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Hello

May I ask where the article is from that it states " >Inflamed joints should be

exercised frequently. " and further documentation or conversation would be

appreciated.

There is confusion on exercising an inflamed joint on my behalf!

Devaughan

--

On Sun, 11 Aug 2002 21:00:26

a wrote:

>Exercise and Arthritis

>

>The importance of exercise in the management of rheumatic diseases is often

>not taken as seriously as it should be. Inflammation in muscles and joints

>could potentially result in the loss of joint range of motion, muscle

>strength, and bone density. The normal reaction when there is pain in a

>joint is to stop using the affected joint. The build up of fluid inside a

>joint can also decrease movement. Inflamed joints are generally more

>comfortable in a slightly bent position because of a decrease in pressure.

>As a result of not using the affected joint, the joint space may tighten and

>permanent joint contrcacture could possibly occur. Furthermore, without use

>the tendons and muscles surrounding the joint could possibly shorten.

>

>Exercise can increase joint range of motion, strength, endurance,

>coordination, as well as improve joint stability. There are exercises that

>target one specific joint and exercises that could help with overall

>cardiovascular fitness and endurance. In rheumatoid arthritis and

>osteoarthritis, aerobic and resistive exercises can decrease disability by

>improving function while decreasing pain.

>

>These types of exercises can be classified into three groups: range of

>motion or stretching, strengthening (resistive exercises), and aerobic

>(endurance). In general, an exercise program progresses through different

>levels. With passive exercises, the joint is moved without the patient

>exerting any effort. With active exercise, the patient is assisted in

>exerting some muscle contraction in attempting joint movement to achieve the

>desired range. In resistive exercises, which are known as strengthening

>exercises, a force is applied in opposition to the attempted movement.

>

>Inflamed joints should be exercised frequently. Usually, passive exercise is

>suggested with range of motion exercises to allow for bending and extending.

>Stretching may be more effective after the application of heat to the area.

>As with all exercise programs, it is advised that a physician be consulted

>to make sure the exercise is appropriate for the condition.

>

>Compliance in an exercise program is improved by having an individual join a

>group. This produces a structured exercise program. Another suggestion to

>increase compliance is to have the patient keep an exercise diary, which

>should be reviewed at each visit.

>

>The physician and health care professional should also provide positive

>feedback and frequent encouragement. Usually exercises with a high level of

>impact, such as tennis and racquetball, are avoided because of the stress

>that is placed on the joints and ligaments.

>

>

__________________________________________________________

Win a First Class Trip to Hawaii to Vacation Elvis Style!

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a - I am a believer! My feet and legs are always

so swollen that traditional exercise is out. At the

beginning of this summer, I began a new exercise

regimen - aquatic exercise. My husband installed a

heater on our pool because with a constant temp of 68,

I could not get in the pool. Since the water is warm,

I have begun exercising three to four times a week.

The switch burned out two weeks ago so I haven't been

exercising and I can feel the increase in pain and

mobility. I need to devise a back-up plan because I

won't be able to swim this winter. Next year a new

seniors center will open down the street from me and

it will have an indoor pool. I look forward to using

it. Anyway, that is my opinion - exercise works. Iris

--- devaughan doran <devaughan@...> wrote:

> Hello

> May I ask where the article is from that it states "

> >Inflamed joints should be exercised frequently. "

> and further documentation or conversation would be

> appreciated.

>

> There is confusion on exercising an inflamed joint

> on my behalf!

> Devaughan

> --

>

> On Sun, 11 Aug 2002 21:00:26

> a wrote:

> >Exercise and Arthritis

> >

> >The importance of exercise in the management of

> rheumatic diseases is often

> >not taken as seriously as it should be.

> Inflammation in muscles and joints

> >could potentially result in the loss of joint range

> of motion, muscle

__________________________________________________

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If you have a flare, do only gentle range-of-motion exercises.

http://www.orthop.washington.edu/arthritis/living/pain/06

From National Institute of Arthritis and Musculoskeletal and

Skin Diseases Information:

It is appropriate to put joints gently through their full range of motion

once a day, with periods of rest, during acute systemic flares or local

joint flares.

http://www.niams.nih.gov/hi/topics/arthritis/arthexfs.htm#11

> Hello

> May I ask where the article is from that it states " >Inflamed joints should

> be exercised frequently. " and further documentation or conversation would be

> appreciated.

>

> There is confusion on exercising an inflamed joint on my behalf!

> Devaughan

> --

>

> On Sun, 11 Aug 2002 21:00:26

> a wrote:

>> Exercise and Arthritis

>>

>> The importance of exercise in the management of rheumatic diseases is often

>> not taken as seriously as it should be. Inflammation in muscles and joints

>> could potentially result in the loss of joint range of motion, muscle

>> strength, and bone density. The normal reaction when there is pain in a

>> joint is to stop using the affected joint. The build up of fluid inside a

>> joint can also decrease movement. Inflamed joints are generally more

>> comfortable in a slightly bent position because of a decrease in pressure.

>> As a result of not using the affected joint, the joint space may tighten and

>> permanent joint contrcacture could possibly occur. Furthermore, without use

>> the tendons and muscles surrounding the joint could possibly shorten.

>>

>> Exercise can increase joint range of motion, strength, endurance,

>> coordination, as well as improve joint stability. There are exercises that

>> target one specific joint and exercises that could help with overall

>> cardiovascular fitness and endurance. In rheumatoid arthritis and

>> osteoarthritis, aerobic and resistive exercises can decrease disability by

>> improving function while decreasing pain.

>>

>> These types of exercises can be classified into three groups: range of

>> motion or stretching, strengthening (resistive exercises), and aerobic

>> (endurance). In general, an exercise program progresses through different

>> levels. With passive exercises, the joint is moved without the patient

>> exerting any effort. With active exercise, the patient is assisted in

>> exerting some muscle contraction in attempting joint movement to achieve the

>> desired range. In resistive exercises, which are known as strengthening

>> exercises, a force is applied in opposition to the attempted movement.

>>

>> Inflamed joints should be exercised frequently. Usually, passive exercise is

>> suggested with range of motion exercises to allow for bending and extending.

>> Stretching may be more effective after the application of heat to the area.

>> As with all exercise programs, it is advised that a physician be consulted

>> to make sure the exercise is appropriate for the condition.

>>

>> Compliance in an exercise program is improved by having an individual join a

>> group. This produces a structured exercise program. Another suggestion to

>> increase compliance is to have the patient keep an exercise diary, which

>> should be reviewed at each visit.

>>

>> The physician and health care professional should also provide positive

>> feedback and frequent encouragement. Usually exercises with a high level of

>> impact, such as tennis and racquetball, are avoided because of the stress

>> that is placed on the joints and ligaments.

>>

>>

>

>

> __________________________________________________________

> Win a First Class Trip to Hawaii to Vacation Elvis Style!

> http://r.lycos.com/r/sagel_mail/http://www.elvis.lycos.com/sweepstakes

>

>

>

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Iris,

IĀ¹m a believer too. This is my first year with a pool heater too and it is

just wonderful.

I was in the pool 2 months earlier than I would have been and IĀ¹ll be in it

2 months after it is normally to cold to swim. I am a different person in

the summer and I attribute it to water exercise. I used to go to a gym in

the winter and swim in the pool, but it was constantly being shut down for

bacteria, so I stopped going. IĀ¹m glad you will have a place to go in the

winter. It is not just your opinion that exercise works, many studies have

been done and they come to the same conclusion.

Using common sense, knowing when to rest a flaring joint and following

doctorĀ¹s advise is best.

a

> a - I am a believer! My feet and legs are always

> so swollen that traditional exercise is out. At the

> beginning of this summer, I began a new exercise

> regimen - aquatic exercise. My husband installed a

> heater on our pool because with a constant temp of 68,

> I could not get in the pool. Since the water is warm,

> I have begun exercising three to four times a week.

> The switch burned out two weeks ago so I haven't been

> exercising and I can feel the increase in pain and

> mobility. I need to devise a back-up plan because I

> won't be able to swim this winter. Next year a new

> seniors center will open down the street from me and

> it will have an indoor pool. I look forward to using

> it. Anyway, that is my opinion - exercise works. Iris

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a - I used to laugh when my dr told me to exercise

and say sure - when I feel better. It is such a

viscous circle. So, I guess you bite the bullet and

start out with a really reduced workout and stretches

to get you going and build up from there. What do you

do for exercise during the winter months? Any

suggestions? I purchased this ad-doer and it works

either as a stretcher or as a aerobic workout. You

sit in the chair and put your arms on the side bars

and twist. It massages your back and really makes a

difference for range of motiion. Iris

a <paula54@...> wrote:

> If you have a flare, do only gentle range-of-motion

> exercises.

>

http://www.orthop.washington.edu/arthritis/living/pain/06

>

> From National Institute of Arthritis and

> Musculoskeletal and

> Skin Diseases Information:

>

> It is appropriate to put joints gently through their

> full range of motion

> once a day, with periods of rest, during acute

> systemic flares or local

> joint flares.

>

http://www.niams.nih.gov/hi/topics/arthritis/arthexfs.htm#11

>

>

>

> > Hello

> > May I ask where the article is from that it states

> " >Inflamed joints should

> > be exercised frequently. " and further

> documentation or conversation would be

> > appreciated.

> >

> > There is confusion on exercising an inflamed joint

> on my behalf!

> > Devaughan

> > --

> >

> > On Sun, 11 Aug 2002 21:00:26

> > a wrote:

> >> Exercise and Arthritis

> >>

> >> The importance of exercise in the management of

> rheumatic diseases is often

> >> not taken as seriously as it should be.

> Inflammation in muscles and joints

> >> could potentially result in the loss of joint

> range of motion, muscle

> >> strength, and bone density. The normal reaction

> when there is pain in a

> >> joint is to stop using the affected joint. The

> build up of fluid inside a

> >> joint can also decrease movement. Inflamed joints

> are generally more

> >> comfortable in a slightly bent position because

> of a decrease in pressure.

> >> As a result of not using the affected joint, the

> joint space may tighten and

> >> permanent joint contrcacture could possibly

> occur. Furthermore, without use

> >> the tendons and muscles surrounding the joint

> could possibly shorten.

> >>

> >> Exercise can increase joint range of motion,

> strength, endurance,

> >> coordination, as well as improve joint stability.

> There are exercises that

> >> target one specific joint and exercises that

> could help with overall

> >> cardiovascular fitness and endurance. In

> rheumatoid arthritis and

> >> osteoarthritis, aerobic and resistive exercises

> can decrease disability by

> >> improving function while decreasing pain.

> >>

> >> These types of exercises can be classified into

> three groups: range of

> >> motion or stretching, strengthening (resistive

> exercises), and aerobic

> >> (endurance). In general, an exercise program

> progresses through different

> >> levels. With passive exercises, the joint is

> moved without the patient

> >> exerting any effort. With active exercise, the

> patient is assisted in

> >> exerting some muscle contraction in attempting

> joint movement to achieve the

> >> desired range. In resistive exercises, which are

> known as strengthening

> >> exercises, a force is applied in opposition to

> the attempted movement.

> >>

> >> Inflamed joints should be exercised frequently.

> Usually, passive exercise is

> >> suggested with range of motion exercises to allow

> for bending and extending.

> >> Stretching may be more effective after the

> application of heat to the area.

> >> As with all exercise programs, it is advised that

> a physician be consulted

> >> to make sure the exercise is appropriate for the

> condition.

> >>

> >> Compliance in an exercise program is improved by

> having an individual join a

> >> group. This produces a structured exercise

> program. Another suggestion to

> >> increase compliance is to have the patient keep

> an exercise diary, which

> >> should be reviewed at each visit.

> >>

> >> The physician and health care professional should

> also provide positive

> >> feedback and frequent encouragement. Usually

> exercises with a high level of

> >> impact, such as tennis and racquetball, are

> avoided because of the stress

> >> that is placed on the joints and ligaments.

> >>

> >>

> >

> >

> >

>

__________________________________________________________

> > Win a First Class Trip to Hawaii to Vacation Elvis

> Style!

> >

>

http://r.lycos.com/r/sagel_mail/http://www.elvis.lycos.com/sweepstakes

> >

> >

> >

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I use my hot tub in the winter. ItĀ¹s no where near as good as the pool, but

it is still fantastic.

The warm water is very soothing and I can do stretching and range of motion

exercises.

I also use my bed as a big exercise mat. ItĀ¹s a king size and there is

plenty of room and itĀ¹s well cushioned. I just do stretching, situps,

isometrics, and yoga (very limited, but some things I can do). I also do

chair exercises, sort of like chair dancing to music. Right now IĀ¹m

concentrating on trying to unbend a bent elbow. ItĀ¹s not fun.

You definitely have to start out easy and build up. You can do damage by

overdoing it. I learned from going to physical therapy. Ask your doctor

what he thinks.

a

> a - I used to laugh when my dr told me to exercise

> and say sure - when I feel better. It is such a

> viscous circle. So, I guess you bite the bullet and

> start out with a really reduced workout and stretches

> to get you going and build up from there. What do you

> do for exercise during the winter months? Any

> suggestions? I purchased this ad-doer and it works

> either as a stretcher or as a aerobic workout. You

> sit in the chair and put your arms on the side bars

> and twist. It massages your back and really makes a

> difference for range of motiion. Iris

>

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Funny this shoud come up now. I remember when my Lupus was in full

swing, I about fell down the steps where I lived. I blamed it on

clumsiness, The next day the same thing happened, I realised my legs

just weren't working properly. I got really upset and walked to my

(then) in-laws. It was probably 5 or 6 miles, My legs worked fine

after that. When I told my doctor what I did he went Ballistic!!! He

said " You have arthritis in both Knees don't ever do that again!!!!

Oh well just one more time I went against my doctors advice. Of

course I'm speaking of 28 years ago I don't advicate anyone going

against there doctors instructions. I was young and headstrong, It

worked for me then and may just have been one of those things.

Huggs

Lena

> Exercise and Arthritis

>

> The importance of exercise in the management of rheumatic diseases

is often

> not taken as seriously as it should be. Inflammation in muscles and

joints

> could potentially result in the loss of joint range of motion,

muscle

> strength, and bone density. The normal reaction when there is pain

in a

> joint is to stop using the affected joint. The build up of fluid

inside a

> joint can also decrease movement. Inflamed joints are generally more

> comfortable in a slightly bent position because of a decrease in

pressure.

> As a result of not using the affected joint, the joint space may

tighten and

> permanent joint contrcacture could possibly occur. Furthermore,

without use

> the tendons and muscles surrounding the joint could possibly

shorten.

>

> Exercise can increase joint range of motion, strength, endurance,

> coordination, as well as improve joint stability. There are

exercises that

> target one specific joint and exercises that could help with overall

> cardiovascular fitness and endurance. In rheumatoid arthritis and

> osteoarthritis, aerobic and resistive exercises can decrease

disability by

> improving function while decreasing pain.

>

> These types of exercises can be classified into three groups: range

of

> motion or stretching, strengthening (resistive exercises), and

aerobic

> (endurance). In general, an exercise program progresses through

different

> levels. With passive exercises, the joint is moved without the

patient

> exerting any effort. With active exercise, the patient is assisted

in

> exerting some muscle contraction in attempting joint movement to

achieve the

> desired range. In resistive exercises, which are known as

strengthening

> exercises, a force is applied in opposition to the attempted

movement.

>

> Inflamed joints should be exercised frequently. Usually, passive

exercise is

> suggested with range of motion exercises to allow for bending and

extending.

> Stretching may be more effective after the application of heat to

the area.

> As with all exercise programs, it is advised that a physician be

consulted

> to make sure the exercise is appropriate for the condition.

>

> Compliance in an exercise program is improved by having an

individual join a

> group. This produces a structured exercise program. Another

suggestion to

> increase compliance is to have the patient keep an exercise diary,

which

> should be reviewed at each visit.

>

> The physician and health care professional should also provide

positive

> feedback and frequent encouragement. Usually exercises with a high

level of

> impact, such as tennis and racquetball, are avoided because of the

stress

> that is placed on the joints and ligaments.

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Iris and a,

I am also a believer. I try to do range of motion exercises, light

wieght lifting, and power walking at least 5 times a week. I notice

that when my exercise is cut short by a flare or if I am just being

lazy, my joints start to ache more.

I also get a gel effect in my joints if I don't move enough and they

hurt and feel sluggish. Probably an increase in inflammation and a

hardening of the synovial fluid.

I think the important thing is that every bit helps. You don't need

to train like a professional athlete to reap the benefits of

exercising.

Al in IL

> > >Exercise and Arthritis

> > >

> > >The importance of exercise in the management of

> > rheumatic diseases is often

> > >not taken as seriously as it should be.

> > Inflammation in muscles and joints

> > >could potentially result in the loss of joint range

> > of motion, muscle

>

> __________________________________________________

>

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Dear a - Over the years I have taken numerous

dance and exercise classes but when my knee pain

began, I couldn't dance anymore. I made up my

exercises for the pool by targeting different muscles

and it gives me a well rounded workout. I sit in a

swivel chair at work and take 5 min stretch breaks by

holding myself looking forward and twisting the seat.

It really loosens up my back. So for anyone who

thinks that they can't exercise, you don't have to be

in a 45 minute aerobic class, you can start with

stretches as I am sure you learned in physical

therapy. I got a prescription from my dr for a hot

tub so I can take it off my taxes. Insurance won't

pay for it but they may pay for a water aerobics class

with a letter from a dr. Wish I could get the hot tub

right now but it is impossible with my husband and I

being unemployed at the same time. Iris

--- a <paula54@...> wrote:

> I use my hot tub in the winter. It1s no where near

> as good as the pool, but

> it is still fantastic.

> The warm water is very soothing and I can do

> stretching and range of motion

> exercises.

> I also use my bed as a big exercise mat. It1s a

> king size and there is

> plenty of room and it1s well cushioned. I just do

> stretching, situps,

> isometrics, and yoga (very limited, but some things

> I can do). I also do

> chair exercises, sort of like chair dancing to

> music. Right now I1m

> concentrating on trying to unbend a bent elbow.

> It1s not fun.

> You definitely have to start out easy and build up.

> You can do damage by

> overdoing it. I learned from going to physical

> therapy. Ask your doctor

> what he thinks.

> a

>

>

__________________________________________________

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Iris,

It sounds like you have a good routine going Iris. I wish it still included

dancing, but water dancing is fun too. The best part is the soft landing

if you happen to fall. Most people donĀ¹t realize that by strengthening

their muscles, they are taking the pressure off the joints. I feel so much

better after a good swim. I wish there was a land exercise I could do that

was as effective as swimming.

Do you have a gym or a YMCA near you with a pool? Maybe for the winter,

something like that would help.

a

> Dear a - Over the years I have taken numerous

> dance and exercise classes but when my knee pain

> began, I couldn't dance anymore. I made up my

> exercises for the pool by targeting different muscles

> and it gives me a well rounded workout. I sit in a

> swivel chair at work and take 5 min stretch breaks by

> holding myself looking forward and twisting the seat.

> It really loosens up my back. So for anyone who

> thinks that they can't exercise, you don't have to be

> in a 45 minute aerobic class, you can start with

> stretches as I am sure you learned in physical

> therapy. I got a prescription from my dr for a hot

> tub so I can take it off my taxes. Insurance won't

> pay for it but they may pay for a water aerobics class

> with a letter from a dr. Wish I could get the hot tub

> right now but it is impossible with my husband and I

> being unemployed at the same time. Iris

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