Psoriatic Arthritis: Which Foods are Triggers and Which are Suppressants? - (2022)

Hugh Duckworth MD

Doctor of Medicine (M.D.) in 1984 from University of Tennessee School of Medicine

Oct 27, 2018 5 min read

(Video) 7 Things to Avoid if you have Psoriatic Arthritis

Jump to: General Information Good Foods Diet Triggers Psoriatic Arthritis Diets Supplemental Alternatives

What is Psoriatic Arthritis

You’ve likely heard of psoriasis. And you’ve likely heard of arthritis. But, have you ever heard of psoriatic arthritis? If you haven’t, you should. It’s one of the most common types of arthritis, right behind osteoarthritis and rheumatoid arthritis. Although all three types of arthritis have overlapping symptoms, one of the most distinguishing characteristics of psoriatic arthritis is that 85% of individuals living with this disease also have psoriasis.

Equally affecting men and women, psoriatic arthritis most often has an onset in adults between the ages of 30 and 50. While juvenile psoriatic arthritis can occur, it is far less common. Does this mean if you have psoriasis that you will also develop psoriatic arthritis? Not necessarily, but your chances do increase significantly. Around 30% of individuals who experience psoriasis will go on to develop psoriatic arthritis.


50% of Individuals with Psoriatic Arthritis are Male

(Video) Food for Thought: ways to reduce the pain of psoriatic arthritis

The symptoms of psoriatic arthritis include the classic joint pain and inflammation. But, individuals living with the disease may develop problems such as tendonitis, generalized fatigue, dactylitis (finger pain and swelling), heel pain, back pain, nail pitting, and reduced joint mobility. While there are five different types of psoriatic arthritis, the most common type affects joints asymmetrically. In contrast, rheumatoid arthritis typically affects joints symmetrically; that is, the same joints on both sides of the body.

The most common type of treatment for psoriatic arthritis is the use of NSAIDs and DMARDs. However, individual diet is also gaining attention as a possible trigger and/or suppressant for psoriatic arthritis symptoms.

What Foods Should I Eat?

When it comes to psoriatic arthritis, many of the foods on the “good list” are the same types found on other types of healthy diet lists such as for heart health, diabetes, and cancer. Many of these foods have the effect of decreasing inflammation. Naturally, since joint inflammation is a major symptom of psoriatic arthritis, these types of foods are beneficial for people who have this disease.

What should you eat to decrease inflammation? As a starting base, your diet should include:

(Video) Mapping the Path to Better Patient Outcomes in Rheumatoid Arthritis and Psoriatic Arthritis

  • Vegetables
  • Fruits
  • Fish
  • Beans
  • Nuts and seeds
  • Legumes

When cooking, use healthy oils, such as extra virgin olive oil or avocado oil. Great herbs to use include ginger and turmeric, which are also noted for their anti-inflammatory properties.

Many of the foods listed for helping to improve psoriatic arthritis are ones with anti-inflammatory andantioxidant properties. The following list of foods are known for just that.

  • Avocado: This fruit is one of the best healthy fats out there. Avocados are high in potassium, beta-carotene, and Vitamins C, E, and K.
  • Greens: Leafy greens, including collards, spinach, kale, Swiss chard, and beet greens are great anti-oxidant and Vitamin K boosters.
  • Fatty fish: Anti-inflammatory omega-3 fatty acids are the key in fatty fish. Try trout and salmon as part of your psoriatic arthritis diet.

  • Green tea or Matcha: The catechins in tea are the antioxidant powerhouses that reduce inflammation. Matcha is a powdered form of green tea mimicking the same antioxidant and anti-inflammatory properties as the traditional tea leaves that are steeped in water.

What are Foods that Trigger Psoriatic Arthritis Symptoms?

Now that you know what you should be eating, let’s talk about what you should be avoiding if you are living with psoriatic arthritis. While the above list of foods are noted for their anti-inflammatory properties, there are foods that are known for just the opposite. That is, they are known to cause inflammation. Naturally, these are just the types of foods you should avoid if you are living with psoriatic arthritis.

Saturated fats, sugar, alcohol, and simple carbohydrates are all triggers for psoriatic arthritis symptoms to flare up. They’re also key factors in weight gain and obesity. As your weight increases, the stress on your joints also increases, so it goes hand in hand that keeping your weight down is beneficial for managing psoriatic arthritis.

(Video) Anti inflammatory diet for chronic inflammation, chronic pain and arthritis

What’s on the “bad food list” for individuals living with psoriatic arthritis?

  • Processed meats (e.g., hot dogs, sausages, bacon)
  • Alcohol
  • Sugary drinks
  • Processed foods (e.g., packaged cakes, cookies, and other similar snacks)
  • Soda
  • White bread
  • White rice
  • Candy
  • Fried foods

Similarly, the foods on this list are ones that you would find on many lists for “foods to avoid.” It is only natural that our bodies do well with more nutrient-dense foods than ones that are processed, enriched, and full of sugar.

What are Beneficial Diet Plans for Psoriatic Arthritis?

You’re no stranger to the fact that there are multiple diet plans in the market. These include fad diets, low-carb diets, heart healthy diets, lemonade diets, juice diets, and the list goes on. Is there a specific diet plan for individuals living with psoriatic arthritis to follow? There are several, actually.

  • Paleo diet: Also known as the “Caveman Diet,” the Paleo diet avoids grains, nuts, processed foods, and dairy. Key staples of the Paleo diet include fish, eggs, meat, fruits and vegetables (typical foods that cavemen used to eat). The benefits of this type of diet for individuals living with psoriatic arthritis is that the main staples of the Paleo diet can reduce swelling often caused by processed and sugary foods and dairy.
  • Anti-inflammatory diet: One of the most prevalent symptoms of psoriatic arthritis is joint inflammation. Eating foods with anti-inflammatory properties can reduce swelling. Fatty fish, leafy greens, and a variety of fruits (e.g., blueberries) are great food choices for less inflammation.
  • Weight loss diet: To lose weight, you need to limit your intake of carbohydrates, sugars, and fats. Keeping your weight down keeps pressure off of your joints. Additionally, individuals who are overweight tend to have more severe forms of arthritis and are more prone to develop psoriatic arthritis.

  • Mediterranean diet: The Mediterranean diet consists of consuming extra virgin olive oil, fish, grains, fruits and vegetables. Extra virgin olive oil is the star of this diet – and is known for its anti-inflammatory properties and omega-3s.
  • Gluten-free diet: Eating a diet free of gluten may help with psoriasis symptoms. Over 25% of individuals who have psoriasis show sensitivity to gluten, a protein found in barley and wheat. Gluten is used in a large variety of processed foods, which are not the healthiest. Eating a gluten-free diet encourages the consumption of more fruits and vegetables, and less processed products.

Supplementing Your Diet

In addition to eating healthy foods, you can use a variety of natural remedies to treat psoriatic arthritis. Many of these are food-based.

  • Ginger: a natural anti-inflammatory; you can eat ginger in your everyday cooking or take supplements.
  • Capsaicin: blocks pain receptors to reduce pain; capsaicin has been known to decrease the occurrence of psoriasis.
  • Turmeric: similar to ginger, turmeric has great anti-inflammatory properties; the curcumin in turmeric is the key ingredient to reduce swelling and inflammation in the joints.

  • Apple cider vinegar: a great natural agent to reduce psoriasis flare-ups, especially scalp psoriasis.
  • Fish oil: rich with omega 3s, fish oil supplements can minimize the swelling and inflammation in the joints caused by psoriatic arthritis.
  • Boswellia: known more commonly as Indian frankincense, Boswellia contains anti-inflammatory agents to reduce joint inflammation and swelling when taken in capsule-form.
  • Boxberry: Native Americans have chewed on the leaves of boxberry for centuries as an anti-rheumatic agent.

Whether eating a diet free from inflammatory triggers or eating a diet rich in antioxidants and anti-inflammatory agents, what you’re eating on a daily basis can affect your psoriatic arthritis symptoms. Supplement a good diet with drug therapies and lifestyle changes, such as adequate exercise and rest, and you can improve your quality of life exponentially while living with psoriatic arthritis.

(Video) Psoriatic Arthritis - 3D Medical Animation


What foods make psoriatic arthritis worse? ›

Foods like fatty red meats, dairy, refined sugars, processed foods, and possibly vegetables like potatoes, tomatoes, and eggplants (you might hear them called nightshades) may all cause inflammation. Avoid them and choose fish, like mackerel, tuna, and salmon, which have omega-3 fatty acids.

Are avocados good for psoriatic arthritis? ›

Avocado. Avocado is a good source of vitamin C and vitamin E — the latter is not found in a lot of other fruits. These vitamins have an anti-inflammatory effect, which means eating avocados may help decrease joint pain.

Does cheese affect psoriatic arthritis? ›

Avoid: Dairy

But some people who have psoriatic arthritis are deficient in the enzyme needed to digest milk products. Even if you can tolerate milk, it may contain hormones and antibiotics that can affect your body's immune response. As a result, you may experience stomach problems after consuming dairy.

Is pineapple good for psoriatic arthritis? ›

Pineapple contains an enzyme called bromelain and has been used to treat arthritis, soft tissue injuries, colon inflammation, chronic pain, and asthma. The natural sweetness of pineapple makes a great smoothie ingredient.

Is banana good for psoriatic arthritis? ›

Bananas are not a typical choice for people with arthritis, but the antioxidant and anti-inflammatory properties in them may aid in protecting the body against certain oxidative stress.

Which drink is good for psoriasis? ›

The takeaway. The best way to manage PsA symptoms and prevent complications is with medication prescribed by your doctor. You may also want to consider making changes to your diet, for instance, the beverages you drink. The best drinks for PsA include green tea, coffee, and plain water.

Is oatmeal good for psoriatic arthritis? ›

Choose Inflammation-Fighting Foods

Certain foods have been shown to reduce inflammation, easing joint pain and also lowering your risk for heart disease and obesity. These include: Whole grains, such as brown rice, whole wheat bread, and oatmeal.

What vitamins help psoriatic arthritis? ›

Research suggests that some people with psoriatic arthritis have a vitamin D deficiency. Vitamin D is especially important for bone health. Take steps to increase your vitamin D intake through sun exposure and food sources like milk and fortified juice and cereals. Your doctor may recommend a vitamin D supplement.

Are beets good for psoriatic arthritis? ›

Vegetables. Vegetables are an excellent addition to any diet, but colorful vegetables, such as dark leafy greens, broccoli, beets, sweet potatoes, and cabbage are especially good for people with arthritis. They are loaded with good-for-you nutrients, such as antioxidants, polyphenols, fiber, vitamins, and minerals.

What nuts help psoriasis? ›

Walnuts are a good source of omega-3 fatty acids, which have been found to reduce inflammation, according to the National Psoriasis Foundation (NPF).

What milk is best for psoriasis? ›

Some people with psoriasis find that using goat's milk soap makes their skin feel better. Others claim that replacing cow's milk with goat's milk in their diets is effective at reducing psoriasis symptoms.

Does milk aggravate psoriatic arthritis? ›

Limit Dairy Products If Necessary

Some people with psoriatic arthritis may experience worsened symptoms after consuming dairy products, said Dr. Jhin. "There's always been talk about milk being a source of inflammation.

Are grapes good for arthritis? ›

Grapes also contain a plant compound called proanthocyanidin, which may have promising effects on arthritis. For example, one test-tube study showed that grape seed proanthocyanidin extract reduced inflammation related to the disease ( 33 ).

Is chicken good for psoriasis? ›

Is chicken good for psoriasis? Chicken is a leaner protein, so it may be better for psoriasis symptoms than red meats.

Is yogurt good for psoriasis? ›

Probiotics are beneficial bacteria present in yogurt and fermented foods. People can also consume them in supplements. Having the right balance of bacteria in the body may help the immune system. Psoriasis is an autoimmune disease, and research suggests probiotics may be helpful in managing psoriasis symptoms.

Are blueberries good for psoriatic arthritis? ›

Berries, blueberries, blackberries, raspberries, are rich in phytonutrients like anthocyanins and good for fighting psoriatic arthritis. This helps you fight inflammation.

Is pineapple good for arthritis? ›

Pineapple also helps relieve joint pain because it has a compound called bromelain. Bromelain is an effective pain reliever for people who have osteoarthritis. It can also reduce the inflammation associated with rheumatoid arthritis.

Is Egg good for psoriasis? ›

Eggs contain a polyunsaturated fatty acid called arachidonic acid that has been shown to be a trigger for psoriasis symptoms, so they would generally not be considered good for psoriasis. In addition to eggs, other foods may also trigger or worsen psoriasis symptoms, such as: Red meat.

Is cheese good for psoriasis? ›

Dairy. Like red meat, dairy also contains arachidonic acid. A 2017 review suggested that the arachidonic acid in dairy products may irritate the intestinal tract's inner lining and worsen psoriasis symptoms.

Will drinking lots of water help psoriasis? ›

In general, yes, drinking water and staying properly hydrated can help keep the skin hydrated and may reduce the number and severity of flare-ups. Psoriasis may come and go without any apparent reason. It may even go away for months, but it will almost always return eventually.

What is the best thing for psoriatic arthritis? ›

No cure exists for psoriatic arthritis. Treatment focuses on controlling inflammation in your affected joints to prevent joint pain and disability and controlling skin involvement. One of the most common treatments are prescription medications called disease-modifying antirheumatic drugs (DMARDs).

How do you slow down psoriatic arthritis? ›

DMARDs, such as methotrexate (Trexall), leflunomide (Arava), and sulfasalazine (Azulfidine), work to slow the progression of psoriatic arthritis. While this can help to prevent permanent joint damage, these drugs have many potential side effects.

What is the safest drug for psoriatic arthritis? ›

What Is the Safest Drug for Psoriatic Arthritis?
  • Over-the-counter (OTC) Ibuprofen (Advil, Motrin) Naproxen (Aleve) Aspirin.
  • Prescription. Celecoxib (Celebrex)
21 Jul 2021

What herb is good for psoriatic arthritis? ›

1. Turmeric Lowers Levels of Enzymes That Cause Inflammation. According to the National Psoriasis Foundation, curcumin, the active ingredient in turmeric, has been shown to help reduce inflammation in the body — meaning it has potential benefits for people with psoriatic arthritis.

Can B12 help with psoriatic arthritis? ›

Summary. Pernicious anemia, which is caused by a vitamin B12 deficiency, may occur more often in people with other autoimmune diseases, including psoriatic arthritis. The condition needs to be treated with vitamin B12 to prevent serious complications.

Is Magnesium good for psoriatic arthritis? ›

This study revealed a novel role for dietary magnesium in the regulation of autoimmune arthritis and opens new possibilities for the treatment of autoimmune diseases such as rheumatoid arthritis and psoriatic arthritis with short courses of dietary or drug-induced modulations of magnesium levels.

Does chocolate affect arthritis? ›

Chocolate and Arthritis

Phytochemicals have been linked to reducing inflammation in the body. Regular consumption of phytochemicals may reduce the severity of symptoms associated with chronic disease, such as arthritis. The key is consuming foods with a high cocoa content, ideally 70 percent or higher.

Is celery good for arthritis? ›

Celery May Be a Good Choice for RA Patients. Crunchy, crisp, refreshing, and cheap. Celery is an underrated veggie that just may help ease arthritis pain.

Are carrots good for arthritis? ›

Results have demonstrated that the carrot decreases the effects of arthritis, which may be due to the fact that the vegetable has 28 times the anti-inflammatory and anti-oxidant levels of the orange carrot.

Is chocolate good for psoriasis? ›

Reduces inflammation

Flavanols in dark chocolate help reduce inflammation, help with skin conditions like psoriasis and eczema, and keep the skin looking youthful.

Is Avocado good for psoriasis? ›

Avocados and nuts are good for you in moderation, both health-wise and when it comes to managing your psoriasis. These two foods are in the polyunsaturated fat group that also includes vegetable oils.

Is oatmeal good for psoriasis? ›

Some people say oats help bring relief to psoriasis symptoms. How It May Help: There's no research showing that oats help, but some people with psoriasis use them to ease itching and redness.

What bread is good for psoriasis? ›

Fiber-rich whole grains can ease inflammation. They also can help you slim down, and research shows that shedding pounds can help with your psoriasis symptoms. Choose whole-grain breads, cereals, and pastas, and brown or wild rice.

Is broccoli good for psoriasis? ›

Inflammatory conditions like psoriasis benefit from a psoriasis cure diet in fruits and vegetables. Foods to eat for psoriasis: Broccoli, cauliflower, and Brussels sprouts should be included in the psoriasis treatment diet. Sulforaphane, an antioxidant that decreases inflammation, is abundant in broccoli.

Do nuts make psoriasis worse? ›

While certain foods are known to cause inflammation, not everyone reacts the same way to these foods. “I've had some patients who felt that wheat was making their psoriasis worse. Another patient noticed more flare-ups when she ate nuts,” says Wesdock.

Are eggs OK with psoriatic arthritis? ›

Eggs, mushrooms, and fortified foods, such as fortified yogurt and breads,all contain vitamin D. This vitamin is important because it may help you manage psoriatic arthritis-related pain. As with omega-3s, if you don't get enough vitamin D, you may want to consider taking a daily vitamin D supplement.

Can psoriatic arthritis affect your bowels? ›

Having psoriatic arthritis may make you more likely to have inflammatory bowel disease, especially Crohn's disease, which causes diarrhea and other gastrointestinal issues.

Is yogurt good for arthritis? ›

PROBIOTICS FOUND IN GREEK YOGURT SHOWN TO DECREASE INFLAMMATION OF ARTHRITIS. Probiotic supplementation was found to reduce rheumatoid arthritis pain and inflammation in a recent randomized controlled study.

What foods lubricate your joints? ›

Consuming healthy fats can increase joint health and lubrication. Foods high in healthy fats include salmon, trout, mackerel, avocados, olive oil, almonds, walnuts, and chia seeds. The omega-3 fatty acids in these foods will assist in joint lubrication.

Which milk is good for arthritis? ›

Tips: Drinking milk, which is a good source of calcium, vitamin D and protein, may help prevent gout and fight the progression of osteoarthritis (OA). Make sure you opt for low-fat milk to avoid consuming extra calories and saturated fat.

Are strawberries good for arthritis? ›

Berries are rich in antioxidants and the Arthritis Foundation notes that blueberries, blackberries, strawberries, cranberries, raspberries and boysenberries all provide arthritis-fighting power.

Does honey help psoriasis? ›

In psoriasis, 5/8 patients showed a significant response to honey mixture. In patients using clobetasol propionate, 5/10 patients showed no deterioration upon 75% reduction of corticosteroid doses with use of mixture C. Conclusion: Honey mixture appears useful in the management of dermatitis and psoriasis vulgaris.

Is Mushroom good for psoriasis? ›

While there's no official diet for psoriasis, research suggests that red meat intake promotes inflammatory responses that contribute to psoriasis symptoms. But that's not the case with mushrooms. Mushrooms actually provide various beneficial phytochemicals that make them a great part of an anti-inflammatory diet.

Is onion good for psoriasis? ›

Antioxidant-rich diet

Another study published a few years later found that people with psoriasis had lower blood levels of glutathione. Glutathione is a powerful antioxidant found in garlic, onions, broccoli, kale, collards, cabbage, and cauliflower. Scientists speculated that a diet rich in antioxidants may help.

Does Pineapple help psoriasis? ›

Bromelain enzyme is a substance found in pineapple that contains anti-inflammatory properties that can prevent acne, dermatitis, psoriasis and eczema. It's a high source of antioxidants not only benefits your skin, hair and health but also boosts your immunity.

Which probiotics help psoriasis? ›

Some strains that have shown the most promise for reducing psoriasis symptoms and preventing chronic skin inflammation include Lactobacillus paracasei, Bifidobacterium infantis, Lactobacillus salivarius, and Lactobacillus rhamnosus.

What clears psoriasis fast? ›

Salicylic acid.

Salicylic acid shampoos and scalp solutions reduce the scaling of scalp psoriasis. They are available in nonprescription or prescription strengths. This type of product may be used alone or with other topical therapy, as it prepares the scalp to absorb the medication more easily.

What causes psoriatic arthritis flare up? ›

Triggers for onset and a flare include: stress, which can trigger symptoms and make them worse. medications such as lithium, antimalarials, beta-blockers, quinidine, and indomethacin. physical stress on the joints, for example, through obesity, which can make inflammation worse.

What can trigger psoriatic arthritis? ›

Psoriatic arthritis, or PsA, affects many people with psoriasis. Although the exact cause is unclear, many believe that it develops as a result of faulty immune activity.
  • exposure to cigarette smoke.
  • infections or skin wounds.
  • severe stress.
  • cold weather.
  • drinking too much alcohol.
  • taking certain medications.

What vitamins help psoriatic arthritis? ›

Research suggests that some people with psoriatic arthritis have a vitamin D deficiency. Vitamin D is especially important for bone health. Take steps to increase your vitamin D intake through sun exposure and food sources like milk and fortified juice and cereals. Your doctor may recommend a vitamin D supplement.

What organs does psoriatic arthritis affect? ›

You'll probably think of skin issues first, but your eyes, heart, lungs, gastrointestinal (GI) tract (stomach and intestines), liver and kidneys may also be affected. Skin. Psoriasis appears first in 60% to 80% of patients, usually followed within 10 years — but sometimes longer — by arthritis.

What's the best medicine for psoriatic arthritis? ›

Conventional DMARDs .

These drugs can slow the progression of psoriatic arthritis and save joints and other tissues from permanent damage. The most commonly used DMARD is methotrexate (Trexall, Otrexup, others). Others include leflunomide (Arava) and sulfasalazine (Azulfidine).

Which foods exacerbate arthritis? ›

Red meat, such as burgers and steaks. Processed meats like hot dogs, brats and other sausages. Refined carbohydrates like the ones you find in breads and pastries. Dairy products, because for many people, casein, a protein common in milk, ice cream and cheese, has been shown to irritate the tissue around joints.

Does rain make psoriatic arthritis worse? ›

Symptoms like joint pain, stiffness, and swelling may be worse when it's cold, humid, and/or rainy. Plus, people with psoriatic arthritis might also experience more skin symptoms during winter months.

Can psoriatic arthritis be treated without medication? ›

Psoriatic arthritis involves inflammation, pain, and swelling in the joints. Some natural treatment options — including stress reduction, exercise, capsaicin, and oatmeal — may help.

Does humidity make psoriatic arthritis worse? ›

Many people notice that rainy or muggy weather makes their joints stiff and achy. Some people with PsA feel humid weather affects them as much as very dry air. But more research is need to back that up. Humid, cold weather may be the worst combo for your joints.

What are the worst symptoms of psoriatic arthritis? ›

  • Swollen fingers and toes. Psoriatic arthritis can cause a painful, sausage-like swelling of your fingers and toes.
  • Foot pain. ...
  • Lower back pain. ...
  • Nail changes. ...
  • Eye inflammation.
2 Oct 2021

Is walking good for psoriatic arthritis? ›

The best endurance exercises for people who have psoriatic arthritis are walking, swimming, and biking, Lindsey says. In a study published in 2021 in the journal Rheumatology and Therapy, walking, combined with continuous health education, reduced the incidence of flares. If you're able, running is fine too.

How do I feel better with psoriatic arthritis? ›

We asked people with psoriatic arthritis to share the best tips they've ever gotten about managing this chronic disease.
  1. Get regular massages. ...
  2. Try CBD oil. ...
  3. Learn yogic breathing. ...
  4. Wrap your hands. ...
  5. Remember that you may need way more sleep than other people. ...
  6. Take an antacid with your ibuprofen.
15 Feb 2019

Can B12 help with psoriatic arthritis? ›

Summary. Pernicious anemia, which is caused by a vitamin B12 deficiency, may occur more often in people with other autoimmune diseases, including psoriatic arthritis. The condition needs to be treated with vitamin B12 to prevent serious complications.

Is Magnesium good for psoriatic arthritis? ›

This study revealed a novel role for dietary magnesium in the regulation of autoimmune arthritis and opens new possibilities for the treatment of autoimmune diseases such as rheumatoid arthritis and psoriatic arthritis with short courses of dietary or drug-induced modulations of magnesium levels.

Are probiotics good for psoriatic arthritis? ›

A study published in 2013 in the journal Gut Microbes found that the anti-inflammatory effects of probiotics can help combat inflammatory disorders such as psoriasis and psoriatic arthritis.


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