Caring for Hands, Feet and Nails > Enbrel and nail psoriasis

Enbrel and nail psoriasis

March 25, 2013 — 8:06pm

I have had psoriatic arthritis for 20+ years and have been forced to retire from orthopedic surgery because of the disease. I have the form that attacks the small joints of the hands and feet more than other joints.

I began Enbrel 4 months ago with really good results. The important thing here is that I had horrible nail involvement…which has cleared completely.

Editors Note: Enbrel is only available by prescription from a doctor.


  • I too have psoriatic arthitis, a year ago I began with plaque psoriasis I’ve used the different creams, and light therapy, I had it on my left elbow and legs with most on my lower legs and on my left hand dorsal side. My nails are also affected. It seemed to be getting better, however the past month I am much worse, I had the flu about 3 months ago and my doctor feels that that exacerbated it. He is recommending Humira, I see my rheumatologist tomorrow for consult. I will tell you lately it is affecting me emotionally, I dread summer, I get tired of people looking at my legs, I wear pants just below my knee, but you can still see it, I’ve tried makeup which helps a little. I’m not crazy about using biologicals but at this time I feel I need something. I have very little pruritius with mine, I feel like I have a sunburn most of the time. Thanks for listening I just needed to vent.

  • Glad you vented. I too dread summer for the same reasons. It’s hard not to feel self-conscious. I am using Stelara but my legs and feet have not been responsive (yet – I hope)

  • I have psoriasis over 75% of my body. At started as a toddler and I developed psoriatic arthritis in my teens. I have tried many treatments. Recently, I started drinking a
    health and wellness supplement called LIMU and have had amazing relief
    of itching! Active ingredient is “Flucoidan” and it works on all types of inflammation,
    You can read more info at

    I am so embarrassed by white flakes from scratching. I cringe when I have to walk across a dark carpet or sit on friend’s upholstery. I also have it on my scalp and people just love to touch my white hair. I am so afraid they will see white flakes flying and get grossed out. I have only used LIMU
    product a few weeks but scaling is decreasing and itching is gone.
    Praise the Lord!

    it is okay to email me…

    Sally Reynolds, R.Ph.

  • Hi, I have the same situation, I have p on my lower legs, and I cannot wear shorts, my summer time is ruined by P, and I want to get biologic prescription for doctor, but I dont know whether my insurance will cover it.

  • My psoriasis started in nursing school…stress I presume. I have had bouts of it for twenty years. What has helped me most is drinking the recommended 8 glasses of water per day. I continued to use my creams but over 2-3 months it completely disappeared! I am now having symptoms of arthritis. My little finger on my right hand is swollen and tender and I have very limited movement. My doctor wants me to start biologics which I am hesitant to do. I have a history of cancer so the thought of depressing my immune system does not appeal to me. Hope you will try the water just remember you have to be consistent.

  • I have it on my face and its extremely painful and weapy but a hairdresser I used recently recommended a gel that is used for body contouring wraps and I have to say it has helped where absolutely nothing else has its by ; It works global its expensive but if you can find someone selling it that will give u a good price it really with it Good luck and God Bless!

  • Hi Missy111,
    There are a number of financial assistance and discount options for biologic treatments. You can learn more here:

  • I have had psoriasis for about 35 years. Developed joint pain and had to take frequent leaves from work as a nurse. Eventually had to relinquish my career reluctantly due to disease of psoriatic arthritis. Have tried many of the biologics in combination with DMARDS with good results for a while. Now disease is in full swing and my rheumatologist has tried me on clinical trial with Orencia with poor results due to advanced state of disease and recurrent infections ( life threatening) which lead to discovery of second immune disease of immunoglobulin disorder. Just trying to figure out
    where to go from here. I feel like my life is wrapped around treatments…infusions..injections.. and infections. Seeing those with more natural holistic treatments has made me rethink treatment alternatives and I plan to try the vinegar and honey to see how this affects my immune disease and I want to try conservative approaches of diet restrictions. Thank you foe wonderful ideas shared!

  • My psoriasis started later in life during a very stressful time. Hands, feet, scalp and sometimes legs. I wear long lightweight pants in public in the summer and it’s fine. Paying close attention to my diet has helped a lot: no grain products at all, no dairy, no eggs, no nightshades (Italian food is off the list). The side effect of watching my diet has been to lose 25 pounds! Not the worst! So far topical steroids are helpful, but there is never 100% clearing. Aquaphor and CeraVe are very helpful. I am back in a yoga practice which has been wonderful. I wonder if managing the disease is partly about managing expectations and giving ourselves a break-permission to be a bit flaky. It bothers me but my friends and family are finally catching on to what the disease is all about and that helps too!

  • I am at a loss as well. I just recently (2 months ago) started the methotrexate pills..I feel tired, really have no energy.. I’ve noticed my teeth and gums have been quite sensitive as well..I’ve have pretty much cleared all the psoriasis I had around my body…but my nails have remained the same..I go to my doctor this week and have been thinking about the shots..I am looking for some advice on the Pro s and cons compared to the pills..before the pills I just used clobex, which worked til it spread to my legs and forearms

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