
Understanding Psoriasis: A Naturopathic Doctor’s Guide
Psoriasis is more than just a skin condition—it’s a chronic autoimmune disorder that affects millions of people worldwide. While conventional treatments often focus on symptom management, naturopathic approaches aim to address the root causes and promote overall health. In this article, we’ll explore what psoriasis is, its history, causes, and triggers, and the treatments available, particularly from a naturopathic perspective.
What Is Psoriasis?
Psoriasis is a chronic condition where the immune system accelerates skin cell turnover, leading to the accumulation of cells on the skin's surface. This results in raised, red patches covered with silvery scales. It commonly appears on areas such as the scalp, elbows, knees, and lower back but can develop anywhere on the body.
Key Facts:
Prevalence: Affects 2-3% of the global population.
Gender: Equally common in men and women.
Age: Often develops between 15-35 years of age but can occur at any age.
A Brief History of Psoriasis
Ancient Times: References to psoriasis-like symptoms appear in ancient Greek and Egyptian texts.
Hippocrates' Contribution: Greek physician Hippocrates documented the condition and distinguished it from leprosy, a common misdiagnosis at the time.
Modern Advances: In the 20th century, researchers identified the autoimmune nature of psoriasis, linking it to systemic inflammation and immune dysregulation.
What Causes Psoriasis?
Psoriasis is a multifactorial condition involving genetic, immune, and environmental factors. Here’s a closer look:
Factor | Details |
Autoimmune Response | T-cells and cytokines mistakenly attack healthy skin cells, causing inflammation. |
Genetics | 30-40% of cases have a family history of psoriasis. |
Environmental Triggers | Stress, infections, and skin trauma can exacerbate the condition. |
Lifestyle Factors | Smoking, alcohol, poor diet, and obesity contribute to flare-ups. |
Gut-Skin Connection | Imbalance in gut microbiota (dysbiosis) can worsen systemic inflammation. |
Types of Psoriasis
Understanding the different types of psoriasis can help tailor treatment strategies:
Plaque Psoriasis: The most common form; red, scaly patches of skin.
Guttate Psoriasis: Small, drop-like lesions often triggered by strep infections.
Inverse Psoriasis: Appears in skin folds like the groin or under breasts, often without scaling.
Pustular Psoriasis: Pustules surrounded by red skin, localized or generalized.
Erythrodermic Psoriasis: Rare and severe; widespread redness, scaling, and peeling.
Conventional Treatments
While conventional medicine focuses on symptom relief, it offers a variety of effective options:
Topical Treatments: Corticosteroids, vitamin D analogs, and salicylic acid.
Phototherapy: UVB light therapy or psoralen plus UVA (PUVA) therapy.
Systemic Medications: Methotrexate, cyclosporine, and biologics targeting TNF-alpha or IL-17 pathways.
Naturopathic Approach to Psoriasis
Naturopathic medicine emphasizes a holistic approach to managing psoriasis, aiming to treat the root cause and improve overall well-being.
Dietary Interventions
A healthy diet can reduce inflammation and improve gut health:
What to Include:
Omega-3-rich foods: Fatty fish (salmon, mackerel), flaxseeds, and walnuts.
Anti-inflammatory fruits and vegetables: Berries, leafy greens, and broccoli.
Probiotic-rich foods: Yogurt, sauerkraut, kimchi.
What to Avoid:
Sugar and processed foods.
Gluten and dairy (if sensitivities are identified).
Nightshade vegetables (e.g., tomatoes, peppers) for some individuals.
Herbal Medicine
Certain herbs have shown promise in managing psoriasis symptoms:
Turmeric (Curcuma longa): Reduces inflammation.
Milk Thistle (Silybum marianum): Supports liver detoxification.
Aloe Vera: Soothes and moisturizes inflamed skin (topical use).
Oregon Grape (Mahonia aquifolium): Antimicrobial and immune-modulating effects.
Supplements for Psoriasis
Naturopathic doctors often recommend targeted supplements:
Supplement | Benefits |
Vitamin D | Reduces immune dysfunction; deficiency is common in psoriasis. |
Omega-3 Fatty Acids | Decreases inflammation and improves skin health. |
Zinc | Aids in wound healing and immune support. |
Probiotics | Promotes gut health and reduces systemic inflammation. |
Lifestyle Modifications
Stress Management:
Practice mindfulness meditation, yoga, or deep breathing techniques.
Stress is a major trigger for psoriasis flare-ups.
Exercise:
Moderate-intensity exercise can reduce inflammation and promote circulation.
Sleep:
Prioritize quality sleep, as poor rest can worsen immune function.
Topical Remedies
Natural remedies can soothe the skin and reduce symptoms:
Moisturizers: Coconut oil, shea butter.
Oatmeal baths: Relieves itching and redness.
Herbal salves: Calendula or chamomile for calming irritated skin.
An Integrative Approach
Severe cases of psoriasis may benefit from combining conventional treatments with naturopathic therapies. Collaboration between dermatologists and naturopathic doctors ensures a holistic and effective approach tailored to the patient’s needs.
Emerging Research
The field of psoriasis management is constantly evolving:
Gut-Skin Axis: Research highlights the role of probiotics and gut health in reducing psoriasis symptoms.
Nutrigenomics: Personalized nutrition based on genetic predispositions is showing promise.
Biologics: Targeted immune therapies continue to advance with fewer side effects.
Conclusion
Psoriasis is a complex condition that requires a multifaceted approach. While conventional treatments can provide symptom relief, naturopathic medicine focuses on treating the underlying causes, such as inflammation, immune dysregulation, and lifestyle factors. By combining dietary interventions, natural therapies, and holistic lifestyle changes, individuals with psoriasis can achieve improved skin health and overall well-being.
If you or someone you know is managing psoriasis, consult with Dr. Rachel Day at LV Wellness Center to explore a personalized and integrative approach to care.
Remember, healing is a journey, and with the right tools and support, relief from psoriasis is possible.
Live with Vitality!
The LV Team
Mukilteo, WA.
Comments