YOGA AND ARTHRITIS: A REVIEW

YOGA AND ARTHRITIS: A REVIEW
Dr. Manoj Dash, BHMS, DYT,Ph.D.

Yoga is an ancient Indian science and way of life, which influences the functioning of the brain and the rest of the body. Several studies have shown that the practice of yoga has a definite role in the promotion of positive health, including mental health, characterized by improved cardio-respiratory efficiency, autonomic responses to stressors, sleep, muscular endurance, and `higher brain functions. With an increase in the incidence of stress-related ailments, related to the rapid pace of life today, yoga has been evaluated as a treatment for such disorders in several controlled trials. The disorders, which were most likely to respond to yoga, with reduced symptoms and need for medication, were bronchial asthma, non-insulin dependent diabetes mellitus, anxiety neurosis, and rheumatoid arthritis. THE CONCEPT OF HEALTH According to the World Health Organization (WHO) the state of health is defined as a state of complete physical, mental, social and spiritual well being and not merely an absence of disease or infirmity. It is clear from this definition that health and ill-health are not two discrete entities as commonly understood but health should be conceived as a continuous function indicating the state of well being.The ancient Indian science, Yoga, has its origin in the Sankhya philosophy of Indian culture, which is about 8000 years old (Nagarathna, 2001). Yoga includes a wide range of techniques (e.g., physical postures, regulated breathing, cleansing techniques, meditation, philosophical principles, and devotional sessions, surrendering to the Supreme). These techniques bring about a calm and balanced state of mind, and are expected to help the spiritual evolution of the individual. However, yoga has more pragmatic applications in medicine. In order to understand these, it is important to know the concepts of health and disease in Yoga texts. According to yoga, man is in perfect health and homeostasis at his subtle levels of existence. All diseases are classified as (i) stress-related (adhija) and (ii) not stress related, e.g., injuries (anadhija) (Vasudeva, 1937). Yoga has been considered especially useful in the management of stress related disorders by getting mastery over the excessive speed of the mind. The technique to reducing the rate of flow of thoughts with deep internal awareness is yoga. This review will describe the therapeutic applications of yoga in the management of arthritis. Physical activity is an essential part of the effective treatment of osteoarthritis (OA) and rheumatoid arthritis (RA), according to treatment guidelines published by the American College of Rheumatology (Hochberg, 1995; Newsome, 2002). In persons with arthritis, exercise is safe and does not exacerbate pain or worsen disease (Ettinger,1997; Minor,1999; O’Grady,2000;Bearne,2002). In fact, exercise may play a key role in promoting joint health (Forrest,1994) , since those who do not exercise often suffer more joint discomfort than those who do (Nordemar,1981). However, regular physical activity is especially important for people with arthritis, who often have decreased muscle strength, physical energy, and endurance (Lyngberg,1988). The psychological benefits of exercise such as stress reduction, fewer depressive symptoms, improved coping and well-being and enhanced immune functioning (Taylor,1985;Scully,1998;Fox,1999 Paluska,2000) also contribute to greater overall health.Scientific studies on yoga Yoga has been used in the management of a wide range of diverse ailments. While there is a great deal of anecdotal evidence of the benefits of yoga, to date only a handful of scientific studies have been conducted on persons with OA and RA (though several more are currently underway). The study conducted in England demonstrated that hand grip strength significantly improved following yoga in rheumatoid arthritis patients (Haslock,1994). It was subsequently proven that yoga resulted in similar benefits in rheumatoid arthritis patients in an Indian population (Dash, 2001). Studies in osteoarthritis of the hands and carpal tunnel syndrome show greater improvement in pain during activity, tenderness and finger range of motion (Garfinkel, 1994). These above studies have shown promising results with some improvement in joint health, physical functioning, and mental/emotional well-being. Perhaps most importantly, yoga has an important positive effect on quality of life. People with arthritis may also enjoy yoga more than traditional forms of exercise, and exercise enjoyment is an important predictor of adherence(Ryan,1997;Trost,2003).This is particularly important considering that, on average, 50% of sedentary individuals will drop out of exercise within 6 months (Dishman,1990).In summary, yoga can be a meaningful and enjoyable alternative to traditional forms of exercise such as aerobics or aquatic exercise with important health benefits. Yoga can play an important role in reducing stress and frustration that results from pain and disability, and increasing positive feelings and wellbeing. Drug treatments for OA and RA have improved markedly in the last few years. Despite this, arthritis cannot be cured, and even the best medications and medical care can only help a little. There is a great need for additional activities patients can do to reduce pain, disability, and take control of the overall impact arthritis may have on their lives. Thus, the evidence suggests that, when combined with a program of good medical care, yoga may provide important additional physical and psychological health benefits for arthritis patients. Finally, it has to be emphasized that while yoga has important therapeutic benefits, the practice of yoga is very important in the promotion of positive health and human potential in body, mind, and spirit (Scott, 1999).References:1.Nagarathna R. Yoga in medicine. API Text book of medicine (6th ed), 2001. 2.Vasudeva Sharma PL. Laghu yoga vasistha (in Sanskriit); Nirnaya sagar prakashan, Bombay 1937,P 684.3.Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee.American College of Rheumatology. Arthritis Rheum 1995; 38(11):1541-1546.4.Newsome G. Guidelines for the management of rheumatoid arthritis: 2002 update. J Am Acad Nurse Pract 2002; 14(10):432-437.5.Minor MA. Exercise in the treatment of osteoarthritis. Rheum Dis Clin North Am 1999; 25(2):397-415, viii.6.Bearne LM, Scott DL, Hurley MV. Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity. Rheumatology (Oxford) 2002; 41(2):157-166.7.O’Grady M, Fletcher J, Ortiz S. Therapeutic and physical fitness exercise prescription for older adults with joint disease: an evidence-based approach. Rheum Dis Clin North Am 2000; 26(3):617-646.8.Ettinger WH, Jr., Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997; 277(1):25-31.9.Forrest G, Rynes RI. Exercise for rheumatoid arthritis. Contemp Intern Med 1994; 6(11):23-28.10.Nordemar R, Ekblom B. [Effects of long-term physical therapy in rheumatoid arthritis]. Lakartidningen 1981; 78(15):1561-1564.11.Lyngberg K, Danneskiold-Samsoe B, Halskov O. The effect of physical training on patients with rheumatoid arthritis: changes in disease activity, muscle strength and aerobic capacity. A clinically controlled minimized cross-over study. Clin Exp Rheumatol 1988; 6(3):253-260.12.Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000; 29(3):167-180.13.Fox KR. The influence of physical activity on mental well-being. Public Health Nutr 1999; 2(3A):411-418.14.Scully D, Kremer J, Meade MM, Graham R, Dudgeon K. Physical exercise and psychological well being: a critical review. Br J Sports Med 1998; 32(2):111-120.15.Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Rep 1985; 100(2):195-202.16.Haslock I, Monro R, Nagarathna R, Nagendra HR, Raghuram NV. Measuring the effects of yoga in rheumatoid arthritis. Br J Rheumatol 1994; 33(8):787-788.17.Dash M, Telles S. Improvement in hand grip strength in normal volunteers and rheumatoid arthritis patients following yoga training. Indian J Physiol Pharmacol 2001; 45(3):355-360.18.Garfinkel MS, Schumacher HR, Jr., Husain A, Levy M, Reshetar RA. Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. J Rheumatol 1994; 21(12):2341-2343.19.OConnor D, Marshall S, & Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpel tunnel syndrome. Cochrane Database Syst Rev. 2003; (1): CD003219.20.Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a model of parental influence on youth physical activity. Am J Prev Med 2003; 25(4):277-282.21.Ryan RM, Frederick CM, Lepes D, Rubio N, Sheldon KM. Intrinsic motivation and exercise adherence. International Journal of Sports Psychology 1997; 28(4):335-354.22.Dishman R. Determinants of participation in physical activity. In: Bouchard C, Shepard R, Stephens T, Sutton J, McPherson B, editors. Exercise, Fitness, and Health. Champaign : Human Kinetics, 1990: 75-102.23.Scott AH. Wellness works: community service health promotion groups led by occupational therapy students. Am J Occup Ther. 1999; 53(6): 566-74. About the Author
I am a Doctor, doing my Ph.D.in Yoga. My topic of interest is to conduct Yoga Retreat, take class for Yoga Teacher and Medical professionals for in depth Research findings, and also Interest to conduct research in various field of yoga, both experimental and theoretical. I have been Traveling to all EUROPIAN countries.My contact: [email protected] web page:http://www.geocities.com/manojrieneke/Research.html

The Arthritis-Hypnosis Connection

The Arthritis-Hypnosis Connection
Paul Gustafson RN, BSN, CH

Did you know that we all have the ability to enhance self-healing, increase comfort and improve nutrition, exercise, communication and flexibility? This article explains clinical hypnosis and how it can bring relief to clients suffering from arthritis. Hypnosis is easy to learn, you can do it on your own and it empowers you to take an active role in your healthy well-being.The subconscious mind has many jobs. It quietly and effectively regulates our bodily functions and stores all of our values, beliefs and memories. It also balances our blood pressure, heart rate and co-ordinates each step we take everyday of our life. The negative effects of arthritis extend into many areas of a clients life, as does the positive resolve and relief of hypnosis. Hypnotherapy is the simple process of accessing and directing the subconscious mind to support certain positive changes. It is the language of the mind, it access the most powerful level of awareness and down loads new applications of freedom and relief.Osteoarthritis is the most common type of arthritis. It causes a deterioration of the protective lining of cartilage in our joints. This deterioration occurs due to a breakdown of the chondrocytes that form cartilage. Osteoarthritis affects men and women equally. Most people over 30 years of age have some features of early osteoarthritis. The degree of limitation depends on the location of the inflammation. The major areas of concern are hips, knees and spine. The development of osteoarthritis may be related to trauma, aging or heredity.The symptoms of stress play a big role in exacerbating the situation. Communication with family and friends plays a key role in managing stress and hypnosis makes this a lot easier. Suggestions offered to a client during a hypnosis session encourage them to share whats on their mind enabling them to offload concern and frustration, giving them more time doing things they enjoy.It takes energy to deal with any physical or emotional burden. Hypnosis creates ideal sedation allowing for sound sleep. We all follow the path of our most dominant thoughts and if the last thoughts a client has at bedtime involve deep restful sleep, they are in a much better position to recharge their body and mind for tomorrows challenges. For those suffering with arthritis its often difficult just keeping up with the fast pace of day-to-day life. Hypnosis helps individuals adjust to a more appropriate pace and also to release the frustrations and anxiety associated with any limitation. Clients who routinely relax with hypnosis are more centered, balanced and less affected by things they can not control. Increasing muscle tone reduces stress to affected joints, which increases mobility and comfort. Low impact activities like swimming; walking and range of motion exercises are commonly recommended to clients with arthritis. With hypnosis its easier to integrate new regimes and to establish positive subconscious connections between healthy activity and improved mobility, comfort and freedom.The more protection in your joints, the more comfort and mobility you create. Since the subconscious controls the multitude of our bodily function, hypnosis can direct it to increase the production of chondrocytes, which increases the growth of healthy new cartilage. Pain is often the biggest issue with arthritis. Some pain, however, is necessary; it acts as a warning system telling us that something isnt right. The responsible approach with hypnosis is to only reduce unnecessary pain, leaving intact the bodys ability to signal us and protect us from further complications.Hypnosis can also be used to regulate the flow and distribution of endorphins, which are the feel good chemicals the body uses to create comfort and relaxation. Using hypnosis to regulate endorphin production plays a big role in putting the client in control. Hypnosis can also alter the perception of where the pain is located. By redirecting sensitivity away from key areas such as hips, knees and vertebrae to a less critical part of the anatomy like a finger tip, the client has much more control.The same approach can be used to attach a different quality to pain. A sharp pain can be perceived as dull; burning pain can be perceived as cool. Involving other senses is one of the distinct advantages hypnosis offers in managing the symptoms of arthritis. Another technique involves using one color to represent pain and another to represent comfort, and then blending the two offering instant relief.Lastly, by attaching a number value to pain creates the option of change. By imagining a yardstick during hypnosis a client can pick the number that best reflects their current level of pain, and then they are directed to different numbers which changes their perceived level of discomfort. With hypnosis arthritis sufferers gain a distinct advantage in managing and even reversing the limitations of arthritis. Hypnosis is simple, empowering and extremely effective. A few sessions with a hypnotherapist gets you started and with a little practice you begin to effect healthy positive changes in your life. We all have remarkable self-healing abilities and hypnosis is an excellent way to jumpstart a return to a healthier more active life. About the Author
Paul Gustafson RN, BSN, CH runs HealthyHypnosis.com of Burlington, Massachusetts. His 11 years of acute cardiac and hospice experience offer a solid foundation supporting his clinical approach to hypnotherapy. Visit HealthyHypnosis.com or call toll free at 888-290-3972.

Alzheimer’s Testing

Alzheimer’s is a disease that robs millions of people each year of their memories, their personalities, and the ability to complete daily activities. The disease can greatly affect the quality of life of every sufferer as well as those people around him, most especially immediate family members.

For a long time, most people believe that there is nothing that could be done to prevent this awful disease. People came to accept it as a result of deteriorating of mental abilities due to age. It was considered as simply something that people had to cope up with when approaching their golden years of life. But doctors today have discovered and now consider Alzheimer’s as a disease that can be treated up to a certain extent.

The hallmark sign associated with Alzheimer’s disease is the gradual loss of memory especially in people of 65 years and older. Although forgetfulness is a sign of the said disease, it should also be noted that there are other signs that may also indicate the onset of this ailment. Before coming up with your own conclusions, it is best to know more about Alzheimer’s through its exhibited signs, how it can be diagnosed and how it will eventually affects the sufferer.

Diagnosis of Alzheimer’s disease can be done through a series of tests. The patient exhibiting some signs of the disease must undergo a variety of laboratory tests, such as physical and mental assessments. As of late, there is no known single test available that will effectively diagnose Alzheimer’s in patients.

But with recent developments and advances in the medical field, doctors have been able to devise a set of Alzheimer’s disease testing tools that can help in effectively detect symptoms of the disease in its earlier stages.

As of yet, there is no single definitive test that is able to determine if one has Alzheimer’s disease. But it is really a battery of testing that is available that makes it possible for physicians to diagnose Alzheimer’s with about 90 percent accuracy. Such battery of tests can take anywhere from one day to several weeks in order to ensure accuracy and the proper diagnosis.

Among the various tests available there is one set of tests that has recently been developed that will further help make diagnosing Alzheimer’s disease easier. A professor of psychology at Williams College in Williamstown, Massachusetts, has developed a new tool for testing called the Seven Minute Screen that can test people for the early signs of Alzheimer’s disease as well as other forms of dementia.

The said test, developed by Paul Solomon, is actually a set of four tests that can be administered to patients in just less than ten minutes, can also be completed on average of just seven minutes and forty three seconds. What makes the said test even more convenient is that it can be administered by any medical professional with just over an hour of basic training.

The short time that it takes for completing the whole test is an attractive option for doctors who may not have the luxury of time when they are diagnosing patients with Alzheimer’s.

This type of test is just a part of a much larger effort by medical researchers to develop better ways of detecting Alzheimer’s early. A likely option that some researchers are trying to look into is the use of brain scanning technology such as magnetic resonance imaging or MRI to identify even the smallest damage to the brain before any impairment in cognitive ability ever show up in people likely to develop Alzheimer’s. Other possible approaches being studied involve looking for gene abnormalities in patients that have been linked to Alzheimer’s disease.

Arthritis-Hypnosis Connection

Arthritis-Hypnosis Connection
Paul Gustafson RN, BSN, CH

Did you know that we all have the ability to enhance self-healing, increase comfort and improve nutrition, exercise, communication and flexibility? This article explains clinical hypnosis and how it can bring relief to clients suffering from arthritis. Hypnosis is easy to learn, you can do it on your own and it empowers you to take an active role in your healthy well-being.
The subconscious mind has many jobs. It quietly and effectively regulates our bodily functions and stores all of our values, beliefs and memories. It also balances our blood pressure, heart rate and co-ordinates each step we take everyday of our life. The negative effects of arthritis extend into many areas of a clients life, as does the positive resolve and relief of hypnosis. Hypnotherapy is the simple process of accessing and directing the subconscious mind to support certain positive changes. It is the language of the mind, it access the most powerful level of awareness and down loads new applications of freedom and relief.
Osteoarthritis is the most common type of arthritis. It causes a deterioration of the protective lining of cartilage in our joints. This deterioration occurs due to a breakdown of the chondrocytes that form cartilage. Osteoarthritis affects men and women equally. Most people over 30 years of age have some features of early osteoarthritis. The degree of limitation depends on the location of the inflammation. The major areas of concern are hips, knees and spine. The development of osteoarthritis may be related to trauma, aging or heredity.
The symptoms of stress play a big role in exacerbating the situation. Communication with family and friends plays a key role in managing stress and hypnosis makes this a lot easier. Suggestions offered to a client during a hypnosis session encourage them to share whats on their mind enabling them to offload concern and frustration, giving them more time doing things they enjoy.
It takes energy to deal with any physical or emotional burden. Hypnosis creates ideal sedation allowing for sound sleep. We all follow the path of our most dominant thoughts and if the last thoughts a client has at bedtime involve deep restful sleep, they are in a much better position to recharge their body and mind for tomorrows challenges.
For those suffering with arthritis its often difficult just keeping up with the fast pace of day-to-day life. Hypnosis helps individuals adjust to a more appropriate pace and also to release the frustrations and anxiety associated with any limitation. Clients who routinely relax with hypnosis are more centered, balanced and less affected by things they can not control.
Increasing muscle tone reduces stress to affected joints, which increases mobility and comfort. Low impact activities like swimming; walking and range of motion exercises are commonly recommended to clients with arthritis. With hypnosis its easier to integrate new regimes and to establish positive subconscious connections between healthy activity and improved mobility, comfort and freedom.
The more protection in your joints, the more comfort and mobility you create. Since the subconscious controls the multitude of our bodily function, hypnosis can direct it to increase the production of chondrocytes, which increases the growth of healthy new cartilage. Pain is often the biggest issue with arthritis. Some pain, however, is necessary; it acts as a warning system telling us that something isnt right. The responsible approach with hypnosis is to only reduce unnecessary pain, leaving intact the bodys ability to signal us and protect us from further complications.
Hypnosis can also be used to regulate the flow and distribution of endorphins, which are the feel good chemicals the body uses to create comfort and relaxation. Using hypnosis to regulate endorphin production plays a big role in putting the client in control. Hypnosis can also alter the perception of where the pain is located. By redirecting sensitivity away from key areas such as hips, knees and vertebrae to a less critical part of the anatomy like a finger tip, the client has much more control.
The same approach can be used to attach a different quality to pain. A sharp pain can be perceived as dull; burning pain can be perceived as cool. Involving other senses is one of the distinct advantages hypnosis offers in managing the symptoms of arthritis. Another technique involves using one color to represent pain and another to represent comfort, and then blending the two offering instant relief.
Lastly, by attaching a number value to pain creates the option of change. By imagining a yardstick during hypnosis a client can pick the number that best reflects their current level of pain, and then they are directed to different numbers which changes their perceived level of discomfort.
With hypnosis arthritis sufferers gain a distinct advantage in managing and even reversing the limitations of arthritis. Hypnosis is simple, empowering and extremely effective. A few sessions with a hypnotherapist gets you started and with a little practice you begin to effect healthy positive changes in your life. We all have remarkable self-healing abilities and hypnosis is an excellent way to jumpstart a return to a healthier more active life.

About The Author

Paul Gustafson RN, BSN, CH runs HealthyHypnosis.com of Burlington, Massachusetts. His 11 years of acute cardiac and hospice experience offer a solid foundation supporting his clinical approach to hypnotherapy. Visit HealthyHypnosis.com or call toll free at 888-290-3972.
[email protected]