8/17/2010 Golfer Phil Mickelson, the No. 2-ranked player in the world, has revealed that he is battling psoriatic arthritis, an inflammatory form of arthritis that came on suddenly and left him temporarily in a near-crippled state this summer.
Mickelson said he first noticed symptoms, including searing pain, in the days leading up to the U.S. Open in June.
After a trip to the Mayo Clinic in Rochester, Minn., Mickelson began taking weekly injections of etanercept (Enbrel), an injected, biologic drug that helps to lower levels of a protein that spurs inflammation.
In the days leading up to last week’s PGA Championship, the year’s last major golf tournament, Mickelson first talked about his arthritis and said he was pleased with how he was responding to medication.
“I feel great,” he said to a group of golf reporters. “I’m able to work out and don’t have any pain. So I’ve had some good immediate response. And that’s why I feel comfortable talking about it, knowing that long term and short term, things are fine.”
Psoriatic arthritis is not the first serious medical issue that the Mickelson family has had to face. Mickelson took most of 2009 off after his wife Amy was diagnosed with breast cancer. Already a fan favorite, he became even more popular for the way he stepped away from the game to take care of his family. Mickelson came back this year and won The Masters in April.
It was soon after that he began to experience mysterious pain and stiffness.
Psoriatic arthritis (PA) is an autoimmune disease, meaning that the body’s immune system attacks its own organs and tissues. The condition is rare, affecting about 1 out of 100 people in the general population. People with psoriatic arthritis not only have joint pain, but also experience plaque psoriasis, a red scaly rash that commonly appears on the skin of the arms and legs, scalp, palms and the soles of the feet. Over time, psoriatic arthritis can lead to permanent joint damage and disability.
The fact that he was even able to play golf, much less compete in a couple of major tournaments with this condition, is amazing, says Robert Shaw, MD, a practicing rheumatologist and instructor of medicine at Johns Hopkins University in Baltimore.
“It clearly shows what an elite athlete he is,” Dr. Shaw says. “People with PA sometimes have trouble dressing themselves. He could have had a milder case of it, but eventually, untreated, it still overtakes you. You can’t just move on. The hallmark of this type of inflammatory arthritis is that it causes you to stiffen with even minutes of rest. So if he takes a short water break while playing, his joints would stiffen up.”
Enbrel is one of four “big-gun” medications used to treat PA, and Dr. Shaw says that for some people they are almost miracle drugs.
































Also have had a breakout of bumps on my head a few times over the last 15 years, not many but a few. Just had one and kept picking at them and they got worse and finally went to doc.
Well, back up a second, I talked to my doc 2 months ago and asked if swelling and joint pain is normal for a just 50 yr old guy(I have had pain in hands, feet , neck,back for at least 10 yrs), the doc said no it is not normal and ran a test. The test came back showing elevated c reactive protien level and after 4 days called hm back and was told that since this was the only marker that showed up that I need not worry and all was ok..
Now back to the doctor visit yesterday but I got a different doctor this time and was told that the high c reactive protien level coupled with the bumps on my head and pain and swelling could mean I have PA...
Not so good news but does explain much mystery over the years. The problem is that I now will go to a specialist but there does not seem to be a conclusinve test to PA and the drugs have such bad side effects that I do not want to take them if I do not have to and what about the cost? I probably will not have access to insurance soon and then will be on state aid possibly so does the state of california pay for these drugs for people with PA, sounds very expensive but if do not slow PA down them can be crippled.
Again WOW, what a life, sure hope they find some help for all the sufferers soon, maybe they could not bail out wallstreet next time and spend the money on cancer or arthritis research or something a bit more tangiblev.
I was diagnosed with PA with Spondylitis and Sacroilitis in Aug. 1999. I was on methotrexate for a little while until I couldn't stand the side effects any more. Then in March 2000 I started taking Enbrel. It cleared my skin up and decreased the pain and stiffness significantly. 2004 I found out that I had spondylolysis which resulted from a fall when I was in the military. It turned into spondylolisthesis and the pain in my low back got worse over the years. It became debilitating after xraying a very large patient that it got significantly worse where I started having pain going into my left leg.
I had major back surgery done March 2009 and now have hardware in my lower back. Gradually the psoriasis came back as well as the PA pain and stiffness. Over the year last year my meds have been changed to find something that worked. I have been walking with a cane. I have had my knees drained and injected 3 times. Finally, the beginning of this year I was switched from Enbrel to Humira. My skin cleared up along with a reduction in stiffness and pain. But the damage has been done unfortunately to some of my joints so now it is basically trying to slow the progression of PA down and make me as comfortable as I can.
This disease sucks but after dealing with it for so long you get used to it. Sadly I have went from working full-time down to part-time and now per diem.
I'm glad to see someone famous has PA as well. I'm glad that Phil got relief so he can keep playing golf.
Thanks Phil for sharing your story! Remember, you're not alone.
Sorry about Phil but maybe with his help, doctors will do more research and get better treatment for this awful disease.
I tried to put my head down and power thru my sx until I experienced a severe crisis and took emergency FMLA for three months. In that period, I was finally dx with PsA. In addition,, I was now HLA-B27 positive (genetic marker that signifies spine involvement ). It was bittersweet because I finally had proof of my disease but missed dx and no tx had
allowed my PsA to get so HOT. I was put on Enbrel 2 mos. ago. I am now able to get up but only for short (hr) periods of time. When I feel the intense burning in my neck and lower back, I have to lay in a hot bath until it subsides. If I dont listen to my body and do what it wants (rest and heat), I will suffer another storm in my spine.
Glad to see Phil coming out, and maybe the medical community will try to treat this disease seriously. Early detection is key to avoiding disabling effects, and many scientist are getting funding to stop the proggression of Auto Immune and Gentic Mutations.
After reading a lot of posts I have been where some of you are,,I've fought for SSI and Disability twice for 2 years each time and fortunately the last time I won my case. I have worked with doctors and pharmaceutical companies to get my medicines for free.
People look at my hands and just gasp cause they are becoming deformed, I can't sit, stand or walk for long periods, cause I stiffen up. Most people think that I am "faking" because of my age. I tell them walk a mile in my shoes.
I'm glad that Mr. Mickelson came forward to shine light on this disease. And I'm glad that his meds are working for him.
I do have to say that I see a little preferential treatment here. Athletes and people in the spotlight seem to get a leg up when in comes to medical care and getting diagnosed.
I have had PA type symptoms for 5 years. I don't know if its PA becuase I have never been tested for it. My GP thought it was plausible and sent me to a Rheumotologist that talked to me for a few minutes and without any testing simple told me I have chronic pain and not any sort of Immune Disorder. I am at the point where I don't know where to turn. I live in a small Norther California town with a weak medical system. Do I need to take a vacation to the Mayo Clinic to get a real, fair shake at finding out why my body and joints hurt? I don't present the skin rash on my elbows, knees and other areas but have severe plaque psoriasis on my chest, face and scalp which one dermatologist diagnosed as Seborrheic eczema. I don't know how they are related (joint pain and Seborrheic eczema) but when my eczema flairs, my joint pain gets much worse. Just don't know what to do. Can't sleep and any physical activity leads to days in bed. Very frustrated.
Lisa
"Arlene28 Aug 2010, 15:23
I've had PsA for over 10 years. It's not as big of deal as the doc in the article is making it out to be. It can be disabling, but thats very unusual. It's milder then RA and only about 30% of sufferers have severe disease. Phil will be just fine!"
I am absolutley disgusted by your comment...How can you say it is milder than RA? It does the exact same thing to our bodies, but it is not as common. Your case may be very mild, obvoiusly much less disabling than my case. Phil will be just fine? You must be CRAZY or uneducated about your own disease. Nothing is 'MILD" when you are taking the drugs "humira" that I need to take, when the threat of cancer still seems worth the risk due to the amount of pain I am in daily... DISGUSTED!! You should have thought about what you were writing before you wrote it. If you are doing so GREAT why are you even on this website???????
I have found diet to play a large part. Sweets and meat cause me to have inflamation and pain.
For more information about PSA, check out http://www.psoriasis.org
I do think we need a Support Group for this disease.
It is extremely crucial to have a quick diagnosis and have access to medical intervention and than one may possibly have pain reduction and regain mobility as with Mickelson. He also has the unlimited funds to get the top physicians to care for him, and on-site physical therapy. I doubt he has to wait 2-3 months for appointments.
He also is extremely lucky to not have drugy allergies, as I have had almost fatal drug reactions to Remicade, Humira and Enbrel. I am trying Simponi and but my psoriasis is becoming more severe, but gaining mobility and a reduction in pain vs increase in psoriasis????
Yes, maybe there will be more recognition to psoriatic arthritis but when disability judges or family read that Phil say PA is not that severe since I just took some med and I got better, than what hope do the rest of us have in the real world....
My wife did not have any luck with remicade, and enbrel and went to rituxan ifusions with excellent results and no side effects. You may want to talk to your doctor about that. It has been the miracle drug for my family.
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