Recent data has reaffirmed That empathic communication with patients improves pain, and global. Is described in a recent study Of Patient reported outcomes In chronic low back pain. ( Licciardone JAMA 2024) In addition, relationship centered communications enhance overall management of fatigue and related subjective symptoms in patients with post infectious, chronic conditions. These effects Attended by parallel changes in neurophysiological pathways. It is interesting that these data are largely ignored In the rheumatological literature, and there is a little effort to exploit these observations, inpatient care models. The science behind this is solid And includes the capacity, placebo effects to modify immune function and inflammatory pathways ——It’s time that the rheumatology community explores These interactions and exploits them In patient care. You need more than medication’s to control pain and suffering