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bio (@bio)

Psoriasis: What treatment helps?

Skin Health | Last Active: Jun 17, 2022 | Replies (26)

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It started from toe and finger last year Around June and now my arms and knee including some part of my body

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Replies to "It started from toe and finger last year Around June and now my arms and knee..."

Oh thank you for the photos!! It really helps me get a better understanding of what you’re dealing with. You have psoriasis of the nails and now it’s spreading to other parts of your body. I can sure empathize with the splitting and damage of your nails. It can be so painful and your nails catch on everything!
I went through almost a year of that after chemotherapy. I had to use glue on my nails to hold them in place when they tried to split and also used a clear fingernail polish to keep them intact. They’d catch on clothing all the time! There were several weeks where had to resort to wearing nitrile gloves so I could type, wash dishes, eat, bathe, etc. I’m sure you’re facing similar challenges.
I found another article on our Mayo Website that talks about Nail Psoriasis and how to care for your nails while the treatments start working.
I’ve looked for other members who have similar issues but so far haven’t been successful. So I hope we’ll get some feedback from other members with psoriasis who might be able to offer some suggestions for you.

In the meantime, keep up the good work with making modifications in your diet and keep using the ointment. This will take time for your body to respond. And nails take months to grow out…which is discouraging. But it all happens one cell at a time. We’ll hope for some good progress over the next few months!

Do you have a follow up appointment with a dermatologist?

@bio - I feel for you! I thought my psoriasis was bad, but yours looks far worse! Do you happen to have diabetes too?

I tried all types of lotions, creams, ointments and shampoos, etc., both allopathic and naturopathic but topicals have never worked for me.

What really worked for me - cleared all my psoriasis - was Methotrexate tablets. I took 2.5mg. X 8 tablets once a week and 5mg. Folic Acid the other six days. It took a couple of months to clear up and I stayed plaque free at that dose. Then I was reduced to 6 tablets of Methotrexate once a week with Folic Acid the other six weeks and did quite well at that dose too. But because I also have fatty liver disease my dermatologist reduced my dose to 4 Methotrexate pills and at that dose, my psoriasis started to come back. Since it was inadvisable for me to remain on Methotrexate indefinitely anyway, I was switched to biologics injections. Stelara did nothing for my psoriasis, so now I am trying Skyrizi. It seems to show improvement but time will tell if it will be as effective as Methotrexate was for me.

Unfortunately psoriasis cannot be cured. It can only be controlled. Ask your dermatologist if Methotrexate treatment would be right for you.

Also, ask your doctor if Lyderm gel would work for your skin in the meantime. I had lichen planus in my mouth (related to psoriasis) and although it is not meant for internal use, this gel rubbed on my gums and inside cheeks completely cleared not only internal but external lichen planus. It just might help your feet and hands.

I hope you get some relief soon!