Exercise, education, and behavioral modification as alternative therapy for pain and stress in rheumatic disease

Stress and pain mechanisms are complex and share many central nervous syste m pathways. Both are critical issues for patients with rheumatoid arthritis and other connective tissue diseases. The Link between stress and neuroend oimmune function suggests that alternative therapies focusing on improved p sychologic and metabolic function could significantly change patients' pain outcomes. Programs using alternative therapies such as tai chi and meditat ion in combination with traditional medications appear to be beneficial for patients with arthritis. These individuals appear to live better lives and may have better long-term outcomes.