Psoriatic Arthritis & Aging: 6 Tips for Healthy Joints & Bones

Navigating the Long Term: Healthy Aging with Psoriatic Arthritis

Psoriatic arthritis typically emerges between the ages of 30 and 55, meaning many individuals face decades of managing this autoimmune condition. As we age, the likelihood of developing other bone and joint issues, such as osteoporosis and osteoarthritis, also increases. Successfully navigating these potential challenges requires a proactive approach to bone and joint health. Fortunately, there are several strategies you can implement to promote well-being throughout your life with psoriatic arthritis.

The Weight Matters: Protecting Your Joints

Carrying excess weight places significant stress on joints and has been linked to more severe psoriatic arthritis, potentially reducing the effectiveness of certain medications. Fat cells produce pro-inflammatory proteins, exacerbating the chronic inflammation central to psoriatic arthritis. Research demonstrates that weight loss can actually improve the condition [source], and can also lower the risk of related health complications like high blood pressure and diabetes [source]. Discuss safe and effective weight management strategies with your doctor.

Bone Health: Beyond Joint Pain

While psoriatic arthritis primarily affects the joints, it’s crucial to consider bone health as you age, particularly the risk of osteoporosis. Though the direct link between psoriatic arthritis and osteoporosis isn’t fully understood, rheumatologist Yeohan Song, MD, emphasizes that individuals with psoriatic arthritis should follow the same bone density screening guidelines as the general population [source].

Current recommendations from the US Preventive Services Task Force suggest screening women aged 65 and older, and postmenopausal women under 65 who are at increased risk. Screenings are typically repeated every two years. For men, guidelines are less definitive, but many organizations recommend a bone density scan at age 70, or earlier if risk factors for low bone mass are present [source].

If you are taking steroid medications, it’s particularly important to discuss bone density testing with your doctor, as even low doses can increase the risk of osteoporosis and fractures. Regular blood tests to monitor calcium and vitamin D levels are also essential, as these nutrients play a vital role in maintaining bone health. Your doctor can advise on dietary adjustments or supplementation if needed.

Movement with Mindfulness: Exercise and Psoriatic Arthritis

Research consistently shows that exercise can reduce disease activity in psoriatic arthritis, improve overall well-being, and lower the risk of other medical conditions [source]. However, the *type* of exercise matters. High-impact activities like running can traumatize joints, and activities with a high fall risk should be avoided, especially with age.

Focus on low-impact options such as walking, swimming, Pilates, or tai chi. Tai chi, in particular, is recommended by the American College of Rheumatology and Arthritis Foundation for managing knee and hip osteoarthritis [source].

The Mind-Body Connection: Prioritizing Mental Health

Maintaining good mental health is vital for everyone, but it’s especially important for those living with chronic conditions like psoriatic arthritis. Aging itself can contribute to mental health concerns, and the psychological and emotional burden of a chronic illness can amplify these challenges. Studies indicate a strong association between psoriatic arthritis and both depression and anxiety. Individuals with psoriatic arthritis have a 22 percent higher chance of developing depression compared to the general population [source].

psoriatic arthritis can lead to fatigue, psychological distress, and a reduced quality of life. Depression can also heighten the perception of pain, making symptoms experience more severe. Stress management techniques, such as deep breathing or yoga, can help mitigate these effects. Staying socially connected is also crucial. Consider seeking support from a mental health professional experienced in working with individuals with chronic diseases.

Hormonal Shifts and Arthritis: What to Expect

Menopause can significantly impact psoriatic arthritis. Many individuals experience worsened symptoms during this transition, potentially due to decreasing estrogen levels. Menopause symptoms like insomnia, stress, and mood changes can also promote inflammation, triggering psoriatic arthritis flares [source].

Interestingly, hormone replacement therapy doesn’t appear to improve psoriatic arthritis symptoms and may even increase the risk of autoimmune conditions. If you’re experiencing changes in your arthritis during menopause, discuss them with your rheumatologist, who may adjust your medication accordingly.

Regular Check-Ins: Long-Term Management

Effective treatment for psoriatic arthritis often evolves over time. What works today may not be as effective in the future. Rheumatologist Yeohan Song, MD, stresses the importance of regular appointments with your rheumatologist for long-term management, given the increasing number of available treatments and the potential for permanent joint damage if inflammation isn’t controlled [source].

The frequency of these check-ups will vary depending on the severity of your condition and your current medications. Be proactive and schedule your next appointment before leaving your doctor’s office.

Looking Ahead: Staying Informed and Engaged

Managing psoriatic arthritis as you age requires a holistic approach that addresses not only joint health but also bone density, mental well-being, and hormonal changes. Staying informed about the latest research and treatment options, and maintaining open communication with your healthcare team, are essential for a fulfilling and active life.