A case study: Pain management in chronic psoriasis with joint involvement

Abstract

Background: Psoriasis is a chronic, immune-mediated inflammatory skin disease often associated with joint involvement, causing pain, disability, and psychological distress. Pain in psoriasis may arise from cutaneous lesions, psoriatic arthritis, neuropathic mechanisms, and psychological factors. Effective pain management remains a major challenge in chronic cases. Methods: A case of a 53-year-old female with chronic psoriasis and joint pain was managed using individualized homoeopathic treatment. Case history, general and mental symptoms, repertorization, and miasmatic evaluation were undertaken. Pain intensity was assessed using the Visual Analogue Scale (VAS). Treatment was initiated with Cinchona Officinalis in LM potency, along with supportive measures. Follow-up was documented over two weeks. Results: At baseline, the patient reported severe burning skin pain and joint pain with restricted mobility, rated 8/10 on the VAS. After two weeks of treatment, symptoms significantly improved: skin itching and burning reduced, joint pain decreased to 3/10 on the VAS, mobility improved, and sleep quality was restored. The patient reported enhanced overall well-being and energy levels. Conclusion: Individualized homeopathic prescribing may offer meaningful clinical relief in psoriatic pain, notably reducing severity and enhancing functional outcomes. Systematic studies are warranted to further substantiate these observations.