Stress & RA
Managing Stress
Stress is a part of life. A chronic illness like arthritis ramps up stress levels even more with high medical bills, medication changes, and pain. Being under stress can worsen arthritis symptoms. When your body is under stress, it releases chemicals that can trigger inflammation and pain. So you might be more likely to have arthritis flare-ups when you’re feeling stress. Managing stress can help with managing arthritis quality of your life.
According to an article on WebMD: Stress can increase your perception of pain. "Stress can leave you feeling less able to handle your pain and more easily overwhelmed by it," says Sharon Kolasinski, MD, a rheumatologist and professor of clinical medicine at the University of Pennsylvania. And, having a chronic illness, such as arthritis, can add to your stress level. "Chronic pain is a stressor in itself," says Kolasinski. "But it can be even more stressful when the pain limits your mobility or activities."
The Arthritis Foundation has some great information related to stress and arthritis:
How stress contributes to arthritis
Your body’s stress response triggers the release of chemicals that ready you to face the challenge at hand. Your breathing quickens, your heart rate increases, and your muscles tense in preparation. This reaction is fine in the short term, but when it fires repeatedly, the increased tension in your muscles can amplify your arthritis pain. Stress also sets off the immune system’s inflammatory response. Inflammation is what fuels joint damage in rheumatoid arthritis (RA), lupus, psoriatic arthritis (PsA), ankylosing spondylitis (AS), and other inflammatory forms of the disease. The longer you’re exposed to stress, the more destructive the inflammation can become. In a PLoS One study, people with RA identified stress as a trigger for disease flare-ups.
How arthritis worsens stress
Arthritis symptoms contribute to stress, especially when they’re unrelenting. Constant pain, fatigue, and poor sleep create a vicious cycle. Each symptom worsens the others and adds to the stress you already feel. When you’re tired, you don’t want to exercise. A lack of movement inflames your pain, which makes it harder to sleep. Worrying about future disability, getting pregnant or difficulty paying your medical bills only adds to your stress.
What to do?
What can be done to manage stress when you have to manage medications, doctor visits, and deal with pain everyday? Some ways include following your treatment plan, exercise, counseling, take time to do things you enjoy, find a supportive community, develop healthy lifestyle habits, and take some relaxation breaks.