ACR Convergence 2025| Video: Rheum for Everyone, Episode 26—Ableism

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Complementary Medicine Meets Rheumatology: New Ways to Reduce Inflammation

Ruth Jessen Hickman, MD  |  Issue: December 2025  |  November 14, 2025

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.

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“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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References

  1. England BR, Smith BJ, Baker NA, et al. 2022 American College of Rheumatology guideline for exercise, rehabilitation, diet, and additional integrative interventions for rheumatoid arthritis. Arthritis Care Res (Hoboken). 2023 Aug;75(8):1603–1615.
  2. 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.
  3. 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.
  4. Johns Hopkins Bloomberg School of Public Health. Influence versus evidence: The science supporting seed oils. https://publichealth.jhu.edu/2025/the-evidence-behind-seed-oils-health-effects.
  5. Williams S. Stanford Medicine. Five things to know about seed oils and your health. https://med.stanford.edu/news/insights/2025/03/5-things-to-know-about-the-effects-of-seed-oils-on-health.html.
  6. Rondinella D, Raoul PC, Valeriani E, et al. The detrimental impact of ultra-processed foods on the human gut microbiome and gut barrier. Nutrients. 2025 Feb 28;17(5):859.
  7. International Scientific Association for Prebiotics and Probiotics. https://isappscience.org/.
  8. Lidón AC, Patricia ML, Vinesh D, Marta MS. Evaluation of gluten exclusion for the improvement of rheumatoid arthritis in adults. Nutrients. 2022 Dec 19;14(24):5396.
  9. Bruzzese V, Scolieri P, Pepe J. Efficacy of gluten-free diet in patients with rheumatoid arthritis. Reumatismo. 2021 Jan 18;72(4):213–217.
  10. Natural Medicine’s Database for Healthcare Professions. https://trchealthcare.com/product/natmed-pro/?utm_campaign=promo_nm_nonbrand_b2c_nb&utm_content=NatMed.
  11. Charoenngam N. Vitamin D and rheumatic diseases: A review of clinical evidence. Int J Mol Sci. 2021 Oct 1;22(19):10659.
  12. 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.
  13. James M, Proudman S, Cleland L. Fish oil and rheumatoid arthritis: Past, present and future. Proc Nutr Soc. 2010 Aug;69(3):316–323.
  14. Hands JM, Anderson ML, Cooperman T, Frame LA. A multi-year rancidity analysis of 72 marine and microalgal oil omega-3 supplements. J Diet Suppl. 2024;21(2):195–206.
  15. Alotiby A. Immunology of stress: A review article. J Clin Med. 2024 Oct 25;13(21):6394.
  16. Brock C, Rasmussen SE, Drewes AM, et al. Vagal nerve stimulation-modulation of the anti-inflammatory response and clinical outcome in psoriatic arthritis or ankylosing spondylitis. Mediators Inflamm. 2021 May 27;2021:9933532.
  17. 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.
  18. 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.

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