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A MyPsoriasisTeam Member asked a question 💭
Poperinge

February this year, the reumatologist diagnosed poriasis artirits - ra. He suggested as a treatment physical exercise and in need Biofenac. I have a feeling that when I don't take the NSAID, the flares get stronger and the ups and downs are growing. So after contacting reumatologist, started to take daily 2 tablets, which makes me feel good and able to grow my activity
In view of a consultation, I had my blood checked and it revealed that several values reacted to the intake of these tablets.… read more

June 19
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MyPsoriasisTeam

It sounds like you're doing everything right — staying active, doing physiotherapy, aquagym, and trying to manage your medication responsibly. Yet you're still caught in a difficult cycle where stopping the NSAID brings flares back, and your rheumatologist isn't offering additional options. That's genuinely frustrating, and Show Full Answer

It sounds like you're doing everything right — staying active, doing physiotherapy, aquagym, and trying to manage your medication responsibly. Yet you're still caught in a difficult cycle where stopping the NSAID brings flares back, and your rheumatologist isn't offering additional options. That's genuinely frustrating, and your concerns are completely valid. Seeking a second opinion is absolutely reasonable in this situation. There are other treatment options beyond NSAIDs that can help manage psoriatic arthritis more consistently, including:

- DMARDs (like methotrexate) — which can slow the disease over time
- Biologics — injected medications that target specific parts of the immune system
- Oral medications — such as JAK inhibitors or PDE4 inhibitors, which help control inflammation

These options may provide more stable, long-term relief rather than the "on/off" cycle you're currently experiencing. A MyPsoriasisTeam member shared this advice: *"Find a rheumatologist who will listen to your concerns and symptoms and not just rely on blood work."* Good communication with your doctor is essential — you should feel heard, especially when symptoms are affecting your ability to work. Before or during any new consultation, it may help to:

- Keep a symptom journal — tracking flares, medication use, and how you feel day to day
- Write down your questions ahead of appointments
- Be clear about the work impact — explaining how flares affect your ability to be present Monday to Friday gives doctors a fuller picture

A second opinion isn't a betrayal of your current doctor — it's advocating for yourself, which you clearly deserve to do.

June 19
A MyPsoriasisTeam Member

Yes Natalie, my Cousin Margarite , has to take her thyroid pill b4 she has anything to eat or drink for an hour. Iknow this becuz we speak every morning hi there, cuz, hehe but she will Always say. Call you when i can Drink my coffee, in a. Hour, and then we Talk. But she understands, that this is the ONLY Medication she Has To take, daiky, she is 81years, that To me is really something. If i hit 81 years of age, i probably would have taken at least , many, many ,many Medications by then. Already Have, since 1970, for Goodness Sake. So yes i know about throid issues becuz of my Cousin. ONE (1) PILL DAILY since 2015, WOW take care

June 22
A MyPsoriasisTeam Member

You are right, I don't feel heard, don't feel that they understand what i am suffering. So I think I will go for a second opinion. Not on the diagnosis, but on the way to treat it.

June 20
A MyPsoriasisTeam Member

Kris, nsaids are terrible. You feel better for awhile because they lower inflammation that is causing pain. Try something with less side effects. I swear by white willow bark. It's so much less expensive and very low to zero side effects. Easily available on Amazon.

June 20
A MyPsoriasisTeam Member

KrisLams, I am sorry to hear the struggles you are coming upon. All we want ,is to be able to be productive in our lives. I see everyone around me, smiling & skipping down the Road, complaining about a hang nail, & I am suppose to sit quietly & smile. This is a Hard One Kris, to try to answer or agree with your Doctors advise. I Would look into a second opinion, just to see what another can offer. Not all doctors will/are a Good fit for everyone. They usually are reluctant to give more pain meds than not, The only thing i would ingest only 1 (one) Dmard ,which was Motrin ( ibroprofen ) & in time, it started to destroy my Stomach (gut), started ro bleed from my rectum ( yup, sorry) but it only the beginning to my great journey in finding Pain Relief. A shot here and there of Steroids, & every thing I was giving did nothing to touch my pain, nothing, which increase becuz of my stress.. A Catch 22...I liked my doctor, i ended up with A TEAM of doctors. And I did pick and choose, I gave it time, because I Could, I was in Retirement, haha, Now that is sadly Funny. But I am over that now. Can not keep added STRESSORS ,I been working this whole time ,Shedding as many as possible. All a work in Progress at this young age of 71 in a few weeks & Yes, Every chance I get ; I Will Say My Age becuz I have come a very long way with these Partners of Destruction, and how to keep them a bay, until the right RELIEF is found. Very Unfair but We can work with this & it really has to come with the Comfort of your doctors Care and to find ( in time ) what wilm Work for You... I wish I could help you more in this Time of much needed Clearity & much needed comfort in your owe Skin. There are many avenue one needs to walk thru, to get to that other side. In the mean time, I work with my Mental Health with Mediation, Mindful Thinking, Walks in places of serenity, EXERCISE DAILY.. these are a few things, in which I wished to had STARTED decades ago. Incorporate these things now, one by one and it will help with the All Around Better Health, I coukd not to this by WUSHING, only by Active & Change. Change does not have to be a UNCOMFORTABLE Word or Act. It us taking more Control over your own personel direction. Keep asking those Excellent Questions, my friend

June 20

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Louisville, KY

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