Tag: physical therapy

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

Top 10 tips for Arthritis sufferers

Top 10 tips for Arthritis sufferers
delore dartrite

Arthritis is a chronic disease affecting the
joints — the points in the musculoskeletal
system where the bones meet. When arthritis
sets in the joints grow into inflamed,
resulting in imposition, swelling, and stiffness.
People with the condition of arthritis often
find it demanding to perform basic tasks
like opening a jar or walking higher stairs.
Arthritis most typically happens in older
adults, although it is possible for young
adults and children to suffer from the
disease.

There are two main varieties of arthritis:
osteoarthritis (OA) and rheumatoid arthritis
(RA). Osteoarthritis, by far the most
common, involves the breakdown of bones
and cartilage. It usually strikes the most
active joints, like those in the hands
and fingers, knees, hips, and back. Proper
coarse of action is essential to slowing the
progression of arthritis. Here are a select number
suggestions:
– Exercise 20 to 30 minutes a day
– Get a full eight hours of sleep in the over night.
– Practice wonderful body posture.
– Elevate the affected joint or joints for
15 minutes a day, many times a day.
– Apply caring compresses to the painful
joints.
– If you transpire to be overweight, lose weight.
– Sleep on a firm mattress and avoid soft
chairs.
– Protect your joints by wearing caring
clothing.
– Ask your doctor about splints, canes,
and/or surgery for unrelenting imposition or
deformity.
– Listen to relaxation tapes and then
relax!
– Talk to your doctor about taking aspirin
for pain.

RA is an autoimmune disease that primarily
infects the joints however can as well effect even more
organs. This type of arthritis infects the
joints of both sides of the body equally,
which is one of the factors distinguishing
it from OA. Even given that the exact cause is
unknown, genetics is believed to be a primary
factor. Coarse of action can include a combination
of medication, physical therapy, and every so often
even surgery. RA is generally considered to be
even more fantastic than OA.

About the author:

delore dartrite is the owner of Arthritis Org which is a premier resource for arthritis information. for more information, go to http://www.arthritisorg.com

Relief for Arthritis

Relief for Arthritis
Nestler

Inflammation or degeneration of the joints is a common problem
especially as one ages, and sufferers are constantly on the
lookout for arthritis
relief.

Popping a pill may be the first thought that comes to mind,
perhaps a pain killer or one of the anti-inflammatory
medications. The latter come in the form of pills, ointments,
gels or salves and may provide the desired relief. However, if
the problem persists, use of medication should be discussed with
a physician so the sufferer is aware of possible side-effects
and precautions with their use.

In spite of the pain, moderate daily exercise, such as swimming,
walking, or perhaps physical therapy is critical if the
arthritis sufferer is to maintain mobility in the joints. A
therapist will help design an exercise program which, when
interspersed with rest periods, will help reduce joint
inflammation. Moist heat is helpful in reducing pain and
increasing ease of movement. Heat is soothing and infra-red is a
penetrating heat. Placed about 60cm or 24inches from the
affected joint, for about 20 minutes, up to 3 times daily, it
may be helpful, especially just before beginning an exercise
routine. However, there is probably no long term benefit.

A physiotherapist may give advice on maintaining correct
posture, during sitting and standing. Some individuals seek
relief from various forms of alternative medicine. . Needless to
say, excess body weight aggravates the problem.

In severe cases, surgical procedures may be necessary;
artificial joints may be implanted to replace those damaged
beyond repair.

Some detective work on the part of the sufferer may be called
for. By determining when the symptoms pop up, it may be possible
to manage some of the suffering. Pain in a joint may be felt
during or after use, or after a period of inactivity. Discomfort
may signal a change in the weather or be felt during it.

Although there’s no cure for arthritis, available treatments can
relieve pain and help you remain active. At the first signs of
the illness, treatment should begin. Rest and easy exercise such
as swimming may be effective starting points along with some
over the counter medications to ease the pain and improve joint
functioning.

Among the treatments your doctor may suggest are medication,
self-care, physical therapy and occupational therapy.
Occasionally surgery is recommended.

In addition, how well you live with arthritis often depends on
your behaviors and attitude. If you actively manage your
arthritis, you may be able to gain control over your pain.

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Manage the Pain of Osteoarthritis

Manage the Pain of Osteoarthritis
Kamau Austin

Manage the Pain of Osteoarthritis

The Mayo Clinic refers to osteoarthritis as a “wear and tear”
condition that effects people as they age. It is a degenerative
disease and is the most common form of arthritis. It is one of
the most common causes of disability among adults. More than 20
million people in the United States have the disease.
Researchers project that in the next 25 years over 20% of
Americans-beyond the age of 65 will be at risk for
osteoarthritis.

Today, more than half of the population age 65 or older would
show x-ray evidence of osteoarthritis in at least one joint.
Both men and women have the disease with more men getting the
disease before age 45, and more women getting the disease after
that point.

Osteoarthritis may affect any joint in the body and it is
characterized by a breakdown in the cartilage between the
joints. The most common joints affected are the hips, knees,
lower back, fingers and feet.

Osteoarthritis often develops slowly and quite often there are
no symptoms. A person affected with the disease may not know
that they have it until it is revealed during a routine x-ray.

People with osteoarthritis may have one or more of the following
symptoms.

– Pain in a joint during or after use; or after a period of
inactivity, such as after a night’s sleep. – Pain in a joint
during a change in weather. – Swelling or pain in a joint, after
use. – Bony lumps on the end or middle joints of the hands –
Loss of flexibility

Interestingly, the first year of onset of the disease may bring
acute pain, that then fades within a year or so of its
appearance. This is especially true of osteoarthritis of the
fingers.

The exact cause of osteoarthritis is not known but some
researchers believe that we are more susceptible to
osteoarthritis as we age. It may be caused by a combination of
factors, including being overweight,aging, a previous joint
injury, heredity and muscle weakness.

The pain of osteoarthritis can range from that of a minor
inconvenience for some sufferers, to chronic and debilitating
for others. In cases where pain is severe, joint replacement
surgery may be considered.

There is no cure for osteoarthritis, and treatment is geared
towards reducing pain and increasing joint. Treatment may
include medication, physical therapy, occupational therapy and
self-care.

Pharmaceutical medication is used to treat the pain and may
include, over the counter topical pain relievers that are rubbed
into the skin at the effective joint, NSAIDs and acetaminophen
taken internally to help with pain.

Prescription medications may include COX-2 inhibitors such as
Celebrex may be considered for relieving pain, But both Celebrex
and the recently removed from the market durg, Vioxx, are now
linked with some rather serious side effects including, high
blood pressure, and an increased risk of stroke and heart attack.

For some people, a side effect of living with chronic pain is
depression. Since disturbances in sleep may accompany
osteoarthritis, anti depressants may be prescribed because they
can reduce chronic pain a well as help to alleviate sleep
disturbances.

From time to time a doctor may suggest that an osteoarthritis
patient receive injections of corticosteroid, which when
injected into the joint space can offer some relief from pain
and inflammation.

Surgical procedures can provide pain relief and relieve
disability that may result from the deterioration of the joints.
These procedures may include joint replacement; repositioning
bones and fusing bones.

The surgical procedures and prescription medications may be
overkill in the case where the osteoarthritis sufferer has only
mild pain and inflammation. There is much that the mild or
occasional sufferer can do to alleviate their pain ontheir own.

Life-style changes can help the condition so dramatically that
it is sometimes the only treatment the occasional suffered will
need.

Some things that you can do to help with the pain and stiffness
are: – Exercise regularly – Control your weight – Eat a healthy
diet – Apply heat to alleviate pain – Choose appropriate
footwear to help support your back and hip joints. – Apply cold
for occasional flare-ups – Practice relaxation techniques

In all cases osteoarthritis sufferers can benefit from making
some changes in how they approach everyday activities. – Arm
yourself with information and a “can do” attitude: Work with
your health care professional to take control of your treatment
and actively manage your arthritis. – Make use of a brace or
cane if needed. A brace can greatly help to support a painful
knee. And walking with a cane can help support an ailing hip.

– Keep activity within your limits. Osteoarthritis can make you
prone to fatigue and muscle weakness. Take a short nap or rest
when you fell tired. – Avoid straining your finger joints. Use a
kitchen tool or hot water to help with opening jars and bottles.
Kitchen centers and hardware stores are beginning to carry a
supply of kitchen aids to help with simple tasks that may be
difficult for osteoarthritis sufferers.

– Take breaks. Periodically relax and stretch. – Maintain good
posture. Good posture more evenly distributes your body weight
making it easier to support.

Regardless of the approaches that people take to dealing with
their osteoarthritis almost everyone can benefit from the use of
natural supplements. Glucosamine. is a naturally occurring
substance that has been shown to be extremely effective in
treating osteoarthritis.

Phosoplex is a natural supplement takes glucosamine one step
better by combining it with Bio Cell Collagen II, a
concentration of many elements including glucosamine.

The makers of Phosoplex have a valid point when they tell us
“…If we consume only single elements involved in the complex
process of keeping our joints and other connective tissue
healthy we could only expect partial effectiveness.” Phosoplex
with its full spectrum of essential elements provides broader
nutritional support aiding the overall health of individuals
joints.

More information about Phosoplex can be found at
http://www.bodestore.com/phosoplex.html

About the author:
Kamau Austin is a health and fitness enthusiast and advocate. He
is also the publisher of … www.healthandfitnessvitality.com .
He writes on a regular basis on timeless health and fitness tips
at the Fit After Forty Blog. See more useful health and fitness
news and tips at…
http://www.healthandfitnessvitality.com/blogs/fitnessblog.htm