Self-care for patients with osteoarthritis

  Once you have osteoarthritis, first of all, you should have a full understanding of the disease. If there are no symptoms such as joint pain or numbness, no special treatment is needed, but it is important to pay attention to the combination of work and rest and to participate in physical exercise to improve the metabolism of nerves, muscles, bones and joints, to slow down their aging progress, and to prevent stiffness and inflexibility.  Patients with clinical symptoms should avoid or reduce localized fatigue and appropriate treatment. It cannot be simply assumed that osteoarthritis is simply the result of old age or overuse of the joints, that it is irrevocable, that nothing can be done about it, or that rest and inactivity are the only ways to protect the joints. Among the causes of osteoarthritis, mechanical injury is only one aspect. Other factors such as joint instability, improper joint alignment, posture, activity patterns, and obesity can all play a role or contribute to the development.  Fewer drugs are available to treat osteoarthritis, and to date, none have been able to control its progression or cure it. Some of the so-called effective drugs that boast of dissolving or eliminating the “bone spurs” are purely illusory. If there is such a drug, then the normal bone tissue will be dissolved together! At the current level of medical care, no drug or method, other than surgery, can get rid of the “bone spurs” that have been created. However, not all “bone spurs” need to be removed surgically. Only a very small number of “bone spurs” can be considered for surgical removal if they cause dysfunction due to compression of nerves and blood vessels.  Patients should eliminate their worries and build up confidence in overcoming the disease. Most of the cases are mild and will not lead to systemic disability, so do not rush to the doctor.  The affected joints should be protected so that they can get sufficient rest, do not overuse them, avoid strenuous activities and excessive weight-bearing, prevent the joints from inappropriate gravity and violence, in order to reduce repeated joint injuries, such as hip or knee joint involvement, should avoid excessive standing, running, playing ball or walking long distances, etc. If your knees are stiff after sitting for a long time, you can do some “warm-up exercises” before standing up – gently swing your legs a few times.  To correct poor posture and position. This not only relieves joint pain, but also prevents further development of the condition, especially in weight-bearing joints such as the knee and hip. Avoid putting a pillow under the knee during sleep to relieve pain. Patients with cervical osteoarthritis should avoid prolonged ambulation, head tilting or neck turning, and apply a pillow of appropriate height during sleep. Those with lumbar spine involvement can sleep on a hard bed. In daily life, according to the specific situation, you can use crutches and other appliances to help reduce the load on the affected joints, wear more flexible shoes, use appropriate insoles, wear knee pads or elastic bandages to protect the knee, hip and other joints is very beneficial. If there are joint deformities such as inversion or valgus of the knee or congenital abnormalities of the joint, such as congenital hip dislocation, surgery should be considered.  Usually, you should eat more calcium and gum-rich foods and take calcium supplements. Patients who are obese should actively reduce their weight.  Physical therapy such as heat therapy, hydrotherapy, wax therapy, ultrasound and vinegar ion introduction can be used to help relieve pain and accompanying muscle spasm and maintain and restore joint function. Heat therapy can help relieve joint pain and stiffness if administered for 15-20 minutes before each joint movement. It is important to note that the patient should wash the skin before heat therapy and avoid lying on the heat source to avoid burns; conductive heat and ultrasound therapy are prohibited for joints that have been replaced and equipped with metal components to avoid deep burns. For cervical spondylosis, especially nerve root pain can use cervical traction. Of course, acupuncture and massage also have a role to play.  Appropriate exercise is of great help in protecting and improving joint movement, relieving pain, and enhancing muscle strength around the affected joint.  Osteoarthritis physical exercise can be divided into three categories: 1, to maintain or increase the maximum mobility of the joint, the patient should take the initiative to carry out, step by step.  2, to enhance the strength and endurance of the muscles around the joint to increase the stability of the joint, static exercise as a simple and effective exercise to enhance muscle strength, such as doing muscle contraction without resistance. If pain occurs during exercise, or pain persists for 15 minutes after exercise, the number of exercises can be reduced appropriately.  3, increase outdoor activities to improve daily activities and endurance, such as walking, swimming, etc., should be adhered to daily, step by step, gradually increase the time and amount of activity.