Our hands are one of the most intricate structures in the human body. They are composed of a network of tendons, ligament 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 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 effectively manage their arthritis. These triggers can be anything from the diet they are consuming, the amount of daily stress, their sleep schedule and their daily activities. Here are some basic tips to share with your patients.
1. Maintain Daily Exercise
Have your patients get the recommended daily exercise with a minimum of twenty minutes per day. If walking is not 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 vegetable are important to have in your diet. Omega 3 fatty acids found in fish and fish oil may alleviate pain (WebMD, 2018).
3. Understand Inflammation
The greatest 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 that is really inflamed in the DIP joint and the joint is painful and red, it is recommending the patient wear a DIP immobilization splint or at a minimum wrap the joint 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.
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4. Work Smarter, Not Harder
Teaching your patients to use larger joints instead of the small joints. For instance, instead of holding a book with lateral pinch hold book with one hand on bottom and one on top. This can prevent 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. Use Heat
Teaching patients that heat can improve blood flow, alleviate pain and spasm especially prior to performing range of motion.
7. Keep a diary.
Having patients keep a diary 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? Leave us a comment below!
More To Read
J. F. Goubau, L. Goubau, A. Van Tongel, P. Van Hoonacker, D. Kerckhove, B. Berghs (2013).The wrist hyperflexion and abduction of the thumb (WHAT) test: a more specific and sensitive test to diagnose de Quervain tenosynovitis than the Eichhoff’s Test. J Hand Surg Eur Vol. 2014 Mar; 39(3): 286–292. Published online 2013 Jan 22. doi:…Read More
Turkmen, E., Akbaba, Y., Altun, S. (2019). Effectiveness of video-based rehabilitation program on pain, functionality, and quality of life in the treatment of rotator cuff tears: A randomized controlled trial. Journal of Hand Therapy, S0894-1130(18)30396-X. DOI: https://doi.org/10.1016/j.jht.2019.08.004 The Skinny The purpose of this article was to determine the efficacy of video-based rehabilitation programs (VBR) in…Read More
Caekebeke, P., Schenkels, E., Bell, S. N., & van Riet, R. (2021). Distal biceps provocation test. The Journal of Hand Surgery. The Skinny: These surgeons were looking for a provocative test for distal bicep tendinopathy (distal biceps tendonitis test), specifically partial tears, that was more sensitive and specific. Complete tears are more easily tested in…Read More
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