Alternative medicine
By Mayo Clinic staffSome common complementary and alternative treatments that have shown promise for rheumatoid arthritis include:
- Plant oils. The seeds of evening primrose, borage and black currant contain a type of fatty acid that may help with rheumatoid arthritis pain and morning stiffness. Side effects may include nausea, diarrhea and gas. Some plant oils can cause liver damage or interfere with medications, so check with your doctor first.
- Fish oil. Some preliminary studies have found that fish oil supplements may reduce rheumatoid arthritis pain and stiffness. Side effects can include nausea, belching and a fishy taste in the mouth. Fish oil can interfere with medications, so check with your doctor first.
- Tai chi. This movement therapy involves gentle exercises and stretches combined with deep breathing. Many people use tai chi to relieve stress in their lives. Small studies have found that tai chi may reduce rheumatoid arthritis pain. When led by a knowledgeable instructor, tai chi is safe. But don't do any moves that cause pain.
References
- Handout on health: Rheumatoid arthritis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Rheumatic_Disease/default.asp. Accessed Sept. 16, 2011.
- O'Dell JR. Rheumatoid arthritis. In: Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Sept. 16, 2011.
- Mercier LR. Rheumatoid arthritis. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed Sept. 16, 2011.
- Schur PH, et al. General principles of management of rheumatoid arthritis. http://uptodate.com/home/index.html. Accessed Sept. 16, 2011.
- Stone JH. Tumor necrosis factor-alpha inhibitors: An overview of adverse effects. http://www.uptodate.com/home/index.html. Accessed Sept. 16, 2011.
- Kavanaugh A, et al. The locomotor system: Rheumatoid arthritis. In: Bope ET, et al. Conn's Current Therapy. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4377-0986-5..C2009-0-38984-9--TOP&isbn=978-1-4377-0986-5&about=true&uniqId=236797353-5. Accessed Sept. 19, 2011.
- Schur PH, et al. Nonpharmacologic and preventive therapies of rheumatoid arthritis. http://www.uptodate.com/home/index.html. Accessed Sept. 19, 2011.
- Hints, tips, gadgets and resources. In: Lorig K, et al. The Arthritis Helpbook. 6th ed. Cambridge, Mass.: Da Capo Press; 2006. Accessed Sept. 19, 2011.
- Weisman MH. Total joint replacement for severe rheumatoid arthritis. http://www.uptodate.com/home/index.html. Accessed Sept. 19, 2011.
- Get the facts: Rheumatoid arthritis and CAM. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/RA/getthefacts.htm. Accessed Sept. 19, 2011.


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