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Suggest Treatment For Mild Psoriasis And Occasional Painful Swelling On Right Foot

Posted on Wed, 2 Sep 2015

Question: I have mild Psoriasis and occasionally I get swelling and pain on my right foot just behind the toes and stiffness and pain in my left knee in fact I also get stiffness and pain in my lower back also the pain just seems to move around and then it just goes away.

Answered by Dr. Dr. Shruti Rijhwani (29 minutes later)

Brief Answer:
This could be psoriatic arthritis.

Detailed Answer:
Dear Sir,

Thank you for posting your query on HCM.

Well looking in the history that you have given it seems like you are having psoriatic arthritis which is affecting both the spine and peripheral joints . I think you should need evaluation for the same . Get a X ray pelvis done , HLA B 27 , ESR further .

For the swelling you can take naproxen 500 mg twice daily after discussing with your treating doctor . You will be started on treatment once the diagnosis is established . I think you should discuss this with your rheumatologist . Any other query I will be happy to answer .

Take care.

Dr. Shruti

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Shruti Rijhwani (8 minutes later)

I take Tenormin 50 mg for blood pressure will Naproxen be an issue?

Answered by Dr. Dr. Shruti Rijhwani (5 minutes later)

Brief Answer:
Follows.

Detailed Answer:
Dear Sir,

Although studies say that naproxen reduces the efficacy of atenolol in lowering BP but when naproxen is taken for smaller period it is generally not an issue .You can monitor BP more frequently to see if dose adjustment is needed . Thats why I told to talk to your treating doctor regarding same as he will be looking after you .

Dr. Shruti

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar