With summer upon us, millions of Canadian youth are participating in sport activities every day. Sport and recreation is a great way for youth to get exercise, socialize, develop teamwork skills and improve mental and physical health. Unfortunately, the benefits of sport also come with the risk of injury. In fact, one in three youth aged 11-18 years will sustain a sport-related injury that requires medical attention each year, with knee and ankle injuries being the most common. Research has shown that these youth sport injuries, if not treated properly, can lead to osteoarthritis (OA) within 15 years, specifically a form known as post-traumatic osteoarthritis. Youth sport injury can also lead to obesity later in life, which happens to be another major risk factor for OA. This means that youth with 1 major risk factor for OA (joint injury) are in danger of acquiring a second risk factor for the disease (obesity).
Osteoarthritis is caused by the breakdown of cartilage in the joints and affects more than 5 million Canadians nation-wide; the disease can cause moderate to severe pain, disability and even require surgery. Osteoarthritis symptoms generally appear 10-15 years after a joint injury, and by this time the disease is very difficult to treat. Unlike inflammatory arthritis, there are no medications to slow the disease process of osteoarthritis, so preventative measures are of even greater importance. The upside? We can ensure our youth take proper precautions to avoid injury and hugely minimize their risk of developing OA.
The benefits of exercise in inflammatory arthritis and osteoarthritis
ACE has frequently written about the benefits of exercise in inflammatory arthritis (IA) and osteoarthritis (OA). During a series of EULAR presentations, speakers provided evidence for regular physical activity for IA and OA patients.
Anne- Kathryn Rausch, an academic from Zurich University, spoke about how general recommendations for physical activity are effective, safe and feasible for patients with ankylosing spondylitis, rheumatoid arthritis, and osteoarthritis. Continue reading →
The research literature on exercise is growing, and it is now generally accepted that there are many benefits of exercise for arthritis and osteoporosis. General benefits of exercise include improved heart and lung function, weight control, and improvement of self-esteem and self-confidence.
Before starting an exercise program, at home or at a gym, it is important to speak to a health professional trained in exercise for arthritis and osteoporosis. They can help you to design an exercise program that will be both safe and effective.
Before, during and after exercise:
It is important to warm-up and cool down before and after exercising. Use range of motion or heat.
If you are still experiencing pain more than two hours after exercise – you may have done too much.
Use slow, planned movements when doing ROM and strengthening exercises.
Practice in front of a mirror until you feel confident you are doing the exercise as demonstrated by your health professional.
New research shows that patients undergoing total joint replacement are younger now than they were in 2000. According to a review from the National Inpatient Sample (NIS) database, the average patient undergoing a total hip replacement (THR) in 2014 was 64.9 years, while the average patient in 2000 was 66.3 years. In parallel, the average patient undergoing a total knee replacement (TKR) was 65.9 in 2014, and 68.0 in 2000.
Dr. Matthew Sloan, lead researcher and orthopaedic resident at the University of Pennsylvania in Philadelphia, tells Reuters Health by email: “These differences may not seem like much, but an average decrease of two years in a pool of 1 million people is a significant difference. It’s also a meaningful difference when you take into account the fact that these total joint replacements have a finite lifespan.”
Dr. Sloan further explains: “The technology for total hip and knee replacements continues to improve. However, at some point, the implant wears out. We believe modern implants without any unforeseen complications should last 20 years or more. The problem with an increasingly younger group of patients having these procedures, it becomes more likely that the implant will wear out during their lifetime. When this happens, a second surgery is required to revise the joint replacement. These procedures are not as successful as the initial surgeries, they are bigger operations, they take longer, and now the patient is 20 years older and not as strong as they were when they had the initial procedure.”
Because a second surgery is riskier and prone to complications like early failure or infection, the goal is to wait as long as possible so that a patient will undergo one surgery in their life. Other findings presented at the American Society of Orthopaedic Surgeon’s annual meeting include: Continue reading →
Total hip arthroplasty (THA) and total knee arthroplasty (TKA), also known as hip/ knee replacements, are surgical procedures in which parts of the joint are replaced with artificial material to restore function and ultimately reduce pain. As an arthritis patient, if other forms of treatment have not improved the joint’s ability to function or been able to prevent additional damage, your rheumatologist may recommend arthroplasty.
A recent study conducted by a team of Canadian Physiotherapists at The University of Western Ontario has discovered valuable information regarding the impact of prehabilitative care prior to arthroplasty. The team wanted to see if education and exercises for patients before surgery (prehabilitation) impacts pain, function, strength, anxiety and length of hospital stay after surgery (post-operative outcomes).
Getting “Patient Satisfaction” from Arthritis Health Care
To celebrate Arthritis Awareness Month in Canada, in this issue of JointHealth™ insight, we highlight three international surveys that have helped identify gaps in arthritis models of care from the patient perspective. We want to know what you think. Please complete the three mini surveys in this month’s JointHealth™ insight. Your responses will help drive our 2018 information and education programs to support patients and improve the way health care is delivered by the rheumatologists, allied health professionals, health policy decision makers and others who provide care to Canadians with all types of arthritis.
In this issue, you will also:
Read about the model of care for rheumatoid arthritis
Find a Letter to the Editor template to increase awareness about arthritis in your community
Battling rheumatoid arthritis – American Ninja Warrior style. #WeAreAllAbel
The TV series American Ninja Warrior (ANW) is a show where contestants compete to win the grand prize by finishing an obstacle course requiring strong, agile and determined athleticism. Contestants must have faith that they can conquer any obstacle put in front of them – the same type of faith some have when battling rheumatoid arthritis. In ANW contestant Abel Gonzalez’s case, this was true in the literal sense.
Abel grew up in Chicago with a rough childhood. His parents married young and had little financial means. In an interview with EverydayHealth, he said: “My dad was abusive. He sold tires at a flea market to try to help us get by. When I was 10, my mom and dad’s fighting escalated.” His parents eventually split up and Abel and his brothers were forced to split up. Abel and his brother were sent to live with family members in Texas, while his two younger brothers stayed behind to live with his mother in Chicago.
“I can remember my younger brothers sitting on the steps as Matthew and I drove away for good. It devastated me to be apart from my younger brothers. I was only 10. I thought that maybe I had caused my parents to get divorced,” Abel added.
According to a recent study published in Arthritis & Rheumatology, forty percent of people will be affected by symptomatic osteoarthritis in at least one hand.
The study was conducted by the Arthritis Program at the U.S. Renters for Disease Control and Prevention in Atlanta. Lead researcher Jin Qin, Sc.D, and his team looked at 1999 to 2010 data on 2,218 individuals from North Carolina, ages 45 or older. Data collected include participant reported symptoms and hand X-rays.
April 6 is World Day for Physical Activity, let’s take a moment to recognize that the words “physical activity” and “outdoor” or “gym” are not synonymous. There is a perception that working at an office means being chained to your desk and inevitably becoming a “desk-potato”.
Deskercise, or desk exercises, are simple and short exercises that you can do at, or near your desk with tools available at the office or exercise gadgets you can easily bring to the office. Something as simple as walking can have significant health benefits. Walking a minimum of about 10 city blocks each day could reduce the risk of dementia, and potentially improve cardiovascular and joint health in the long term. To learn more about walking and its benefits, click here.
Image courtesy of David Castillo Dominici at FreeDigitalPhotos.net
There are many ways to include exercise in your mall routine. By turning daily tasks into an exercise routine, you will be able to improve your overall strength. Many Canadians visit the mall on December 26, also known as Boxing Day in Canada, to find deals on electronic, clothing, and entertainment goods and services. Like the Black Friday sale event down in the United States, the shopping centres are packed with people. The mall also provides a free and dry environment for walking when the weather makes road conditions unsafe for outdoor exercise. Below are some ways you can incorporate and optimize exercise while shopping: Continue reading →