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Hand & Wrist

Psoriatic-Arthritis

Psoriatic Arthritis: A Primer

Psoriatic arthritis is a chronic autoimmune disease that affects millions of people worldwide. It is a type of inflammatory arthritis that causes joint pain, stiffness, and swelling, and is often accompanied by the skin condition psoriasis. Doctors help patients identify the symptoms of psoriatic arthritis. Early diagnosis and management are key and there are many treatment options to alleviate discomfort and slow disease progression. What is Psoriatic Arthritis? Psoriatic arthritis is a type of arthritis that affects people who have psoriasis, a skin condition characterized by red, scaly patches on the skin. It is an autoimmune disease, which means that the body’s immune system mistakenly attacks healthy cells and tissues, causing inflammation and damage. Psoriatic arthritis can affect any joint in the body, but it most commonly affects the joints in the fingers, wrists, knees, toes and ankles. It can also cause inflammation in the spine, leading to pain and stiffness in the neck and lower back. Symptoms of Psoriatic Arthritis The symptoms of psoriatic arthritis can vary and change over time. Some common symptoms include: Not everyone with psoriatic arthritis will have all of these symptoms. Some people may experience mild joint pain, while others may have severe joint damage and  disability. Diagnosing Psoriatic Arthritis Diagnosing psoriatic arthritis can be challenging, as its symptoms can be similar to other types of arthritis, such as rheumatoid arthritis. However, there are some key differences that can help doctors make an accurate diagnosis. Firstly, psoriatic arthritis usually affects the joints on both sides of the body, while rheumatoid arthritis typically affects joints on one side of the body. Additionally, psoriatic arthritis often causes swelling in the fingers and toes, while rheumatoid arthritis does not. To diagnose psoriatic arthritis, doctors will typically perform a physical exam, review the patient’s medical history, and order

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Living in a digital world

De Quervain’s Tendonitis: What It Is & How It’s Treated

By Michael G. Soojian, M.D., Hand & Upper Extremity Surgeon What is De Quervain’s Tendonitis? If you are experiencing a shooting pain from your wrist into your thumb, you may be suffering from a common form of tendonitis called de Quervain’s tendonitis. This condition gets its name from Dr Fritz de Quervain who first described it in 1895, and is often referred to by other names such as texting thumb, gamer’s thumb, and mother’s wrist. Anatomically, two separate tendons start in the forearm and pass through a small sheath or tunnel as they cross the wrist, before they attach to the thumb. Repetitive movements can cause these tendons to experience friction and lead to a build-up of inflammation within this sheath, which manifests as pain, swelling and a feeling of weakness with routine daily activities.

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