She Strengthens

The Hidden Realities of Psoriatic Arthritis

Beyond Joint Pain: The Complexities of PsA

When we hear the term “arthritis,” we often think of stiff and achy joints. However, psoriatic arthritis (PsA) encompasses a multitude of debilitating symptoms that go far beyond mere joint pain. The reality is that PsA involves excruciating pain, disfiguring skin lesions, crumbling nail beds, tender tendons, and a locked-up spine, not to mention the emotional toll of chronic illness.

The Physical Burden of PsA

As an autoimmune disease, PsA causes the body to mistakenly attack healthy tissue, leading to inflammation and damage. The joints and areas where tendons and ligaments meet bone are particularly vulnerable. Skin issues, such as red and scaly patches, are also common due to the connection between PsA and psoriasis. In fact, about 30% of people with psoriasis will develop PsA.

The Invisible Consequences

The physical symptoms of PsA are only part of the story. The emotional toll of living with a chronic illness can be overwhelming, leading to depression, anxiety, and dwindling body confidence. The financial burden is also significant, with medical bills, lost work days, and indirect costs adding up quickly.

Complications and Consequences

If left untreated, PsA can lead to severe complications, including joint destruction, bone resorption, and even deformity. Other tissues and organs can also be affected, such as the eyes, lungs, and gut. The risk of developing inflammatory bowel disease, lung disease, and eye problems increases with PsA.

The Emotional Toll

Living with PsA can lead to sleep disturbances, poor body image, stress, anxiety, and depression. The visible symptoms of psoriasis and arthritis can feel stigmatizing, and the mental load of PsA can be crushing. In some cases, suicidal thoughts may even arise.

The Financial Burden

The cost of treating PsA is substantial, with out-of-pocket costs averaging $2,528 per year. However, this figure doesn’t account for indirect costs, such as lost work days, alternative treatments, and assistive devices. The total financial burden can reach thousands of dollars per year.

The Bottom Line

Psoriatic arthritis is a systemic autoimmune disease that can have a profound impact on daily life. It’s essential to raise awareness about the true effects of PsA, beyond the occasional achy back or stiff knee. By understanding the complexities of this condition, we can better support those affected and work towards more effective treatments and management strategies.