Living Well With Osteoarthritis - Tips on Activity Participation
But you don't have to let the stiffness, pain, swelling and fatigue associated with arthritis keep you from doing what you need and love to do. You can take control of your arthritis and achieve good living simply by modifying the ways in which you participate in your favorite activities. Taking the proper precautions can allow you to continue to do many of your favorite things, even with arthritis. Gardening
Don't sit on the ground when you pull weeds or plant bulbs. Sit on a low step-stool or a turned-over metal basin instead. Make sure the seat is low enough that you can bend over easily to do your gardening.
Use a wheeled cart or basket to carry bulbs and gardening tools around your yard. You can push the cart with your feet if you find it difficult to stoop down to move it, or tie a rope or old bathrobe belt to the basket and pull it around the yard.
If you like flower gardening but can't sit on the ground or stoop to low flower beds, try planting flowers in window-box containers or clay pots that sit on tables outside your house. Consider building a greenhouse with raised shelves and tables to hold pots of flowers and plants.
Buy gardening tools with adaptive handles that are easy to grasp, or build up handles yourself by wrapping them with electrical tape, bubble wrap or foam padding.
Traveling
During a flight, try exercising in your seat. Roll your shoulders in a circle, and flex your ankles, hands and fingers. Whenever possible, walk up and down the aisle or to the restroom.
When traveling, use a small, compartmented pill container to organize your daily medications. Keep the container in your purse, carry-on bag or suit pocket where you won't lose it and can access it easily during your trip.
If you are traveling to a different time zone, particularly overseas, keep a log of when you need to take your medications. Take an extra watch with you that is set to your home time, so that you can take your pills at the appropriate time. If the watch has an alarm, set it for dosage times.
If you are taking a long car trip, plan periodic stops at rest areas. Get out of the car, stretch and have a snack. Schedule these stops and figure them into the total travel time.
Don't wait until the last minute to pack for a trip. Plan out beforehand what you will need. Take clothing items that can be mixed and matched to cut down on the amount you pack in your suitcase. A suitcase with fewer items is easier to carry, and clothing stays fresher.
Activities With Families
If you have arthritis and need to help your children dress in the morning, sit on a chair and have the child stand in front of you. This puts you both at the same height and makes dressing easier.
Pack children's lunches the evening before, or pack several days' worth at once. Store these meals in paper sacks in the refrigerator if the items are perishable. Advance preparation cuts down on morning rush.
Create an assembly line in the kitchen for food preparation and clean-up. When washing dishes, one person can wash, one can rinse, one can dry and stack, and one can put away dishes.
If you are spending a long evening with family or friends at a restaurant, sitting for a long period of time may make your joints stiff. Between courses, get up and walk to the restroom or to the bar area. This tip also may keep you from nibbling too much from the contents of the bread basket.
Your joints may become stiff during a long movie. Get to the theater early, so you can choose an aisle seat or a handicapped-accessible seat that allows you to stretch your legs periodically.
A level, well-mowed back yard can be a great place for light exercise. Try kicking a ball back and forth with the children in your family, or toss a rubber ball to your dog and let him fetch it and bring it back to you. Croquet might be another entertaining exercise. Build up the croquet mallet handles with padding to make them easier to grip.
Hiking can be an enjoyable and leisurely form of exercise. Investigate any hiking trails before you embark on your hike. Avoid trails with any uneven or slippery footing or steep inclines or any trails that require you to climb using your hands. Pick an easy, beginner's trail that is well-marked. Hike with friends - never alone - and bring a cellular phone and identification card with you.
While you're watching TV, get off the couch and walk around about once every 30 minutes - perhaps in between your favorite shows or during commercial breaks - to keep joints from stiffening. Don't just walk to the refrigerator and back.
If you find it difficult to handle playing cards or game pieces, play games with your friends or family in a team format. Divide into twos and let your partner handle cards, dice, play money or game pieces while you help with strategy.
How to Fight Fatigue
Stick to the time you've allotted for work. At times, you may have to stay longer to get your job done. But if a task can wait until the next day, leave it until then.
You'll get more done in the long run if you don't wear yourself out.
Don't rush. You\'ll be more efficient working at a comfortable pace than at a hectic one that invites mistakes and accidents. Schedule time for the unexpected.
Discuss with your supervisor the possibility of adjusting your work schedule. You may be able to come to work later and leave later, allowing you extra time in the morning to take a warm bath or to stretch.
Talk to your fellow workers about swapping duties when possible and approved by your supervisor. When you're having a flare, it may be too difficult for you to do certain tasks, and you may be able to trade for less strenuous duties.
Cooking
Buy meat already cut into chunks or have your butcher cut it for you. If you need to fill a large pot with water, don't fill it in the sink. Using both hands, place the pot on the stove. Then, fill a glass, small pitcher, watering can or kettle and pour water into the pot until you have the amount needed.
When washing dishes, using a mitt made of sponge material may be more comfortable than trying to hold a sponge or scouring pad. These mitts are available at hardware stores, in the automotive accessories departments.
Use tongs instead of a fork to turn food, such as chicken breasts, during cooking or grilling.
Griddles with low sides may be easier to use than skillets for cooking chicken breasts, chops or fried eggs. The low sides make it easier to turn food with a spatula, or to slide it off the griddle and onto a platter.
Buy cheese already grated or shredded. These cheeses come in resealable plastic bags, and will save your hands from strenuous grating. If you have a hard time resealing these bags, close them with bag clips.
Try opening jars with a rubber jar opener. Or, try placing it in a shallow drawer. Close the drawer enough to squeeze the jar between drawer and countertop, then use both hands to twist the lid open. Use this method for bottles as well. Many kitchen appliances and cooking utensils come with easy-to-grip handles. Be a proactive consumer - look for these items at your local cookware store, or ask the manager if the store can order these items for you. There also are a number of catalog and Web site companies that sell easy-to-use cooking items. Use pre-chopped, bagged vegetables and salad mixes to save energy when preparing meals. Bags of frozen mixed vegetables can be defrosted and used in casseroles, stir-fries, salads and omelets. Bags of frozen vegetables can double as a handy ice pack for stiff, painful joints.
Use kitchen scissors to cut open slices of individually wrapped cheese, then pull off the plastic wrap. Large-grip scissors also can be used to cut off pats of stick butter or margarine, and chop the tops off celery stalks.
Don't transfer a cooked dish from the pot to a serving dish. Put the pot on a heatproof trivet right on the dinner table, or put servings on the plates in the kitchen and then serve them to your guests.
Use a large plastic pitcher or a bowl with a spout at one end for mixing cake batters. This method makes it easier to pour batter into the pan. Hold the pitcher or bowl with both hands when you pour.
Treatment Plan and New Developments
For some people who suffer from pain associated with arthritis, their symptoms can be managed with exercise, heat/cold therapy, joint protection, assistive devices, weight control, or in some severe cases, surgery. For others, medications are needed to help manage the symptoms associated with arthritis.
COX-2 inhibitors
COX-2 inhibitors are the newest members of the NSAID class of medications. Available by prescription only, they became widely used in recent years to reduce joint pain and swelling. COX-2 inhibitors work by selectively blocking, or inhibiting, one of the two enzymes associated with inflammation. Some experts have hypothesized that this selective inhibition may be the reason for the negative cardiovascular effects currently associated with COX-2 inhibitors.
Non-selective NSAIDs
Non-selective NSAIDs were developed earlier than COX-2 inhibitors and have been widely used to relieve arthritis pain and inflammation for many years. Unlike COX-2 inhibitors, non-selective NSAIDs inhibit both major enzymes involved in the inflammatory process, COX-1 and COX-2. The non-selective NSAID category includes a number of different medications that are available in both prescription and over-the-counter (OTC) products.
However, recent controversy about the safety of pain medications for arthritis has left patients and health care professionals alike uncertain about which medications are safe to use. In fact, a recent survey by the Boston-based Rippe Lifestyle Institute indicated that many people with arthritis are suffering unnecessarily because they have stopped or reduced their use of pain relievers due to confusion about which drugs are considered safe.
To clarify the confusion around recent news about arthritis medications, here are some facts:
On April 7, 2005, the FDA announced the following:
• Bextra, a COX-2 inhibitor manufactured by Pfizer, was being voluntarily withdrawn from the market.
• All prescription NSAIDs must revise their labeling to include a "black box" warning that highlights the potential increased risk for cardiovascular (CV) events as well as the potentially life threatening gastrointestinal (GI) bleeding associated with these drugs. Celebrex, the only COX-2 inhibitor remaining on the US market, was included in this directive.
• All OTC NSAIDs (except aspirin) will be required to revise their labeling to include more specific information about the potential for GI and CV side effects, a stronger reminder to follow label instructions, as well as a warning about potential skin reactions.
To further evaluate the potential for increased CV risk, the FDA also announced that all NSAIDs must conduct and submit to the Agency a comprehensive review and analysis of pertinent safety data from clinical trials.
The FDA emphasized that when label directions are followed, OTC pain relievers such as Aleve (naproxen sodium) provide a safe and effective way to treat mild to moderate pain of minor arthritis. If patients have questions, they should consult their health care professional about which treatment option is most appropriate.
More Information
By taking precautions such as these, you may find that you will not have to abandon those things you love to do. For more information about osteoarthritis, and living with it, visit the ALEVE website at http://www.aleve.com. ALEVE is an over-the-counter (OTC) pain reliever that provides relief for a variety of pain conditions, including minor pains associated with arthritis.
The above Tips on Activity Participation was excerpted from The Arthritis Foundation's Tips for Good Living with Arthritis, copyright ©2001, Arthritis Foundation. Want more? Get your own copy of Tips for Good Living with Arthritis by calling (800) 283-7800.
http://www.arthritis.org
Condiþii de viaþã bine cu osteoartritei - Sfaturi privind Activitatea de participare - Living Well With Osteoarthritis - Tips on Activity Participation - articole medicale engleza - startsanatate