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Daily Living > Stress > The Role of Stress in Health
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My Sickness Was No Coincidence

A scientist who studies the role of stress in health talks about her own roller coaster of illness and healing.

By Esther M. Sternberg, MD

Dr. Sternberg joins Arthritis Today with a regular column exploring the connection between mind and body.

It was during a period of extreme stress in my life that I developed inflammatory arthritis. My mother was dying of breast cancer, and on a flight back to my home in Washington, D.C., one of my knees swelled up. Over the next several weeks, the other knee swelled, then my elbows, my shoulders and my ankles began to ache. I felt stiff when I woke up, like a rusty car. I’m a rheumatologist, and now I knew what my patients meant when they said they felt stiff.

I realized that I had inflammatory arthritis. Not a huge surprise, as half my family had one rheumatic disease or another – my mother had rheumatoid arthritis, or RA, my grandmother, lupus, and on and on.

My mother died shortly after I had moved into a new house in Washington, D.C. My new neighbors – a Greek-Finnish couple who had seen me on my deck with my laptop computer, writing what was to become my first book – asked if I was a writer. I said, “Why do you ask?” They said, “Because we’ve always wanted an author to stay at our cottage in Crete.” I said, smiling, “I’m a writer!”

And so began my road to healing. I went with them to their tiny village of Lentas on the south coast of Crete, and spent hours every day swimming in the calm, warm waters of the bay, eating delicious Greek food – tzatziki, dolmades, fresh fish and vegetables, and lots of virgin olive oil. I inhaled the sweet scent of jasmine and lemon blossoms on the night air, the eucalyptus and lavender. I gazed for hours at the blue, blue Mediterranean sea, from my perch in the doorway of a tiny stone chapel on a hill above the town.

New research is telling us that it was not a coincidence that I got sick when I did, during a period of extreme chronic stress, and it was not a coincidence that I began to heal when I went to Greece and changed my lifestyle.

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Wendy
12 Jan 2012, 19:06
I understand completely the link between flares and stress. As I look back on my life (as they say hindsight is 20/20) I realize that my disease began but did not come into a fully diagnosable (is this even a word?) state until recently. I have spent years in and out of doctors offices and have seen a total of 5 rheumatologists. Two recently diagnosed me with RA. Earlier in my life when I went through a very stressful time I had symptoms and went undiagnosed for RA, I was told it was due to Raynaud's. More recently my life has become more stressful and my disease has come into a state where it was diagnosed. I have been on a steady positive treatment until the last month or so. At this time I noticed increased symptoms and of note my recent lab test shows an increase in my CRP. I am hoping that with the waning stress from the holiday season that the CRP levels will start back on their steady decline again. I firmly believe in the stress/flare relationship as I have seen it in my own life. I would also like to see if there is a way to evaluate and asess the level of stress on the disease process. As a doctor you probably can see all the problems with this due to the subjectivity of the level of stress and the perception of what is stressful. I would hope that it would someday be possible.
Jennifer Kindred
19 May 2011, 21:24
Hi Iam a 49 yr old female who has a Hx of Inflammatory polyarthropathy, I have, joint pain/discomfort, morning stiffness, x 3 yrs.
All my labs are prefect. Neg for PMA or RA.
I am currently under Rheumatologists in Flagstaff, AZ.
I have been on prednisone 5mg alternating with 2.5mg x 3 years. After having a complete Abd Hysto in 2008 3 months later I could hardly get out of better and walk. I still have the same Sx. Do you have any suggestions/insight on my condition? Do you think it could be stress induced? I know it is very hard to Dx over an email but when I read your article it sounded to close of my Dx. I guess I am just trying to search other avenues of my problem. My Dr. tells me this should go away as quick as it came, but it has been 3 years.
Any input is greatly appreciated.
Thanks, Jennifer
Dean Papavassiliou
13 Apr 2011, 16:22
I am very happy we introduce you to Crete and the Mediterranean diet. The way the Cretan people live, a natural life with no stress, controlled diet, beautiful scenery, plenty of physical exercise and lots of light they managed to live easily past 90s.
Dean & Tarja Papaavassiliou

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