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Part – 2

August marks Psoriasis Awareness Month, a time to delve deeper into the complexities of this chronic skin condition. While many recognise psoriasis for its visible skin manifestations, fewer are aware of its potential to lead to psoriatic arthritis and the subsequent risks associated with bone health, notably osteoporosis.

Understanding Psoriatic Arthritis

Psoriatic arthritis is an inflammatory joint condition that affects some individuals with psoriasis. It is characterized by joint pain, stiffness, and swelling and can impact any part of the body, from the fingertips to the spine. Early detection is crucial; if left untreated, psoriatic arthritis can lead to permanent joint damage and reduced mobility.

Key Symptoms to Watch For:

  • Joint Pain and Swelling: Particularly in the fingers and toes.
  • Morning Stiffness: Difficulty moving joints after waking.
  • Reduced Range of Motion: Challenges in performing everyday tasks.

If you experience these symptoms, especially with a history of psoriasis, seeking medical advice promptly is essential.

The Connection to Osteoporosis

Both psoriasis and psoriatic arthritis are inflammatory conditions. Chronic inflammation plays a significant role in bone resorption, where bone tissue is broken down faster than it’s formed. Additionally, specific treatments for these conditions, especially prolonged use of corticosteroids, can further increase the risk of developing osteoporosis.

Why Osteoporosis is a Concern:

  • Silent Progression: Often called the “silent disease,” osteoporosis can progress without noticeable symptoms until a fracture occurs.
  • Increased Fracture Risk: Weakened bones are more susceptible to breaks, even from minor falls or stresses.
  • Impact on Quality of Life: Fractures, especially in the spine or hip, can lead to long-term pain and disability.

Proactive Steps to Protect Bone Health

Understanding the interconnectedness of these conditions empowers individuals to take proactive measures:

  1. Regular Screening: If you have psoriasis or psoriatic arthritis, discuss bone density testing with your healthcare provider.
  2. Optimise Treatment Plans: Work closely with medical professionals to manage inflammation effectively, potentially reducing the reliance on medications that may affect bone health.
  3. Lifestyle Adjustments: Incorporate weight-bearing exercises, ensure adequate calcium and vitamin D intake, and avoid smoking and excessive alcohol consumption.

Seeking Comprehensive Care

Managing psoriasis and its associated conditions requires a holistic approach. Addressing skin and joint health while being vigilant about bone density ensures a better quality of life and reduces the risk of complications.

The London Osteoporosis Clinic offers a wealth of resources and expert guidance for those keen to explore the underlying causes of osteoporosis and preventative strategies.


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