How Is Chronic Pain Managed in Rheumatology Patients?
Chronic pain in rheumatology Patients, particularly those with autoimmune or inflammatory conditions such as rheumatoid arthritis, lupus, and osteoarthritis, is managed using a comprehensive approach. One of the first steps is addressing the underlying condition that causes the pain through disease-modifying antirheumatic drugs (DMARDs) and biologic therapies, which help slow disease progression and reduce inflammation. For pain relief, nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed to alleviate pain and inflammation, while analgesics are used for less intense discomfort. In some cases, opioids may be considered, though they are typically used sparingly due to the risk of dependency.
In addition to medication, physical therapy plays a key role in managing pain. Exercise and strengthening programs tailored to the patient's condition can enhance joint function, improve muscle strength, and reduce stiffness. Cognitive behavioral therapy (CBT) and mindfulness practices are also useful in addressing the psychological aspects of chronic pain, such as stress and anxiety, which can intensify the pain experience. Occupational therapy can help patients adapt daily routines and tasks, ensuring they do not further strain their joints. By combining medication with physical therapy, mental health support, and lifestyle modifications, rheumatology patients can better manage chronic pain and improve their overall quality of life.
