Physical therapy, occupational therapy, massage therapy and acupuncture as tolerated are recommended for most patients, along with weight loss for patients who are overweight or obese.
“There is good information available about how weight loss is helpful to patients in multiple domains. The TNFi can work better and patients do better when they lose weight. This is important, but it is often underappreciated,” Dr. Ogdie says.
The complete guideline is available online on both the ACR website and the NPF website.
Kathy Holliman, MEd, has been a medical writer and editor since 1997.
References
- Singh JA, Guyatt G, Ogdie A, et al. 2018 American College of Rheumatology/National Psoriasis Foundation Guideline for the Treatment of Psoriatic Arthritis. Arthritis Rheumatol. 2019 Jan;71(1):5–32.
- Gossec L, Smolen JS, Ramior S, et al. European League Against Rheumatism (EULAR) recommendations for the management of psoriatic arthritis with pharmacological therapies: 2015 update. Ann Rheum Dis. 2016;75:499–510.
- Coates LC, Kavanaugh A, Mease PJ, et al. Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 Treatment Recommendations for Psoriatic Arthritis. Arthritis Rheumatol. 2016;68:1060–1071.