Kostas living with beta thalassaemia major looking into the distance

Managing pain

Pain in beta thalassaemia

If you’re living with beta thalassaemia, there’s a chance you may experience pain.1 This may be short lived (acute) or may last longer to become chronic pain.1

Because pain is not visible and people may just cope with it on their own, it hasn’t always got the attention it deserves in beta thalassaemia.1,2 But it is now known that many people with beta thalassaemia feel pain.1

If you have transfusion-dependent beta thalassaemia you are more likely to live with pain, but some people with non-transfusion-dependent beta thalassaemia have also reported pain.1,2 Whatever type of beta thalassaemia you have, letting your healthcare team know about any pain you have is important to make sure you get support for managing it.

Here, we look at what might cause pain and how to manage it.

Pain in betathalassaemia

Why do people with beta thalassaemia feel pain?

Whether you have transfusion dependent, or non-transfusion dependent beta thalassaemia, the causes of any pain you experience may not be entirely clear.1 But the condition and its treatment do seem to be related to the pain that people feel.1

 

 

bone with low bone density

Some people with transfusion-dependent beta thalassaemia may have lower bone density or osteoporosis and changes to the skeleton (like scoliosis, where the spine is curved), which can cause pain.1

walking stick

As people get older, they may be more likely to have worse pain that lasts for longer than when they were younger.1,2

haemoglobin transfusion IV

Pain can be associated with low levels of haemoglobin in the blood, so transfusions may provide some relief.1 Find out more about transfusions here.

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The source of pain might not be easy to find but if you let your healthcare team know about any pain you have, they can help you find a way to manage it.1

How to manage pain

There are both medical and non-medical ways to manage pain2 – talk to your healthcare team to discuss your options and find what works for you.

This might include1,2:

  • Taking over-the-counter painkillers (check with your doctor which ones you should take and how often)
  • Exercising regularly (see our section on keeping active for inspiration)
  • Eating well and getting all the nutrients you need (you’ll find an overview of what a healthy diet looks like in beta thalassaemia here)
  • Relaxation techniques such as deep breathing, or progressive muscle relaxation
  • Physical therapy that aims to increase your muscle strength and movement
  • Acupuncture and massage

You may have found other ways to manage pain too. Just remember that some pain could be a sign you need immediate care – so always get pain checked out by your healthcare team.1

Aisha living with beta thalassaemia looking into the distance

Aisha, living with beta thalassaemia major in the UK

Naziha and Aisha

Chronic pain management

For some people with beta thalassaemia, the pain doesn’t go away. If pain persists for three months or longer, it is referred to as “chronic pain”.2 Chronic pain can begin to interfere with other parts of your life but finding ways to manage it can help.1

All the options listed may help with chronic pain. But you may also feel the need for more support. This might include counselling, for example.1

You might also need to make some adjustments at work that help you manage your pain.1 See our section on Moving forward at work to get to know your rights when asking for adjustments in your workplace.

Having the support of others can help when managing chronic pain. Connecting with others going through a similar experience could help. Try our community page to find groups and organisations that connect you with others living with beta thalassaemia.

Living with chronic pain can be difficult and can often affects a person’s mental wellbeing.1 If you feel like your condition affects your mental health, talk to your healthcare team. They will be able to advise you and refer you to a therapist if needed.

You can find out more about how beta thalassaemia may affect your mental health here.

Take steps to manage your pain

talking about your pain

Pain may be part of your beta thalassaemia but there are steps you can take to manage it. Finding ways to manage your pain can help you find the balance between managing beta thalassaemia and living your life.

If you want to know more about how you can manage your pain, talk to your healthcare team. Together, you can find a way forward.

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Resource Hub

Our downloadable tools and guides will help you manage your life with beta thalassaemia

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    1. Lal A. Assessment and treatment of pain in thalassemia. Ann N Y Acad Sci. 2016;1368(1):65–72.
    2. Cappellini MD, Farmakis D, Porter J, Taher A. 2021 Guidelines for the management of transfusion dependent thalassaemia (TDT). 4th Edition. IDF, 2021.