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Even
after a diagnosis of osteoarthritis, individuals can continue to
lead a full and active life.
In addition to various self-treatments such as exercise
and medical treatments such as injections into a joint, other measures
can be taken to live with OA. These measures include:
- Joint protection
- Assistive devices
- Help from healthcare professionals
- Developing a self-management program
By learning about osteoarthritis and
educating oneself about its treatment, an individual can improve
his or her lifestyle and have a new sense of purpose. Your physician
is a helpful resource.
Some individuals explore other treatments,
including unproven "remedies." While some of these options
are safe, others can cause harm. It's prudent to explore the facts
and risks before trying such options.
Joint Protection
Joint protection begins with learning new ways to use the arthritic
joint. Joint stress and strain can be limited by following a few
simple rules.
For the upper body joints:
- Avoid overburdening small and weaker
joints by using larger joints to carry
heavy things. For example, carry shopping bags using the forearms
or palms of the hands, rather than the fingers.
- Avoid neck strain by
placing reading material or work objects at eye level. Don't look
up or down for long periods of time.
- Relieve finger joint strain
by using extra-thick pens when writing.
- Wear thick gloves to
reduce joint strain when a tight grip is needed to hold a tool,
heavy pot, or other object.
- Increase leverage by
using long-handled tools and reaching devices when performing
activities such as gardening, housework, and retrieving objects
from high places.
For the lower body joints:
-
Bend at the knees
and straighten
the legs (while keeping the back straight)
to lift objects from the ground if back pain is a problem.
-
Get up from a
chair by sliding forward to the chair's
edge, keeping the feet flat on the floor, and using the palms
of the hands to push against the chair's arms or seat. Stand
up by straightening the hips and knee. Use higher seats rather
than deep, soft sofas.
- Never squat or kneel, as
these positions strain the hips and knees.
- Maintain good posture to
avoid putting stress on the joints.
-
Wear well-cushioned
athletic shoes with good arch support
whenever possible. If dress shoes must be worn, women should
choose styles with heels that are no higher than one inch. Men
should choose lace-up rather than slip-on styles, which provide
less support.
-
Use support
devices(cane, walker) if
necessary, to reduce strain on the hips and knees when walking.
A cane should be held in the opposite hand to the hip or knee
affected.
Assistive Devices Assistive
devices can help people with arthritis to perform everyday tasks.
Such devices include:
- Canes, walkers, and other walking aids
- Cervical collars
- Special pillows
- Back braces and supports
- Splints
- Jar openers
- Faucet turners
- Door knob turners
- Footstools
- Key turners
- Writing devices
- Reaching devices
- Shoe inserts
- Bookstands
- Bathroom equipment (such as raised toilet seats,
handrails by toilet and shower)
Help From Healthcare Professionls
In addition to family physicians,
internists, and rheumatologists (specialists in connective tissue
disorders), many other healthcare professionals are available to
help arthritis sufferers who have difficulties performing everyday
activities. Such individuals are, in fact, essential to a comprehensive
arthritis treatment plan. They include:
- Physical therapists and physiatrists
- Occupational therapists
- Nurses
- Pharmacists
- Dietitians
- Psychiatrists and psychologists
- Social workers
Physical therapists and nurses often
have solutions for problems with daily activities (walking, dressing,
climbing stairs, bathing), and they can offer ways to cope with
disability. In addition, they can provide instruction about joint
protection and suggest appropriate aids and assistive devices protection.
Occupational therapists are able
to assess the home and recommend changes that can make it safer,
more comfortable, and easier to get around.
Psychiatrists, psychologists, and
social workers can help individuals to cope with stress, and they
can advise both patients and families about the emotional adjustments
needed for the new circumstances presented by arthritis.
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