What Are Beneficial Diet Plans For Psoriatic Arthritis
Youre no stranger to the fact that there are multiple diet plans in the market. These include fad diets, low-carb diets, heart healthy diets, lemonade diets, juice diets, and the list goes on. Is there a specific diet plan for individuals living with psoriatic arthritis to follow? There are several, actually.
- Paleo diet: Also known as the Caveman Diet, the Paleo diet avoids grains, nuts, processed foods, and dairy. Key staples of the Paleo diet include fish, eggs, meat, fruits and vegetables . The benefits of this type of diet for individuals living with psoriatic arthritis is that the main staples of the Paleo diet can reduce swelling often caused by processed and sugary foods and dairy.
- Anti-inflammatory diet: One of the most prevalent symptoms of psoriatic arthritis is joint inflammation. Eating foods with anti-inflammatory properties can reduce swelling. Fatty fish, leafy greens, and a variety of fruits are great food choices for less inflammation.
- Weight loss diet: To lose weight, you need to limit your intake of carbohydrates, sugars, and fats. Keeping your weight down keeps pressure off of your joints. Additionally, individuals who are overweight tend to have more severe forms of arthritis and are more prone to develop psoriatic arthritis.
Food Triggers For Psoriatic Arthritis
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You may identify a food that is a particular trigger for you, and this phenomenon is real.
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“About 30% of people with psoriasis also might develop psoriatic arthritis, which causes.
Flare-ups often occur when certain triggers start the psoriasis.
but experts believe the Mediterranean diet contains many foods that.
That said, some people find that certain foods trigger changes in symptoms either.
who experience gastrointestinal problems on top of arthritis symptoms.
Chronic inflammation causes oxidative stress, which can do some serious damage if.
can trigger the disease .
Treatment For Psoriatic Arthritis
Treatment for psoriatic arthritis aims to:
- relieve symptoms
- slow the condition’s progression
- improve quality of life
This usually involves trying a number of different medicines, some of which can also treat the psoriasis. If possible, you should take 1 medicine to treat both your psoriasis and psoriatic arthritis.
The main medicines used to treat psoriatic arthritis are:
- non-steroidal anti-inflammatory drugs
- biological therapies
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What Exactly Is Arthritis
Arthritis, or joint inflammation, describes swelling and tenderness of one or more of the joints. Its main symptoms include joint pain, swelling and stiffness. Arthritis is a general term for a group of over 100 diseases causing inflammation and swelling in and around the joints.
Joint inflammation is a natural response of the body to a disease or injury, but becomes arthritis when the inflammation persists in the absence of joint injury or infection. Arthritis usually worsens with age and may even lead to a loss of joint movement.
There are different types of arthritis such as:
- Warm skin over the joints
- Redness of the skin over the joints
- Reduced range of movement.
Foods That Contain Alcohol
Foods and drinks that contain alcohol pop up on almost every list of common psoriasis triggers, but studies examining the association between alcohol consumption and psoriasis have yielded mixed results. However, if you find that alcohol triggers your psoriasis flare-ups, it can’t hurt to cut it from your diet. Also worthy of note is that alcohol can lead to serious side effects for patients using certain psoriasis drugs such as methotrexate or acitretin.
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Which Foods Should You Try To Limit Or Avoid With Psoriatic Arthritis
While no food is completely off limits, some can be troublemakers, according to our expertsespecially when theyre eaten in excess. These foods can increase your blood insulin levels, contribute to weight gain, and are packed with saturated fats.
An inflammatory diet is high in processed meats, like deli meats, ultra processed foods including refined grains, and foods high in added sugars like soda, cakes, and candy, says Dr. Young. These are problematic for psoriatic arthritis and may exacerbate symptoms.
Here are some foods you should limit or try to avoid as best you can, if you have psoriatic arthritis, according to our experts:
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I Was Able To Plan A Trip And Actually Enjoy It
Frances Downey, 58, was diagnosed with psoriatic arthritis a decade ago when her right foot suddenly started hurting. I was limping and I couldnt walk on it, she tells SELF. Downey went to see a podiatrist, and she ended up visiting a total of nine doctors over 18 months. During that time, the pain spread to her other foot as well.
I was in so much pain, and the psoriatic arthritis treatments werent working, she recalls. I finally just broke down in the exam room at one podiatrists office. The doctor acknowledged she shouldnt be in so much pain and referred Downey to a rheumatologist. At that point, Downey says, she was severely fatigued on top of dealing with her foot pain. The pain in my feet was excruciating, she says. I was issued a handicap placard for my car. At one point I was laid up in bed for two weeks with my feet raised, and I was soaking them in an ice bath a couple times every hour.
She had an MRI that revealed joint swelling, which led to her diagnosis. She tried three biologics but none of them helped her symptoms. I was getting pretty depressed at this point, Downey says. But the fourth biologic she triedwhich she found about two years after she first started her treatmentwas a winner. It helped with the fatigue and the pain, she says.
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Avoid: Fatty And Processed Meats
While choosing the right foods to add to an anti-inflammatory diet is important, steering clear of certain foods is equally essential. Fatty red meats as well as processed meats are at the top of this list, Matteson says. These foods, like prime rib, bacon, sausage, bologna, and hot dogs, not only contribute to the inflammatory process in the body, they also contribute to weight gain. This can become cyclical, as weight gain promotes inflammation and even reduces the effectiveness certain psoriatic arthritis medicines. Meanwhile, many people who have psoriatic arthritis may be overweight and less likely to exercise because of pain and inflammation compounding their risk for heart disease.
Start reversing the trend by choosing lean meats and plant-based , Matteson says. In fact, findings published in January 2019 in the International Journal of Disease Reversal and Prevention revealed that a plant-based diet may be beneficial in preventing certain diseases, by targeting pro-inflammatory markers that silently increase over time.
Take A Mediterranean Vacation
The Mediterranean diet has a ton of benefits. Its been associated with decreases in pain, stiffness, and even depression in people with arthritis.
Like most anti-inflammatory diets, it involves eating a lot of fresh fruits, veggies, nuts, unprocessed grains, and healthy oils. It also suggests avoiding red meat, dairy, or processed foods. Shocker.
Beyond being pretty easy to follow, the Mediterranean diet has been found to aid in weight loss and reduce inflammation in people with arthritis.
Theres obviously a cookbook for that too.
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Causes Of Psoriatic Arthritis
Almost 1 in 3 people with psoriasis also have psoriatic arthritis.
It tends to develop 5 to 10 years after psoriasis is diagnosed, although some people may have problems with their joints before they notice any skin-related symptoms.
Like psoriasis, psoriatic arthritis is thought to happen as a result of the immune system mistakenly attacking healthy tissue.
But it’s not clear why some people with psoriasis develop psoriatic arthritis and others do not.
What Is Psoriatic Arthritis
Youve likely heard of psoriasis. And youve likely heard of arthritis. But, have you ever heard of psoriatic arthritis? If you havent, you should. Its one of the most common types of arthritis, right behind osteoarthritis and rheumatoid arthritis. Although all three types of arthritis have overlapping symptoms, one of the most distinguishing characteristics of psoriatic arthritis is that 85% of individuals living with this disease also have psoriasis.
Equally affecting men and women, psoriatic arthritis most often has an onset in adults between the ages of 30 and 50. While juvenile psoriatic arthritis can occur, it is far less common. Does this mean if you have psoriasis that you will also develop psoriatic arthritis? Not necessarily, but your chances do increase significantly. Around 30% of individuals who experience psoriasis will go on to develop psoriatic arthritis.
The symptoms of psoriatic arthritis include the classic joint pain and inflammation. But, individuals living with the disease may develop problems such as tendonitis, generalized fatigue, dactylitis , heel pain, back pain, nail pitting, and reduced joint mobility. While there are five different types of psoriatic arthritis, the most common type affects joints asymmetrically. In contrast, rheumatoid arthritis typically affects joints symmetrically that is, the same joints on both sides of the body.
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Always Talk With Your Doctor Before Changing Your Diet
While changing what you eat may seem simple, some fad diets can worsen psoriasis. Your dermatologist and primary care doctor can help you find a diet that meets your individual needs and works well with the medication in your treatment plan.
Related AAD resources
ReferencesBhatia BK, Millsop JW, et al. Diet and psoriasis, part II: celiac disease and role of a gluten-free diet. J Am Acad Dermatol. 2014 71:350-8.
Cazzaniga S, Conti A, et al. Comments on Diet and psoriasis, Part I: Impact of weight loss interventions. J Am Acad Dermatol. 2014 71:829
Debbaneh M, Jillian W Millsop JW, et al. Diet and psoriasis, part I: Impact of weight loss interventions. J Am Acad Dermatol. 2014 Jul 71:133-40.
Elmets CA, Korman NJ, et al. Joint AAD-NPF Guidelines of care for the management and treatment of psoriasis with topical therapy and alternative medicine modalities for psoriasis severity measures. J Am Acad Dermatol. 2020 Jul 30 S0190-962232288-X. Online ahead of print.
Ford AR, Siegel M, et al. Dietary recommendations for adults with psoriasis or psoriatic arthritis from the Medical Board of the National Psoriasis Foundation: A systematic review. JAMA Dermatol. 2018 Aug 1 154:934-50.
Jesitus J. Mediterranean diet may reduce psoriasis severity. Dermatol Times. 2018 Sep 39. Last accessed Sep 24, 2020.
Ko SH, Chi CC, et al. Lifestyle changes for treating psoriasis. Cochrane Database Syst Rev. 2019 Jul 16 7:CD011972.
Foods To Avoid If You Have Psoriatic Arthritis
When you have psoriatic arthritis, you want to stay away from foods that can make the inflammation in your body worse. These include:
- Alcohol: It makes your liver work harder and disrupts the way your organs work together.
- Sugar: It sends out things called cytokines that create inflammation in your body.
- Processed foods: They contain trans fats that can start inflammation throughout your body.
- Diet soda: If itâs sweetened with aspartame, your body might think thatâs a foreign substance and start an immune response.
- Fried foods: They contain trans fats that can start inflammation throughout your body.
- Processed meats: They contain saturated fats, which can make inflammation worse.
- Red meat: It contains saturated fats, which can make inflammation worse.
- Dairy: These foods contain saturated fats, which can make inflammation worse.
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When To Get Medical Advice
See a GP if you have persistent pain, swelling or stiffness in your joints even if you have not been diagnosed with psoriasis.
If youve been diagnosed with psoriasis, you should have check-ups at least once a year to monitor your condition. Make sure you let the doctor know if youre experiencing any problems with your joints.
Foods High In Sugar And Fat Disrupt The Gut And Trigger Psoriasis Flares
The secret to healthier skin and joints may reside in gut microorganisms. A study led by UC Davis Health researchers has found that a diet rich in sugar and fat leads to an imbalance in the guts microbial culture and may contribute to inflammatory skin diseases such as psoriasis.
The study, published in the Journal of Investigative Dermatology, suggests that switching to a more balanced diet restores the guts health and suppresses skin inflammation.
Earlier studies have shown that Western diet, characterized by its high sugar and fat content, can lead to significant skin inflammation and psoriasis flares, said Sam T. Hwang, professor and chair of dermatology at UC Davis and senior author on the study. Despite having powerful anti-inflammatory drugs for the skin condition, our study indicates that simple changes in diet may also have significant effects on psoriasis.
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Study Finds Injury Triggers Psoriatic Arthritis
For some people with psoriatic disease, an injury can trigger the onset of psoriatic arthritis.
Up to 20% of people with psoriasis may also develop psoriatic arthritis , a condition causing pain and inflammation in and around the jointsmost often in the fingers or toes. Doctors dont know what causes the skin disease to begin attacking the joints, but a 2015 study found one trigger that can increase the risk by up to 50%: injury.
A large study from researchers in Iceland and at Harvard found that people with psoriasis were more likely to develop psoriatic arthritis if they were exposed to physical trauma .
The researchers analyzed medical records of more than 70,000 people with psoriasis between 1995 and 2003. Of those, 15,416 patients were exposed to trauma, either involving the skin, nerves, bones or joints. According to the analysis, people who suffered a bone injury were 46% more likely to develop PsA than those who were trauma-free. Those with a joint injury had a 50%-higher risk. Skin or nerve trauma, on the other hand, didnt appear to be connected with PsA at all.
Obviously, you cant completely protect yourself from an injury. But, if you have psoriasis, you may be able to modify your risk of psoriatic arthritis with the right treatment plan. Make sure you talk to your dermatologist about your symptoms and track any changes, so your healthcare team can help you avoid the potential for PsA as best as possible.
Ask About Getting Tested For Celiac Disease
If youve never been tested for markers of gluten sensitivity or celiac disease, its worth discussing with your doctor. Research shows people with psoriatic disease are more likely to develop other autoimmune diseases, including celiac disease. If you test positive, a gluten-free diet may improve psoriasis severity, Dr. Woolf says. But going gluten-free has not been proven helpful for patients with PsA or psoriasis who test negative for gluten sensitivity and celiac, she says.
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Whats Good For Psoriatic Arthritis May Also Be Good For The Heart
Its really important to select foods that have anti-inflammatory characteristics, says Young about the optimal psoriatic arthritis diet.
Its also important for people with psoriatic disease to eat heart-healthy foods, because they face increased cardiovascular risk. A study published in May 2021 in The Journal of the American Academy of Dermatology found that 31 percent of people with psoriasis had metabolic syndrome, which can increase the risk of cardiovascular disease, compared with people without psoriasis.
A meta-analysis published in January 2017 in the journal Arthritis Care and Research, involving a total of 33,000 psoriatic-arthritis patients from 11 studies, found subjects were 43 percent more likely to develop heart disease compared with the general population. It stands to reason, then, that Some of the diet approaches for psoriatic arthritis could help with heart function as well, says Young.
People with psoriatic arthritis are also more likely to experience obesity, and excess weight can, in turn, exacerbate joint pain and even make medications less effective. A diet designed to help shed excess pounds, under the supervision of a doctor, can help mitigate symptoms associated with psoriatic arthritis, as well as control high blood pressure to protect heart health.
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Foods That May Help Ease Psoriatic Arthritis Symptoms
Fruits and vegetables: These foods are chock-full of vitamins, minerals, and phytochemicals , which may help reduce joint pain, swelling, and other psoriatic arthritis symptoms. Because they may have anti-inflammatory benefits, fruits and vegetables should make up the majority of your diet.
Strawberries, oranges, onions, and kale1 are some examples of fruits and veggies you should eat daily. And lucky for you, if you dont like a particular fruit or vegetable, there are plenty to choose from.
Herbs and spices:Turmeric, curry powder, and rosemaryhave anti-inflammatory properties1, and eating them may help ease psoriatic arthritis symptoms. Bonus: These herbs and spices are bursting with flavor, and theyre virtually zero calories.
Omega-3 fatty acids: Wild Alaskan salmon and other foods withomega-3s1 can help you managepsoriatic arthritis symptoms. Omega-3s are also found in walnuts, freshly ground flaxseed, and extra virgin olive oil.1 You can take an omega-3 supplement if you dont get enough omega-3s in your diet.
Vitamin D: Eggs, mushrooms, and fortified foods, such as fortified yogurt and breads,all contain vitamin D. This vitamin is important because it may help you manage psoriatic arthritis-related pain. As with omega-3s, if you dont get enough vitamin D, you may want to consider taking a daily vitamin D supplement.
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