Exercise your way to health: Arthritis: Exercise plans to improve your life
By Paula Coates
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About this ebook
More than 10 million adults consult their GP each year with arthritis and related conditions. This simple to follow guide helps you to manage your arthritis by giving you an understanding of your diagnosis and how it impacts on your body and health.
Arthritis can be painful but with the right lifestyle choices and exercise you can reduce your pain. There is no reason why arthritis should stop you living a full and active life. You will start to see improvements within 6 weeks, when you can re-test your fitness level.
This will be all the motivation you need to keep your new lifestyle on track to a happier and healthier you!
Paula Coates
Paula Coates is a chartered physiotherapist, back pain specialist and author of Running Repairs. She writes for a number of fitness magazines and is a clinical lecturer for the MSc in neuromusculoskeletal physiotherapy at Kings College London. Paula is also a keen runner and has completed six marathons.
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Book preview
Exercise your way to health - Paula Coates
dedication
For Rachel, Mavis and Mr. Cuddles.
contents
foreword
endorsement
introduction
what can I do if I have arthritis?
part 1: understanding arthritis
osteoarthritis
rheumatoid arthritis
how are RA and OA managed?
part 2: helping yourself to health
where do I start?
your personal MOT
managing a flare-up
avoiding flare-ups: pacing yourself
self-help: healthy eating
self-help: stopping smoking
getting help
part 3: the exercises
where do I start?
before you start
checking your progress
steady beginnings: home routine
steady beginnings: walking
exercising in water
strengthening exercises
find out more
acknowledgements
foreword
I have lived with severe rheumatoid arthritis (RA) for nearly 30 years. To say that this has been challenging and at times overwhelming is understating the impact that this painful, chronic and incurable disease can have on your life and the lives of your family, friends and colleagues.
However, I found that when I started to learn more about my disease and its complications and tried putting into practice various self-management and coping strategies, I felt more in control and more at ease with my problems, and more able to face whatever the future threw at me.
We now know from research that those who are positive in outlook and apply the principles of self-management, generally enjoy a better quality of life and achieve better long-term outcomes. With this in mind, learning more about your disease is a real investment in your health. Self-management helps you to manage your pain and flare-ups by strategies such as pacing, relaxation and goal-setting. Building suitable exercise into your normal routine is also extremely important and this book will give you lots of good information.
Today’s therapies and approach to RA treatment are so much more effective than they were when I was diagnosed. I am sure you will find this book helpful. Good luck.
Ailsa Bosworth
Founder and Chief Executive
National Rheumatoid Arthritis Society
endorsement
As a busy working GP and musculoskeletal specialist I can highly recommend this book as essential reading for patients and clinicians alike. This book is well researched, concise and up-to-date, and written by a first rate, highly experienced physiotherapist. It will give much needed and added support for patients diagnosed with either osteoarthritis or rheumatoid arthritis who want to do all they can to understand and manage their condition.
Dr Gregor McEwan MB BS Dip Sports Med Lon
introduction
The management of chronic conditions such as rheumatoid arthritis and osteoarthritis has been a part of my everyday working life as a physiotherapist for the past 14 years. I have specialised in caring for people with arthritis after working in some of the leading rheumatological units in the country, helping people manage their symptoms, return to work and improve their physical fitness. In this book I will tell you what I have learnt from my patients over the years and what I know will help you manage your joint pain, stay active and improve your health and fitness.
Osteoarthritis is extremely common, and can develop as part of the ageing process for all of us. About 1 per cent of the world’s population is affected by rheumatoid arthritis and women are three times more likely to develop it than men. Whatever your diagnosis, you may be feeling anxious about what the future holds. All this is understand able and this book aims to help you pick up what you need to know about both these conditions, to allow you to make the choices that are best for you.
This book will:
• teach you the facts about osteoarthritis and rheumatoid arthritis
• dispel the myths about arthritis
• show you how to manage your arthritis in the flare-up and non flare-up phases
• give you an exercise programme to build into your lifestyle
• help you understand and avoid the stress and anxiety associated with chronic pain
• allow you to get on with your everyday life.
The book is split into three main parts. Part 1 covers the basics that you need to know about your condition. It includes answers to all the questions you might wish you had asked the doctor, but didn’t ask because you were busy taking on board the fact that you had just received your diagnosis. Once you know exactly what you are dealing with, it is much easier to manage and formulate a plan to move yourself forward with your life.
Part 2 looks at what you can do to help yourself: the changes you can make to your lifestyle that will help you become fitter, healthier and in control of your own health. It is all too easy to feel out of control when you have just been diagnosed, and this book aims to help you get that control back. There is also information on the best places to go for such advice.
Part 3 covers the exercises that you can use to strengthen your body, maintain full range of movement in your joints and help prevent further problems. Prevention is always better than cure, and usually much less painful. I will show you the exercises that will help you return to fitness no matter how unfit you are now. I will also show you how to monitor your own progress with simple tests that you can perform at home. When you see the results of adding exercise to your life you will wish you had done it sooner.
As you read through the book you will see I have used a traffic light system of treatment options. This is designed to make it easy for you to see the options available to you at a glance and to tell when you will need to see a specialist.
The traffic lights work as follows:
Green
Go ahead: you can start self treatment immediately to manage your disease and prevent it from becoming worse.
Amber
Proceed with caution: you may need assessment and treatments that a physiotherapist or health care professional may advise to manage your flare-up.
Red
Stop! Things are serious and need assessment to rule out complications and you may need to take advice on the best way to manage things this time.
what can I do if I have arthritis?
Millions of people live with long-term conditions such as rheumatoid and osteoarthritis. Most of them lead a full and active life by adapting their lifestyles in response to their symptoms. By increasing your understanding of the condition and how you can help yourself to health, you can improve the quality of your life.
Arthritis can affect your health over a long period of time, possibly your entire life, and in many cases there is no cure. When you are first diagnosed it is easy to feel overwhelmed and as if the condition has taken over your life, especially if you need to take medication on a daily basis. It’s important to understand that your condition can become a serious problem. However, you can take steps to control the negative effects of arthritis and inflammatory joint disease on your health.
One method of taking control is ‘self-management’. Self-management allows you take responsibility for doing what it takes to manage your illness effectively. Your doctor, nurse and physiotherapist can make treatment recommendations, but they won’t make a difference unless you choose to follow their advice. There is always more than one treatment plan, as what works best for one person won’t