Now Research Shows: Lupus tendinitis, common cause of lupus pain

A lupus patient with Jaccoud's arthropathy due to lupus tendinitis (lupus tendonitis) and lupus tenosynovitis

Jaccoud’s arthropathy due to lupus tendinitis (lupus tendonitis) and lupus tenosynovitis

What is lupus tendinitis (also spelled lupus tendonitis)?

Lupus tendinitis (lupus tendonitis) and tenosynovitis are common in systemic lupus erythematosus (SLE). The tendons are sinewy, inelastic fibrous tissue that connects the muscles to the bones. When muscles contract to move parts of the body, these strong tendons enable the muscles to move the much stronger bones. The movement of these tendons in unison with the body’s muscles and joints allows us to move. To demonstrate tendons to yourself, place your left fingers on the front bend of your right elbow. Then, bend your right elbow. The muscle just above this is your biceps. The hard, long structures just below the biceps that connect to the bone below the bend are the biceps tendons. If these were to become inflamed and painful, this would be  “biceps tendonitis.”

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About Energy & Fatigue in Lupus and Sjogren’s in the Video Below

Fatigue in lupus, Sjogren’s and related disorders: concise, practical video from the Sjogren’s Foundation below

Lupus patient with fatigue

Fatigue in lupus and other autoimmune disorders can be devastating
In the video linked below, you will find out:– the causes of fatigue in lupus and other autoimmune disorders such as Sjogren’s. Although this talk was given for the Sjogren’s Foundation, it also applies to systemic lupus erythematosus and related disorders:

​- the different types of fatigue

– practical advice on how to approach and treat fatigue
– Download my free Fatigue Management and Sleep Hygiene Handouts in my Lupus Secrets.Vitamins for lupus fatigue? Vitamins only help if there is actually a deficiency causing the fatigue. This most commonly is either iron, vitamin D, or vitamin B12. However, vitamins rarely help most patients’ lupus fatigue.

Exercise and fatigue? This is actually the most successful treatment in people who have lupus, Sjogren’s, fibromyalgia, sleep disorders and related problems.

When are medicines most likely to help? If you have a high anti-dsDNA, low C3 or C4 complement, or high EC4d, then medications such as belimumab (Benlysta) may help fatigue. Hydroxychloroquine can help many patients as well.

Should you get lab tests for fatigue? Yes, I generally check blood counts, liver enzymes, kidney function, muscle enzymes, electrolytes, thyroid function tests, iron levels, vitamin B12 and vitamin D levels, hepatitis C titers, and lupus disease activity. Many people should get a sleep study to make sure they do not have other treatable causes such as sleep apnea.


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 Don Thomas, MD, author of “The Lupus Encyclopedia” and “The Lupus Secrets

Research Results in Dealing with Autoimmune Disease Fatigue Now

The causes of fatigue and dealing with autoimmune disease fatigue.

Tips on how to improve energy with Sjogren’s, lupus, and related disorders

Woman with Sjogren's and lupus with autoimmune disease fatigue

Fatigue is common in lupus
This video discusses the causes of autoimmune disease fatigue and gives practical tips on how to improve fatigue. Malaise means “not feeling well” and commonly accompanies fatigue. Malaise is often the first symptom of inflammation, so it not surprising that they (fatigue and malaise) are common in autoimmune diseases.

Thank you to the Sjogren’s Foundation for producing this video as a part of their “Town Hall” series during the COVID-19 pandemic of 2020.Although this was directed towards people who have the autoimmune disorders, Sjogren’s, it also pertains to other  autoimmune disorders, such as lupus, rheumatoid arthritis, scleroderma, polymyositis, and dermatomyositis.

Some facts about fatigue in lupus and other autoimmune diseases:

  • It is one of the most common problems
  • It is one of the most difficult symptoms to treat
  • Hydroxychloroquine and belimumab (Benlysta) can help some systemic lupus erythematosus (SLE) patients with fatigue that is due to active inflammatory disease
  • SLE patients with high anti-dsDNA, low C3, low C4, or high EC4d who have fatigue may improve with belimumab
  • Surprisingly, the one treatment found to benefit more patients with autoimmune diseases than any other treatment is exercise!
  • If you get less than 8 hours of good quality sleep each night, it is imperative to work on getting enough sleep. Taking a course in CBT-I is one of the best ways to learn to sleep well
Go to the Sjogren’s Foundation’s Town Hall series for more informative videosIf you have Sjogren’s, become a member of the Foundation. You get so much out of being a member to include an educational magazine every few months with great articles on how to deal with the complications of Sjogren’s, such as fatigue, pain, memory problems, sleep problems, the dryness, etc. They also share with their members the latest in research.

Also, get a copy of my in depth talk about autoimmune disease fatigue from the Sjogren’s Foundation on their website:

How do you deal with your fatigue? Do you have your own tips and advice? Please share by clicking on COMMENT above.
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Don Thomas, MD, author of “The Lupus Encyclopedia” and “The Lupus Secrets