Pain management is a key aspect of life with rheumatoid arthritis (RA). In a paper published in the European Journal of Pain, about 40% of people with RA have moderate to severe pain, and pain is the defining symptom of RA. But inflammation and pain do not always directly correlate—some individuals have intense inflammation with minimal pain, whereas others have very high pain without elevated inflammatory markers. Also, chronic conditions such as RA can lead to stress and anxiety, which can even amplify pain.Although medications like disease-modifying antirheumatic drugs (DMARDs) and OTC pain medications alleviate RA symptoms, they cannot always be expected to offer complete pain relief. Most patients have unrealistic hopes that medication alone will eliminate all pain. Rather, professionals recommend a multi-faceted approach—combining both medicinal and natural approaches—to gain pain control that enables people to lead active, productive lives.Natural Relief Strategies for RA PainAs studies continue to investigate complementary treatments, numerous RA sufferers are taking matters into their own hands with natural remedies that can help lessen pain. So many, in fact, that over half of those with RA use some sort of complementary treatment as part of their regimen, the American College of Rheumatology (ACR) reported. Some of the natural options that can treat RA pain with success include: AcupunctureAcupuncture is a well-known traditional therapy that involves the insertion of thin needles at precise points on the body to relieve pain. A meta-analysis of nine randomized controlled trials discovered that acupuncture did not significantly enhance overall RA symptoms but relieved knee osteoarthritis, which frequently accompanies RA. Other treatments employed in acupuncture, including moxibustion (a heat treatment involving dried herbs), can also relieve pain.BiofeedbackBiofeedback is a mind-body treatment that allows people to control physiological processes such as heart rate, breathing, and muscle tension. Through the use of electronic monitoring, expert therapists instruct patients to learn to control these processes, perhaps alleviating chronic pain, anxiety, and even RA discomfort. In a study in Life, biofeedback and other psychiatric treatments—such as hypnotherapy and cognitive behavior therapy—can greatly supplement conventional RA treatments.Massage TherapyMassage therapy can offer relief from RA pain, tension, and stiffness. Research indicates that specific massage techniques can enhance grip strength and range of motion and reduce joint pain. A therapist who is knowledgeable about RA is necessary to avoid worsening discomfort with improper techniques.Heat and Cold TherapyThere is not enough proof to definitively indicate whether heat or cold therapy is better for relieving RA pain, yet both methods provide advantages. Cold therapy will decrease swelling and numb pain, making it beneficial for swollen joints. Heat therapy, conversely, boosts blood flow and eases stiffened muscles. Alternating between heat and cold therapy is helpful for some in relieving their symptoms.Can Creams and Patches Help?A number of topical preparations, including capsaicin creams and arnica gels, have been investigated for their ability to alleviate arthritis pain:Capsaicin: Isolated from chili peppers, capsaicin decreases pain by numbing pain receptors. While there is little research on RA, osteoarthritis studies indicate a 50% decrease in pain ratings when capsaicin-containing treatments are used.Arnica: The herbal medication has been found to exhibit anti-inflammatory and analgesic actions, with certain research reporting its efficacy on par with ibuprofen for relieving osteoarthritis pain. But users must exercise caution when using arnica as it can produce skin irritation.Can Mindfulness and Relaxation Techniques Help?Deep BreathingShallow breathing is a result of pain or stress. Deep breathing can oxygenate the body, slow heart rate, and decrease anxiety. Johns Hopkins Medicine says that not only does deep breathing relieve stress, but it also helps with pain management through the activation of the body's relaxation response.Meditation and Progressive Muscle RelaxationMindfulness meditation also conditions the brain to disengage from pain-related thoughts and sensations, which may enhance pain tolerance. In a study published in Annals of Behavioral Medicine, researchers discovered that mindfulness practices decrease pain intensity and improve overall quality of life. Likewise, progressive muscle relaxation (PMR)—a tensing and relaxing of various muscle groups—has been found to be beneficial for people with chronic pain.AromatherapyEssential oils like lavender and bergamot might also provide relief from pain with aromatherapy. Research has shown that lavender oil blocks the production of pain-provoking prostaglandins, so it could potentially be helpful in the management of RA pain. Although further investigation is necessary, aromatherapy is a popular adjunct therapy for relaxation and reducing stress.Exercise and MovementEven though pain and stiffness can make it difficult to exercise, movement is essential for the health of joints. The ACR highly advises regular physical activity, as it decreases stiffness, enhances mobility, and lowers the level of pain. Various exercises provide different advantages:Aerobic Exercise: Swimming and walking are examples of aerobic exercises that improve cardiovascular fitness without putting a strain on joints.Resistance Training: Strengthening the muscles surrounding the affected joints can give extra support and reduce strain.Yoga: Combining movement with the control of breathing, yoga increases flexibility and may help the pain while lowering stress.