Thoughts

Rheumatoid arthritis and COVID-19, what should you know?

In recent years, the COVID-19 pandemic has brought new challenges and concerns for people with RA. People with RA, particularly those taking immunosuppressive medications, may be at higher risk for severe illness if they contract COVID-19. This is because these medications can weaken the immune system and make it more difficult for the body to fight off infection.

It is important for people with RA to take precautions to reduce their risk of getting COVID-19, including washing their hands frequently, wearing a mask in public, and practicing social distancing.

In addition to the risks posed by COVID-19, the pandemic has also disrupted access to medical care for many people with RA. Many non-urgent medical appointments have been postponed or converted to telehealth visits, and there have been shortages of some RA medications. It is important for people with RA to continue to manage their condition as closely as possible, even during the pandemic, and to reach out to their healthcare team if they have any concerns or need support.

Overall, it is important for people with RA to be aware of the risks posed by COVID-19 and to take steps to protect themselves. It is also important to continue to manage their RA and seek medical care as needed, even during the pandemic.


Understanding the pain behind fibromyalgia.

Fibromyalgia is a chronic pain disorder that causes widespread musculoskeletal pain and tenderness, as well as fatigue, sleep disturbances, and mood changes. The exact cause of fibromyalgia is unknown, but it is thought to involve a combination of genetic, environmental, and psychological factors.

One theory is that fibromyalgia may be caused by abnormal levels of certain chemicals in the brain that affect how pain is perceived and processed. For example, some people with fibromyalgia may have lower levels of serotonin, a neurotransmitter that helps regulate pain, mood, and sleep. Other people may have higher levels of substance P, a chemical involved in transmitting pain signals to the brain.

Another theory is that fibromyalgia may be caused by changes in the way the central nervous system (CNS) processes pain signals. The CNS includes the brain and spinal cord, and it plays a key role in how we perceive and respond to pain. In people with fibromyalgia, the CNS may be more sensitive to pain signals, leading to exaggerated pain responses and a lower pain threshold.

There is also evidence that fibromyalgia may be associated with certain risk factors, such as a family history of the condition, a history of physical or emotional trauma, and certain medical conditions (such as rheumatoid arthritis or lupus).

Fibromyalgia is often accompanied by other symptoms, such as fatigue, sleep disturbances, and mood changes. These symptoms can be caused by the pain and discomfort of fibromyalgia, as well as by the stress and emotional challenges of living with a chronic condition.

Treatment for fibromyalgia typically involves a combination of medications and lifestyle changes. Medications may include pain relievers, antidepressants, and anti-seizure drugs, which can help reduce pain and improve sleep and mood. Lifestyle changes may include exercise, stress management techniques (such as relaxation therapy or cognitive behavioral therapy), and a healthy diet.

It's important to note that fibromyalgia is a complex condition, and what works for one person may not work for another. It's important to work closely with your healthcare provider to find a treatment plan that works for you.



Dispelling the myths behind steroid injection use as treatment for osteoarthritis.

Osteoarthritis is a common condition that affects the joints, causing pain, stiffness, and difficulty moving. It is caused by the breakdown of the protective cartilage on the ends of bones, which can lead to bone-on-bone contact in the joint. This can be very painful and can make it difficult to do everyday activities.

One treatment option for people with osteoarthritis is a corticosteroid injection. Corticosteroids, also known as steroids, are medications that can help reduce inflammation and pain. They are often used to treat a variety of conditions, including osteoarthritis.

Steroid injections are usually only recommended for short-term use, because they can have side effects if used for a long time. The injections are usually given directly into the affected joint, and the medication can help relieve pain and improve joint function for a period of time.

Steroid injections are not a cure for osteoarthritis, and they do not repair the damaged cartilage. They are most often used to help manage pain and improve quality of life for people with osteoarthritis. Your doctor will be able to recommend the best treatment plan for your individual needs.

It is important to note that steroid injections are not suitable for everyone. Your doctor will assess your individual case to determine if a steroid injection is the right treatment for you. There are some potential risks and side effects associated with steroid injections, including:

  • Infection: There is a small risk of infection at the injection site.

  • Bleeding: There is a risk of bleeding at the injection site.

  • Skin thinning: There is a risk of skin thinning or bruising at the injection site.

  • Fluid retention: Corticosteroids can cause fluid retention, which can lead to swelling.

  • Elevated blood sugar: Corticosteroids can increase blood sugar levels, which may be a concern for people with diabetes.

  • Weakened immune system: Corticosteroids can weaken the immune system, which may make you more prone to infections.