When your muscles ache or your joints throb, you and your doctor may turn to one of the most commonly-used medications to ease the pain: a nonsteroidal anti-inflammatory drug (NSAID), either over-the-counter or prescription. But not all NSAIDs are the same, so how do you pick the right one? Consider these factors.
Tammy Applegate dreams of sleep – when she dreams, that is. Most nights, she can’t sleep soundly; pain rousts her four or five times. She turns over, repositions the pillow under one shoulder – the only position that offers some relief – and waits for slumber to overpower her discomfort. “Sometimes it takes me so long to get comfortable that I stay awake anywhere from 30 minutes to a couple of hours,” says the Fort Worth, Tex., mother of four, who has mixed connective tissue disease and requires sleep treatments to resolve her issues with pain and sleep.
She’s got plenty of company. Insomnia – broadly defined as having trouble falling or staying sleep – affects anywhere from 10 to 40 percent of American adults, at least intermittently, according to population studies. It’s estimated that some 10 to 15 percent have long-term sleep problems (lasting more than a month).
By now, most people know it’s a bad idea to head out in the sun for hours of sunbathing to earn a golden tan. But there’s more to sun protection than just dabbing on any old sunblock. And, particularly for people with specific autoimmune disorders, protection from the sun should be a serious perennial consideration.
“Everyone should get into habit of wearing sunblock year round, but people with autoimmune issues need to be much more vigilant about covering up their skin,” says dermatologist Jeannette Graf, MD, assistant professor of dermatology at Mount Sinai School of Medicine.