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I’m a married 31 year-old who has been diagnosed with fibromylagia for 12 years. I am on a quest to raise awareness and help others by sharing information and staying positive. Read more
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Felicia Fibro - Life with fibromyalgia, EMPOWERED!

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Treat to Target Care

One of the most interesting topics discussed at the conference my local Arthritis Foundation office held was “Treat to Target” (T2T). Dr. Stanford Peng explained that it is a way of focusing the care and treatment of a condition on a specific target. As a patient, it seems like an obvious way to map care, but it turns out that many rheumatologists do not follow this process or intend to do so in the future. Much of the reason for this is because T2T can be harder to implement in types of arthritis or conditions like fibromyalgia. This is because of the lack of treatments that work well for everyone and not having extremely reliable measurement tools to track progress and results.

treat to target

Click on the image 2 separate times to see it larger.

An example of T2T care working well is in a patient with gout, a form of arthritis. A patient with gout can be shown to be in remission through lab work looking at the levels of uric acid in the body. With T2T care gout patients often need a higher dosage of medication (often allopurinol) to hit their target (remission) than they would normally be prescribed to manage their condition. By reaching for and achieving this target many patients are able to be “disease free” for months. Who wouldn’t love that?!

In conditions where remission is more difficult or currently impossible to achieve, a different target can be created. For instance, having lower disease activity (found by measurements) or setting a target like being able to work 3 days a week without flaring. As you’re working toward the target, you re-evaluate treatments if the target is not getting closer. One thing doctors need to be careful of is not over treating the patient though. This is especially important for those taking medicines with more extreme side effects, such as ones that suppress the immune system. In some cases increased side effects (if that is the only treatment choice left) may not be worth achieving the original target.

Stay tuned for more from the 2012 Arthritis Foundation Conference.

Have you ever crated targets or goals with your doctor?

You may also be interested in reading:
Arthritis Foundation Conference 2012
Arthritis Foundation Conference


Comment from Ciara
Time July 30, 2012 at 3:38 am

Hi I just wanted to let you know that I have nominated you for the ”Sunshine blog award.” You can go here to see the details of the award:


Felicia Fibro Reply:

Aww, thank you!!


Comment from Lindsey @ Dishing Up Hope
Time March 11, 2013 at 9:06 am

I like this approach to healthcare. It gives helps to give the patient control over the situation as well. Have you read information about the effects of nightshade produce? As a chronic pain sufferer, I avoid them.


Felicia Fibro Reply:

Yes, I did months of an elimination diet and food challenges to check for food sensitivities. None of the foods effected my fibromyalgia, but I found out I’m sensitive to soy and avoiding it has drastically improved my IBS symptoms.


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