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There's little research on the benefits and risks of surgery for psoriatic arthritis. But your doctor may recommend it if you have severe joint damage and pain that interferes with daily life.
Psoriatic arthritis surgery often involves the hand, knee, hip or foot joints. Surgery for arthritis-damaged joints could include:
Surgery might help you feel better if you have disabling pain and poor joint function and mobility. Typical candidates for joint surgery have significant joint damage and more-active inflammation than those who don't have surgery.
However, relief may not be long-lasting. Some people with psoriatic arthritis who receive a joint replacement have excess bone growth over time. Over time, the joint can become painful and lose function.
All surgeries come with some risks. One small study hinted that psoriatic arthritis might increase the risk of post-surgical infection, because bacteria can lurk in skin lesions. However, more research is needed to examine this link. If you're having any type of moderate- or high-risk surgery, your doctor should consider your individual risk factors and co-existing health conditions.
Proper management of psoriatic arthritis from the start can help prevent severe joint damage and may make surgery more successful. This includes:
Treatment with medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), or biologics such as tumor necrosis factor-alpha (TNF-alpha) inhibitors, anti-IL-17A and anti-IL-12/IL-23 also can help ward off joint damage, although it is unclear if medications make surgery any more successful.
If you have severe joint damage that affects your ability to perform daily tasks, talk to your doctor about whether surgery might be an option for you.
April Chang-Miller, M.D.
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