A Guide to Integrative Medicine for RA

Five complementary therapies that can help reduce your rheumatoid arthritis symptoms and boost quality of life.

Sunny Sea Gold

Anyone with rheumatoid arthritis (RA) knows that pain meds and injections can be your best friends. But they can also cause side effects, such as an upset stomach, muscle weakness or swelling. That’s one reason doctors and researchers have been studying the ability of alternative therapies to ease RA symptoms when used in conjunction with traditional treatments.

“Complementary therapies are good for symptomatic relief, but they don’t play a role in treating the disease process,” explains Magdalena Cadet, MD, director of rheumatology at New York Hospital Queens in New York City. That means none of the measures below can or should replace the drugs prescribed by your rheumatologist—they’re meant as add-ons to make life a little easier and you a little happier. Hard evidence about some of these therapies is scarce, but consider talking with your rheumatologist about the following:

Physical activity
Dr. Cadet says she has patients who’ve benefited from increasing their activity, especially when supervised by a physical therapist. “They tend to have improved flexibility, less-tender joints and better range of motion.” In fact, one study of men with RA of the knee showed that both aerobic exercise and simple strengthening moves helped reduce pain.

Talk with your rheumatologist about the intensity and duration of exercise that’s right for you, but generally start with 30 minutes a day of low-impact exercise, such as walking or swimming. Next, try adding some strength-training moves. If traditional weight lifting hurts your joints, ask your rheumatologist for a referral to a physical therapist; most insurance policies cover at least a few sessions if your doctor deems them necessary.

A physical therapist can show you some isometric exercises, moves in which you tense your muscles without a lot of other movement, that you can do daily. Plus, a physical therapist can demonstrate proper form and make sure you do the same, preventing joint pain and injury.

Looks like acupuncture (a practice based in traditional Chinese medicine, in which tiny, painless needles are inserted into the skin to stimulate specific points on the body) really can reduce symptoms of chronic pain, according to a recent review of 29 studies, funded by the National Institutes of Health’s National Center for Complementary and Alternative Medicine. While none of these studies included RA specifically, the results were similar for several types of pain, including osteoarthritis, shoulder pain and even chronic headaches.

“Acupuncture is thought to help by releasing tight muscles, as well as stimulating the release of endorphins [the brain’s feel-good chemicals],” explains Dr. Cadet, noting that it’s also believed to alter the brain’s perception of pain. But acupuncture can make you vulnerable to infection, so Dr. Cadet advises discussing the option with your rheumatologist before giving it a try.

April 2013