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Coping and support
By Mayo Clinic staffMedications and other treatments are key to managing pain and disability, but another major component to treatment is your own attitude. Your ability to cope despite pain and disability caused by osteoarthritis often determines how much of an impact osteoarthritis will have on your everyday life. Talk to your doctor if you're feeling frustrated. He or she may have ideas about how to cope or refer you to someone who can help. In the meantime, try to:
- Keep a positive attitude. Make a plan with your doctor for managing your arthritis. This will help you feel that you're in charge of your disease, rather than vice versa. Studies show that people who take control of their treatment and actively manage their arthritis experience less pain and function better.
- Practice relaxation techniques. Hypnosis, guided imagery, deep breathing and muscle relaxation can all be used to control pain.
- Know your limits. Rest when you're tired. Arthritis can make you prone to fatigue and muscle weakness — a deep exhaustion that makes everything you do a great effort. A rest or short nap that doesn't interfere with nighttime sleep may help.
References
- Handout on health: Osteoarthritis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Osteoarthritis/default.asp. Accessed Aug. 15, 2011.
- Osteoarthritis. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00227. Accessed July 22, 2011.
- Lane NE, et al. Osteoarthritis. In: Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Aug. 15, 2011.
- Kalunian KC. Risk factors and possible causes of osteoarthritis. http://www.uptodate.com/home/index.html. Accessed Aug. 16, 2011.
- Kalunian KC. Diagnosis and classification of osteoarthritis. http://www.uptodate.com/home/index.html. Accessed Aug. 16, 2011.
- Lozada CJ. Management of osteoarthritis. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/body/208746819-6/0/1807/0.html. Accessed Aug. 16, 2011.
- Osteoarthritis. Natural Medicines Comprehensive Database. http//www.naturaldatabase.com. Accessed Aug. 16, 2011.
- Lorig K, et al. Hints, tips, gadgets and resources. In: Lorig K, et. al. The Arthritis Helpbook: A Tested Self-Management Program for Coping With Arthritis and Fibromyalgia. 6th ed. Cambridge, Mass.: Da Capo Press; 2006:55.
- Berman BM, et al. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: A randomized, controlled trial. Annals of Internal Medicine. 2004;12:901.
- Sawitzke AD, et al. Clinical efficacy and safety of glucosamine, chondroitin sulphate, their combination, celecoxib or placebo taken to treat osteoarthritis of the knee: 2-year results from GAIT. Annals of the Rheumatic Diseases. 2010;8:1459.
- Wang C, et al. Tai chi is effective in treating knee osteoarthritis: A randomized, controlled trial. Arthritis and Rheumatism. 2009;11:1545.
- Haaz S, et al. Yoga for arthritis: A scoping review. Rheumatic Diseases Clinics of North America. 2011;37:33.
- Rohren CH (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 24, 2011.
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