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Arthritis General Advice & Hints

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  1. #1
    Trimble Bracegirdle Guest

    Default Arthritis General Advice & Hints

    Canadian Ladies Post from a June '07 thread , it gives good
    general advice & info.

    @@@@ @@@
    It helps first to know what kind of arthritis is. If it is
    inflammatory arthritis it needs to be in the care of a rheumatologist and
    will most likely need a special type of med that will stop the inflammatory
    process - this is called a dmard. Examples of inflammatory arthritis are
    psoriatic, rheumatoid, and in some cases osteoarthritis as well as many
    others. If it is osteoarthritis and the damage is age or injury related
    then anti-inflammatories sometimes help but studies have shown that
    glucosomine or glucosomine/chondroitin combinations can make the difference.
    The fish oil is not a bad thing to add to diet - it does seem to make a
    difference to a lot of people but may not reverse any damage. Exercise,
    weight loss if needed and checking out any physiological needs such as
    gait, leg length etc can help immensely too. Exercise should be tailored to
    individual - ie: swimming if weight bearing is a problem, walking is good in
    most cases but watch for good shoes changed regularly, and if needed use a
    cane or walking stick or even a walker. The idea is to build up the upper
    muscles that support the hips and knees. The weight loss will make an
    incredible difference on the hips if this is a problem. Even 5 - 10
    lbs can decrease the pain.

    The above are suggestions aimed at everyone but an personal diagnosis from a
    doctor
    will help decide the treatment. This is important and you should ideally see
    a rheumatologist if you haven't already. Don't dismiss a good occupational
    therapist and physio therapist when you have that diagnosis. They can help
    with ongoing ideas to make the pain less and help reduce any further damage.

    Part of the problem with osteo is the medication is sort of a trial and
    error with medication. You
    are testing NSAID (non steroid anti inflammatory drugs) and each one works
    differently on each person. In Canada they start with naproxen because it
    is covered under our formulary and is inexpensive - unless they start you
    first on an over the counter med such as ibrofofen or aspirin. They can
    cause stomach problems so do watch for upset and black stool (which means
    hussle your butt to the doctor). For some people these meds work fine. For
    others they don't. Each NSAID works differently for each person. Celebrex,
    vioxx worked wonders for some people and protected their stomachs at the
    same time but problems occured and the doctors have cut back on the celebrex
    and vioxx is off the market. Wouldn't surprise me to see it go back on
    eventually.

    If your osteo is mild and not bone on bone the doctor probably can't offer
    you anything exciting - however if it isn't bone on bone and is still bad in
    the knees they will sometimes do injections of steroids or sometimes a
    synthetic med the name of which my brain can't bring forward right now.
    Unfortunately for the hips the steroid injection is the only injection that
    sometimes brings a bit of relief.

    The best thing though is to keep the weight off, use good management such as
    reachers if necessary, raised toilet seat (the best thing in my opinion ever
    invented for hip pain), grab rails, higher chairs or cushioned chairs,
    maintain strength in your upper large muscle groups (such as quads, arm
    strength which helps to levered you up.

    Another good site with occupational ideas for hips and knees is the Canadian
    Arthritis Society and I am including the link for ideas (check out some of
    the other ideas on fatique and fighting pain.)
    http://www.arthritis.ca/tips%20for%2...efault.asp?s=1
    An occupational therapist was also the best absolute best for giving me
    ideas on gardening with arthritis, how to travel with arthritis, proper
    mechanics on lifting and protecting hips and knees etc. We have a group
    here that regularly does seminars free on these topics. Couldn't do without
    those seminars. Also check out the best book that again I couldn't do
    without called the "Arthritis Helpbook".

    hopefully some more of these ideas help. Unfortunately the doctors don't
    always give out the information on osteo that we would like. Even on RA I
    had to go to the Arthritis Society for a great deal of my help. The doctors
    though have been a godsend working on my med situation and monitoring for
    side effects etc. on my condition (difficult to treat RA).

    hang around and welcome - lots of ideas around here. Many have had hip
    problems and haven't needed replacements. Many have had hip replacements
    eventually and have had great relief. If there is a particular thing that
    you have trouble doing ask - you can probably find a tool, gadget, or a
    different way of doing things and someone else has the answer.

    Welcome,
    Kelly (mid June 2007)








  2. #2
    Donna G Guest

    Default Re: Arthritis General Advice & Hints




    Thanks for reposting this. Kelly always has great advice and she is
    exceptionally knowledgeable and helpful to so many!

    A wonderful lady!

    ..
    ..
    Donna
    ..
    ..
    ..
    ..
    1) Rejoice always, Pray continually, Give thanks in all
    circumstances, For this is God's will for you in Christ Jesus.
    **********( I Thessalonians 5:16-18 NIV )

    2) ANGELS EXIST, but some times, since they don't all have wings, we
    call them FRIENDS......

    3) Just because you're in pain, doesn't mean you have to be one!
    ..


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