Exercise is particularly important in the treatment of osteoarthritis, as it should be the main element in the treatment of arthritis, argue British specialists in the latest recommendations. But how to exercise when the pain is taking its toll?
Experts from the UK’s National Institute of Public Health and Clinical Excellence (NICE) admit that for people with osteoarthritis, exercise may be painful initially, however, they can relieve pain and help you stay healthy and reduce the use of painkillers. It is even not recommended to take strong painkillers.
Osteoarthritis is the most common disease of the locomotor system. It is caused by the destruction of the articular cartilage, which allows the surface of the joints to slide. When it is damaged, the bone under the articular cartilage is also destroyed, as well as the joint capsule, ligaments, tendons and muscles surrounding the joint. This results in pain and stiffness in the joint, its distortion and reduced mobility. It can happen in any joint, but it most commonly occurs in the knee, hip, spine, and the joints of the fingers, hands, and feet.
Physical activity is difficult in people with osteoarthritis, but NICE experts emphasize that it is exercise – not painkillers – that should be at the heart of your treatment. They urge doctors to convince their patients to do so. “Many people mistakenly believe that exercise can damage joints, which is why the latest recommendations are so important, they can empower patients and convince them that they are able to follow a healthy lifestyle, helping to deal with pain and improve the quality of life” – argues BBC News Dr. Wendy Holden.
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Exercise allows you to strengthen the muscles and maintain a healthy body weight, which also has a significant impact on osteoarthritis. Among the painkillers recommended are those with anti-inflammatory properties in the form of creams and gels. Oral pain relievers and anti-inflammatory drugs such as ibuprofen and other non-steroidal anti-inflammatory drugs can be taken. They should not be abused, because they can destroy the gastrointestinal mucosa and cause peptic ulcer disease. The use of opioids is not recommended.
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Recommended physical activity is mainly walking, cycling, swimming and exercising in the water. Exercises to strengthen the muscles and stretching are useful, as well as those that help to maintain balance. It also helps aerobics that improves the circulatory and respiratory systems and allows you to keep a slim figure. People who exercise regularly experience pain less frequently and function better.
Dr. Paul Chrisp of the National Institute of Public Health and Clinical Excellence (NICE) says that paracetamol and opiates are not recommended in osteoarthritis. “The latest research shows that these drugs help little or no help. In the case of strong opiates, there is evidence that they can be harmful in the long term and may be addictive, ”he added. (PAP)
Author: Zbigniew Wojtasiński