Basic Exercise

Activity Modification Simple Pain Management


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What is it and why?

  • Low impact exercises that can have significant beneficial effects on arthritis symptoms.

  • These exercises can improve the strength of muscles around the joint, while also benefiting the bone and ligaments.

  • They also maintain movement in the affected joint.


  • Treatment involves Home/self-help
    Home/self-help
  • Treatment does not involve Hospital
    Hospital
  • Treatment does not involve Daycase procedure
    Daycase procedure
  • Treatment does not involve Inpatient procedure
    Inpatient procedure
  • Treatment does not involve Local anaesthetic
    Local anaesthetic
  • Treatment does not involve General anaesthetic
    General anaesthetic
  • Treatment does not involve Regional block / Spina
    Regional block / Spina
  • Pain
    Pain

    Minor

  • Mobility
    Mobility

    Minor

  • Daily activities
    Daily activities

    No more than usual

  • Driving
    Driving

    No more than usual

  • Leisure activities
    Leisure activities

    Minor

  • Light exercise
    Light exercise

    Minor

  • Heavy exercise
    Heavy exercise

    Will require modification

  • Light work
    Light work

    No more than usual

  • Heavy work
    Heavy work

    Will require modification

  • Intimate
    Intimate

    No more than usual


Overview

What does it involve?

  • Commitment to exercise plan.

  • Using appropriate footwear; flat shoes, cushioned insoles etc.

  • Maintaining an activity diary, including pain scores, to understand which activities affect you most.

Effort/burden

  • Consistent adherence to the plan; maintaining a diary and changing your activities requires commitment.

  • May require the purchase of new footwear. A degree of trial and error may be required to find the type that suits you.

Benefits

  • Many arthritic patients report a decrease in the intensity of pain after modifying their activities.

  • Moderate drop in pain, improvement in activities of daily living (ADL) and mobility in the long term.

  • There’s currently no randomised controlled trial to prove how this is benefiting patients.

Chances of cure

  • Modifying activities is unlikely to cure arthritis on its own.

  • However, it can improve the symptoms of arthritis and may slow down its progress.

Limitations and side effects

  • Difficult to achieve improvement in a short period of time.

  • Minimal side effects reported.

Risks

  • No major risks identified.

  • Pain may increase in the initial stages and some people may notice an increase in swelling.

  • Some may also have problems in adapting to new footwear.

Cost

  • Low cost option for both the patient and the NHS.

  • May be some personal costs (e.g. footwear, exercise clothing and equipment).

  • There may also be minimal recurring expenses for accessing and maintaining health advice service, website subscriptions, access to physiotherapist and leaflet publications.

What if no treatment is done?

  • Arthritis will continue to deteriorate.

  • Symptoms will get worse; sometimes rapidly.

  • Will have a negative influence on other management options, e.g. surgery, in the future.

References

Felson DT, Anderson JJ, Naimark A, Walker AM, Meenan RF: Obesity and knee osteoarthritis: The Framingham study. Ann.Int.Med.1988;109:18-24

https://www.hopkinsarthritis.org/patient-corner/disease-management/role-of-body-weight-in-osteoarthritis/#ref10


Activity Modification Simple Pain Management