In this case presentation a 57-year old male patient is illustrated, who suffers from non-inflammatory arthralgia due to osteoarthritis. He visits the outpatient clinic with the specific question for advice with respect to pain management, especially for his hand pain since he is a technician in a dental laboratory. However, non-steroidal anti-inflammatory drugs (NSAIDS) are contra-indicated by his ischemic cardiomyopathy, cerebral vascular accident, hypertension and ulcus duodeni in the past.

Disclosure of Interest: None declared

DOI: 10.1136/annrheumdis-2016-eular.6274