Arthritis Care
1. Get a proper diagnosis
Many causes of joint pain are not related to arthritis. These include fractures, nerve damage (sciatica from back problems), a torn meniscus (knee) bursitis, synovitis, tendonitis, myositis and even cancer. Always get a proper diagnosis first.
2. Start an exercise program
Moderate exercise is an integral part of treating arthritis. Although exercise may sometimes cause discomfort, proper exercise will help nourish the cartilage, strengthen the muscles and may prolong the life of your joints. Check with your doctor before starting any exercise program to obtain permission, precautions or guidelines.
3. Modify your activities
Proper body mechanics can lead to a more effective use of your body and less strain on your joints. Following these activity modification guidelines may prove helpful:
- Avoid slouching and practice good posture by standing up straight.
- Avoid sitting in low chairs to reduce stress on your knees when sitting and rising.
- While traveling, get up and move around every hour or so to avoid stiff joints.
- Avoid impact-loading activities (running, etc.).
4. Nutritional supplements
Recently, nutritional supplements have become popular with patients who have arthritis. Glucosamine and chondroitin have become the most widely used. Vitamins C and D, as well as calcium, are also often used.
5. Apply heat/cold
Head and/or cold can be used to decrease pain and increase flexibility. Cold decreases blood flow and helps relieve joint pain and swelling. Heat increases blood flow and helps relax muscles. You should purchase a gel pack that can be kept cold in your freezer or heated in a microwave.
6. Use orthotics/bracing/self-help devices/support
When your joints hurt, the most simple of daily tasks can become difficult. Ask your doctor about self-help devices for the feet, knee, hands/wrist or back/hip/knee. Support devices such as canes, walkers or crutches may also help with pain and discomfort. Talk to your doctor if you feel these might help you with support and balance.
7. Investigate over-the-counter medicines
Medication is an important part of the treatment of arthritis. Many over-the-counter (OTC) medications are effective in patients with arthritis with few side effects. Pain-relievers are generally safe and effective in relieving minor pain and discomfort; however, they do not reduce the inflammation caused by arthritis. Non-steroidal anti-inflammatory drugs (NSAIDs) help relieve joint swelling and inflammation. The American College of Rheumatology recommends capsaicin cream or gel as part of the treatment plan. Other creams may be found to be useful as well. Always check with your doctor before starting any medication or supplements.
8. Ask about prescription medications
When OTC medications are ineffective, prescription drugs may be useful. Your doctor will be happy to discuss different options with you.
9. Consider injections
Cortisone can be injected directly into the joints to help relieve both swelling and pain. Meanwhile, hyaluronate injections have been approved for arthritis of the knee, and may help relieve osteoarthritis pain and restore joint functions.
10. See a surgeon who specializes in arthritis
Surgeons who specialize in arthritis can provide you with all the options and expertise to decide whether surgery is right for you. Orthopedic specialists can provide care for a range of orthopedic conditions.