What to do for psoriasis and psoriatic arthritis that hasn't improved with allopathy, homeopathy, or Ayurveda since 2018? - #53456

When psoriasis is associated with joint pain for many years, it indicates a deeper imbalance involving both skin and joints, not just a surface issue. In such long-standing cases, improvement takes time and requires a consistent, combined approach rather than changing treatments frequently. Focus on stabilising the condition first rather than expecting quick clearance. Weather sensitivity and occasional digestive issues suggest internal inflammation is still active. Keep your routine very regular. Avoid triggers like very spicy, sour, fermented, and packaged foods. Prefer simple, warm meals and avoid curd at night. Maintain good hydration. Try to keep stress under control, as flare-ups are often linked with it. For joints, avoid stiffness by doing gentle daily movement, but do not overstrain. Keep joints warm and avoid cold exposure. At home, you can continue mild sun exposure in early morning. Apply coconut oil or your current oil regularly to reduce dryness. Turmeric in diet and warm water intake can support inflammation control. • Arogyavardhini vati – 1 tablet twice daily after food • Mahamanjishtadi kwath – 15 ml with equal water twice daily after food • Yograj Guggulu – 1 tablet twice daily after food • Gandhak rasayan – 1 tablet twice daily after food This combination works on skin inflammation, blood purification, and joint support together. Since this is a long-standing condition with joint involvement, consistency for a few months is important to see change. If possible, a more personalised plan based on your body type and severity will give better results. Regards, Dr Raghuveer (Ayurvedacharya)