7 Tips for your OA Patients!
Managing Osteoarthritis in the Hand
Our hands are one of the most intricate structures in the human body. They are composed of a network of tendons, ligaments, and nerves that make it possible to perform daily tasks such as unlocking a door, peeling an egg, or sending an email to a friend. Osteoarthritis in your hands can make these simple tasks very difficult, if not impossible.
Osteoarthritis (some people type osteo artritis by mistake) is something that comes and goes, and everyone’s symptoms are different. As a therapist, you can help your patients learn what triggers their symptoms, so they can begin to manage their arthritis effectively. These triggers can be anything from their diet, stress, sleep schedule, and daily activities. Here are some essential tips to share with your patients.
1.) Have your patients get the recommended daily exercise with a minimum of twenty minutes per day. If walking is not an option, often I’ll recommend swimming or cycling, which is very low stress on joints.
2.) Eat a healthy balanced diet. Studies have shown that a variety of nutrients may alleviate symptoms. Foods rich in vitamin c, such as fruits and vegetables, are essential to your diet. Omega 3 fatty acids found in fish and fish oil may alleviate pain (WebMD, 2018).
3.) The most significant damage to joints occurs when patients are in the inflammatory phase. Teaching patients to recognize this phase is crucial to preventing joint destruction and deformity. For example, if you have a patient presenting with inflammation of the DIP joint and the joint is painful and red, it recommends the patient wear a DIP immobilization splint or, at a minimum, wrap the common for support. The wrap can be an elastic wrap or a silicone gel sleeve. Also if your patient is having significant thumb pain from OA, you can make a custom thumb orthosis. (add link to video)
4.) Work smarter, not harder. Teach your patients to use larger joints instead of small joints. For instance, instead of holding a book with a lateral pinch, hold the book with one hand on the bottom and one on the top. This can help prevent placing further stress on vulnerable joints.
5.) Respect pain: Pain is your body’s way of protecting itself. When you are having pain, identify the possible reasons for pain and what you can do to change the pain-provoking cause. Also, if you are in pain, this typically indicates you are causing joint damage.
6.) Teaching patients that heat can improve blood flow, alleviate pain and spasm, especially before performing a range of motion.
7.) Keep a diary Having patients keep a journal recording their food intake, daily activities, and pain level can be a powerful tool to recognizing triggers.
Teaching self-management techniques for osteoarthritis can be a lifelong gift for your patients. What are some other tips and tricks you can share with your patients?
More To Read
Teo, S. H., Ng D. C., Wong, Y.K.(2018). Effectiveness of proximal interphalangeal joint blocking orthosis vs metacarpophalangeal joint blocking orthosis in trigger digit: A randomized clinical trial. Journal of Hand Therapy, 1-7. The Skinny- This study compared PIP joint immobilization via an Oval-8TM with a custom MCP blocking trigger finger orthosis treatment. In the Weeds…Read More
May 2012 No. 19 INTEROSSEOUS MUSCLE TIGHTNESS TESTING Judy Colditz, OT/L, CHT, FAOTA INTEROSSEOUS MUSCLE TIGHTNESS TESTING – ARE YOU DOING IT CORRECTLY? The common term “Intrinsic Tightness Testing” is a misnomer as it describes a maneuver specifically designed to test tightness of the interosseous muscles. The interosseous muscles are small, short-fibered muscles contained within…Read More
Miller, L. K., Jerosch-Herold, C., & Shepstone, L. (2017). Effectiveness of edema management techniques for subacute hand edema: a systematic review. Journal of Hand Therapy, 30(4), 432-446. doi: http://dx.doi.org/10.1016/j.jht.2017.05.011 By: Ammie Ingwaldson The Skinny Edema is something therapists deal with on a daily basis and often is apart of most treatments. Managing edema can be a challenge…Read More
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