"c)Transcutaneous Electrical Nerve Stimulation: It provides pain relief when mild electricalcurrent passes through the electrode and then onto the skin. This therapy uses low-voltageelectric current that stimulates the nerves and interferes with the transmission of painimpulses (Dubouloz, et al., 2008). The effectiveness of Rehabilitative therapy in the management of Pain in the patients withrheumatoid arthritis:The objective of rehabilitation therapy is to prevent disability, increase functional capacity,and provide pain relief and patient education. Joint protection strategies, use of assistivedevices and performance of therapeutic exercises are essential components of rehabilitationtherapy. Joint protection strategies: Rest and splinting, using compressive gloves, assistive devices,and adaptive equipment are some of the joint protection strategies which help the patients tomanage the symptoms of rheumatoid arthritis. Orthosis and splinting reduce pain andinflammation. They also prevent the development of deformities and joint stress by providingsupport to the joints and decreasing joint stiffness. The compression gloves reduce jointswelling and decrease pain. Patients can be suggested to use compression gloves in the nightor hour intervals to lessen the inflammation of hands or fingers. Assistive devices provideprotection to the joints and decrease functional deficits, reduces pain, increases independenceand self-efficiency in the patients. Massage improves flexibility, reduces swelling in theinflamed joints and improves general wellbeing. Massage decreases the levels of stresshormone and reduces depression, anxiety, and pain. Immobilization can cause muscleweakness in the patients with rheumatoid arthritis. Exercise therapy increases physicalcapacity, and muscle strength thereby reduces the risk of traumatic injuries. Exercise therapyincludes ROM exercises, stretching, strengthening, aerobic exercises, and routine dailyactivities (Dubouloz, et al., 2008). The role of Patient education in the management of chronic pain: Patient education helps the patient to guide towards efficient and ongoing self-management.Teaching the benefits and adverse effects of medications helps to increase patient complianceand reduces the risk of complications. The patient should be explained the importance ofphysiotherapy, orthosis, psychological coping methods, and self-relaxation methods as it motivates the patient to practice these techniques and lead a quality life. Also, patients shouldbe encouraged to perform exercises as it improves joint flexibility and reduces pain. It is theduty of health care professionals especially nurses to inform the patients about the variousphysical therapy and rehabilitative options available to improve their quality of life (Meeus etal., 2010). In the give case study, as the patient complained that she is experiencing extreme pain in theshoulder which worsened in the mornings the primary goal of the treatment is to reduce pain.Celecoxib is a non-steroidal anti-inflammatory medication which reduces inflammation andpain (Chen, et al., 2008). The patient’s symptoms and laboratory reports suggest that thepatient has Rheumatoid arthritis.Therefore, the primary goal of the treatment can beachieved by reducing joint inflammation and stiffness. Glucocorticoids such as prednisoneand corticosteroid injection reduce the inflammation and thereby by providing relief frompain (Kumar and Banik, 2013). Further, the patient was prescribed methotrexate to reducejoint inflammation (Verstappen et al., 2007).Apart from pharmacotherapy, the physician recommended physical therapy to the patient as ithelps to reduce pain, improve the mobility and restore the utilization of the affected joints. Teaching relaxation techniques to the patient will promote self-management of pain. A studysuggested that multidisciplinary therapy which includes pharmacotherapy, particularindividual exercising, and regular training in relaxation techniques, physiotherapy and CBTimproves the quality of the patient’s life to a greater extent (Scascighini et al., 2008) Conclusion:Chronic pain lasts for a longer time and affects the quality of life. It may be caused due toinflammation of dysfunctional nerves. However, it can be managed by using medications,acupuncture, cognitive behavioral therapy, relaxation methods and electric stimulation. Theprimary goal of pain management is to improve the ability to perform daily activities ofliving and quality of life. Reference: Chen, Y.F., Jobanputra, P., Barton, P., Bryan, S., Fry-Smith, A., Harris, G. and Taylor, R.S.,2008. 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