Psoriasis is a condition that causes dry red/white/silver patches on skin that usually feel itchy and irritated. These patches are referred to as plaques and are found most on the knees, elbows, and bottoms of the feet, but they can occur anywhere on the body.
Psoriatic plaques form due to a faster than normal turnover of skin cells. Under normal circumstances, new skin cells rise to the surface of the skin once a month. Then, the old skin cells die and slough off, allowing the new skin cells to emerge. In people who have psoriasis, the new skin cells move to the surface so rapidly that the dead cells are unable to shed in time, resulting in plaques.
Who is at risk for psoriasis?
Research suggests psoriasis is caused by genetics and environmental factors. It is also affected by the immune system, which means if your immune system is weakened, you may be more susceptible. For those living with psoriasis, there are certain triggers that may cause worsening of symptoms, including stress, illness and injury to the skin. Psoriasis is not contagious or spread from person to person.
How does psoriasis affect your feet?
Psoriatic plaques often develop on the soles of the feet which can make walking uncomfortable. If plaques are left untreated, the skin could crack and bleed, increasing risk for infection. Pain when walking may change how you walk, placing more pressure and weight on nearby joints as you attempt to avoid painful areas on the feet.
Psoriasis can also affect your toenails by changing the way they look and feel. Toenails tend to be thin, weak, and more brittle, and may have indentations called “pitting.” They can also become discoloured, appearing yellow or brown.
Psoriasis can also cause joint inflammation. This is referred to as psoriatic arthritis (PsA). Typically, the smaller foot joints in the feet are targeted, such as those in the toes. Inflammation of these joints causes toes to swell resulting in “sausage toes”, known as dactylitis. A prompt diagnosis is crucial as undiagnosed PsA can lead to joint destruction, weak bones and damage to organs in the body.
What treatments exist for psoriasis?
Several conditions and some medications can cause dry, itchy skin on the feet. It’s important to understand why you’re experiencing skin discomfort or irritation. If you are at risk for psoriasis, please consult your Family Doctor or Nurse Practitioner to determine if psoriasis is the issue at hand. Routine medical footcare appointments can help skin and nail issues associated with psoriasis. BioPed’s Medical Footcare clinicians are trained to assess and treat nail and skin issues on the feet. If psoriatic arthritis is causing you to suffer with joint pain, please call your local BioPed today to book an assessment with one of our Canadian Certified Pedorthists or Registered Chiropodists, to determine your best treatment options!
Our team of lower limb clinicians can offer relief by modifying shoes to offer more comfort and/or recommending orthotics to help with offloading painful joints, with the goal of slowing down the progression of joint complications. At BioPed Footcare, we create personalized solutions for you, to help you get wherever you want to go!
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