Physical Therapy , Joint Pain , Chronic Pain , Arthritis Relief

What Physical Therapy Can Do For Arthritis

(Used with permission from the American Physical Therapy Association Private Practice Section)

WHAT EXACTLY IS ARTHRITIS?

What Physical Therapy Can Do For Arthritis

Arthritis is a chronic condition that causes inflammation of the joints. It can cause pain, stiffness, and swelling. The hips, knees, hands, and spine are the most commonly affected joints. Arthritis is not a single disease but an umbrella term that includes a variety of different types. Some of the more common examples are osteoarthritis, rheumatoid arthritis, gout, psoriatic arthritis and ankylosing spondylitis.

RE-THINK YOUR TREATMENT While physical therapy might not be the first treatment you think of for arthritis, it probably should be. A lot of people with arthritis choose to use medication to manage their pain, stop activities that hurt, and wait for things to get bad enough to have a joint replacement. But this isn’t a great plan – all medications have side effects, even over the counter ones. Reducing activity leads to muscle atrophy and even stiffer joints. Even though joint replacement surgery usually has good outcomes, it does come with its own set of risks and a painful recovery.

WHY EXERCISE? Physical therapy has been extensively researched as a treatment for arthritis, and demonstrates good outcomes. Physical therapists typically start with exercise as the base for arthritis treatment. Exercise helps to regain lost joint motion, decrease feelings of stiffness, and strengthen muscles surrounding the affected joint. These benefits are all somewhat obvious.

What surprises many people is that exercise has been shown to be as effective as medication for pain relief in many types of arthritis, without the side effects.

WHAT ELSE CAN PT DO? Physical therapy has more to offer people with arthritis than just exercise though. Education helps people understand their condition, what to expect, and how to manage it. As experts in human movement, physical therapists are especially good at helping people modify the way they perform certain tasks or activities to reduce strain on joints affected by arthritis. They can also suggest ways to modify the environment at work or home to reduce pain and improve function. They may also suggest things like braces, orthotics, or other devices that can help maintain mobility and reduce pain. On top of all of that, PT has been proven to be a cost effective treatment, too.

TRY PT FIRST With so many techniques that are proven effective in helping people with arthritis, physical therapy is a recommended first line treatment for many types of arthritis. Now that you have a better understanding of what PT can do, hopefully you’ll think of PT first when you think of arthritis too.

References:

Research (peer-reviewed)
1. PT for juvenile RA – https://pubmed.ncbi.nlm.nih.gov/1946625/
2. PT for hip and knee OA – https://pubmed.ncbi.nlm.nih.gov/33034560/
3. Systematic Review for Juvenile RA – https://pubmed.ncbi.nlm.nih.gov/28729171/
Articles and Content
1. Effectiveness and Cost-Effectiveness of Physical Therapy for Knee Osteoarthritis- https://www.rheumatology.org/About-Us/Newsroom/Press-Releases/ID/718
2. Can physical therapy reduce arthritis pain? – https://www.medicalnewstoday.com/articles/physical-therapy-for-arthritis

Health & Wellness , Physical Therapy , Chronic Pain

Mindfulness – what exactly is it and how do I do it?

Written by Anne Kruse, PT, DPT, Cert MDT, Therapeutic Pain Specialist

When I first encountered the idea of mindfulness I was a busy mother of an infant and a two year old. I was asked by my employer to take coursework in T’ai Chi so I could teach it as part of my job. At that time in my life it seemed exactly like that, just part of my job. But as time has gone on and my practice evolved, I now have a greater understanding of mindfulness.

Mindfulness isn’t a new concept. It has roots in Buddhism and has been integrated into many mind-body therapies such as T’ai Chi and yoga. As much as I hate to say it, I initially thought practicing mindfulness was a waste of my precious time; I had a list of chores to do each day upon returning home from work and didn’t want to miss a moment with my children before bedtime. With more practice I eventually realized that was the key, being in the present.

Mindfulness is defined as awareness of the present moment.

The definition sounds simple enough, but many of us spend a significant amount of time stewing over the past and/or worrying about the future. It is easy to tell someone to let the past go and to stop worrying about the future but it can be difficult to make those changes.

So how can we begin a simple daily practice of mindfulness?

Begin by spending a few minutes being still, quieting the questioning and judgmental thoughts about the past and worries about the future and replacing those thoughts with focusing on something in the moment. Attempt to let your thoughts come and go freely without trying to interpret them. If that proves challenging, choose one specific activity, and focus on it. For example, you could take one bite of food and really think about what it feels like when you first place it in your mouth, what is the texture, the temperature, the flavor and then pay attention to how those things change as you begin to chew the food.

Why is mindfulness important?

(THIS IS THE KEY!)

Worrisome and judgmental thoughts stimulate our sympathetic nervous system which drives our fight-flight-or-freeze response. This response is intended to be a short-lived response to a potential threat. If we are in a constant state of worry and negativity, it results in the fight-flight-or-freeze response running continuously which can lead to changes in our health.

Constant stress can contribute to brain health issues like depression and anxiety, cardiovascular issues, sleep disturbance, digestive issues, and an increased pain response to name a few health concerns.

So, what better time than the present to begin. Mindfulness is easy to do, free and can be done at any time, in any place and in any situation. Like anything, in order to be good at it, it takes practice. So don’t get frustrated when your thoughts stray, just bring yourself back to the present and before you know it, you’ll be living life in the moment.

Health & Wellness , Aches & Pains , Physical Therapy , Chronic Pain

Fibromyalgia – What to Do When the Fibro Ignites

Used with permission from the APTA Private Practice Section

As we head into the dog days of summer, the weather is heating up. For the nearly 5 million people in the United States with Fibromyalgia, they might experience a different kind of heat – the burning pain that typically comes along with this diagnosis.

What is Fibromyalgia?

Fibromyalgia is a chronic condition that can cause a wide range of symptoms throughout the body. It’s usually diagnosed between the ages of 30 and 50, and 80% to 90% of the people affected are women.

The most common symptoms are:

● chronic pain all over the body

● fatigue

● memory problems

● sleep disturbances

● depression or anxiety.

How Does Physical Therapy Help?

Because of the wide range of symptoms, fibromyalgia can be a debilitating condition. It is not uncommon for people to begin avoiding activities altogether because of pain and fatigue. This begins a cycle of deconditioning that not only impacts the person’s overall health, but also makes the symptoms of fibromyalgia worse. The cause of fibromyalgia is currently unknown and there is no cure, so physical therapy treatments are designed to reduce and manage the symptoms. This requires a multi-pronged approach.

Common treatments include:

Education

The first step in treating fibromyalgia is often helping people understand what’s going on, and what they can do about it. Research has shown that people who are knowledgeable about their condition have better outcomes, more confidence, and cope better.

Decrease Pain and Improve Range of Motion

Physical therapists are movement experts with a lot of tools and techniques to help with the pain and stiffness caused by fibromyalgia. A PT might use gentle manual therapy or massage, prescribe specific stretches, or a simple yoga routine. They might also use modalities like electrical stimulation, biofeedback or in states where it is allowed, dry needling.

Exercise

Once patients understand the condition and are able to move a little better with less pain, exercise often enters the treatment picture. Research has shown that low to moderate intensity aerobic exercise like walking, biking, or swimming is important in managing fibromyalgia symptoms. It can help with pain, fatigue, sleep disturbances, depression, and more. Physical therapists and patients work together to find the right type of exercise and the right intensity to best manage fibromyalgia. They often have to start slow, and make adjustments along the way.

Each physical therapy session is tailored to the needs of the patient and will vary depending on the severity of their symptoms. Despite there still being no cure for fibromyalgia, physical therapists can help with pain management, strength, mobility, fatigue and function to help patients find relief from their symptoms.