Dr. Manek also discussed strong results from a study of tai chi in fibromyalgia. She noted that such mindful, slow exercises can be accessible and reinvigorating for even some of the most debilitated patients.18 This is in alignment with current ACR positive recommendations for mind-body exercises, such as tai chi, yoga and qi gong in appropriate patients.1
Many trends in healthcare originate from the lived experiences of patients, through their own research and the information they exchange in support groups and online communities, noted Dr. Manek. She encouraged rheumatologists to view these patient-driven observations as early signals rather than distractions.
“When patients bring forward an intervention that seems to help them, even before the mechanism is fully defined, listen—they may be alerting us to something clinically meaningful,” she said.
Ruth Jessen Hickman, MD, a graduate of the Indiana University School of Medicine, is a medical and science writer in Bloomington, Ind.
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- Zhu Y, Garcia-Larsen V, Bromage S, et al. Association between ultraprocessed food intake and self-reported arthritis. Am J Prev Med. 2025 Jun;68(6):1109–1119.
- Zhao H, Bai Y, Liu Y, et al. Association of ultraprocessed food consumption with risk of rheumatoid arthritis: A retrospective cohort study in the UK Biobank. Am J Clin Nutr. 2024 Oct;120(4):927–935.
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- Natural Medicine’s Database for Healthcare Professions. https://trchealthcare.com/product/natmed-pro/?utm_campaign=promo_nm_nonbrand_b2c_nb&utm_content=NatMed.
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- Kou H, Huang L, Jin M, et al. Effect of curcumin on rheumatoid arthritis: A systematic review and meta-analysis. Front Immunol. 2023 May 31;14:1121655.
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- Holman AJ, Ng E. Heart rate variability predicts anti-tumor necrosis factor therapy response for inflammatory arthritis. Auton Neurosci. 2008 Dec 5;143(1-2):58–67.
- Wang C, Schmid CH, Rones R, et al. A randomized trial of tai chi for fibromyalgia. N Engl J Med. 2010 Aug 19;363(8):743–754.

