Medical Treatments for Psoriatic Arthritis Enthesitis
If you are diagnosed with enthesitis, the current treatment plan for psoriatic arthritis should be adjusted. Many doctors tend to prescribe disease-modifying antirheumatic drugs or DMARDs as a first-line treatment option for psoriatic arthritis. However, these medications do not work for enthesitis. Your doctor would suggest the use of nonsteroidal anti-inflammtory drugs or NSAIDs instead. Since a high dose is needed, it is not suitable for people with gastrointestinal problems or kidney issues. You may have to take these medications for up to 4 weeks to see whether the symptoms improve.
If enthesitis only affects one body part, the doctor may inject a steroid to help reduce inflammation. In cases the symptoms affect different areas or become chronic, a biologic treatment can be suggested. Effective options include anti-interleukin-17, anti-interleukin-12/23, or anti-TNF-alpha. It is best to consult your healthcare provider about available options and choose the most effective and safest for you. [6]
