Hi, A variety of medicines can help ease pain caused by lupus. But, because there are always risks and side effects with medications, it is good to know some other approaches to pain relief. Joint and muscle pain can benefit from heat application. Moist heat soothes painful joints much better than dry heat; soaking in a hot tub, sauna, or whirlpool, using a moist heated towel, or taking a hot shower can be helpful. Ice or cold applications are advisable only for strained or twisted muscles or injuries. Behavioral techniques, such as progressive relaxation, meditation, self-hypnosis, focused breathing, low-impact yoga, Tai Chi, and guided imagery also can be effective tools for pain management. Safe and easy to do at home, these techniques have the added benefit of allowing you to take control of the pain, rather than just reacting to and suffering with it. Other alternative health and healing practices also are used for pain relief and may be effective for you. Among these techniques are acupuncture and acupressure, and biofeedback. It is always better to discuss with your physician regarding alternative methods. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prabhash Verma, General & Family Physician