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Add Water, Mix a'Little Yoga = Fun :)
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Introduction
Arthritis Today
Arthritis currently affects about 1 in every 5 Americans today, causing
pain, stiffness and inflammation.
You can begin suffering the painful effects of arthritis as young as age
45. People between the ages of 45 and 64 compose 30% of today's arthritis sufferers. Over 63% of arthritis sufferers are over
the age of 65.
The number of Arthritis sufferers is expected to grow from about 16% of
the population today to 18% by the year 2020. Men and women seem to be affected equally between the ages of 45 to 55. After
the age of 55, women are more likely to be victims of arthritis than men are. Osteoarthritis, the most common form of arthritis,
is not only more frequent, but it is also more severe in women after the age of 55.
Arthritis takes second place only to heart disease as a cause of work
disability. It results in more than 39,000,000 doctor visits and over 500,000 hospitalizations; mostly for joint (specifically
for the hip) replacements. Every year, more than 100 different diseases effect the joints. These diseases are collectively
called Arthritis. Most of the cases are diagnosed as Osteoarthritis, reaching 20,700,000.
There are ways to alleviate the painful symptoms of arthritis and even
to help eliminate it altogether. Rebuilding the spongy cushion of cartilage between the joints is key. Unfortunately, most
people rely upon NSAIDs to assist them, which only mask pain and do nothing to treat their condition. There are many natural
substances which can help repair damaged cartilage – specifically Glucosamine and Chondroitin Sulfate.
EXERCISE
Ease Arthritis With Exercise
Overall physical activity can help prevent the swelling, stiffness and
pain in the joints as well as build muscle tone and strength. This can relieve some of the stress and strain under which your
joints constantly operate.
People
that exercise have a lower risk for developing arthritis to begin with, but it can also bring benefits to those already afflicted.
Starting a daily exercise program can help to stretch the joints, reduce stiffness, improve flexibility and help to make you
feel more limber. According to a recent study, regular walking, weight lifting and stretching can help in reducing the pain
of arthritis by as much as 30%.
Follow these guidelines when beginning a joint-rejuvenating exercise
program:
1. Make a regular habit of walking, stretching, swimming and cycling at least three
days out of every week. If you are too stiff in the morning, try exercising later on in the afternoon.
2. Stretch before you go to sleep. It may reduce stiffness in the morning when you
wake up.
3. Try a gentle workout program like Tai Chi or yoga. Both activities are great for
your joints and put no pressure on your bones.
4. If arthritis affects your wrists or hands, use a sponge ball or putty to exercise
your fingers while watching TV or relaxing. Another soother is a warm soak for your hands first thing in the morning.
You may think that exercise
and arthritis do not go hand in hand. If so, you would be mistaken. It was thought for many years that if you had arthritis
you should not exercise because it would damage your joints. Now, however, research has shown that exercise is an essential
tool in managing your arthritis.
Regular, moderate exercise
offers a whole host of benefits to people with arthritis. Mainly, exercise reduces joint pain and stiffness, builds strong
muscle around the joints, and increases flexibility and endurance. But it also helps promote overall health and fitness by
giving you more energy, helping you sleep better, controlling your weight, decreasing depression, and giving you more self-esteem.
Furthermore, exercise can help stave off other health problems such as osteoporosis and heart disease.
Starting an exercise program
can seem like a daunting proposition. The important thing to remember is to start slow and make it fun. It is always good
to start with flexibilty exercises, which are basically stretching exercises that will improve your range of motion and help
you perform daily activities. Once you feel comfortable you can move on to weight training and endurance exercises such as
bicycling. You may be reluctant to exercise because you are in such pain. If this is the case you may want to start with a
water exercise program. In the water your body's buoyancy reduces stress on your hips, knees, and spine.
An exercise program can include
anything from walking around the block, taking a yoga class, or playing a round of golf. In this section we've attempted to
give you all the information you will need on how to start exercising and the proper way to incorporate exercise into the
management of your arthritis.
Whatever exercise program
you decide on you should always consult with your doctor before starting out. Two other types of health professionals that
can help you develop an exercise program that fits your specific needs are a physical or occupational therapist. A physical
therapist can show you the proper techniques and precautions when performing certain types of exercise. An occupational therapist
can show you how to perform daily activities without putting additional stress on your joints and can provide you with splints
or assistive devices that can make working out more comfortable.
Water Exercise

Benefits of Exercise
Regular exercise helps keep
joints moving, restores and preserves flexibility and strength, and protects joints against further damage. It improves your
coordination, endurance and your ability to perform daily tasks (such as walking or writing).
Exercise also can lead to
mood enhancement, an improved sense of self-esteem and a sense of accomplishment.
Why Water Exercise?
- The soothing
warmth and buoyancy of warm water make it a safe, ideal environment for relieving arthritis pain and stiffness.
- Immersing in
warm water raises your body temperature, causing your blood vessels to dilate and increasing circulation.
- Water exercise
is a gentle way to exercise joints and muscles.
- Water supports
joints to encourage free movement, and may also act as resistance to help build muscle strength.
- Using a spa adds
a component to the therapy – massage. Jet nozzles release warm water and air, massaging your body and helping you relax
tight muscles.
-
Talk with your doctor to determine whether water exercise is appropriate for you.
Water Exercise at Home
If you obtain benefits
from water exercise, you may want to consider installing a pool or purchasing
a spa (hot tub) for your home.
The size and shape of a hot
tub will determine the types of exercises you can do in it. Some may limit you to working the smaller joints and muscle groups.
A spa or pool provides buoyancy
that helps you to relax and exercise your joints. Pools offer more space than hot tubs, allowing for more vigorous exercises,
including strengthening and aerobic exercises.
If your doctor or other health
professional advises you to follow a regular program of water exercises, part or all of the purchase price may qualify for
income tax deduction as a medical expense. Be sure to get information on specific tax rules from your lawyer or accountant
before installing a pool or spa.
Using a Pool or Hot Tub Safely
The use of heat is recommended
for many people with arthritis and related conditions, but not all. Your doctor can help you determine if it is appropriate
for you.
Benefits of heat can include:
- muscle relaxation
- decreased pain
and stiffness
- greater ease
when performing exercises and daily activities.
If you are exercising in warm
water, keep the following tips in mind:
- Extremely hot
water is not safe and is not necessary to get results; mild heat is just as effective and easier for the body to tolerate.
- The water temperature should
feel soothing and comfortable, not hot. In a pool, water temperatures from 83 to 88° F are usually comfortable for exercise.
- If you are just soaking or
doing very gentle movements while sitting in a spa, you can usually tolerate slightly higher temperatures.
- New hot tub users should
vary the temperature and length of stay until they can determine what is most comfortable. Start slowly, and extend the time
in the spa as you feel comfortable.
- For most people, soaking
time should not exceed 10 to 15 minutes at temperatures between 98 and 104° F.
- Remember that children and
elderly people are more prone to become overheated and may need to soak for less time.
Medical Precautions
If you own a spa or pool,
use it safely. Ask your sales representative for a booklet containing general safety tips and be sure to follow these medical
precautions:
- Consider that
you may need help getting in and out of the spa or pool. Have someone nearby to help you if necessary.
- Consult your
doctor before using or purchasing a spa or pool if you have any special medical conditions such as: lung or heart disease,
circulatory problems, high or low blood pressure, diabetes, multiple sclerosis, skin irritations or any other serious illness.
- Check the thermometer
for appropriate temperature before entering and while in the spa or pool.
- Remember that
individuals react differently to heat; if you start to feel lightheaded or nauseated, get out of the water immediately.
- If joint swelling,
stiffness or pain increase, discontinue the use of heat and exercise and consult your doctor.
- Never use a pool
or hot tub during or after drinking alcohol or using drugs. These may cause sleepiness, drowsiness or changes in blood pressure.
- Pregnant women
should not enter a hot tub without first consulting their doctor.
Exercise in the Pool or Hot Tub
When first entering a spa
or pool, relax and enjoy the soothing water. When your muscles and joints feel more comfortable and relaxed, slowly begin
your exercise routine. Allow enough time after exercising to relax muscles again before getting out of the water.
Please discuss
with your doctor any new exercise program before you begin.
Water Exercise Programs
The Arthritis Foundation
Aquatics Program (AFAP) is a water exercise program designed for people with arthritis and related conditions. Classes are
usually conducted 2 to 3 times per week at local indoor pools for 45 to 60 minutes. Joining a water exercise class gives you
the opportunity to exercise in warm water, with guidance from a trained instructor. For more information about AFAP and other
arthritis exercise programs, contact your local office of the Arthritis Foundation.
If you don't feel comfortable
going to a class, have the class come to you. Get your personal copy of one of the Arthritis Foundation's water exercise videos:
Cautions
Because there are many effective
and safe ways to minimize pain and loss of motion from arthritis, you need to work with your doctor and other appropriate
health professionals to develop an effective, individualized treatment program. Your specific program will depend on:
- The type of arthritis
you have
- How it affects
you
- The severity of the disease
- The joints affected.
Your age, occupation and everyday
activities also influence which treatment program is right for you. Your treatment will probably include a combination of:
- Rest and relaxation
- Exercise
- Use of heat and
warm water
- Use of cold
- Joint protection
- Self-help aids
Walking is good for anyone, especially people with arthritis. It’s an endurance exercise, which
means it strengthens your heart, helps your lungs work more efficiently and gives you more stamina so you don’t tire
as easily. As a weight-bearing exercise (one that puts full weight on your bones), walking helps strengthen bones, reducing
the risk of osteoporosis (thinning of the bones). This is especially important if you’re taking glucocorticoids for
your arthritis, which can weaken bones.
Walking
strengthens your muscles and helps maintain joint flexibility. For people with arthritis, muscle and joint benefits are important
because joints become more stiff and muscles weaken with inactivity. As walking strengthens the muscles and tissues surrounding
the joints, it helps to better protect those joints and keep them ready for daily activities
In addition to all the physical benefits, walking also brings with it a host of psychological perks.
Regular exercise helps you sleep better, controls your weight and lifts your spirits. It can play an important part in combating
the depression, fatigue and stress that accompany your arthritis.
Let's Do Yoga Originally published in Arthritis Today
By Christina DiMartino
Forget "pretzel poses."
You can do yoga your way, the gentle way, to relieve stress, improve flexibility and strengthen muscles.
You're convinced that yoga
is not for you, right? You can't see yourself practicing a 5,000-year-old religion-based art form. Well, think again. Yoga
is hot - and it's not just for willowy types who wear small spandex pants and tank tops.
Today's yoga participants
are young and old, flexible and inflexible, shapely and out of shape. They are everyday people just like you who want to treat
their bodies well. And what better way than through a low-impact exercise that induces relaxation, lowers stress and relieves
tension? Even better, yoga also helps tone and strengthen your muscles and loosen your joints.
"Yoga is especially good for people with arthritis because the disease tends to reduce confidence and yoga increases it,"
says Paul Howard, MD, a rheumatologist in Phoenix. "You can gradually work your way up to the poses," he adds.
Michele Spradlin, 47, of West
Palm Beach, Fla., decided to try yoga shortly after she began experiencing joint pain and morning stiffness six years ago.
"My doctor said to keep my joints as limber as possible," says Spradlin, whose mother and grandmother both had rheumatoid
arthritis. "My sister, who also has arthritis, encouraged me to join her in a yoga class."
Spradlin says it was a little
difficult at first, but the postures made her realize how stiff she had become over the years. "I stuck with it, and eventually
found myself enjoying yoga," she says. "The more I practiced, the more limber I felt. The morning stiffness, and even the
pain in my joints, has diminished."
The benefits of yoga have
been plentiful for Spradlin. "At the end of our classes, when we take a final rest, I feel the entire day and all the stress
it's caused melt away," she says. "I sleep better, my attitude is improved - and I can not only touch my toes, but I can put
my palms on the floor without bending my knees. My doctor was right - the more I do, the more I know I can do."
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Gear
Up! Originally published in Arthritis Today
By Suzette Hill
Does your laundry spend more time on your
treadmill than you do? If boredom is the problem, grab your gym bag and get ready to fill it with portable, affordable fitness
gear and gadgets that offer endless variety at home and in the gym.
Don't have time to go to the
gym? No space in your home for exercise equipment? Tired of your routine? Just plain tired? You're not alone.
The hardest part of a fitness
program is sticking with it over the long haul. Boredom and burnout pose a constant threat: No matter how great you feel afterward,
it's hard to get motivated as you face the hundredth viewing of the same workout video or that one-millionth walk around the
block. Gyms offer variety and camaraderie, but not everyone has the time, the budget or access to one.
Valid as they may seem, don't
use these excuses to drop the exercise ball. Exercise adds variety to your life; plus, it's great for your arthritis. Regular,
moderate exercise reduces joint pain and stiffness, increases flexibility and builds muscle strength and endurance. It also
helps stave off other health problems, such as osteoporosis and heart disease. You'll probably love it best, though, for the
sense of energy and well-being you'll gain.
Make your workout an anticipated
part of your day. To help, we've pulled together a gym bag full of portable, affordable gear sure to re-energize your exercise
program. You certainly don't need any of the gear and gadgets discussed below to improve your health and fitness - but they
do offer ways to take your fitness level up a notch or simply make it fun again.
"Variety is the key to sticking
with fitness," says Mike May, executive director of the Sporting Goods Manufacturers Association (SGMA). "You can fill your
life with different types of activities without cluttering it with all sorts of [machines or contraptions]."
But before you fill your shopping
cart, get the OK for any fitness program from your doctor. Then work closely with a physical therapist or fitness expert who
understands arthritis to custom-tailor a fitness program that will satisfy both your need for safety and precaution and your
goal of fitness and fun.
If you're affected moderately
to severely, pay extra attention to how your joints feel before, during and after exercise.
Warm Up Right
By Michelle Taylor
Whether the temperature is
a balmy 90 degrees or a chilly 20 below, warming up should always be a part of your fitness routine. Here's what you can do
to take some of the risk out of your workout.
Think about Play-Doh. Straight out of the can, it crumbles and resists any attempts to change its form. But warm it up in
your hands first and it becomes pliable, smooth putty that can be rolled and molded to your whim. OK, muscles aren't Play-Doh,
but if you get the idea of how valuable a little warm up can be to that all-American kiddie putty, you'll get the gist of
what Judy R. Sotosky, a physical therapist in Virginia Beach, Va., wants you to understand about exercise and warm ups: Don't
do one without doing the other first.
Jumping right into a workout
with cold muscles can cause pain in joints and muscles, she says. Movement literally warms up the muscles and reduces the
risk of injury.
Choose a type of warm up suited
to the activity you are about to do. If you are about to walk or swim, then walk or swim to warm up but take it slowly. Stretching
warm ups work well before most any exercise, such as weight lifting, or even as an extra warm up before you start to walk
or swim.
Here are some
moves to get your muscles and joints ready to exercise and help you ease into your exercise routine. Take three to five minutes
to warm up if you're just beginning. (Don't forget to talk to your doctor or physical therapist before starting a new exercise
program.)
Ways to Warm Up
Try a Warm-Up Routine
Try the following exercises
(three to five repetitions each) for a warm-up routine:
Forward Arm Reach
- Position arms
out front, palms facing one another.
- Raise one or
both arms as high as possible (one arm may help the other if needed).
- Slowly lower
to starting position.
Shoulder Shrug
- Stand erect.
- Raise one or
both shoulders up toward ears.
- Lower and repeat.
Side Leg Lift
- Stand straight
and hold onto a chair.
- Lift one leg
up and out to the side.
- Then cross that
leg in front of the other leg.
- Return to the
standing position and repeat with other leg.
(People who have had total hip replacements should check with their surgeon
before doing this exercise.)
Stretch and Go
Stretching is one of the most
common ways of warming up. Try any of the following moves to help muscles loosen up before a well worth-it workout.
- Keeping arms
straight, reach for the stars, hold 5 seconds and lower.
- Reach for your
toes, but don't try to touch. Hold position 10 -15 seconds, relax and let arms extend on their own.
- Spread your arms
out to the side as far as you can and lower.
- Make a fist and
loosen.
Things to remember: Go slowly. Never bounce when stretching. Don't overstretch. Don't stretch if it
hurts.
Take a Walk
Walking is a good way to elevate
your temperature and increase your blood flow. It can also get you energized for more strenuous exercise. o If weather permits,
walk to the end of your driveway, parking lot or street and back.
- Walk around your
house one or more times.
- Take your dog
for a walk.
- Walk or march
in place for 30 to 60 seconds during a television commercial.
Join a Class
These
exercises are drawn from the Arthritis Foundation's PACE - People with Arthritis Can Exercise - program. This group exercise program is designed
to safely improve range of motion and fitness for people with arthritis.
Relieving Arthritis
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Arthritis, which means joint inflammation, causes pain, stiffness, and swelling in the joints, such as
the fingers, neck, back, hips, and knees. Osteoarthritis, the most common form
of arthritis, is swelling of the joints caused by the wearing down of joint tissue and cartilage. Osteoarthritis affects the
weight-bearing joints of the arms and legs, such as the knees, hips, shoulders, elbows, ankles, and thumbs, and often can
be improved by joint replacement surgery. Rheumatoid
arthritis is a long-term disorder that can involve
the major organs of the body. It causes painful swelling of the legs, arms, and spine. The disease may get worse over time
and lead to joint damage that cannot be repaired. |
The pain caused by arthritis can affect how a person functions in the home and workplace. Occupational
therapists can suggest modifications to help people with arthritis to work and live independently while avoiding stress to
the joints.
What can an occupational therapist do?
- Make custom splints to rest or support limbs.
- Design adaptive equipment or recommend assistive
devices to help the client function better in daily activities.
- Evaluate the client's home or workplace and
suggest changes and modifications that will make arthritis easier to live with.
- Advise what exercises can relieve the pain
of arthritis and which activities should be avoided.
- Determine the psychological effects of arthritis,
such as depression and emotional stress resulting from lack of sleep because of pain, disfigurement, or an inability to complete
certain meaningful tasks. Occupational therapists can recommend coping strategies to combat emotional effects.
What can a person with arthritis do?
- Wrap foam, cloth, or tape around the handles
of objects such as knives and cooking pots and pans to cushion the grip. Household and gardening tools with larger, ergonomically
designed handles are now available for sale in many retail outlets.
- Avoid lifting heavy objects by using carts
or carriers with wheels to move suitcases, garbage cans, and grocery bags.
- Use a jar opener to avoid twisting the fingers
and hands. Replace round doorknobs and faucet handles with lever-style handles.
- Pace yourself. Separate daily tasks, including
leisure activities, into manageable amounts, and take breaks when necessary.
Need more information?
All forms of arthritis are serious and can affect many aspects of a person's life, including work and leisure
activities. If you would like to consult an occupational therapist, practitioners are available through most hospitals, medical
centers, and clinics. Contact your doctor or other local health officials for more information.
Occupational therapists and occupational therapy assistants are trained in helping both adults and children
with a broad range of physical, developmental, and behavioral conditions in addition to arthritis, such as low back pain,
mood disorders, and substance use disorders. Occupational therapy practitioners also advise people in home modification and
in preventing falls, and help clients in wellness techniques that may prevent injury and disease.
Copyright 2002 American Occupational Therapy Association, Inc. All Rights Reserved. This page may be reproduced and
distributed without prior written consent.
Last Update: 10/1/02
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