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Who has severe tendon pain with PSA

A MyPsoriasisTeam Member asked a question 💭
Bolivar, MO

Having a lot of tendon pain I’m on Tremfya 5 years not working all of a sudden dr wants to add Otezla I took it before and it made me so sick. What does anyone take for there tendon pain

June 24
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Answer Summary

Members responded to the question about managing severe tendon pain with PsA, with many sharing frustration over Otezla's harsh side effects... Read more

Members responded to the question about managing severe tendon pain with PsA, with many sharing frustration over Otezla's harsh side effects and offering alternatives that have helped them. Several members recommended practical remedies like warm compresses, comfrey ointment (nicknamed 'knitbone'), magnesium, and potassium supplements to support tendon healing, while one member found relief by switching to Cyltezo, a Humira generic covered fully by insurance. A recurring theme was the importance of trusting yourself, exploring dietary triggers like grains, and being open to switching biologics if your current treatment stops working.

A MyPsoriasisTeam Member

I guess the old fashioned OTC remedies would be using a heating or ice pack depending on how the area hurts. 20 on and 20 off. Try resting the area as needed. I would only use an ice pack if any swelling.

I hear you on otezla.. It was gut disturbing for me. I only noticed it would be really effective on plaque psoriasis as the plaques in days were basically gone. It was incredible but very hard on the gut.

I would say the side effect wasn't worth it.

I guess we try to work with our condition and not work against it by doing things that help us relieve it. Because we can't make it go away otherwise. I'm finding that out. Even when you think with remission it's good you wait years something triggers it and there it is again to remind you it didn't leave.

I hope you find ways to soothe your pain soon.

June 24
A MyPsoriasisTeam Member

Sorry you are having troubles. I would tell the dr no, and if there is push back find a new one. I took Otezla, while it worked great on the PSA the side effects were too much. I was under the understanding is is a more powerful medidcation than Tremfya, but I am not a Dr. I have a friend who switched from Tremfya to another biologic and had a lot of success. I also believe that diet and other environmental things can contribute to the inflamation. My allergies are alive and kicking in the peak growing season. The higher the pollen count the more I hurt. PSA and allerigies all work into my inflamtion equation. I, personally, have several dietary intollerences due to this. The worst intollerence is wheat, then corn, then rice followed by many other grains. Its worth the time to figure out if what you eat or what you are around cause your issues with arthritis to worsen. I do love my rolling frozen water bottles to ease my feet issues when they hurt as well. Good luck finding your answers, trust yourself.

Dot

July 3
A MyPsoriasisTeam Member

I had surgery

June 29
A MyPsoriasisTeam Member

Try warm compress on tendons

June 27
MyPsoriasisTeam

Tendon pain with psoriatic arthritis (PsA) is something many MyPsoriasisTeam members deal with, and it can be really frustrating — especially when a treatment that worked for years suddenly seems less effective. That's actually not uncommon with biologics like Tremfya.

It's completely valid to push back on Otezla if it Show Full Answer

Tendon pain with psoriatic arthritis (PsA) is something many MyPsoriasisTeam members deal with, and it can be really frustrating — especially when a treatment that worked for years suddenly seems less effective. That's actually not uncommon with biologics like Tremfya.

It's completely valid to push back on Otezla if it made you sick before. Make sure your doctor knows just how unwell it made you feel — that's important information for your treatment plan.

Here are some options that are commonly used to help manage tendon and joint pain in PsA, worth discussing with your doctor:

- NSAIDs (like ibuprofen or naproxen) — can help with pain and inflammation short-term
- Traditional DMARDs — such as methotrexate or leflunomide, which slow disease progression
- Switching biologics — TNF inhibitors (like Humira or Enbrel) or IL-17 inhibitors (like Cosentyx) may be worth exploring if Tremfya is no longer working
- JAK inhibitors — newer oral options like Rinvoq, if other treatments haven't helped
- Steroid injections — can provide targeted, faster relief in specific joints or tendons
- Physical therapy — can help strengthen muscles around tendons and improve mobility A MyPsoriasisTeam member shared how debilitating tendon and joint stiffness can be, describing feeling like they were "walking like a robot" because their joints wouldn't move properly.

Asking your doctor about switching or adding a different biologic — rather than returning to something that previously made you sick — seems like a very reasonable conversation to have. You deserve a treatment plan that works *and* that you can tolerate. 💙

June 24

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