Psoriasis is a quite common but complex chronic, relapsing skin condition linked to increased inflammation and overactive immune system. Some say it’s one of the most difficult conditions to improve either from conventional or naturopathic viewpoints.
I find that to make a significant difference and achieve good clinical results, psoriasis must always be addressed on many levels, including emotional and nervous system support. It always gives me such great satisfaction to be able to help clients to achieve a long-term remission or a complete resolution of symptoms, and witness the many positive changes in their lives such as the renewed confidence, self-assurance facing the world and generally getting their mojo back!
Therefore, I’d like to share my clinical insights and hope you’ll find them helpful to learn about my therapeutic approach when working with clients affected by psoriasis. I have also included a clinical case study where I outline specific steps and therapies applied, to give you a better understanding of what’s involved.
Psoriasis: symptoms and types
It’s estimated that between 1% and 5% of the world population are affected by psoriasis. In Australia over 1.6 million people live with this condition. Psoriasis can occur at any age; however, the disorder tends to occur around adolescence (16-22 years, usually more severe type linked to genetics) and later in life (57-60 years, less severe type).
So, psoriasis is quite a common, multi-system, inflammatory disease that primarily affects the skin but also have metabolic, cardiovascular and immune manifestations. The disease causes speeding up the life cycle of skin cells and causes them to build up rapidly on the surface of the skin. This pile up of skin cells that replicated too rapidly (up to 1000 times more than normal) gets too large and can’t shed at the same rate, causing the silvery scales to accumulate.
The extra skin cells form scales and red patches that are itchy and sometimes painful. The areas most commonly affected are the scalp, elbows and knees, but psoriasis can occur anywhere on the body.
Psoriasis signs and symptoms are different for everyone; however, common signs and symptoms include:
- Red patches of skin covered with thick, silvery scales
- Dry, cracked skin that may bleed
- Itching, burning or soreness
- Small scaling spots (commonly seen in children)
- Thickened, pitted or ridged nails
- Swollen and stiff joints
Psoriasis has many subtypes and each manifests with specific signs and symptoms. Most types of psoriasis go through cycles: flair-ups for a few weeks or months, then subsiding for a time or even going into complete remission. So, it’s a chronic disease that often comes and goes.
There are several types of psoriasis:
- Plaque psoriasis – the most common form, plaque psoriasis causes dry, raised, red skin lesions (plaques) covered with silvery scales. The plaques might be itchy or painful and there may be few or many. They can occur anywhere on the body.
- Nail psoriasis – psoriasis can affect fingernails and toenails, causing pitting, abnormal nail growth, poor quality nails and discolouration. The nails might loosen and separate from the nail bed.
- Guttate psoriasis – this type primarily affects young adults and children. It’s usually triggered by a bacterial infection such as strep throat. It manifests as small, water-drop-shaped, scaling lesions on the trunk, arms, legs and scalp. The lesions are covered by a fine scale and aren’t as thick as typical plaques are. There may be a single outbreak that goes away on its own, or repeated episodes.
- Inverse psoriasis – this type mainly affects the skin in the armpits, in the groin, under the breasts and around the genitals. Inverse psoriasis manifests as smooth patches of red, inflamed skin that worsen with friction and sweating. Fungal infections may trigger this type of psoriasis.
- Pustular psoriasis – this uncommon form of psoriasis can occur in widespread patches or in smaller areas on the hands, feet or fingertips. It generally develops quickly, with pus-filled blisters appearing just hours after the skin becomes red and tender. The blisters may come and go frequently. Generalised pustular psoriasis can also cause fever, chills, severe itching and diarrhoea.
- Erythrodermic psoriasis – the least common type of psoriasis, erythrodermic psoriasis can cover your entire body with a red, peeling rash that can itch or burn intensely. It’s a dermatological emergency presenting as malaise, extensive and severe erythema (redness of the skin), exfoliation and reduced skin function.
- Psoriatic arthritis – in addition to inflamed, scaly skin, psoriatic arthritis causes swollen, painful joints that are typical of arthritis. Sometimes the joint symptoms are the first or only manifestation of psoriasis or, at times, only nail changes are seen. Symptoms range from mild to severe and psoriatic arthritis can affect any joint. Although the disease usually isn’t as crippling as other forms of arthritis, it can cause stiffness and progressive joint damage that in the most serious cases may lead to permanent deformity.
Causes of psoriasis
The causes of psoriasis remain uncertain and can be different for each person. However, it’s generally regarded as having metabolic and/or immune system imbalances affecting the entire body, not just skin.
Nowadays, many researchers consider psoriasis as an autoimmune condition where the overactive immune system launches a strong inflammatory response towards the skin (own tissue) in the same way as when dealing with infections caused by foreign organisms such as bacteria or virus.
Although causes of psoriasis can be unclear, there definitely are known contributing factors including:
- A genetic predisposition – a number of genes are associated with different types of psoriasis, and it often runs in families for generations.
- Defects in cellular proliferation with cellular defects that increase the skin’s susceptibility to chronic plaque formation. The rate at which cell division occurs is controlled by a balance between two compounds: cAMP (enhanced cell maturation) and cyclic guanosine monophosphate (cGMP) (cell proliferation). In psoriasis, cAMP is decreased and cGMP is increased, causing excessive cell proliferation and inflammation.
- Digestive factors such as:
- Impaired gut detox especially of endotoxins produced by harmful bacteria in the gut, yeast compounds (Candida) and immune complexes present in the blood. These compounds significantly contribute to increasing the rate of skin cells proliferation. Clinical severity and therapeutic response have been shown to correlate with the level of circulating endotoxins, indicating that gut-derived toxins play a key role in the pathophysiology of psoriasis. Therefore, every effort should be made to promote effective binding and elimination of these toxins (more on this below).
- Incomplete protein digestion and/or absorption – if protein breakdown in the gut is impaired, proteins are metabolised by bowel bacteria into toxic compounds called polyamines, and their levels have been shown to be increased in individuals with psoriasis. They contribute to speeding up of cell proliferation. The best way to prevent the excessive formation of polyamines is to improve overall digestive function and correct leaky gut (increased gut permeability). Severe psoriasis can lead to nutrient depletion especially of protein, folate, iron and omega 3 fats.
- Microbiome imbalances – these need to be investigated and corrected using nutrition, probiotics and prebiotics. Eating organic foods is very important as they don’t contain the pesticide Roundup which has detrimental impact on the gut (causing leaky gut), the kidneys, it can also cross the blood/brain barrier. Read about natural methods of removing Roundup from the body HERE.
- Abnormal liver function – correcting abnormal liver function is of key importance in the treatment of psoriasis. When the liver is overwhelmed by excessive levels of toxins coming from the gut or if there is a decrease in the liver’s detox capacity, the toxin level in the blood increase and the psoriasis gets worse.
- Nutrient deficiencies – such as selenium, vitamin A and E, vitamin D, omega 3 fatty acids (among others), have been found in psoriasis patients, indicating poor free radical scavenging, which potentiate the inflammatory aspects of the condition.
- Alcohol, smoking, coffee – can also make certain types of psoriasis worse. Alcohol consumption is known to significantly worsen psoriasis. It significantly impairs liver function and increases the absorption of toxins from the gut. All types of alcohol must be eliminated by individuals who suffer from psoriasis.
- Sunburn and skin injury – accidents or operations where the skin is damaged can create an opening to getting a skin infection, which then can initiate an initial psoriasis occurrence or flare-up.
- Gluten and dairy consumption – identification and elimination of food triggers is key. Removing gluten and diary is important, even if food intolerance tests are negative. Gluten is inflammatory to the gut and can exacerbate leaky gut thus triggering the immune system, resulting in autoimmune attack towards the skin.
- Viral and/or bacterial infections – such as strep throat, Staphylococcal, other bacterial infections result in bacteria releasing toxins to the blood that circulate systemically and activate the immune system causing considerable flare-ups.
- Certain medications – some drugs can either drive the disease or initiate first-time flair-up. For example, mood-stabilising drug like lithium can initiate a flare-up. Blood pressure medications are also known to cause flair-ups, especially beta blockers. Also, nonsteroidal anti-inflammatory drugs (NSAIDs) taken for joint pain and swelling can be implicated. See a more detailed list HERE.
- Emotional stress – is an exacerbating factor as having such a visible skin condition can be very stressful. Also, acute stress can initiate the first-time flare of psoriasis. Chronic stress on the other hand flares it up or exacerbates the condition.
My holistic therapeutic approach
A holistic therapeutic approach includes taking into account both the physical and emotional aspects of the condition throughout treatment. This approach differs significantly from conventional psoriasis treatment which primarily relies on short-term symptom relief using drugs and topicals that, at best, only mask symptoms.
The focus here is on identifying and resolving the cause(s) or triggers, where possible (genetic factors can’t be changed but they can be minimised in many cases); or to reduce the frequency and/or severity of flair-ups, as well as help with prevention.
Skin inflammation and changes are symptoms not causes of psoriasis, therefore any treatment and remedies must focus on supporting the whole body and in particular all the detox organs i.e. the gut, the liver, lymphatic system, the kidneys, the lungs, aiming to cleanse and support them as treatment progresses.
Needless to say, any therapeutic intervention needs to be personalised depending on presentation, client’s living circumstances and the environment. For example, if a person has plaque psoriasis which is dry and flaky, it needs to be addressed in a different way than pustular psoriasis which is weepy and wet. It’s simply not possible to get good results with the same, generic topical cream or lotion for psoriasis, prescribed regardless of presentation. No wonder this doesn’t work.
Although there is no known 100% cure for psoriasis and the condition is characterised by chronic systemic inflammation, impaired gut and immune functions; some people can recover if the cause of their psoriasis is established and can be corrected – this is the key to any permanent recovery.
Therefore, targeted testing is of significant importance to pin point any nutritional deficiencies, immune system triggers and gut/liver abnormalities. Generally, when starting a holistic psoriasis therapy, I recommend o combination of the following lab tests:
- GI Map stool test to identify gut imbalances, microbiome status, any parasites, harmful bacteria or Candida, check digestive markers
- Food Compatibility Analysis – to identify foods that a person is intolerant to that trigger the immune system
- Blood tests, as needed – to identify nutrient deficiencies, electrolyte imbalances, inflammation markers etc
- Hair Tissue Mineral Analysis – to gauge heavy metals levels that can interfere with many body functions
It’s important to note that chronic conditions like psoriasis involving multiple body systems take time to show significant therapeutic results. A joint client/therapist long-term vision of overall health and wellbeing will provide the best possible outcome.
Natural holistic remedies and solutions for psoriasis
Despite the complexity of this condition my holistic therapeutic approach is fairly straightforward and comprises the following steps:
- First of all, identifying the causes of the symptoms by taking a detailed health history that includes physical, dietary, lifestyle and stress management aspects
- Performing targeted testing tailored for each individual to establish the levels and depth of imbalances present
- Doing detailed nutrition analysis of the current eating patterns and developing a personalised eating plan that is simple and enjoyable to implement
- Deciding on appropriate, tailored supplementation – to quickly provide needed nutrients in sufficient amounts to correct any nutritional deficiencies linked to symptoms
- Correcting lifestyle, sleep, sun exposure and stress management aspects which are key to successfully healing or improving psoriasis short- and long-term
Herbs are absolutely brilliant for addressing psoriasis and in one bottle I can combine 4-5 herbs to facilitate improvements in a number of systems or organs. From improving gut function and digestion, the liver function, blood cleansing to remove circulating yeast, bacteria or harmful immune complexes, decrease inflammation and lift a mood, among others.
Over the years helping clients with psoriasis, I tested and developed my own special herbal mixes combined with minerals and flower essences that work very well significantly speeding up progress and clinical results. Of course, each person responds to natural therapies uniquely and individual modifications are usually required as we go.
In my clinical experience, to heal or improve psoriasis the cause(s) must be investigated and found. Psoriasis can never be healed by external applications alone such as creams, lotions or medications without looking for and removing the cause. As stated above, the real causes are internal involving the immune system dysfunction and inflammatory states.
Therefore seeing a conventional dermatologist who focuses on dealing with skin symptoms (often using steroid medications in the process) is unlikely to ever permanently improve or clear psoriasis. Plus the side effects can be significant.
All triggers and exacerbating factors need to be identified and corrected to increase your chances to either resolve or significantly improve your psoriasis. It’s a complex process and doing it alone rarely works, therefore I highly recommend working with a skin expert familiar with this condition.
Furthermore, I find that psoriasis is one of those conditions where treatment must be persisted with over a long period of time, sometimes years. So getting support is highly beneficial to persevere and keep going.
I’ve been helping clients with psoriasis for a number of years now, and I find it a fascinating condition to grasp and deal with. It’s so very satisfying to be able to assist individuals with reversing the troublesome skin changes and transforming their lives in front of my eyes.
They go from being depressed, stressed, feeling helpless and frustrated with their bodies, to feeling confident in their own skin, enjoying social interactions or wearing short-sleeved tops or shorts without being self-conscious about their skin! You can do it, too.
Would you like help with improving psoriasis?
If you’d like assistance with psoriasis using natural therapies and remedies, feel free to get in touch with me. I see clients in person in the Sydney and Lake Macquarie clinics and also conduct online consultations Australia-wide, if you’re based in the country or are unable to meet in person for any reason. These are very popular and convenient without compromising the quality of care.
Book a consultation with me (either in person or via phone/ Skype) by clicking the button below.
I also offer a free 15-minute initial discussion to talk about your circumstances and how I can help.
Please note that I can consult with Australia-based clients only.
Psoriasis case study
As stated above, holistic natural approach to psoriasis is highly personalised and needs to be designed separately for each client. There is so much conflicting and unsubstantiated information on the internet about supplements, remedies and diets suitable for psoriasis.
It makes it virtually impossible to know what can possibly work in your circumstances, current health status, food intolerances you may have, and environmental triggers you respond to, among others.
Therefore, I’m not going to mention any particular herb combinations or specifi