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Can Rheumatologists Accurately Diagnose axSpA in Patients with Chronic Back Pain?
Chronic low back pain is a common complaint that brings patients to the doctor’s attention. Although the majority of low back pain is mechanical in nature, an important minority is inflammatory in nature.
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Rheumatology Roundup - ACR 2023
Drs. Jack Cush and Arthur Kavanaugh discuss highlights and key takeaways from ACR 23.
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Watch and Weigh In: Upadacitinib for Pain: Is That Real?
Dr. David Liew reports on abstract 0429 at the 2023 ACR Convergence meeting in San Diego, CA.
https://t.co/AbD9UpXQfY https://t.co/iRgUnNInuD
Dr. John Cush RheumNow ( View Tweet)
#Exercise reduces #pain in knee #osteoarthritis
▶️Improvement at weeks 6 & 12, sustained at week 18
#ACR23 poster 1990
👉🏽https://t.co/y4quoWG5Hi
by @ProfDeepakKumar et al https://t.co/zbf05FCLZ9
Dr Ai Lyn Tan DrAiLynTan ( View Tweet)
Pain sensitization in #OA in the MOST study. Biomechanical forces- ground reaction forces may
Alter nociceptive signaling but was not associated with pain.
Walking evoked knee pain specifically tested - no diff @RheumNow #ACR23 https://t.co/G7TXuwJ2EQ
Bella Mehta bella_mehta ( View Tweet)
Who uses #cannabis in #rheumatic #diseases? Those who smoke, have higher pain, more anxiety, poor sleep are more likely to have used cannabis for their rheumatic disease. Half of the >2900 respondents have tried #cannabis. Use of #biologics reduced use. #980 @RheumNow @ACRheum https://t.co/DQDRQN40zR
Janet Pope ( View Tweet)
Erosive hand #OA may be more painful than treated #RA patients. The burden of OA is often not alked about, and this study highlights it! @RheumNow #ACR23 https://t.co/jLbvtMmgE0
Bella Mehta bella_mehta ( View Tweet)
Pain experience in #OA may have different contributing factors
Its a while joint disease!
What are the future targets in #OA being tested? @RheumNow #ACR23 @Tuhina_Neogi https://t.co/lI06pJrdYR
Bella Mehta bella_mehta ( View Tweet)
Michaud et al. RA patients with long COVID had more fibromyalgia pre-COVID (41% vs 13%), higher rates of pain, depression, and worse PROs pre-COVID. Authors suggest long COVID may partially reflect pre-existing illness Abstr#1629 #ACR23 #ACRbest @RheumNow https://t.co/mrcGWrSD6c https://t.co/YiGCbvBDtn
Richard Conway ( View Tweet)
Can US differentiate pain? In #ACR23 Abs. #1388 PsA pts who have pain & inflammatory enthesitis on US, process pain differently than the US negative patients, despite the induction of pain or discomfort on all groups. Interesting finding. https://t.co/YcccLoQCBj @rheumnow https://t.co/o94bMwndxX
Dr. Rachel Tate ( View Tweet)
Patient perspective: PP09 at #ACR23
"Mindfulness helps me experience less suffering over pain" in patient with PsA + fibromyalgia.
⭐️Consider recommending mindfulness training such as mindfulness based stress reduction
@RheumNow https://t.co/DHwduvTPZL
Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)
Lots of our patients taking CBD products, and they won’t always tell us…
but if you don’t ask, you’ll miss the drug-drug interaction that affects the meds we rely on.
#ACR23 @US_FDA session @RheumNow https://t.co/Q9UMJiTDkq
David Liew drdavidliew ( View Tweet)
BKZ tx resulted in sustained improvements in pt‑reported pain and fatigue from Wk 16 - 52 in bDMARD-naïve and TNFi-IR pts w/ active PsA, w/ clinically meaningful improvements observed in >50% of pts in BE-OPTIMAL & BE-COMPLETE #ACR23 Abs 0527 https://t.co/AQKYUubKLl @rheumnow https://t.co/WsXlhENzL1
Dr. Rachel Tate ( View Tweet)
Join us tonight at 6pm PT/ 9pm ET for our daily #ACR23 recap. https://t.co/0RDwTdzhwS
Dr. John Cush RheumNow ( View Tweet)
Different plant products
We need more RCTs
Cohort studies have a lot of attrition
Survey data shows increased utilization
#ACR23 @RheumNow https://t.co/H2pOEJ99Qh
Bella Mehta bella_mehta ( View Tweet)
The sex of the researchers conducting experiments in pain matters- PARTICIPANT -EXPERIMENTER sex concordonace. Really interesting study focussing on one more parameter in understanding pain and sex differences.
@rheumnow #ACR23 https://t.co/XlzxabpLvy
Bella Mehta bella_mehta ( View Tweet)
Green light therapy - room with green light helps with pain!
Funny lines here
While walking in the countryside,
My knee felt better, I began to stride
Green light's the key to my inner peace
It must be that cannabinoid release
Where do you act to reduce my pain?
@RheumNow #ACR23
Bella Mehta bella_mehta ( View Tweet)
Little disturbing to see the data that most patients using cannabis dont know what exact product they are using. Also not most is not prescribed/ illegal!
Lots to learn and may have potential but need to be careful!
@RheumNow #ACR23 https://t.co/Y0vHmVvWdL
Bella Mehta bella_mehta ( View Tweet)
Controlled substance rundown - CBD and THC are the key molecules
Used since 5K years
18 percent of americans have used opiods once since 2019!
@rheumnow #ACR23 https://t.co/iEscYxB5j5
Bella Mehta bella_mehta ( View Tweet)
Quantitative sensory testing is a way to understand pain in clinical research. Low correlation with Fibromyalgia surveys.
Understanding NOCICEPTIVE, NEUROPATHIC, NOCIPLASTIC pain imp!
Pressure pain thresholds predicted disease activity in #RA @Lee_Yvonne_C
@RheumNow #ACR23 https://t.co/VjdyjudfdY
Bella Mehta bella_mehta ( View Tweet)
