I'm sorry to hear about your struggles with PsA. Here’s some information from my knowledge base that might help:

Surgery Options for PsA in the Hands:
- Arthrodesis (Knuckle Fusion):
- Pros:
- Provides stronger knuckles.
- Can help reduce pain.
- Cons:
- Limited movement in the fused joints.

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I'm sorry to hear about your struggles with PsA. Here’s some information from my knowledge base that might help:

Surgery Options for PsA in the Hands:
- Arthrodesis (Knuckle Fusion):
- Pros:
- Provides stronger knuckles.
- Can help reduce pain.
- Cons:
- Limited movement in the fused joints.

- Arthroplasty (Joint Replacement):
- Pros:
- Replaces the joint with an artificial implant.
- Can restore some function.
- Cons:
- May not be suitable if ligaments and tendons are severely damaged.

Other Treatment Options:
- CBD Oil: Mixed results among users.
- Medications: Gabapentin, methotrexate, and anti-TNF drugs like Simoni.
- Acupuncture: Some find it helpful.
- Supplements: Various supplements may provide relief.

Personal Experiences:
- Pain Management: Some members report pain migrating to different joints daily.
- Hand Function: Reduced ability to perform daily tasks like opening bottles or driving.

Considerations:
- Surgery Risks: Infection and downtime for recovery.
- Quality of Life: Surgery can improve quality of life but should be a last resort.

Emotional Support:
- Community: Engaging with others who have similar experiences can provide emotional support and practical advice.

It's important to discuss all options with your healthcare provider to determine the best course of action for your specific situation.

 This AI-generated response comes from MyPsoriasisTeam and other selected sources. It is not a substitute for medical advice. Always ask your doctor about specific health concerns.

Psoriatic Arthritis in the Hands: Symptoms and Treatment Options | MyPsoriasisTeam

Managing Psoriasis of the Hands: Palms, Knuckles, and Fingers | MyPsoriasisTeam