TAKING THE REINS

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Take the
Reins and
keep moving
Part 2
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TAKING THE REINS
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What can your doctor do?
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Types of Providers
Medicine
Therapy
Surgery
Communicating with your doctor
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HEALTH CARE PROVIDERS
• Primary Care
Provider/Generalist
Therapist
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• Rheumatologist
• Physical/Occupational
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• Nurse
• Health Educators
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Nutritionist
•
Social Worker
•
Psychologist
•
AgrAbility
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Commonly used over the counter pain relievers
Help to control pain
 Look for generic brand
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
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Analgesics without
aspirin
Can help reduce pain or joint
inflammation.
You should consult a doctor before
taking NSAIDs as they can act like
blood thinners or have other effects
such as stomach aches.
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Helps minimize pain but
does not have much affect
on swelling or inflammation.
NSAIDs (non-steriodal
anti-inflammatory drug
ASPRIN
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 Many doctors consider
analgesics without aspirin
the first option in treating
mild to moderate
osteoarthritis.
ACETAMINOPHEN
NAPROXEN
IBUPROFEN
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OVER-THE-COUNTER MEDICINE
 Topical Medicines
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Topical medicines are
usually creams or gels
applied directly to the skin
of the painful joint to
temporarily reduce pain.
COUNTERIRRITANT
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SALICYLATE
CAPSAICIN
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PHYSICAL/OCCUPATIONAL THERAPY
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• Evaluate your needs
• Teach you exercises to
–Improve mobility
–Strengthen muscles
–Physical conditioning
• How to do daily tasks
• Provide instruments/tools
Image source: http://1stproviderschoice.com/billing/physical-therapy-billing-software.htm
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SURGERY
Synovectomy
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Arthroscopy
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Total Joint Replacement
Image Source: http://www.herniaclinik.com/
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Communicating with your doctor
Think about these questions before you go in for your appointment, and
write down the responses if you think you might forget something.
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1.Think about what part or parts of your body you feel pain. In your knee?
Your hip? Does the pain move from one part of your body to another?
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1.How often do you feel this pain? Everyday? Once a week? Is it constant
or does it come and go? What time of day do you feel the pain?
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2.Think about the intensity of the pain. Is it a sharp pain? Dull? Persistent?
How does it make you feel? Tired? Annoyed? Does it keep you from doing
certain activities?
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Communicating with your
doctor
What makes you feel…
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BETTER
Positive attitude
Appropriate exercise
Heat/cold compress
Relaxing
Medicines
Massage
WORSE
Stress
Anxiety
Depression
Excess exercise
Concentrating on pain
Tiredness/Fatigue
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GET MOVING: EXERCISES FOR THE PREVENTION AND
TREATMENT OF ARTHRITIS
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Brainstorm
What does it mean to be fit?
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•Strong cardiovascular system (heart,
lungs, blood vessels)
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•Good endurance and stamina
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•Weight control
•Better sleep
•Less constipation
•Less pain
•Better balance and coordination
•Less anxiety and depression
•Good muscle strength
•More energy and less fatigue
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Talk to your doctor before starting a new
exercise program!
Image: Fotonovela “Could Arthritis be what is causing my pain?”
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Three Kinds of Exercise
1.
2.
3.
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 Flexibility  Strengthening  Endurance 
1
http://www.albuquerquebootcamp.com/site/photos.php
http://www.ebay.com/itm/Pair-Neoprene-Dumbbells-3-lbs-ea-w-instruction-sheet/180055569207#ht_500wt_1009
http://www.theepochtimes.com/n2/content/view/10835/
2
3
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Warm-up & Joint Check
Image: tenerbuenasalud.com, ncelementaryscience,
http://www.tipsdesalud.com/importancia-del-calentamiento-antes-dehacer-ejercicio/604/
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6. Shoulder Shrug
38. Side Trunk Bend
(elevation/depression)
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Ag
(lateral trunk flexion)
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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(rotation)
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Ag
49. Hamstring & Calf Stretch
39. Trunk Rotation
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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59. Toe bend & Lift
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11. Overhead Arm Reach
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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Strengthening
• Strong muscles protect
• Improve balance
joints
• Prevent falls
• Prevent soreness
• Carry things more easily
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TIPS:
- 3-5 repetitions (on each side of body)
- Up to 5 different exercises
- Every other day
- Slowly increase to 10 repetitions
(add 1-2 a week)
- Exhale on exertion
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Flexibility
 Prevent stiffness
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 Reduce the risk of sprains & falls
 Use to prep for other exercise/activities
TIPS:
- Move slowly (don’t jerk or bounce)
- Breathe and relax
- Do fewer stretches, hold a gentle
stretch longer
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10. Wall Arch
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8B. Shoulder Blade Pinch
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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13. Scissors
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7. Shoulder Backward Circle
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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20. Elbow Bend
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17. Shoulder Rotator Stretch
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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18 A&B. Diagonal Arm Reach
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Ag
A.
C
B.
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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C
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Ag
57 A&B. Ankle Circle
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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56. Heel-Toe Lift
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Ag
9. Forward Arm Reach
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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Ag
14 A&B. Arm Swing
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida pg. 17
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Endurance
• aka Aerobic or
Cardiovascular
• Relieve stress & tension
• Lessen fatigue, depression
• Sleep better
• Control weight
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MODERATE Exercise
- Can do for at least 15 min
- Be able to talk
- Completely recover after 30 min
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76. Bow & Arrow
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75. Rotator
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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77. Hip Strengthener I
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Ag
79. Knee Strengthener
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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78. Hip Strengthener II
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44. March
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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54. Quad Set
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55. Mini Squat
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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50. Inner Thigh Stretch
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Ag
51. Standing Side Leg Lift
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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Resistance Routine
imagen: beasbargainbasement.com
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Cool-down & Joint Check
Imagnes: http://school.discoveryeducation.com/clipart/clip/brrrrrr.html
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6. Shoulder Shrug
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9. Forward Arm Reach
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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16. Shoulder Rotator
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11. Overhead Arm Reach
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida
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57 A&B. Ankle Rotator
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53. Knee Bend
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida pg. 46
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58. Calf Stretch
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51. Standing Side Leg Lift
Imagen: Arthritis Foundation Exercise Program. Manual del programa de ejercicios Series de Mejoramiento de la Calidad de Vida pg. 46
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Relaxation
Imagen:
http://www.google.com/imgres?um=1&hl=en&authuser=0&biw=1164&bih=752&tbm=isch&tbnid=75L1DhzNmjCdYM:&imgrefurl=http://www.photocase.com/photo
/110010-stock-photo-nature-calm-leaf-forest-relaxation-autumn&docid=5N9gtJ4FIz44UM&imgurl=http://www.photocase.com/stock-photos/110010-stock-photonature-calm-leaf-forest-relaxationautumn.jpg&w=340&h=255&ei=jih_T_ld6qeJAojjue8C&zoom=1&iact=hc&vpx=94&vpy=145&dur=1456&hovh=194&hovw=259&tx=133&ty=219&sig=1071298878
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Congratulations!
You’ve learned valuable tools
to manage your arthritis!
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CONTACT US
www.calagrability.ucdavis.edu
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1-800-477-6129
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www.arthritis.org
1-800-283-7800