Oral non-biologic therapies and non-pharmacological therapies in PsA

Abstract

Traditional disease-modifying antirheumatic drugs (DMARD) are the fi rst line for the treatment of psoriatic arthritis (PsA) globally, in spite of the lack of evidence from randomized control trials. Most of the evidence comes from observational studies that will be reviewed in this chapter. Rehabilitation in rheumatology focuses on prevention of functional disorders of the musculoskeletal system, maintenance of working ability and prevention of care dependency. Rehabilitation and physical therapy is part of non-pharmacological treatment in patients with rheumatic disease. Few studies have been identifi ed in PsA, related to this issue, and are included in this review. Finally, surgery is preferably preventable, but necessary in some cases. Evidence suggests that results of orthopedic surgery in PsA are similar to those reported in other infl ammatory diseases.