In recent years, specialty pharmaceuticals used to treat autoimmune diseases have skyrocketed in costs. Medications like adalimumab, etanercept and infliximab are among the top five prescription drugs in the United States. It is evident that there has been a lack of transparency in the specialty drug supply chain and drug prices. Without price regulation, many of these drugs have suffered from extreme price increases causing many patients and even the health care system to be impacted.

From 2005 to 2015, pharmaceutical sales rose from $500 billion to $700 while at the same time profits have raised over 18 percent. In…


Chronic opioid therapy can result in a number of unwanted effects. With chronic opioid therapy, sleep architecture can change and the risk for sleep-disordered breathing can increase. To better identify those who are at risk for sleep problems, it crucial that patients are both screened and tested in order for healthcare professionals to provide the best course of treatment.

Pain and sleep will often co-exist with one another and result in a vicious cycle that keeps on repeating. When you don’t get enough sleep, pain is even more evident. When pain is worse, you are more likely to take more…


As we approach the colder months of the year, like December and January, flu season is soon to follow. Patients that fall victim to the flu will experince many symptoms varying from aches, sore throat, sneezing, and exhaustion. If the 2019 season is anything like last year, over 43 million cases of influenza, many of your patients may be at risk. One way your patients can protect themselves and their families is by receiving the flu shot. Before your patients commit to a flu vaccine, they may have a few questions.

I’m already healthy, do I really need the flu…


Most areas in the US have left behind the heat of summer and are now experiencing crisp fall weather. Before we know it, it will be time to get out our winter jackets.

Many people with arthritis report that when the seasons change , their pain increases. Here are some tips for how you can manage your arthritis as the seasons change.

Keep Warm

When the seasons change, it can be difficult to know how to dress. Keep track of the weather and make sure you dress appropriately. When the forecast calls for cold weather, bundle up! …


The summer has arrived. Most parts of the country are seeing the hottest weather of the year this month. For people with arthritis, heat can cause an increase in flare-ups. Humidity and high temperatures increase swelling in the body, which is why your pain might seem to increase this time of year. Changes in barometric pressure can also cause joints to tighten up.

The good news is, there are some things you can do to relieve your discomfort. Here are some simple tips on managing arthritis in the summer.

1. Stay hydrated.

Hydration is critical all year round, but it’s…


If you are a postmenopausal woman with osteoporosis, it’s important to take specific measures to manage bone loss and reduce the possibility of injury. Here are some guidelines you should follow:

What You Should Do

It’s critical that you get adequate amounts of calcium and vitamin D if you are postmenopausal and have osteoporosis. The National Osteoporosis Foundation recommends that women who are over 50 get at least 1200 mg of calcium per day. Likewise, you should take 800–1000 international units (IU) of vitamin D per day.

Exercise is an important part of managing osteoporosis because it builds strength in…


Detoxing is a well-known trend that people use to “cleanse” their bodies from “toxins”. Though many correlate this trend with weight-loss, that is usually not the main goal of these detoxes. But how effective are these detox diets? Are claims that celebrities make about their detox teas helping the fit into a dress for the Met Gala true?

Let’s first look at the “toxins” people are trying to get rid of. You may be asking why I continue to put quotations around the word toxins. Toxins are described as substances made by plants and animals that are poisonous to humans…


In the modern world, telemedicine is becoming more and more popular, especially among the chronically ill. Rheumatology patients can especially benefit from telemedicine due to their limited access to rheumatologists geologically and their limited mobility. While there are obvious benefits for these patients being cared for by telemedicine, there are also concerns that they won’t be able to receive the same amount of care as they would with a physical visit.

Telemedicine is remote diagnosis and treatment of patients through telecommunications technology. It can be used to eliminate unnecessary doctors visits and help patients who don’t live close enough to…


Dr. Micha Abeles Biography Video

Dr. Micha Abeles, an accomplished rheumatologist in Meriden, Connecticut.

Throughout his career that spans more than four decades, Micha Abeles has not only attained board certification in rheumatology as well as internal medicine, but he has also acquired an impressive history of publications, papers, book chapters, and editorials. Many of these studies are still referenced today, and have set the groundwork for many other important discoveries in fibromyalgia, arthritis, lupus, and gout studies. …


As you age, the ability to balance becomes more difficult, which is often why the elderly have frequent rates of falling. Without balance, you lose mobility, and your overall health suffers because the lack of balance leads to a lack of physical inactivity. This is why it’s so important to remain active at all age levels.

Any kind of physical activity is great and helps keep your body functioning well, but a recent study showed that there’s even a specific kind of exercise to aid with balance: Tai Chi.

Tai Chi, which is an ancient Chinese art, was originally used…

Micha Abeles M.D.

Micha Abeles M.D. is a rheumatologist in Meriden, Connecticut. He has been board certified in both rheumatology and internal medicine for over four decades.

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