Osteoarthritis expert offers advice to enhance quality of life

Woodland Villa resident Wally Taillon and life enrichment aide Brenda McLaren are seen here in 2011 during a visit to the Cornwall Aquatic Centre. Residents are seeing benefits from the home’s aqua-therapy program. (OMNIway archives)
Physical activity, not medications, the key to controlling and preventing joint disease
Thursday, January 8, 2014 -- Deron Hamel
A leading researcher who has been studying osteoarthritis for 25 years says physical activity is the No. 1 thing people can do to prevent the degenerative joint disease as well as the best way to treat it.
In an interview with the OMNIway, Dr. Gillian Hawker, chief of medicine at Women’s College Hospital in Toronto, notes that people with osteoarthritis, which is common in long-term care home residents, are often prone to depression, anxiety and other mood and physical disorders.
In fact, about one quarter of people who have osteoarthritis have symptoms compatible with depression, Hawker says.
Given the negative impact osteoarthritis can have on elderly people, caregivers need to be aware that physical activity, not medications, is the key to improving quality of life for those with the disease.
“Research shows that the primary approach is not drug-related; it’s a self-management approach,” Hawker tells the OMNIway. “Physical activity, in particular, is extremely effective at improving function, reducing pain and improving mood.”
Hawker suggests that caregivers get people mobile to stave off or prevent osteoarthritis. Simple walking can be an excellent way to stay mobile — and that includes walking with a cane or walker.
For those who are immobile, Hawker suggests a warm pool of water.
“Warm pools are good because the heat is soothing and the buoyancy of water removes the stress of weight-bearing,” she says. “If someone has been really physically inactive for a long time, getting them into a pool is a great way to get them started in physical activity.”
Hawker says walking and pool therapy can show better results in relieving pain than medications, which can have negative side effects, especially in an older population.
“In fact, physical activity, put head to head with Tylenol and anti-inflammatory drugs, et cetera, does just as well if not better in clinical trials,” she says.
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