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Keyboard Hands

The following was written by the author of ‘One Step Ahead of Osteoarthritis’, Frances Ive.

Attention all keyboard users. One day you could  get stiff, painful and knobbly fingers and thumbs, because of osteoarthritis, and one of the contributing factors is overuse of keyboards. No time is too soon to do regular (daily) exercises for the hands, to try to prevent building up problems for the future. Doctors have now been advised by NICE to recommend exercise to everyone when they get a diagnosis of osteoarthritis.

It’s true we use our hands too much and throughout history, those people who reached old age, would have had gnarly fingers, inflammation and pain.  In the 21st Century we are building up even more problems with kids using keyboards from a young age and throughout their lives. Originally, typists bashed their fingers down on to the keys of manual typewriters, but now computer keyboards, phones and tablets are used so much at work and at home, adding even more pressure to our hands.  And, when we use keyboards we put strain on our shoulders and arms as well and the tension radiates downwards to the hands. This results in pain and inflammation and sometimes immobility and inflexibility.

The pressure put on fingers by repetitive typing and key entry is astounding.  Someone typing at 40 words per minute (wpm) uses 12,000 keys per hour and 65,000 keys during an 8 hour day, putting up to 25 tons (25,000 kg) of force each day on their hands. Add to that, using fingers and thumbs to send texts on a phone all the time!   

Trying hand exercises may help to keep your fingers fit as you age. Stretching out the fingers, shaking our hands, squeezing a spongy ball or touching fingers to thumb are all good for keeping hands/fingers flexible and avoiding pain.

You can get osteoarthritis from 40, it is often hereditary, but also results from overuse of joints and the wearing down of cartilage (the protective surface at the end of our bones). Over 8 million people in the UK have osteoarthritis, of whom the majority are women.

Read more in One Step Ahead of Osteoarthritis, by Frances Ive

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Coping with osteoarthritis during Covid-19

Blog post written by Frances Ive, author of One Step Ahead of Osteoarthritis

 

The Covid-19 pandemic is the number one health issue everywhere, but despite that we still have to manage osteoarthritis. According to a recent article in the British Medical Journal, Covid impacts on osteoarthritis in a couple of ways:[1]

  • There is more likelihood of being hospitalised when suffering from the virus if you already have osteoarthritis.
  • OA sufferers are likely to have additional pain in the joints when they contract Covid.

A key recommendation in the BMJ article is that physical activity is extremely important, regardless of age. Although this would seem to be difficult during a severe outbreak of the virus, it is feasible if the symptoms are mild. Also, all activity keeps us healthy and more able to fight illness.

I emphasise the importance of exercise in One Step Ahead of Osteoarthritis, in order to keep us active and mobile and enjoying a good quality of life. A glowing statement from Professor Sir Sam Everington, GP in Tower Hamlets, Chair of NHS Tower Hamlets Clinical Commissioning Group, and a board member of NHS Clinical Commissioners, who wrote in his foreword for my book: ‘This book should be prescribed on the NHS by all doctors. It can’t be, but if you have osteoarthritis or want to live a happier and healthier life, buying this book is the best investment you could ever make.’

Professor Sir Sam’s involvement in the social-prescribing initiative increasingly being adopted by GPs (pre-Covid) would account for his enthusiasm. The main message in One Step Ahead of Osteoarthritis is taking responsibility for your own health through:

  • exercise
  • weight management
  • healthy eating
  • supplements
  • complementary therapies
  • practical tips (shoes, keeping warm, bathing, etc.)

Even in lockdown we can walk locally and there’s no limit to how long you can stay out. If you are used to doing yoga, Pilates or other classes, there is a wealth of sessions being provided online either free of charge or for a nominal sum under £10. For those people who find exercise very hard due to chronic arthritis or other conditions, Chair Yoga provides a good alternative and that too is available online.

Finally, try not to overeat when confined at home and stick to the Mediterranean diet with plenty of fruit and vegetables. Recognised by doctors as the best diet for all conditions, it can also help us to keep our weight down, an important factor for reducing pressure on weight-bearing joints. Both Vitamin C and Vitamin D are essential for supporting the immune system, helping all conditions and giving us a fighting chance against Covid.

 

[1] https://ard.bmj.com/content/80/2/151

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Exercise in Lockdown for Osteoarthritis

Knee

We are all facing the very real threats of Coronavirus and many of us are self-isolating now, especially the over 70s. Life as we knew it has completely evaporated.  For anyone with osteoarthritis, there are plenty of things that you can do to help the condition and keep yourself generally healthy in the face of such a threat.

What better way to spend all our cooped up time than doing some exercise, at whatever level you can manage?  It helps to have an exercise slot during your very long day so that you remember to do it and it gives you something positive to do.

If you have an exercise bike, now is the time to build up the muscles around the knee which protect arthritic joints and make legs stronger.  Just 10 minutes a day can make your legs feel good and strengthen the knee area.

There are also specific exercises for  osteoarthritis in the knees,  hips and hands.

  • For arthritic fingers: try some gentle stretching/splaying of the fingers, or make a fist with your hand and then completely relax it.
  • For knees: sit well back in the chair with good posture. Straighten and raise one leg. Hold for a slow count up to 10, then slowly lower your leg. Similar exercises can be done lying down or standing. If you are unsteady on your feet hold on to a firm surface and do a few squats bending your knees so that they are over your feet, making sure you only do as much as you can.

Knee squats

  • For hips: Hold onto a work surface and march slowly on the spot bringing your knees up towards your chest alternately. Don’t raise your thigh above 90 degrees. Also, holding on to a surface, bend each knee in turn, putting your heel up towards your bottom with the kneecap pointing towards the floor.

Heel to butt

There are more diagrams (courtesy of Versus Arthritis) in One Step Ahead of Osteoarthritis with helpful instructions.

So with all this time on our hands, do something helpful for your fitness, to keep your joints working well and avoid getting bored.  Above all, stay safe.

Blog post written by Frances Ive, author of One Step Ahead of Osteoarthritis.

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My Journey to Managing Osteoarthritis

Osteoarthritis

One Step Ahead of OsteoarthritisIt crept up slowly with a little niggle here and there, and a bit of stiffness in the joints and then I wondered why my knee seemed to hurt when I played tennis. So I went to the doctor and was referred for an MRI, worried that I might need to have an operation. So it came as some relief to be shown the scan and see that it was osteoarthritis, no damage, and no need for an operation.  I was told to carry on playing tennis and do other exercise.

After a couple of months I was back to playing tennis with a support on my knee and that was eight years ago, and I haven’t had to stop since.  But then my thumbs started hurting, and the joints in some of the fingers felt swollen.  I was wary of arthritis in the hands as I’d seen my mother’s gnarled fingers and didn’t want the same to happen to me.  So I had them X-rayed and sure enough it was osteoarthritis.

I am a health journalist and I follow a natural lifestyle, so that seemed to be the way to go. And to be honest the doctor didn’t really offer any alternatives. They tell you to take Ibuprofen if the pain is bad, but strong drugs are reserved for chronic pain and due to the side-effects they certainly don’t hand them out to anyone who has a bit of osteoarthritis.

I also take the view that with many health issues there is so much you can do yourself that it’s not necessary to suffer.  So I started researching the subject and found out that I needed to make my diet more alkaline and much less acidic as acidity in the body is a problem for osteoarthritis (and many other conditions).  This simply involved some adjustments to what I ate, but no major changes.  I almost cut out certain foods  like tomatoes, aubergines and potatoes, and decided to drink much less wine.

I was already exercising quite a lot – tennis, tai chi and yoga – but I added some specific exercises for knees and hands and made sure I did some every day.  Tennis clubs are full of “older” people wearing knee supports yet doctors seem to think that it’s a good idea to continue with any exercise that you are used to doing.  Tai chi and yoga are both very good for osteoarthritis, and classes are often manageable for the less mobile.

I experimented with different supplements, that are known to be good for osteoarthritis (glucosamine, chondoitrin, rosehip, and more) but settled on turmeric and (no-blush) Niacin or Vitamin B3).  I took cider vinegar in water every day and gradually things began to improve, although I should emphasise that you can’t actually cure osteoarthritis but you can reduce inflammation and pain.

By not taking my thumbs and fingers for-granted, as I had done all my life, and trying to avoid putting undue pressure on them,  I have found that they don’t cause me many problems any more.  In fact, and this is quite amazing, they are straighter and stronger, and the knuckles are far less inflamed – happily they are not now very noticeable to other people, which is a good thing.

It’s important for me to keep my weight down as a few pounds extra can make all the difference with my knee and it can start hurting.  I also need to avoid too many stairs downward,  so often take the lift just to avoid them. I can walk down steps perfectly well but it puts unnecessary pressure on them.

Once it becomes a way of life to manage osteoarthritis, it is easy to do and prevents too much pain or discomfort.  My own experience and my background as a health journalist made me decide to write One Step Ahead of Osteoarthritis, so that others can benefit and take a positive approach rather than feeling downhearted about it.

Blog post written by Frances Ive, author of One Step Ahead of Osteoarthritis which is now available from Hammersmith Health Books!