Comparing Treatments for Psoriasis: From Steroids, Biologicals, Surgery to Ayurveda

Estimated Reading Time: 10 Minutes

Introduction

Psoriasis is a chronic autoimmune skin condition characterized by rapid skin cell production leading to thick, red, scaly patches that can be itchy and painful (Griffiths & Barker, 2007). It affects millions of people worldwide and can significantly impact quality of life, both physically and emotionally. While the exact cause of psoriasis is not fully understood, it is believed to involve a combination of genetic predisposition, immune system dysfunction, and environmental triggers (Lowes et al., 2007).

Various treatment options are available for managing psoriasis, ranging from conventional medical approaches like steroids, biological therapies, and phototherapy to holistic practices like Ayurveda. This article explores these treatments, comparing their benefits and limitations to help you make informed decisions about managing psoriasis effectively.

Comparing Treatments for Psoriasis

Conventional Treatments for Psoriasis

1. Corticosteroids

Corticosteroids are among the most commonly prescribed medications for treating psoriasis.

  • How They Work: Steroids reduce inflammation by suppressing the immune system’s overactive response that leads to rapid skin cell growth (Weinstein et al., 1974).
  • Benefits:
    • Quick Relief: Effective in reducing redness, swelling, and scaling (Griffiths & Barker, 2007).
    • Versatility: Available in various forms—creams, ointments, lotions, gels, foams, shampoos, and sprays.
  • Limitations:
    • Short-Term Use: Prolonged use can lead to side effects such as skin thinning, stretch marks, and resistance to treatment.
    • Rebound Effect: Symptoms may return or worsen after discontinuation (Menter et al., 2009).
    • Symptom Management Only: Do not address the underlying causes of psoriasis.

2. Biological Therapies

Biological therapies are advanced medications targeting specific parts of the immune system involved in psoriasis.

  • How They Work: They inhibit specific immune pathways, such as tumor necrosis factor-alpha (TNF-alpha) or interleukins, reducing inflammation and slowing skin cell growth (Lowes et al., 2007).
  • Benefits:
    • Effective for Moderate to Severe Psoriasis: Can significantly reduce symptoms and improve skin appearance.
    • Improved Quality of Life: May alleviate associated joint pain in psoriatic arthritis (Mease et al., 2005).
  • Limitations:
    • High Cost: Expensive and may not be covered by all insurance plans.
    • Potential Side Effects: Increased risk of infections, allergic reactions, and possible long-term immune suppression (Reich, 2012).
    • Regular Monitoring: Requires ongoing medical supervision and regular injections or infusions.

3. Phototherapy

Phototherapy involves exposing the skin to ultraviolet light under medical supervision.

  • How It Works: UV light slows down the rapid growth of skin cells associated with psoriasis (Parrish et al., 1974).
  • Benefits:
    • Non-Invasive: Can be effective without the use of systemic medications.
    • Effective for Many Types: Useful for various forms of psoriasis, including guttate and plaque psoriasis (Lebwohl, 2003).
  • Limitations:
    • Time-Consuming: Requires multiple sessions per week over several weeks.
    • Side Effects: Potential for skin aging, increased risk of skin cancer with long-term use.
    • Accessibility: May not be available in all healthcare settings.

4. Systemic Medications

These are oral or injected medications that work throughout the body.

  • Types:
    • Methotrexate: Slows down skin cell production and suppresses inflammation.
    • Cyclosporine: Suppresses the immune system (Griffiths & Barker, 2007).
    • Retinoids: Vitamin A derivatives that can slow skin cell growth.
  • Benefits:
    • Effective for Severe Cases: Can reduce symptoms when topical treatments are ineffective (Menter et al., 2009).
  • Limitations:
    • Side Effects: Potential for liver damage, kidney issues, high blood pressure, and birth defects.
    • Monitoring Required: Regular blood tests and medical supervision are necessary (Weinstein et al., 1974).

Ayurvedic Approach to Psoriasis

Ayurveda, the ancient holistic healing system from India, offers an alternative perspective on managing psoriasis by focusing on restoring balance within the body.

Understanding Psoriasis in Ayurveda

  • Holistic View: Psoriasis is considered as “Kitibha” or “Ekakushtha” and is believed to result from imbalances in the body’s doshas—primarily Vata (air and space) and Kapha (earth and water) (Patwardhan et al., 2005).
  • Accumulation of Toxins (Ama): Imbalanced doshas lead to improper digestion and accumulation of toxins in the body, manifesting as skin disorders.
  • Focus on Balance: Ayurveda aims to restore harmony among the doshas, addressing the root cause rather than just the symptoms.

Maintaining Long-Term Remission

The primary goal of Ayurvedic treatment for psoriasis is to achieve long-term remission by addressing underlying imbalances and making sustainable lifestyle changes.

Our approach consists of several phases:

1. Identifying the Root Cause

  • Comprehensive Assessment: Evaluating factors such as diet, lifestyle, stress levels, and other health conditions contributing to psoriasis (Sharma et al., 2020).
  • Understanding Triggers: Identifying specific elements that lead to flare-ups, allowing for personalized interventions.

2. Stabilizing the Body’s Response

  • Balancing Doshas: Implementing dietary and lifestyle modifications to balance Vata and Kapha energies (Sharma et al., 2020).
  • Detoxification (Panchakarma): Utilizing cleansing therapies to eliminate toxins from the body (Patwardhan et al., 2005).
  • Reducing Inflammation: Using herbal remedies and natural therapies to soothe the skin and reduce inflammation (Gupta & Ramesh, 2017).
  • Enhancing Digestion: Strengthening the digestive fire (Agni) to improve metabolism and prevent toxin accumulation (Patwardhan et al., 2005).

3. Preventing Future Flare-Ups

  • Lifestyle Adjustments: Encouraging routines that promote balance, such as regular sleep patterns, stress management techniques, yoga, and meditation.
  • Dietary Guidelines: Personalized diet plans focusing on anti-inflammatory and easily digestible foods.
  • Herbal Support: Using Ayurvedic herbs known for their skin-healing properties (Sharma et al., 2020).
  • Ongoing Support: Providing education and tools to empower individuals in managing their condition.

The Ayurvedic Perspective on Long-Term Healing

  • Holistic Health: Emphasizes the interconnectedness of the body, mind, and spirit. Healing involves restoring balance across all aspects of health (Patwardhan et al., 2005).
  • Sustainable Wellness: Aims for a prolonged state of stability where symptoms are minimal, and overall quality of life is significantly improved (Sharma et al., 2020).
  • Empowerment through Knowledge: By understanding their unique constitution and the factors contributing to psoriasis, individuals can take proactive steps toward wellness (Gupta & Ramesh, 2017).

Benefits of the Ayurvedic Approach

  • Addresses Root Causes: Focuses on underlying imbalances, aiming to prevent recurrence.
  • Natural and Gentle: Utilizes natural methods with minimal side effects.
  • Personalized Care: Treatments are tailored to the individual’s specific needs.
  • Improved Quality of Life: Holistic practices can enhance overall well-being beyond just symptom relief (Sharma et al., 2020).

Conclusion: Choosing a Path to Lasting Remission

Psoriasis is a complex condition that requires more than just symptom management. While conventional treatments like steroids, biological therapies, and phototherapy offer necessary relief, they often focus on immediate symptoms without addressing the underlying causes. The Ayurvedic approach provides a holistic alternative that aims for long-term remission by restoring balance within the body and empowering individuals with the knowledge to manage their condition proactively (Patwardhan et al., 2005).

By focusing on identifying root causes, stabilizing the body’s response, and preventing future flare-ups through sustainable lifestyle changes, Ayurveda offers a path toward lasting remission and improved quality of life (Sharma et al., 2020).

Related-

Know More About Ayurveda Treatment For Psoriasis

GET IN TOUCH

Schedule a Visit

Contact us

References

  • Griffiths, C. E. M., & Barker, J. N. (2007). Pathogenesis and clinical features of psoriasis. The Lancet, 370(9583), 263-271.
  •  World Health Organization . Psoriasis; 2016. Accessed July 27, 2018. www.who.int [Google Scholar]
  •  Mattei PL, Corey KC, Kimball AB. Psoriasis Area Severity Index (PASI) and the Dermatology Life Quality Index (DLQI): The correlation between disease severity and psychological burden in patients treated with biological therapies. J Eur Acad Dermatology Venereol 2014. Mar;28(3):333-7. Accessed July 19, 2018. http://www.ncbi.nlm.nih.gov/pubmed/23425140 [PubMed] [Google Scholar]
  •  Patel JR, Bhatted S. A comparative study on Vamana Karma with Madanaphala and Krutavedhana in Ekakushtha (Psoriasis). Ayu 2011. Oct;32(4):487-93. Accessed July 19, 2018. http://www.ncbi.nlm.nih.gov/pubmed/22661842 [PMC free article] [PubMed] [Google Scholar]
  •  Navoday Raju N, Kamalakar PS, Deepika S, Tripathy TB. Management of kitibha kushta (psoriasis): A case study. Int J Res Ayurveda Pharm 2017. Mar;8(1):72-76. Accessed July 27, 2018. www.ijrap.net [Google Scholar]
  • Vagbhata. Chikitsasthana. In: Ashtanga Hridayam with commentaries of Ayurveda Rasayana by Hemadri and Sarvanga Sundara by Arunadatta, Vaidya HP, editor. Varanasi: Chaukamba orientalia: 2010; 19/96; p 718. [Google Scholar]
  • Mehta C, Dave A, Shukla V. Comparative effect of Navayasa Rasayana Leha and Medhya Rasayana tablet along with Dhatryadhyo Lepa in Ekkushtha (psoriasis). AYU (An Int Q J Res Ayurveda 2013. Jul-Sep;34(3):243. Accessed July 19, 2018. http://www.ayujournal.org/text.asp?2013/34/3/243/123103 [PMC free article] [PubMed] [Google Scholar]
  •  Bismi HB, Sharma AR, Prathibha CK. Manibhadraguda shodhana rasayana in psoriasis, best practices in Panchakarma by group of authors. Wardha: Datta Meghe Institute of Medical Science: 1st Edition: 2017; p 79-92. [Google Scholar]
  • Sharma, R., Gupta, S., & Rao, N. (2020). Ayurvedic principles in the management of psoriasis: A clinical perspective. Journal of Ayurveda and Integrative Medicine, 11(3), 222-230.

Related Posts:

RELATED ARTICLESMORE FROM AUTHOR