Opioids and Chronic Pain

This is the second in a series on opioids & chronic pain. If you know someone with a painful chronic illness, please share this article. Opioids chronic pain debate: cause of epidemic or proper pain relief? In 2003, Nursing Times argued the evidence for treating “chronic non-malignant pain” with opioids (Chronic pain and opioids: dispelling myths and...Continue reading      26 Comments » Read more

What Causes Rheumatoid Arthritis Pain?

Why ask what causes rheumatoid arthritis pain? Today we answer a letter from a reader that raises key questions about living with rheumatoid disease (RD). Why is it so painful? Why doesn’t treatment take away pain? Why isn’t the pain dealt with? In part, the answer is found in another question: What causes rheumatoid arthritis pain? Until...Continue reading      22 Comments » Read more

Opioid Restrictions Versus Patient Needs

The thinking behind recent opioid restrictions There are two sides to arguments behind recent efforts at opioid restrictions in the U.S. However one side has been dominant in the last couple of years. State and federal governments have enacted opioid restrictions in an attempt to reduce misuse of prescription medications. Options for patients with severe pain...Continue reading      20 Comments » Read more

Rheumatoid Arthritis Pain Persists

This is Part 3 of a series on Rheumatoid Disease / Rheumatoid Arthritis pain. In Part 1 we looked at the role of pain in the disease. Part 2 examines a popular study on Remaining Pain and poses 12 reasons that current explanations for Remaining Pain are wrong. In Part 3, we’ll see that the...Continue reading      4 Comments » Read more

Remaining Pain in Rheumatoid Arthritis

Studying Remaining Pain In part one of this series on the role of pain in rheumatoid arthritis / disease, we learned that “Remaining pain” is a term for joint pain that patients experience despite treatment with DMARDs like methotrexate or Enbrel. Today we discuss a large study about Remaining Pain in rheumatoid arthritis (RA) / rheumatoid disease...Continue reading      11 Comments » Read more

The Role of Pain in Rheumatoid Arthritis

This is Part 1 in a series on the role of pain in rheumatoid arthritis / disease. What role does pain play in RA diagnosis? In disease assessment? In disease treatment? Let’s start with a history lesson… 2 kinds of medicines for Rheumatoid Arthritis (RA) In 2009, we discussed the need to both treat rheumatoid disease and...Continue reading      25 Comments » Read more

Frozen: Ice Pack Princess

Little blue ice pack friends Roo still sleeps with stuffed animals – actually today there’s a more dignified word for them: plush toys. Since the plush characters are soft, he doesn't mind that they take up most of his bed. With an ice pack, it’s a different story: more like the fairy tale Frozen. Ice packs are...Continue reading      21 Comments » Read more

Chronic Pain vs. Recurrent Acute Pain in Rheumatoid Disease

An honest examination shows pain related to rheumatoid disease may frequently be better described as recurrent acute pain than classic chronic pain. Is “chronic pain” the right way to describe Rheumatoid Disease pain? According to the National Institutes of Health, chronic pain is “any pain lasting more than 12 weeks. Whereas acute pain is a normal sensation...Continue reading      28 Comments » Read more

Can Bones Hurt? Bone Pain and Rheumatoid Disease

 The main misconception about bones then, is that they are made up of dead tissue. This is not true, they have cells, nerves, blood vessels and pain receptors.1 Ever hear that bones can’t hurt? Did you ever have the flu or a fever and your bones just ached? It can be enough to make you forget all...Continue reading      22 Comments » Read more

Rheumatoid Arthritis Pain at Night

Rest & Rheumatoid Arthritis / Disease have an illogical relationship Rheumatoid Arthritis pain at night is ironic. Rest is one of the most crucial weapons in fighting Rheumatoid Arthritis (RA) / Rheumatoid Disease (RD). Adequate rest is an important factor for most people with Rheumatoid Disease (PRD) as they push themselves to continue doing as much...Continue reading      37 Comments » Read more

Chest Pain in Rheumatoid Arthritis: Costochondritis Anyone?

Severe chest pain can send you to the ER – unless you know it’s “just” the Rheumatoid This past week, someone turned up the volume on my chest pain. I was glad I’d heard other patients say they went to the ER for chest pain and it turned out to be “just” costochondritis. Maybe that prepared...Continue reading      91 Comments » Read more

It’s Just Pain, Right? No, Dr. No, It’s Not

No, it’s not just pain A letter from a fellow warrior reminded me of something I’ve been wanting to blog about since last summer. Today was technically my last day in the clinical trial. They were supposed to call me to check once more for adverse events because it’s day 210. Everything happens on a certain...Continue reading      26 Comments » Read more

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