Massage Pathology Corner - Psoriasis

Psoriasis is a chronic, inflammatory skin disorder characterized by an excess growth of epithelial cells of the outer layer of the skin. The patches can be localized in one area of the body or there can be extensive patches all over. The cause is unknown, however, there is a tendency for this disorder to run in families and autoimmune dysfunction does seem to be involved. It is not infectious.

The patches can be dry and scaly, with color ranging from pink to red with areas that can be white to almost silver. They have well defined edges and are most often found on the scalp, elbows, knees, back, chest and buttocks. There is often no other symptoms though some clients may have plaques that become dry, cracked and encrusted leading to itching and pain. Secondary infections of the areas can occur related to itching and cracking.

It is estimated that up to 3% of the U.S. population is affected by psoriasis. In moderate to severe cases, the client may also find that joint pain and inflammation occur. This is known as psoriatic arthritis.

Treatment depends on the severity of the disorder and ranges from topical corticosteroid or retinol creams to ultraviolet light therapy, special baths, antihistamines and immune system inhibitors.

Massage is indicated for psoriasis and the creams and oils used may be very beneficial to combat dryness and cracking. Avoid pressure that is too deep over the area. Massage can also help with self image and self esteem issues that can arise. Massage should be avoided locally if the area is inflamed, tender or there is secondary infection.

For further information on this disorder, visit the National Psoriasi Foundation Website

or The Mayo Clinic website