groups. Physiotherapeutic "joint group applications" to. Skin changes are treated with medication. Treated by external applications. Photo-brine therapy and itch-relieving tub baths are very effective and are supplemented by ointment therapies.

Exercise Therapy/Sports Therapy: Exercise therapy (Nordic walking, water gymnastics, functional training, ergometer therapy) is not only about improving the mobility of the joints. In fact, targeted applications can reduce inflammatory reactions of the spine and joints. Movement is crucial to prevent stiffening of the spine.

Nutrition: As part of rheumatological rehabilitation, patients receive lectures on nutrition and cook together in the training kitchen. Rheumatic inflammations can be positively influenced by a targeted diet. In specific training courses, patients gain knowledge about the disease. Become an expert on your own condition. The more knowledgeable a patient is, the better he or she can cope with symptoms of the disease. An important side effect of training is the exchange of information between patients. It is thus paved the contact of the patients. conversations even outside the applications are made possible.

Psychology/management of the disease: Due to the multitude of symptoms, the disease is often experienced as very stressful. In the context of discussion groups, the aim is to improve coping with limitations caused by the disease. Fears and a depressed mood are addressed and dealt with.

Occupation: The professional situation is a central topic of rehabilitation. Occupational activity can be beneficial to health if positive feedback and praise are given. Under the experience of prere and negative feedback, however, the job can also be sickening. During rehabilitation, occupational stressors are addressed and solutions to problems are developed.

Follow-up care/self-help: Only if applications are continued after rehabilitation can lasting rehabilitation success be ensured. Self-help groups such as the German Bekhterev's Disease Association/DVMB. The German Rheumatism League are important partners of the rheumatological rehabilitation clinics.


Psoriatic rheumatism" (psoriatic arthritis) is a particularly complex rheumatic disease because a large number of organ systems can be affected. The rehabilitation concepts are based on a holistic approach. An interdisciplinary team of specialized therapists, psychologists, social workers and doctors is crucial to the success of the rehabilitation process.

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