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

What You Should Know About Arthritis

What You Should Know About Arthritis
Robert Thatcher

Should the person experience some muscle pain which lasts more than 2 or 3 days, there is a strong chance that one has arthritis.
Arthritis is a common disease that affects millions of people worldwide. This can be felt in the persons joints, skin and organs inside the body. Should the person feel anything wrong, it is advisable to go straight to the doctor.
Doctors have discovered that there are over 100 types of arthritis. Given the number, the doctor will not be able to know which one is affecting the person without an examination.
There are 2 common forms of arthritis. The first is rheumatoid arthritis which is considered a chronic disease. There is inflammation in the joints caused by cartilage damage. Anyone who has this will suffer long term joint damage that will lead to chronic pain and disability. Pain is usually felt when waking up in the morning and will gradually disappear during the day.
Rheumatoid arthritis is a problem that will not go away. This happens in three stages. The first is swelling. The second is the rapid division and growth of cells. The third is when these cells release enzymes that will eat the bone causing the joint to lose shape until the person will not be able to move it anymore.
Since this is systemic disease, it can spread and affect other organs in the body. The best way to prevent is from happening is detecting it early to prevent the person from being disabled.
This can be treated with proper medication and therapy. There many drugs available that the patient can use. Some drugs offer pain relief to reduce the inflammation. Others can just do one function.
The second is called osteoarthritis. This happens more often than rheumatoid arthritis but unlike the first, there is no inflammation present. The cartilage in the joint is damaged and will eventually degenerate. Pain will slightly be felt when the person gets up but this will hurt later on during the day.
Osteoarthritis can either be primary or secondary. When it is primary, it is often associated with age. It is similar to a car where the parts have to be replaced due to wear and tear. Doctors consider this to be normal as people grow older.
The secondary type is often associated with something else that has caused this to happen. Some of these factors are an injury that took place, heredity, obesity and bone density.
Osteoarthritis can be treated with medication, exercise, weight control, joint protection, physical and occupational therapy. This is done to relieve the pain and slow the progression of the disease.
Both of these are caused by different things. The common thing between these 2 types is that joint pain can happen anywhere in the body.
Given the many medications available to treat this disease, the patient has to be aware of the side effects of each before choosing which one to use. The doctor should explain these to the person in order to make the right decision.
Arthritis and its different forms will not go away. Since this is an insurable disease, the best thing that the doctor and others can do until a cure if found is to help the patient ease the pain the slow the growth of the disease.

About The Author

Robert Thatcher is a freelance publisher based in Cupertino, California. He publishes articles and reports in various ezines and provides arthritis resources on http://www.your-arthritis-resources.info.

What You Need to Know about Arthritis

What You Need to Know about Arthritis
Rudy Silva

Arthritis signals people in a variety of ways. Joints might crack when you suddenly stand up or move. Other joints may be stiff and creak. Maybe pain occurs, when you’re trying to open a jar, or type on your keyboard.
Arthritis means “joint inflammation” and has over 100 related conditions or types of disease. Untreated, it can advance, resulting in joint damage that is difficult to undo or reverse. So early detection and treatment are important.
The two most common types of arthritis are osteoarthritis (OA) and rheumatoid arthritis (RA). Although both have similar symptoms, both happen for different reasons. When joints are overused and misused, this results in OA. What happens is the cushioning cartilage that protects the joints breaks down, resulting in bones rubbing together. This generally happens in the knees, but can be found in the hips, spine and hands.

In RA the body’s immune system attacks joint tissue. Still not fully understood by doctors, this condition often starts in a person’s hands, wrists and feet. Then it advances to shoulders, elbows and hips.
Similar symptoms include pain, stiffness, fatigue, weakness, slight fever and inflamed tissue lumps under the skin. And both OA and RA generally develop symmetrically, i.e. affecting the same joints on both the left and right sides of the body.
A difference in OA and RA is in the way you swell. With RA, people report “soft and squishy” swelling. While with OA, people report “hard and bony” swelling.
Another difference is you are likely to develop RA if a sibling or parent had it. If you have a history of joint damage, either an injury or chronic strain, you run a higher risk for developing OA.
There is no specific age for arthritis sufferers. While it can affect every age group, it seems to occur more frequently on those over 45 years.
And while neither gender is immune, a reported 74 percent of OA cases and a slightly lower percentage of RA cases occur with women.
People with excess weight tend to develop OA, especially in the knees when reaching over 45 years. However, losing weight can turn the odds around almost by half. Regular activity combined with exercise also reduces risk of OA
Although there are no cure-alls for arthritis, there are a variety of pain relief treatment strategies. Aside from medications, remedies, replacement alternatives and other helpful treatment options and alternatives, the five main arthritis relief aids are gentle exercise, good nutrition, special herbal and other nutrients, a positive attitude and rest.
Today, only a small percentage of those afflicted with arthritis become crippled. And most never need canes, wheelchairs, or other ambulatory devices.
If you suspect you may have arthritis, it is advisable to seek medical advice from your doctor or alternative practitioner. Look to reduce pain and inflammation using natural remedies before you decide on using doctor prescribed drugs. About the Author
Rudy Silva has a degree in Physics and is a Natural Nutritionist. He writes a newsletter call “Natural Remedies Thatwork.” For more information and remedies on arthritis and essential fatty acids, visit his web site at http://www.arthritis-remedies.for–you.info http://www.fatty-acid-remedies.for–you.info

What type of arthritis do you have?

What type of arthritis do you have?
rudy silva

Arthritis dates back to prehistoric times and is seen all through the ages in the joints of the skeleton remains.

Most of you will Ahave problems with your joints and it may be arthritis. Arthritis is associated with aging but it is not caused because you are aging. Arthritis is caused by the body not been fed the proper nutrients that keep your joints health and free of wear and tear.

There are plenty of joints in your body and typically there are only specific joints that have arthritic pain. Those are the ones that you use frequently. For men it is
knees, spine, and feet. For women it is fingers, hands, knees, and spine.

Arthritis means inflammation of the joint. When your joints have bone-to-bone contact and grind against each other that area becomes swollen and inflamed.

There are two main type of arthritis osteoarthritis and rheumatoid and others that are less known.

Osteoarthritis

Osteoarthritis means inflammation of the bony part of your joint. As your joints move against each other, the protective coating and surrounding material membranes, oil sacs, cartilage wear down. This wear down occurs when the joints see excess activity.

Normally you would not expect to see this wear down condition since there are many joints that see excess activity and dont become inflamed or arthritic. There millions of people who dont get arthritis, yet the use their joints are used just as much and perhaps even more. Then there are people who dont use their joint to excess and still get arthritis.

So the actual cause of arthritis is more than excess activity.

The cause of arthritis has come down to a single or combination of nutritional deficiencies, excess joint activity, and emotional issues.

Rheumatoid Arthritis

Rheumatoid means “similar to flowing pain.” It is an autoimmune disease where good cell and tissue are attack by the immune system. Rheumatoid first affects the joint membranes and later the bone structure at the joint. Rheumatoid arthritis occurs in people of all ages. As this arthritis progresses it can becomes crippling.

Rheumatoid arthritis is a recent disease, which appeared at the turn of the 20th Century. Its cause can be associated with diet where the balance of the joint structure receives chemicals that destroy its balanced condition.

Gouty Arthritis

Gout is a disease where uric acid deposits in the joints of feet and legs. When the body has an excess of uric acid, which it cant eliminate through normal channels of elimination- the kidney the uric acid settles in the joints and soft tissue causing pain.

Gout is more common with men, people with high blood pressure, alcoholics, diabetics, and obesity. Gout means drop. It was thought by Romans that gout was caused by poisonous crystals coming from the blood, drop by drop, and depositing in the toes.

There is some evidence that gout is related to the amount of wine that is drunk with the meal. This put an extra strain on the liver that tries to detoxify the wine and the meal at the same time. Result is the liver is unable to detoxify the complete meal.

Other Types of Arthritis

There are other types of arthritis. These account for a small amount of the types of arthritis that most people have. Here is the list:

Bursitis inflammation of the shoulder joints and muscles.

Neuritis is know as rheumatism of your nerves. When the sheaths of your nerves dry out you have neuritis

Myositis – pain that comes from working hard and muscles have friction between them.

Fibrositis is when your connective tissue become inflamed Lumbago occurs before you get arthritis of the spine.

Which arthritis doe you have? In other articles, I’ll tell you what you can do to prevent or eliminate arthritis of any kind.
Rudy Silva has a degree in Physics and is a Natural Nutritionist. He is the author of Constipation, Acne, Hemorrhoid, and Fatty Acid ebooks. He writes a newsletter called “Natural Remedies Thatwork.com”. For more information on arthritis go to: http://www.arthritis-remedies.for–you.info