Is there an increased risk to knee replacement in psoriatic arthritis and peripheral neuropathy?

Question

I have psoriatic arthritis and peripheral neuropathy. The peripheral neuropathy is bilateral L>R. My neurologist does not know what is causing the neuropathy. I need a knee replacement on the left. Is there a contraindication to knee replacement in psoriatic arthritis and peripheral neuropathy. Also, is peripheral neuropathy common in people with psoriatic arthritis. I am a FNP and my lit searches only reveal peripheral neuropathy w/ rheumatoid arthritis. Do you know of a clinic specializing in psoriatic arthritis in NC or surrounding area? Thank you, Dianne

Answer

I am not aware of any studies on peripheral neuropathy and psoriatic arthritis.  In general, peripheral neuropathy is not a contraindication to joint replacement except in advanced cases when there might be weakness that would affect the stability of the prosthesis.  The obvious choices in NC are Duke and UNC both of which have fine rheumatology programs.

Alan Matsumoto, M.D.

About Alan Matsumoto, M.D.

Part-time Faculty, Division of Rheumatology
Johns Hopkins University