I usually reassure patients that this is common, and can improve on its own. Because everyone is different i give them options. Duloxetine has the advantage of improving arthralgias, hot flashes and mood. However, a lot of patients are opposed to taking more medication. Acupuncture is effective, and...

For patients' with arthralgias due to AIs, I ask them about talking to their Medical Oncologists about adjusting the doses or to switch medications. Otherwise, I recommend exercise, especially yoga. There have been several studies lately (one by Dr. Hershman) that looked at yoga for AI induced art...

There is one small single arm study evaluating the benefit of glucosamine chondroitin which showed close to a 50% improvement. I first noted the use of glucosamine chondroitin on the patient blog for the Mayo Clinic when we were asked to evaluate use of the blog for our patients. I have just started...