Psoriatic Arthritis Treatment Algorithm

By | March 8, 2018

3 Steps to Permanent Relief for SI Joint and Pelvic Pain

Today we are going to cover the 3 steps topermanent relief for pelvic and SI joint pain. Now what is SI joint painé The SI joint, ifyou do have SI joint pain, is pain on either side of the tailbone where the tailbone connectsto the pelvis. So this is a drawing of the pelvis. This is your tailbone. This isyour lumbar spine or your lower back, the bones in your lower back called vertebraesitting on top of your tailbone. Then on either side of that you have your right hip or yourleft hip if we are looking at a person from the front. When we see somebody with SI jointpain, they will typically have pain on that given side. 70% of the time, it is on theright side. Don't ask me why that is but

70% of the time we know it is on the right. You canalso get shooting groin pain, buttocks pain and symptoms down the outside of the leg thatis affected. It might be pain, numbness, tingling, burning. Typically, that personsuffers from a heaviness as well. It can also cause some incontinence and leaking issuesas along to effect sexual performance as well. It can be absolutely devastating ifthe pelvic problem is bad enough. Fortunately, most people just have pain on one side. Sowhat can you do about ité That person who has SI joint problems typically has troublerolling over in bed, getting in and out of a car, crossing one leg over the other. Usuallythey have trouble sitting for long periods

of time especially if it is on a couch or a softsurface. So it can be absolutely devastating. Now what are the steps to permanent relieffor thaté Number 1 is this. Most people when we seethem if they are going to try exercises on their own and they only have a little bitof SI joint pain or pelvic pain, they are doing stretches. Yes, there is a very basic stretchwhich most people show me on Day 1. It is a piriformis stretch which is where you grabthe knee and pull it up and across to the opposite shoulder. It will give the personwho suffers pelvic or SI joint problems and pain temporary relief. However, long termwe don't want to stretch. We want to

strengthen or stabilize. Why is thaté Whensomebody has an SI joint problem, so the center of gravity of your entire body is inthe center of your pelvis. That needs to move the right way and it needs to be stable whenyou are doing day to day activities. If it is not stable enough, what will happen is thejoint will move so far that it becomes stuck. So if we are looking at the tailbone, we havethe tailbone and we have the pelvis and you get a normal gliding day to day. If morestress, more force is put through the pelvis than the pelvis itself can handle, that SIjoint can handle, what will happen is you actually become stuck. Now that creates allsorts of problems for the muscle around it.

What most people do is try to stretch theirway out of it. The problem is not stretching and it is not flexibility. It is actuallya stability issue. If we want to stabilize, we need to do strengthening exercises. If you go on ourYouTube channel, on the Madden PT official YouTube channel, there is a tutorialcalled Top 3 Exercises for SI Joint and Pelvic Stability. They are very low grade, kindergartenlevelexercises where you can at least begin stabilizing the muscles that controlyour pelvis. But we don't want to stretch, we want to think stabilize. Step 2 is we want to take a look at our habits.So what are some habits that lead to

pelvic instability and problemsé Number oneis standing with the weight shifted. So if I'm standing like this with my weight shiftedside to side for long periods of time, what that does is over years and years and yearsit weakens the ligaments which are tissue that hold joints together that we can't control.Think about somebody with an ankle sprain. They sprained a ligament. They stretchedthe ligament but it is not a muscle. It is different than a muscle. There are littlehabits that we do. If I stand like this and let's say I weigh 175 pounds and if I'm standinglike this, I have 150 pounds on one side and 25 pounds on the other. Where if I'm standingbalanced, I have 87 ½ pounds on each

Psoriatic Arthritis Symptoms Diagnosis Treatment Psoriatic Arthritis Causes Risk Factors

hello friend welcome to my channel inthis tutorial I will discuss about psoriatic arthritis symptoms diagnosistreatment of psoriatic arthritis I collect all these information fromvarious website . psoriatic arthritis is a joint problem arthritis that oftenoccurs with a skin condition called psoriasis so contact with your for the treatment causes of psoriatic arthritis psoriasis is a common skinproblem that causes red patches on the body it is a chronic ongoing conditionabout one and twenty people with psoriasis will develop arthritis withthe skin condition in most cases

psoriasis comes before the arthritis thecause of psoriatic arthritis is not known genes may play a role symptoms thearthritis may be mild and involve only a few joins the joints at the end of thefingers or toes maybe more affected in some people the disease may be severeand affect many joints including the spine symptoms in the spine includestiffness burning and pain they most often occur in the lower spine andsacrament most of the time people with psoriatic arthritis have a skin and nailchanges of psoriasis often the skin gets

worse at the same time as the arthritisexams and tests of psoriatic arthritis during a physical exam the healthcareprovider will look for joint swelling skin patches psoriasis and pitting inthe nails done earnest joint x rays may be done he done treatment of psoriaticarthritis your may prescribe nonsteroidal antiinflammatory drugssad to reduce pain and swelling of the joints worse arthritis will need to be treatedwith more powerful drugs called diseasemodifying antirheumatic drugsmods these include leflunomide methode

rx8 selfish so a zine new medicines thatblock and inflammatory protein called tumor necrosis factor TNF are beingwidely used for progressive psoriatic arthritis these drugs include Adam viewmap humira certain as you map Simza detainer cept enroll Lemieux mab simponiin flicks a nap remicade very painful joints may beinjected with steroids medicines in rare cases surgery may be needed to repair orreplace damaged joins your may suggest a mix of rest and exercisephysical therapy may help with increase joint movement

you may also use heat and cold therapytherapy outlook prognosis the disease is often mild effects only a few joints in some peoplevery bad psoriatic arthritis may cause deformities in the hands feet and spineearly treatment can ease pain and prevent joint damage even in very badcases cases went to contact a medical professional call your healthcareprovider if arthritis symptoms develop along with psoriasis references i usedin this tutorial that's gerald Oh in psoriatic arthritisFirestein GS Darcy Gabriel SE Attell at

Kelly's textbook of rheumatology ninefed Philadelphia ha saunders elsevier 2012 colon chapter 77 honey me psoriatic arthritis in cary WD andCleveland current al medicine second dead philadelphia hahasaunders elsevier 2010 and 10.

Psoriatic Arthritis Treatment Options

The first thing to say is that as a dermatologist, I rely on ourrheumatological colleagues to treat this. I think it depends on the severity and the responsiveness to the drugs.Nonsteroid antiinflammatories are used. If they fail, there are drugs called DMARDS, there is hydroxychloroquin, there ismethotrexate, and if they fail, they go on to the biologics. In some circumstances, when the problem is acute, they may evenstart with these newer drugs. These TNF inihibitors are the front line drugs for psoriatic arthritis.

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