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Integrative Rheumatology Guide to Psoriatic Arthritis

By:

Dr. Micah Yu, MD, MHA, MS

As we all know, Psoriatic Arthritis (PsA) is a long-term autoimmune condition marked by joint pain, stiffness, and swelling, often accompanied by the skin symptoms of psoriasis. Although the exact cause is unknown, a mix of genetic and environmental factors is believed to trigger its onset (Mease, 2011).

Psoriatic Arthritis (PsA) is a multifaceted autoimmune disease that affects not only the joints and skin but also various other systems in the body. Managing PsA requires a comprehensive understanding of its symptoms, triggers, and impact on overall health. This guide explores the wide-ranging effects of PsA and provides considerations for living with the condition that Rheumission’s care team can help you with during and between appointments.

Psoriatic Arthritis is much more complex than joint pain and swelling. It's important to understand how an autoimmune condition affects your whole body so that you can make each day the best it can be, whether you are preventing a flare, in a flare, or in a time where symptoms are well-managed.

Understanding diagnosis types, symptoms that appear unrelated but connected to your PsA, the role of gut health, the importance of nail and skin care, and key lifestyle factors such as weight management are all important to managing your condition.

We hope this post will give you a wider understanding of your PsA health, helping you work with your integrative rheumatologist and care team to live a fuller, healthier life.

Part 1: Top 8 Symptoms of Psoriatic Arthritis

While joint pain and skin symptoms are hallmark features of PsA, the condition can present with a wide variety of symptoms that affect multiple aspects of health and well-being. If you are new to diagnosis, the following list may help you review and reflect on how you’ve been feeling and what you’ve been experiencing.

1. Joint Pain and Stiffness

Common Locations: Fingers, toes, knees, spine, and hips
Key Features: Swelling, warmth, and stiffness, particularly in the morning or after inactivity.

2. Skin and Nail Changes

Psoriasis Plaques: Red, scaly patches on the scalp, elbows, knees, or lower back.
Nail Symptoms: Pitting, ridging, and separation from the nail bed.

3. Fatigue

Prevalence: Affects more than 50% of people with PsA
Cause: Likely linked to systemic inflammation, poor sleep, and mental health challenges.

4. Mental Health

Anxiety and Depression: Common due to chronic pain, fatigue, and the psychological impact of visible skin symptoms
Brain Fog: Difficulty concentrating or remembering, often related to inflammation.

5. Sleep Issues

Causes: Pain, itching, and anxiety can interfere with restful sleep
Impact: Sleep deprivation exacerbates fatigue and lowers quality of life.

6. Eye and Vision Challenges

Uveitis: Inflammation of the eye causing redness, pain, and blurred vision
Dry Eye Syndrome: A common secondary condition.

7. Gastrointestinal Issues

Inflammatory Bowel Disease (IBD): PsA increases the risk of IBD, highlighting the gut-skin-joint connection

8. Cardiovascular Risks

Heart Disease: Chronic inflammation contributes to higher cardiovascular risks in PsA patients.

Part 2: 5 Things to Know about Psoriatic Arthritis + what they mean for you

#1: Nail and Skin Changes as Key Indicators

Nail and skin changes are hallmark symptoms of Psoriatic Arthritis. Nail pitting, ridging, and separation from the nail bed are common. Similarly, psoriasis plaques can worsen during PsA flares. The connection between skin and joints highlights the systemic nature of the disease (Menter et al., 2009).

What does this mean for you? Pay attention to changes in your nails and skin as they can be early indicators of disease activity. Treat your skin with gentle, psoriasis-friendly products, and consult a dermatologist or rheumatologist if symptoms worsen. Early intervention is key.

#2: Psoriatic Arthritis' Impact Beyond Joints

While PsA primarily affects joints, it also involves other parts of the body. Inflammation can contribute to symptoms such as fatigue, uveitis (eye inflammation), cardiovascular disease, and depression or anxiety (Gladman et al., 2018). Enthesitis, or inflammation where tendons attach to bones, is another common symptom.

What does this mean for you? Being aware of PsA’s systemic nature can help you and your provider monitor and address symptoms beyond joint pain. Regular check-ups for cardiovascular health, mental health, and eye health are crucial. This whole body approach ensures comprehensive care in managing your condition..

#3: The Role of Diet in PsA Management

A balanced, anti-inflammatory diet can help manage PsA. Foods rich in omega-3 fatty acids, antioxidants, and vitamins, such as fatty fish, leafy greens, and fruits, are particularly beneficial. Research suggests that turmeric and ginger may also help reduce inflammation (Calder, 2017).

What does this mean for you? Adopting an anti-inflammatory diet can be a powerful tool in managing Psoriatic Arthritis. Consider consulting with a registered dietitian familiar with autoimmune conditions to create a diet plan that supports your treatment regimen and overall health.

#4: Gut Health’s Connection to Psoriatic Arthritis

Emerging research highlights the relationship between gut health and autoimmune diseases like PsA. An imbalance in gut bacteria, known as dysbiosis, may contribute to inflammation and disease activity (Myers et al., 2009).

What does this mean for you? Incorporating gut-friendly foods such as probiotics, found in yogurt, kefir, and fermented foods, and prebiotics, found in fiber-rich fruits and vegetables, can support your overall health. Avoiding processed foods and excess sugar may also help reduce inflammation.

#5: Weight Management’s Role in PsA

Carrying excess weight can worsen PsA symptoms by increasing joint stress and inflammation. Additionally, fat tissue produces proinflammatory molecules that may exacerbate the disease (Kumthekar et al., 2020).

What does this mean for you? Maintaining a healthy weight can reduce stress on your joints and improve your response to treatment. Partner with your healthcare provider to develop a sustainable weight management plan that includes regular physical activity and a balanced diet.

Part 3: 6 Ideas for Managing Psoriatic Arthritis: keep condition activity low, help prevent progression

Managing PsA effectively involves addressing both the physical and emotional impacts of the disease. Rheumission employs the strategies below to ensure that medications plus lifestyle habits and choices pair together to give you the best chance of keeping your symptoms managed and reduce the risk of progression.

1. Holistic Treatment Approach

Medications and Supplements: Exact types of medication and supplements will depend on symptoms, current medications and supplements, and prior medication regimen.
Lifestyle Therapies: The six pillars of lifestyle medicine will review how you are living and what new habits and strategies can be tried to help improve symptom management

2. Nutrition and Diet

Anti-Inflammatory Diet: Rich in omega-3 fatty acids, fruits, vegetables, and whole grains
Gut Health: Incorporate probiotics and prebiotics to support the gut microbiome

3. Regular Physical Activity

Low-Impact Exercise: Swimming, walking, and tai chi to maintain joint mobility and strength
Stretching Routines: Prevent stiffness and improve flexibility.

4. Mental Health Support

Counseling: A variety of therapy types, depending on what you’ve tried before, or where you are in your mental health can help manage anxiety and depression.
Support Groups: Connect with others living with PsA for shared experiences and encouragement.

5. Managing Triggers

Stress Reduction: Practice relaxation techniques to lower flare-up risks.
Environmental Factors: Avoid cold weather exposure and maintain skin hydration to reduce irritation.

6. Comprehensive Care Coordination

Integrative Rheumatologist: Central to managing joint and systemic inflammation.
Dermatologist: Key for addressing skin and nail symptoms.
Other Specialists: Cardiologists, gastroenterologists, and mental health professionals for managing other existing conditions as appropriate for your individual health.

Looking ahead: Feeling better with Psoriatic Arthritis

Understanding the full spectrum of psoriatic arthritis symptoms and adopting a holistic approach to treatment can improve how you feel each day, and the plans and goals you have for your life now and into the future. Collaborating with a multidisciplinary team such as the one at Rheumission will give you the support and care to develop a plan tailored to your unique needs and circumstances.

Understanding the deeper elements of Psoriatic Arthritis, from nail and skin care to the importance of diet and weight management, is vital in managing this chronic condition. We are always available to answer more questions and help you create a treatment plan that addresses all these factors.

To learn more about our Rheumission approach to care, please visit the Why Rheumission section of our site or book a 15-minute intro call with one of our providers. The Rheumission Way helps you get back to being you, with more joy and less pain. We will listen to you and co-create a plan that works for where you are now and where you want to be. We are always here for you.

About the author

Dr. Micah Yu is an integrative rheumatologist who incorporates complementary medicine with traditional rheumatology. He is quadruple board-certified in Rheumatology, Internal Medicine, Integrative Medicine and Lifestyle Medicine. He obtained his MD from Chicago Medical School and holds a Masters in Healthcare Administration and Biomedical sciences. He completed his internal medicine residency and rheumatology fellowship at Loma Linda University in Southern California. He is a graduate of the Andrew Weil Integrative Medicine Fellowship at the University of Arizona. In addition, he is certified in functional medicine through the Institute of Functional Medicine. He has a very unique perspective on autoimmune disease and arthritis, as he is both a patient with arthritis and physician. Dr. Yu was diagnosed with gout at the age of 17 and later diagnosed with spondyloarthritis as well. He is able to understand his patient’s medical problems from a patient perspective. The foundation of his practice is to combine allopathic medicine with complementary medicine. He works with his patients to come up with a treatment plan that not only fights the disease, but also is aligned with his patient’s goals. In addition to Rheumission, Dr. Yu is on social media under @MYAutoimmuneMD educating about autoimmune diseases and integrative medicine.

Note: This information is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new healthcare regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

References

1. Mease, P. J. (2011). Psoriatic arthritis: Update on pathophysiology, assessment and management. Annals of Rheumatic Diseases.

2. Menter, A., et al. (2009). Guidelines of care for the management of psoriasis and psoriatic arthritis. Journal of the American Academy of Dermatology.

3. Gladman, D. D., et al. (2018). Psoriatic arthritis: Epidemiology, clinical features, course, and outcome. Annals of the Rheumatic Diseases.

4. Zhao, S. S., et al. (2020). Systematic review of mental health comorbidities in psoriatic arthritis. Clinical Rheumatology.

5. Kumthekar, A, et al. (2020). Obesity and Psoriatic Arthritis: A Narrative Review. Rheumatology and Therapy.

6. Myers, B., et al. (2019). The gut microbiome in psoriasis and psoriatic arthritis. Best Practice & Research: Clinical Rheumatology.

7. Calder, P. C. (2017). Omega-3 fatty acids and inflammatory processes: From molecules to man. Biochemical Society Transactions.

How does a virtual rheumatology care team work for you?

As you go through your patient journey, there’s one key element that becomes clear: finding the right, supportive rheumatologist and overall healthcare team is the most important part of life as a person with a chronic condition.

The right doctor and team help keep you on a successful path to sustained remission – feeling good, positive and hopeful each day about the symptoms that touch most aspects of your life and the treatment to heal them.

When you're looking for or considering a new rheumatology practice, it may feel like a given that an in-person appointment is mandatory. And I understand that, as an autoimmune rheumatology patient myself, first diagnosed 14 years ago.

However, through the years of my practice and as a patient, I see great benefits to a telehealth practice — if I felt I wasn't able to diagnose you, or treat your symptoms as well or better than an in-person appointment, I would not practice medicine this way.

Rheumission has adopted a virtual-first approach to treating rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis. We believe that our telehealth model improves accessibility, convenience, and better serves our patients overall. Below I’ll take you through the three reasons why.

Why is a virtual visit as good as an in-person visit?

A virtual rheumatology visit can be just as good as an in-person visit because, in both scenarios, the patient’s clinical history, labs, and imaging often inform the diagnosis.

Sometimes, swelling can be subtle and hard to visualize through a virtual exam. In these cases, the patient would be referred out for imaging. This is not dissimilar to in-person visits - rheumatologists often order imaging to fully visualize joint swelling before confirming a diagnosis.

An in-person visit does allow me to press on joints and do needle injections and aspirations. If injections are needed for virtual patients, you may be referred to local clinics who can perform the test and then send me the results that we can review together.

How can I ensure that my diagnosis will be the same as if I saw you in-person?

A rheumatology diagnosis relies most heavily on the patient’s clinical history, labs, and imaging. However, there are some cases where parts of the physical exam are unclear, and the patient’s history, labs, and imaging do not provide enough information. In these few cases, a referral to an in-person rheumatologist may be needed.

In all rheumatology visits, it’s important that I can focus on you, and listen closely to your history. Some in-person doctors barely examine patients or look at them during a visit.

Communication does not need to be rushed during a telehealth visit, and communication styles are often very individual to the provider. At Rheumission, our initial visits are one hour long, and follow-up visits run for 30 minutes. This is an uncommonly high amount of time for medical appointments, but we understand and value deeply listening to our patients and their history, before jumping into treatment decisions.

What are some benefits of virtual care?

Virtual care increases accessibility and decreases wait times before appointments. If there’s a case where you need an in-person exam, you can start and continue on with virtual appointments rather than waiting months for any sort of care.

As an autoimmune patient myself, I know that a lot of autoimmune patients struggle with brain fog and keeping track of their appointments. One benefit of virtual care is that it’s easier to jump into a visit or make up a visit after the fact. For example, say you forgot about your appointment and went to the beach. You remembered that you had an appointment once you got there, but you could still complete the exam outside of your home. Virtual visits can be completed anywhere at the convenience of the patient. If this were an in-person visit, it would be much more difficult to make up the visit if forgotten.

A common issue with our world’s shift towards more remote/virtual models is a general decrease in physical activity. In the case of virtual appointments, you lose the walk to and from the clinic.

This would be a loss for a conventional telehealth practice that does not include movement as a part of its treatment approach. However, here at Rheumission, we’ve adopted an integrative, lifestyle approach where we encourage patients to incorporate more movement into their routine as part of every treatment plan.

So what's the most important thing to know about telehealth rheumatology visits?

Remote rheumatology visits are comparable to in-person appointments, with increased availability, convenience, and unrushed time for deeper conversations about your health.

While remote models are still relatively new, we believe that the increased accessibility and coordination of care within a telehealth practice is the best way forward for rheumatology patients, which is why we set up Rheumission – so that we can give you the best care possible.

To learn more about our Rheumission approach to care, please visit the Approach section of our site, or book a 15-minute intro call with one of our providers. Our approach is to help you get back to being you, with more joy and less pain. We will listen to you and co-create a plan that works for where you are now, and where you want to be. We are always here for you.

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About the Author

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Living with an autoimmune condition can feel like navigating a complex maze of doctors appointments, various treatments and expensive medications.

Many people with autoimmune arthritis, which we treat, find themselves searching for relief from years of pain and suffering. We understand this at Rheumission, since our method was developed by autoimmune patient-doctors.

In recent years, the fields of lifestyle medicine, integrative medicine and functional medicine have gained attention for their holistic approaches to health and wellness.

Here at Rheumission, we aim to combine the best tools and levers from integrative, functional and conventional medicine to help our patients reach remission.

But what exactly is lifestyle medicine? It’s an important new field of medicine that is helpful to understand both how it differs from other fields of medicine, and how it fits into the broader picture of managing conditions such as rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis.

What is lifestyle medicine and how will it help me?

The American College of Lifestyle Medicine defines lifestyle medicine as a “medical specialty that uses therapeutic lifestyle interventions as a primary modality to treat chronic conditions.”

In other words, as lifestyle medicine certified clinicians, we take a holistic approach and treat our patients first with evidence-based and prescriptive lifestyle change.

We still use medications when needed, but our aim is to utilize the 6 pillars of lifestyle medicine to treat, prevent and even reverse disease:

Whole food plant-based nutrition
Physical activity
Stress management
Restorative sleep
Avoidance of risky substances
Positive social connections

Lifestyle medicine is about empowering you to take an active role in your health in a new way, by supporting you with the tools necessary to improve not only your health, but also your quality of life!

In lifestyle medicine, we often ask patients, “What is your why?” In other words, what gets you up in the mornings? What motivates you? Why do you want to improve your health?

From my experience working in primary care and lifestyle medicine, some examples of a patient’s “why” may be to see their grandchildren graduate from college, to travel to new and exciting places or to be there for their children as they grow up.

Usually it boils down to wanting more quality time with loved ones, traveling to see new places, or feeling fulfilled in one’s purpose in life. Once a patient connects with their deeper why, they are often more motivated to make the necessary changes for improved health and happiness.

How will you use lifestyle medicine to help me with my autoimmune arthritis?

The pillars of lifestyle medicine encompass various aspects of daily life that profoundly impact health outcomes:

Nutrition: Scientific evidence strongly supports the use of whole-food, plant-predominant food choices for preventing and treating chronic disease.
1. This diet is rich in fiber, antioxidants and essential nutrients found in minimally processed vegetables, fruits, whole grains, legumes, nuts, and seeds.
2. For people with autoimmune conditions, this is particularly important because a whole-food plant-based diet has been proven to be anti-inflammatory.
3. Aim for half of your plate to be green leafy vegetables or non starchy vegetables, a quarter of the plate be protein - ideally a plant protein like legumes - and a quarter of the plate be whole grains or starchy vegetables.

Physical Activity: Regular exercise is essential for maintaining joint mobility, muscle strength, and overall physical function.
1. Low-impact activities like walking, swimming, yoga, and tai chi can be particularly beneficial for individuals with autoimmune arthritis, helping to manage pain and stiffness while improving cardiovascular health.
2. Find a form of movement that brings you joy, and aim to do it on a regular basis.
Stress Management: Chronic stress can exacerbate inflammation and contribute to symptom flare-ups in rheumatic diseases.
1. Techniques such as mindfulness meditation, deep breathing exercises, prayer, positive self-talk, progressive muscle relaxation, and cognitive-behavioral therapy can help individuals better cope with stress and improve their overall well-being.
2. Find a mindfulness practice that you enjoy and aim to do it for at least 3 - 5 min per day.
Restorative Sleep: Adequate sleep is crucial for immune function, tissue repair, and overall health. Poor sleep quality or sleep disturbances are common in patients with autoimmune arthritis.
1. Lack of sleep triggers the sympathetic nervous system to release fight or flight neurotransmitters, impairs our gut microbiome and interferes with normal hormone balance and function.
2. All of these factors play a role in triggering an increase in pro-inflammatory particles which can worsen autoimmune symptoms and disease.
3. Establishing healthy sleep habits and addressing sleep disorders can significantly improve health outcomes and can reduce chronic pain.
4. Try to optimize your sleep environment and aim for 7 hours of sleep each night.
Positive Social Connections: Strong social connections and a supportive network of friends, family, and peers play a vital role in our physical, mental and emotional health.
1. Engaging in meaningful social activities, joining support groups, and fostering positive relationships can provide emotional support and enhance overall well-being.
2. Aim to have one positive and meaningful connection each week.
Avoidance of Risky Substances: Engaging in tobacco use and alcohol consumption have been linked to higher risks of chronic diseases and mortality.
1. Treating these habits typically requires multiple approaches and attempts over time.
2. Be patient with yourself and seek help from your clinicians and your support system.

How is lifestyle medicine different from my primary care doctor?

At Rheumission, our lifestyle medicine clinicians have a background in primary care with additional training in lifestyle medicine. This additional training includes an emphasis on the lifestyle interventions described above.

When you meet with our lifestyle medicine clinicians, they will focus on how the pillars of lifestyle medicine are affecting your chronic conditions, and will partner with you to make sustainable lifestyle changes.

We encourage our patients to continue to see their primary care physician as the Rheumission team – including your integrative rheumatologist, lifestyle medicine clinicians, and autoimmune registered dietitian – will be partnering, and coordinating with your primary care provider in some instances, for your care. You can think of your Rheumission team as an additional team-based specialty that you are seeing.

How does lifestyle medicine differ from integrative or functional medicine?

While lifestyle medicine, functional medicine and integrative medicine all share common goals of promoting health and wellness, each approach has its unique focus and methodologies.

Lifestyle medicine has its distinct emphasis on promoting healthy behaviors and lifestyle modifications to prevent and manage chronic diseases.

It recognizes that many chronic conditions, including autoimmune diseases, are influenced by lifestyle factors such as diet, physical activity, stress management, sleep quality, and social connections. Lifestyle medicine encourages individuals to adopt sustainable lifestyle changes that support their overall health and well-being.

Integrative medicine emphasizes the integration of conventional medical treatments with complementary and alternative therapies. It acknowledges the importance of addressing the physical, psychological, social, and spiritual aspects of health to achieve optimal well-being. In the context of autoimmune conditions, an integrative rheumatologist may combine conventional medications with interventions such as massage therapy, or mind-body practices, to manage symptoms and improve quality of life.

Functional medicine investigates the underlying root causes of disease by examining the interactions among genetic, environmental, and lifestyle factors. Practitioners of functional medicine take a systems-oriented approach, considering the interconnectedness of various bodily functions and how imbalances in one area can affect others. For individuals with autoimmune conditions, a functional medicine provider may focus on identifying triggers such as dietary factors, gut health issues, or environmental toxins that contribute to inflammation and symptom flare-ups.

At Rheumission, our two Medical Directors, Dr. Micah Yu, MD, and Dr. Melissa Mondala, MD, are both trained in the conventional medical model and in lifestyle medicine, integrative medicine and functional medicine.

What is lifestyle medicine's role in the Rheumission Way?

Our lifestyle medicine clinicians work closely with the integrative rheumatologist, registered dietitian and autoimmune psychologist. We have a strong, interdisciplinary care team that works together and with you, our patient, to provide holistic, personalized ongoing care with the goal of sustained remission.

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To learn more about our Rheumission approach to care, please visit the Approach section of our site, or book a 15-minute intro call with one of our providers. Our approach is to help you get back to being you, with more joy and less pain. We will listen to you and co-create a plan that works for where you are now, and where you want to be. We are always here for you.

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Want to learn more about the integrative rheumatology pillar of Rheumission? Read our founding Integrative Rheumatology Director Dr. Micah Yu's post about how and why telehealth rheumatology appointments are just as good or better than in-person appointments for easier access and greater convenience, while offering an assessment of symptoms and treatment options that are the same as going in-person.

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About the Author

Christina Lascano, MPAS, DipACLM, PA-C, is a highly skilled, board-certified Physician Assistant with additional board certification in Lifestyle Medicine from the American College of Lifestyle Medicine. Christina graduated from the University of North Texas Health Science Center in 2017, earning a Masters of Physician Assistant Studies. She also holds a Bachelor of Science in Allied Health from Texas A&M University, which she completed in 2014. With over seven years of dedicated experience as a PA, Christina is committed to empowering her patients through personalized and prescriptive lifestyle interventions, striving to enhance their health and overall quality of life.

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At Rheumission, we firmly believe in harnessing the transformative power of food to elevate your health and improve your quality of life while living with chronic illness. Our approach is characterized by deep empathy and a multidisciplinary team dedicated to enhancing your life. It's not just about treating symptoms; it's about thriving, using anti-inflammatory nutrition & lifestyle, integrative rheumatology and lifestyle medicine pillars as our guiding stars.

Understanding food as medicine

So, what do we mean by "food as medicine"? It's a concept that extends far beyond just eating to fill our bellies. Food plays a crucial role in providing essential nutrients, but it also acts as a powerful agent in disease prevention and management. Rich in nutrients, anti-inflammatory agents, antioxidants, and fiber, nutritionally dense, whole foods are instrumental in combating chronic inflammation, neutralizing harmful reactive oxygen species, regulating hormones, and fostering a diverse gut microbiome.

The benefits of adopting a diet rich in these elements are extensive. Anti-inflammatory dietary patterns not only help ward off weight challenges, but also improve autoimmune symptoms such as low energy, fatigue, poor sleep, brain fog, joint pain, and digestive issues. By lowering inflammation balancing blood sugars and essential hormones, and rebalancing the gut microbiome. Ultimately, this holistic approach aims to improve your overall quality of life.

How Rheumission incorporates food as medicine

Our nutritional strategy is meticulously crafted to boost your intake of dietary fiber and anti-inflammatory foods. We also use a strategic evidence based elimination diet approach to identify your food triggers to improve autoimmune symptoms related to foods and decrease flares. Our primary objective is to engage with you where you are in your food journey, understanding your individual needs and circumstances. Our clinical team, particularly our registered dietitians who have autoimmune expertise, are committed to crafting a personalized care plan that resonates with your comfort and readiness, moving as quickly or as slowly as you want.

We offer two scientifically-supported nutritional protocols developed collaboratively by our integrative rheumatologist and autoimmune-expert registered dietitians. These protocols are structured into three key phases:

Elimination
Gentle, personalized reintroduction
Maintenance

Each is designed to encourage a plant-focused dietary pattern, which has been shown to significantly contribute to disease remission and a heightened sense of overall well-being.

Your Journey, Our Support

Choosing to embark on this journey with Rheumission means you're not just adopting a new diet; you're embracing a lifestyle change that places you at the center of your health narrative.

Our team is here to provide you with professional guidance and the autonomy to decide which aspects of our protocols best suit your needs. This is not about prescribing a one-size-fits-all solution but rather about co-creating a path that you feel comfortable following and one that is sustainable in the long term.

In every step of your journey, Rheumission is here to support you, providing the knowledge, tools, and encouragement you need to succeed. Whether you're looking to alleviate specific symptoms, manage a chronic condition, or simply enhance your overall health, our approach is flexible and responsive to your personal health goals.

Conclusion: A Path Toward Better Health

By integrating food as a fundamental element of medicine, Rheumission aims to not only improve your physical health but also to enhance your mental and emotional wellbeing. It's about creating a sustainable, enjoyable lifestyle that supports your health goals and brings joy and vitality into your daily life.

We invite you to join us on this transformative journey, to explore the vast potential of food to heal and nourish not just the body, but the mind and spirit as well. Together, let's redefine what it means to live well, supported by a team that believes in your potential to thrive.

Through the Rheumission approach, discover the power of food to transform your health, one meal at a time. Let's move forward, with the confidence that we're not just making changes for today, but nurturing a healthier, more vibrant tomorrow.

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To learn more about our Rheumission approach to care, please visit the Approach section of our site, or book a 15-minute intro call with one of our providers. Our approach is to help you get back to being you, with more joy and less pain. We will listen to you and co-create a plan that works for where you are now, and where you want to be. We are always here for you.

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About the Author

Jenifer Tharani is a registered dietitian, anti-inflammatory nutrition & lifestyle expert, and daughter of a chronic pain warrior. Jenifer has completed masters degrees focusing on probiotics from California Polytechnic State University & anti-inflammatory nutrition from Texas State University. Jenifer completed her dietetics internship from Emory University Hospitals. She currently lives in Los Angeles, California. Jenifer believes that following an anti-inflammatory diet should be easy, realistic and fun instead of overwhelming, time consuming or boring. Her nutrition approach is rooted in mindful eating, plant forward diet, and anti-inflammatory lifestyle pillars. She is extremely passionate about helping patients adopt an anti-inflammatory and gut healing eating pattern. She believes in helping patients living with autoimmune illnesses with making small sustainable lifestyle changes to help improve symptoms & overall quality of life. Jenifer’s mantra is “Give a Man a Fish, and You Feed Him for a Day. Teach a Man to Fish, and You Feed Him for a Lifetime”. Her nutrition coaching sessions are designed to empower you with nutrition education, provide you with accountability to take action and experience transformations, and experience its ripple effects in every aspect of your life.

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Sources

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Integrative Rheumatology Guide to Psoriatic Arthritis

Part 1: Top 8 Symptoms of Psoriatic Arthritis

Part 2: 5 Things to Know about Psoriatic Arthritis + what they mean for you

Part 3: 6 Ideas for Managing Psoriatic Arthritis: keep condition activity low, help prevent progression

Looking ahead: Feeling better with Psoriatic Arthritis

About the author

References

What is Integrative Medicine?

Integrative Medicine vs. Conventional and Functional Medicine

#1: The Power of Food and Nourishment

#2: Movement and Exercise

#3: Focusing on the Mind

#4: Alternative Treatments

#5: Environmental Medicine

#6: The Importance of Sleep

#7: Social Connections and Support Networks

#8: Personalized Medicine

A New Approach to Healthcare

About the Author

References

How does a virtual rheumatology care team work for you?

Why is a virtual visit as good as an in-person visit?

How can I ensure that my diagnosis will be the same as if I saw you in-person?

What are some benefits of virtual care?

So what's the most important thing to know about telehealth rheumatology visits?

About the Author

Living with an autoimmune condition can feel like navigating a complex maze of doctors appointments, various treatments and expensive medications.

In recent years, the fields of lifestyle medicine, integrative medicine and functional medicine have gained attention for their holistic approaches to health and wellness.

What is lifestyle medicine and how will it help me?

How will you use lifestyle medicine to help me with my autoimmune arthritis?

How is lifestyle medicine different from my primary care doctor?

How does lifestyle medicine differ from integrative or functional medicine?

What is lifestyle medicine's role in the Rheumission Way?

About the Author

Understanding food as medicine

How Rheumission incorporates food as medicine

Your Journey, Our Support

Conclusion: A Path Toward Better Health

About the Author

Sources