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- Title
Hand Erosive Osteoarthritis and Distal Interphalangeal Involvement in Psoriatic Arthritis: The Place of Conservative Therapy.
- Authors
Poletto, Elena; Tinazzi, Ilaria; Marchetta, Antonio; Smania, Nicola; Rossato, Elena
- Abstract
Hand erosive osteoarthritis (HEOA) and Psoriatic Arthritis (PsA) with DIP involvement are common diseases affecting the hand. Both of them evolve with a progressive limitation in grip due to limited range of motion of the affected joints and stenosing tenosynovitis. Pharmacological options currently available (corticosteroids and clodronate or Idrossicloroquine) for the treatment of EHOA are mostly symptomatic and currently there are no effective drugs able to modify the course of the disease. In addition, data on drug effectiveness of PsA with DIP involvement are lacking. Conservative therapy should be considered in order to reduce pain and improve hand functionality. There are many studies debating a wide range of non-pharmacological intervention in the management of HEOA: joint protection program, range of motion and strengthening exercise, hand exercise with electromagnetic therapy, application of heat with paraffin wax or balneotherapy, occupational therapy and education. Concerning conservative treatment strategies to treat PsA, on the contrary, current evidence is still weak. Further research is needed to find the correct place of physical therapy to prevent stiffness and ankylosis due to the vicious circle of inflammation-pain-immobility-rigidity.
- Subjects
CONSERVATIVE treatment; PSORIATIC arthritis; RANGE of motion of joints; OSTEOARTHRITIS; PARAFFIN wax; EXERCISE therapy
- Publication
Journal of Clinical Medicine, 2021, Vol 10, Issue 12, p2630
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm10122630