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Dealing with Arthritis


Arthritis Prehabilitation
The best way to deal with arthritis is not to get it in the first place. Osteoarthritis (OA) is not really a disease, it's much more of a condition. And in many cases, OA is a lifestyle-related condition. It is associated both with a long-term lack of activity and with being overweight.

In the sense of "use it or lose it", people who spend most of their day sitting at a desk and/or working on a computer are at risk for developing OA of the neck, lower back, hips, and knees. These same people are at even increased risk if they're overweight.

Supple joints that go through an entire range of motion are doing what they're designed to do. Given the structure of modern life, we need to intentionally work our bodies to keep them healthy and well. This means regular exercise and it means eating smart to maintain our weight at a healthy level.

What kind of exercise? Do what you like, do what you're interested in doing. Just be consistent and exercise three, four, or five days every week. And, every so often, vary what you're doing. Your body will let you know when it's getting bored.
We've all seen the TV ads ─ nice-looking woman in her fifties, sitting on a nice sofa in a nice living room, rubbing her hands, in obvious pain. Of course, she's not Lady Macbeth, trying to rub off the imagined blood of her murdered husband. She's a woman with arthritis.

According to the Center for Disease Control, arthritis is the leading cause of disability in the United States.1  Approximately 47 million people have doctor-diagnosed arthritis and 17 million have arthritis-attributable activity limitations.

Osteoarthritis, the most common form, is a degenerative condition affecting the joints and the soft tissues around the joints ─ the associated cartilage, ligaments, and tendons. The most commonly affected areas are the spine, the hands, and the shoulders, hips, and knees. The pain of arthritis, the reduced mobility, and the lifestyle accommodations needed for pain avoidance are discouraging and may even lead to depression.

Many anti-inflammatory drugs are available for the treatment of arthritis, and in recent years many of these have been found to cause severe side effects. Vioxx is the most notorious of these ─ cardiovascular complications caused a worldwide recall of the drug. Celebrex, another well-known arthritis medication, was also found to increase the risk of heart attack and stroke at high doses.

The very good news is there are several wellness-based treatment alternatives to long-term medication. These include exercise, diet, and in many cases, chiropractic treatment.

Exercise is critical in restoring mobility and, over time, in reducing pain.2,3  Persons with osteoarthritis often experience a vicious cycle of deteriorating symptoms. Pain causes reduced mobility (pain avoidance), which (paradoxically) actually causes more pain, which causes further reductions of mobility . . . . Activities of daily living ─ getting out of a chair, opening a jar, bending and lifting ─ become a real challenge as the person struggles to avoid further pain.

So, restoring mobility is key. Exercise ─ very gently at first ─ is the answer. Range-of-motion activities to get the joints moving again are very beneficial, including
•    Arm circles
•    Wrist circles
•    Shoulder shrugs
•    Side-to-side bending for the lower back
•    Gentle knee bends
•    Ankle circles
•    Flexing and pointing the feet

Walking is a perfect exercise for treatment of arthritis. Begin by walking one block, then two, then around the block. Walk five minutes daily for a week, then increase by a minute or two each day. Get up to 15 minutes of gentle walking, then begin to gradually increase your pace. The increased mobility will not only reduce pain, but also provide a cardiovascular benefit and improve one's ability to perform activities of daily living.

Chiropractic treatment, in combination with an exercise program, may assist in restoring joint mobility and reducing pain. Gentle chiropractic manipulative therapy is designed to improve mobility of spinal joints. As spinal joint motion improves, pain lessens, and a positive cycle of return-to-function begins.

1"Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation." CDC Morbidity and Mortality Weekly Report  55(40);1089-1092, 2006.
2Huang MH, et al: A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Semin Arthritis Rheum 32(6):398-406, 2003.
3Suomi R, Collier, D: Effects of arthritis exercise programs on functional fitness and perceived activities of daily living measures in older adults with arthritis. Arch Phys Med Rehabil 84(11):1589-94, 2003.

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Testimonial

I was referred to Heartwood Holistic by some friends. Their exact words were, "Dr. Drew is amazing! And Debbie at the front desk is wonderful!" They were right! At most doctor's offices you go in for the initial visit and fill out pages of paper work only to be asked those questions again once you get seen by the physician. Not so here. Dr. Drew zeroed in on what was ailing me and presented a plan of action by the end of my first visit. I've been a regular and don't plan on changing up anytime soon. I look forward to my visits there 1.) for the relief 2.) the staff. Everyone is so friendly and they actually care about your wellness. Alexis is a special treat! She is very committed to her craft and just a wonderful person. Ask her for the Moxa and just relax on her amethyst heating pad. Dreamy!! You can't go wrong here. Looking forward to my Rolfing session with Aaron. Thank you, HHH family!

Ashley D,  August 2017


I am so thrilled to have come across this little gem of a place! I had the pleasure of meeting this beautiful couple this past week and was able to get in to the clinic for a chiropractic adjustment. I currently live about an hour away from the wellness center, but I'll be making the drive just to see them for my health needs. Dr. Drew was so attentive and thorough. He really listened to me and we discussed what I was accustomed to as far as treatment goes. He takes careful time with each client and truly cares about your health. After 15 years of visiting many different chiropractic doctors, I can quickly get a read on the type of care I'll receive. I immediately felt at ease and confident with him. I was able to chat with his lovely wife, Alexis, as well and am anxious to set up an appointment with her. This is no ordinary wellness center. They offer so many options for treating a vast amount of health challenges. They see and treat the body as a whole, which is the only way to find true health.

Kari P, February 2017

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