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Pain – the main manifestation of many rheumatic diseases, but also the most underappreciated, leads to worse disease outcomes and affects the quality of life of patients.

Over the last decade or so, animal models and modern technology have highlighted the complex mechanisms that underlie chronic pain in rheumatology.

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To get further insight on the various aspects of chronic pain, we speak with Don L. Goldenberg, MD, about its pathophysiology and diagnostic classification criteria for chronic pain conditions. Deeba Minhas, MD, provides a perspective on addressing implicit biases among patients with rheumatic disease and pain. 

Read the full transcript for this episode here.

Don L. Goldenberg, MD, is emeritus professor of medicine at Tufts University School of Medicine and adjunct faculty at the Departments of Medicine and Nursing at Oregon Health Sciences University in Portland. He was chief of rheumatology at Newton-Wellesley Hospital and professor of medicine at Tufts University School of Medicine from 1988 to 2016.

Dr Goldenberg has more than 150 peer-reviewed publications and has written 5 books on various medical topics. Dr Goldenberg is considered an international expert on fibromyalgia and related rheumatic disorders and has been interviewed in the New York Times, Boston Globe, The New Yorker, and appeared on The Today Show, and Good Morning America. He has been awarded the Marion Ropes Lifetime Achievement Award by the Massachusetts Arthritis Foundation in 2008, and was recognized as a Master by the American College of Rheumatology (ACR) in 2009.

Dr Goldenberg is also a section editor for Up to Date.

Deeba Minhas, MD, is a clinical assistant professor at the University of Michigan. She completed her rheumatology fellowship at Cedars-Sinai Medical Center. Her research focuses on pain mechanisms, nonpharmacologic pain management, and precision medicine approach to chronic pain and fatigue. Dr Minhas has received mindfulness-based stress reduction (MBSR) teacher training and is currently working on projects studying MBSR in back pain and rheumatoid arthritis pain interference. Dr Minhas is also interested in the social determinants of health effects on pain, access to care, opiate use, and cost related nonadherence.

Dr Minhas is also interested in the social determinants of health effects on pain, access to care, opiate use, and cost related nonadherence.

Topics:

Chronic Pain General Rheumatology Health Disparity Pain Management Rheumatic Disease