Managing Osteoarthritis: Essential Care Tips for Active Seniors

How to care for degenerative arthritis?

My mother is nearly 60 years old and due to her job, she is constantly on her feet and has a restless personality, which has led to excessive strain on her legs and hands.
Her legs, in particular, are showing signs of degeneration.
Although the doctor has advised her to rest more, she continues to stay busy.
How can I help her with her health care in this situation? Additionally, she only wears knee braces at night when she goes to bed; is this method correct? Should she wear knee braces during the day while she is active?

Zhenzhen, 30~39 year old female. Ask Date: 2001/04/18

Dr. Lin Junliang reply Orthopedics

Degenerative knee arthritis requires reducing activity levels, avoiding prolonged walking, squatting, and going up and down hills.
Rehabilitation therapy may be beneficial if necessary.
Knee braces should be worn during activities involving the knee, but they do not need to be worn while sleeping.
For further treatment, patients should consult an orthopedic specialist or a rehabilitation physician in person for proper evaluation.

Reply Date: 2001/04/18

More Info

Managing osteoarthritis, especially in active seniors, requires a multifaceted approach that balances activity with rest, proper nutrition, and appropriate use of supportive devices. Given your mother's situation, here are some essential care tips to help manage her osteoarthritis effectively.

1. Activity Modification
While staying active is important, it is crucial to modify activities to reduce stress on the joints. Encourage your mother to engage in low-impact exercises such as swimming, cycling, or walking on flat surfaces. These activities can help maintain joint function and muscle strength without exacerbating her condition. It’s also essential to incorporate rest periods throughout her day. If her job requires prolonged standing or walking, suggest she take short breaks to sit down and relieve pressure on her joints.

2. Weight Management
Maintaining a healthy weight is vital for managing osteoarthritis. Excess weight puts additional stress on weight-bearing joints, particularly the knees and hips. If your mother is overweight, consider working with a nutritionist to develop a balanced diet plan that promotes gradual weight loss. A diet rich in fruits, vegetables, whole grains, and lean proteins can help reduce inflammation and support overall health.

3. Use of Knee Braces
Your mother’s use of a knee brace at night can provide support and stability, but it may also be beneficial to wear it during the day, especially during activities that put stress on her knees. Knee braces can help alleviate pain and improve function by providing additional support to the joint. However, it’s essential to ensure that the brace fits properly and is comfortable. She should consult with her healthcare provider or a physical therapist to determine the best type of brace for her specific needs.

4. Physical Therapy
Engaging in physical therapy can be highly beneficial for osteoarthritis patients. A physical therapist can design a personalized exercise program that focuses on strengthening the muscles around the affected joints, improving flexibility, and enhancing overall mobility. They can also teach your mother proper body mechanics to minimize joint strain during daily activities.

5. Pain Management
Managing pain is a crucial aspect of osteoarthritis care. Over-the-counter pain relievers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate discomfort. However, it’s important for your mother to consult her doctor before starting any medication regimen to ensure it’s safe and appropriate for her health status.

6. Dietary Considerations
Certain foods may help reduce inflammation and support joint health. Encourage your mother to incorporate omega-3 fatty acids found in fish, nuts, and seeds into her diet. Additionally, foods rich in antioxidants, such as berries, leafy greens, and whole grains, can help combat oxidative stress in the body. Limiting processed foods, sugar, and excessive salt can also be beneficial.

7. Alternative Therapies
Some individuals find relief through alternative therapies such as acupuncture, massage, or the use of hot and cold treatments. These methods can help alleviate pain and improve joint function. Encourage your mother to explore these options, but she should consult her healthcare provider before starting any new treatment.

8. Regular Check-ups
Regular follow-ups with her healthcare provider are essential for monitoring her condition and adjusting her treatment plan as needed. This will ensure that any changes in her symptoms are addressed promptly and that she receives the most effective care.

Conclusion
Managing osteoarthritis in active seniors like your mother requires a careful balance of activity, rest, and supportive care. By implementing these strategies, she can maintain her independence and quality of life while minimizing the impact of osteoarthritis on her daily activities. Encourage her to listen to her body and make adjustments as needed, and remind her that it’s okay to seek help when necessary.

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