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Published on: May 16, 2025
Nonpharmacologic Pain Management in Inflammatory Arthritis
Alexander Martin1, Ratnesh Chopra1, Perry M Nicassio2
1Division of Rheumatology, UMass Medical School, 119 Belmont Street, Worcester, MA 01605, USA.
Abstract:
This article provides an overview of nonpharmacologic options for the treatment of pain in patients with inflammatory arthritis, such as peripheral spondyloarthritis, psoriatic arthritis, ankylosing spondylitis, and rheumatoid arthritis. The experience of pain in chronic disease is a complex process influenced by multiple domains of health. The discussion focuses on the establishment of a framework for pain control that engages with factors that influence the experience of pain and explores the evidence base that supports specific modalities of nonpharmacologic pain control, such as mindfulness, cognitive behavioral therapy, exercise, massage, splinting, and heat therapy. Rheumatoid and spondyloarthritides are considered separately.
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