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Conditions > Osteoarthritis > All About Osteoarthritis > Managing Osteoarthritis Symptoms
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Managing Osteoarthritis Symptoms

Tactics for keeping OA pain, stiffness and swelling in check, and restoring mobility.

By Susan Bernstein

Osteoarthritis, or OA, is a common disease affecting as many as 33 million Americans, causing pain, stiffness and swelling in joints. OA reduces your joints’ mobility, interfering with your ability to work and live your life normally.

There is no cure for OA at this time. It will progress and damage your joints further unless you intervene now. Luckily, there are many ways to manage OA symptoms.

Long-Term Management

As a person with osteoarthritis, you’ll need to take a long-term view of your health. OA can’t be bested in one day or with a single pill. You’ll have to take a comprehensive approach to your health.

You have a team to help you, including your arthritis doctor and other health-care professionals, your family and friends, and your local Arthritis Foundation office. But you are the manager of that team. You must make a commitment to making healthy changes and choices and sticking with the OA management plan that you and your doctor will devise.

Top Tactics for Tackling OA

Your plan for taking on OA should include:

  • Managing OA symptoms, like pain, stiffness and swelling
  • Improving joint mobility and flexibility
  • Keeping your weight in check
  • Maintaining better fitness through physical activity

That sounds like a big project, but start by slowly making changes to your current routine, not trying everything all at once. Here are tips for managing your OA, and resources to help you.

Stretch Yourself. Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Morning is a great time to stretch to get joints ready for the day’s tasks. The Arthritis Foundation offers stretching routines, including yoga- and tai chi-based moves, approved for people with OA on DVD or in live classes in your area. First, speak to your doctor to gauge your level of fitness and any special considerations.

Get Moving. Physical activity is a proven way to manage OA symptoms. Before you groan about hating exercise, just pledge to progress from dedicated couch-sitter to regular mover. Simple activities like walking around the neighborhood or taking a fun, easy land or water exercise class approved for people with OA can reduce pain and extra weight, which only worsens OA.

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Frank Madden
08 Mar 2012, 13:51
I have been suffering with knee pain for a while(5yrs) my Dr. recommended a couple of items that I buy from a website. Curcugel /tumeric, CMO cream and nordic natural omega 3 and wild blueberry supplemeent. www.activebodyactivemind.com

Ramzanali
11 Feb 2012, 08:42
Iam Suffering Knee pain in Right leg from last one year and now it is become worst Carnot walk easy get tired cannot clime stair case up to 2nd floor I had taken lot of medicine of pain killer and Cortisone and other expensive Injection but dosent solve my pain
Now I am Taking Ibandronic Acid once a month with Glosomine with MSM and Calcium with Vitamin 600 D once a day and after fifteen days I don't find in change. My Physician advised me to take for five months . Now pls advice me what to do.
Sylvia Elbaz
21 Jan 2012, 18:43
Didn't anybody read what I wrote on May 12, 2011? Since then, except for 2 or 3 people that mentioned herbs and/or supplements, it's meds, meds, meds over and over again. Why can't you open your life to homeopathic remedies? I mentioned Zeel last year. There's also Traumeel, an anti-inflammatory. There are many other helpful remedies for arthritis. Yes, avoiding nightshades is very helpful for certain types of arthritis, but the thing to avoid above all is sugar. It's the most inflammatory thing. (Note that I won't even call it a food). Dairy is another product to avoid, unless it's fermented like yogurt or kefir. If I eat cheese it becomes difficult to turn my head around to look when I'm backing up the car. And you must have essential fatty acids every day. Examples: cod liver oil, flax seed, tuna omega oil, evening primrose oil, black currant seed oil. Mix and match.lazinm
Jean Hickman
21 Jan 2012, 09:01
To all:
My Mom had RA when I was young and I felt her pain emotionally. When I turned 40 I started to feel her pain physically, my hands, shoulders and neck have been effected. I decided to become an exercise instructor before it was too late and would have to be on medication, which I did not want to do. I now instruct arthritis classes and various other classes, including tai chi and ai chi in the water and it has changed my life. Couple this with good eating habits to keep your weight down can really ease the pain. Write a pain diary and also a food diary (every pound of weight is equal to four pounds of pressure on your joints.)Join your Local YMCA and they can help!
Sincerely Jean Hickman
APRIL ANDERSON-FUENTES
20 Jan 2012, 22:42
I'VE WAS DIAGNOSED WITH OSTEOARTHRTIS BACK IN THE MID 90'S. I'VE GONE FROM DOC TO DOC AND PHYSICAL THERAPY, XRAYS.SHIFTED TO "CHRONIC PAIN MANAGEMENT" AND OTHER DEPTS IN HOSPITAL VISITS. I AM UNABLE TO STRETCH AND DO YOGA. MY MOBILITY IS BEYOND STANDING TOO LONG, WALKS MINIMAL, BENT OVER. I HAVE ALL OVER OSTEOARTHRITIS,WHICH CONSTRICTS EVERY MOVE I MAKE. I'M IN PAIN ALL THE TIME. PAIN KILLERS HAVE TOO MAY SIDE EFFECTS (HAIR LOSS, LIVER PROBLEMS, ETC.) WON'T. USE NSAIDS ANYMORE. DON'T HELP. ONE DOC SAID HIP REPLACEMENT BUT NOT ALL GOOD. RECALLS ON SOME. WHAT OTHER PAIN RELIEF FOR THOSE OF US THAT HAVE MOBILITY PROBLEMS SUCH AS WALKING TO A CERTAIN POINT, STANDING TOO LONG IN SAME POSITION, ETC. SUFFERERS LIKE ME. WHAT DO WE DO?
Margaret
19 Jan 2012, 20:52
I am surprised there are no comments about the link between osteoarthritis and foods in the nightshade family: eggplant, tomato, potato, bell peppers, chili peppers. I have osteoarthritis in both knees and when I was in my fifties, the physiotherapist told me I had reached a plateau and would not improve. I was taking aspirin and walking downstairs one step at a time. Then at age 54 my chiropractor suggested my pain was from inflammation and to stop eating those foods. I stopped immediately and the pain disappeared. I am 63 now and don't take any painkillers and on occasion when the gang at work goes out to lunch, I can run downstairs with the thirty year olds. Black pepper and sweet potatoes are not in the family. Rice is a great substitute for potatoes when dining out. My brother cut out the nightshade too. He also thinks gluten affects his knees (osteoarthritis and a football injury). Everyone is different but it is worth experimenting.
Larry
19 Jan 2012, 12:44
Sorry, those comments were for Anita, not Jan...
Larry
19 Jan 2012, 12:39
Jan...
Try going to an Orthopedic Doctor if you are not already. I started going in 2007: Fall 2007 I had a total knee replacement... my Orthopedic Surgeon did a fantastic job. Fall 2008 total knee replacement for the other knee... again fantastic results. Both knees were torn up from the OA.
I have had back problems due to the OA for years. I had a disk go bad, spinal stenosis and spondylothisis... surgery for all that in April 2010, by another surgeon but in the same Orthopedic Practice... again, excellant results. Don't 'put up with' the pain... sounds more like you need to look at perhaps a new physician?!
cyndi a.
12 Jan 2012, 21:57
dont let it beat you.go to the ymca.if you dont have alot of cash on hand you can go practically free.sit in the hot box...wonderfull! take any of yoga, thi chi,water classes.do your streching...stay in the light ,and cherish the days you feel good!
Gail
28 Dec 2011, 15:03
I have OA. I have been in such shape as a lot of you. I don't know what medication you are on, but I do know I had a very bad reaction to Fosamax and also, Lipitor. I felt like the Fosamax was shrinking my right hip bone. I could hardly get out of bed on my own, but had to, because I am alone. I recently tried Actonel with a new doctor for about 5 months and started to feel it doing the same thing to me. I told him I could not take it and will just have to take my chances with my bones. Since I've been off it for a few months I feel so much better. Still have stiffness if I lie on my back on the sofa and fall asleep, but it goes away in a few minutes or with a Tylenol. Only have the stiffness when I first arise from lying on my back. Anyway check your medications, because some things go against you.
happylady
27 Nov 2011, 15:03
I would love to commenton the ldy who says other think disablity is for lazy people who don't want to work.They must be in good helath all around.Nonthing makes me madder than for other people to judge me by mylooks on the outside not want I am feeling & going through on the inside.I have abrother who has been healthly all his life he hasn't had to endure the pain we have I have had my share of operations in my 54 years of life belive me they weren't because i am to lazy to work.'d love togo back to work but after 10 back surgies in oneyear, on top of that aglabladder that got screwed up by dr who cut into my bile duct.I just can't wait to the day they come in pain say they hurt to bad they can't work,then we can sit back and laugh at them now you knowwhat we went through all our lives.I have chronic pain& plus that fibromgy<misspelled top that 3 disk that deterated in my spine dueto the fact I was born 6 weeks ealry have had all kinds of pain through out my life I know whe n it is goign to rian 3 days before & snow too I feel for all of you who have this illness.I lay awake for three days at time in pain in fact i have been up since thanksgiving day with about 4 hrs sleep .thank you you are all in my prayers, Happylady
Anita
06 Nov 2011, 15:33
I was told 20 yrs ago by chiropractor that I have degenerative arthritis in my lower back. I have been fighting with doctors ever since because even after seeing x-ray showing 2 disks going they say 'no you don't have it'. I've even gone thru the whole RA panel of tests. According to doctor I have Osteoarthritis not RA. All she wants to do is aquatic physical therapy & nothing but tylenol once a day for my constant pain. I've been told by many people including state employees that I should apply for disability. Don't think I will get any help with that from doctor because she says disability is for people who don't want to work and just use pain as an excuse not to. Getting to the point where a trip to the grocery store has my legs going numb and cant hardly move after. Any ideas where to go to next?
jan
03 Nov 2011, 00:16
I have suffered from oa. the last 4yrs. Iget very depressed about not being able to do the things i love to do. I love to sketch,paint,and do crafts. Now my swollen ,stiff fingers wont bend. I have been seeing a arthritis specialist for 3yrs. The med.i am taking is difflusanal. It helps,but the pain,stiffness is still there.I get really pissed when i try to explain my condition,only to hear,[ you mean it's JUST arthritis?] Does anyone else get depressed?
Paula Kiely
25 Oct 2011, 11:45
To Ismael Pacheco:

Buy some Tumeric capsules, not the herb itself but the capsules. Tumeric is an amazing herb that relieves inflammation and pain. Please check with your doctor first before trying this .

If you go online and research Tumeric, you will find that this herb is used widely in India and has amazing properties to help relieve chronic pain.

You can either take the capsules orally or you can sprinkle the Tumeric powder in your drinks or on your food. Trust me, you will feel relief. Good luck my friend !!
Paula Kiely
25 Oct 2011, 11:39
I have osteoarthritis of the right knee and it also has been found that I have some diseased veins in my right leg also. This was found through ultrasound. The pain in my shin area and behind my knee and on the left side of my knee is very uncomfortable. There is a clicking sound when I move my right knee area which indicates osteoarthritis is present.

I went to see a vascular surgeon who ordered me to wear a compression stocking (all the way up to my right thigh) for 6 months. After that time has passed, he will then do vein closure. This procedure is painless and will close off the painful veins in my leg and reroute blood to the healthy veins and improve circulation immensely. I cannot wait for this to happen.

As for the osteoarthritis in my right knee, my sports medicine doctor told me this: for every pound of weight that I lose, it takes 4 POUNDS off the knees. He told me to sit in a rocking chair with my legs stretched half way out in front of me and rock gently enough to make your knees move to "grease the joints". Walking at a moderate to slow pace is good too. If you can sit on the edge of your bed and lift one leg off the floor alternatively left and right, this is good too. I learned all this from physical therapy and it works.

The whole idea is to not sit or lay down in the same position for a long time, move around, keep the joints oiled for easier movement.

Right now, my right shin is in pain, dry heat from a heating pad does wonders for this. I was also advised to take Tumeric, an herb that you can take in capsules. Consult with your doctor first about this herb, but is EXCELLENT for alleviating inflammation of the whole body, stay away from salt, bad news. I wish wellness to all !!
Saada
08 Sep 2011, 20:28
I'm 30 years old and have had severe RA and OA since I was 2 years old. Back then it was JRA but it developed. My doctor tells me that it's my saying when to have knee replacement surgery, I'm in real pain and I have a 5 year old and I am a teacher so standing on my feet and knees for about 6- 8 hours daily! What do you recommend, would having the replacement surgery help lead a better life with less pain?
Martha
23 Aug 2011, 09:46
Recently I was diagnosed with OA of the pelvic. I have taken numerous steroid injections and PT. I have over the years graduated from moltrin to morphine and oxcycodone. I keep researching and hoping that a new drug, hopefully one that is not narcotic can ease the pain will come out or at least some study groups for new drugs. My quality of life has diminished greatly but I still keep hoping. I refuse to give in to my pain and let it control me.
Cathy
05 Jul 2011, 13:12
Dear Stacey, I feel for you !! I am on Wafarin for blood clots and an embolism and also can't take Aleve and Advil! I would love to be taking 800 mg Advil! They try me on Celebrex but it doesn't help. I put on weight after the massive PE. Clots have disolved, but arthritis continues to become more disabling. This is taking a toll on me and my young family as they just do not get this. It is a lonely place to be!
Chris
25 Jun 2011, 10:22
For the last six months, my fingers have swollen and I can only bend them half way, especially first thing in the morning. I take 240 mg. of Motrin a day, but only a few hours improvement at a time. Do the symptoms sometimes fade for a while as quickly as they came depending on weather, etc., or is this a permanent condition? I have Dupuytrens as well where my hand and foot tendons are thickening and shortening which will later provide me more problems. Anyone out there who can help me know more about what to expect? Went to see an orthopod, but he wasn't much help for letting me know what I might expect. Looking for some support out there, and hope I can do the same for others!
Kathryn Costa
19 Jun 2011, 19:40
I ACHE ALL OVER FROM OSTEOARTHRITIS
Jay
22 May 2011, 21:42
I am a 49 yr old retired on disability with OA since 03. I have OA all over neck, lower back, shoulders, hips, knees, hands. All I can say is take your meds and exercise. It gets very painful at times, but I make the best of my good days. Will be having knee replacement soon Doctors told me back in 03 I had 80yr old knees. God Bless you all
Faye Popper
15 May 2011, 19:41
I am getting a lot of relief from MSM. I have taken it off and on for years mixed with glucosamine and chondroitin. I was not taking enough. I take 6000 mg per day now. I still take a baby aspirin too. Occasionally if I overdo, I take one aspirin.

I discovered this when I read that a new study from Harvard showed an increase in blood pressure from tylenol which I was taking. The report I read suggested up to 4000 mg for pain instead.
I took four pills thinking they were 1000 mg each. They were actually 1500 mg. Anyway my sciatic and knee pain was better the next day. I suggest you try 1000 twice a day and add as needed.
Audrey
13 May 2011, 18:26
Yes I have had OA in most of joint for as long as Ican remember. Had shots , pill's etc. for years so I FINALLY WENT TO AN aTHRITIS DR. & FOUND OUT THAT THEY COULD NOT DO MUCH MORE THAN FAMILY Dr.. I have always exceised to help. So I guess all people with Arthritis have same problem.
Charles
12 May 2011, 21:05
I was in a fatal motorcycle accident which I some how survived and I have so many broken and twisted bones and joints, that I have to use time released morphine,and have used Glucosamine for years. These and daily exersize are what get me through. There is no fix, but there is Overcoming the pain and the muscles and joints that don't work. You have to get a doctor you trust, and there are drugs that let you function. Some people let pain rule them, and there are those who keep moving in pain, I prefer to be one of the later,and push until you really can't go any farther.You will be amazed at how far you end up going.
Sylvia Elbaz
12 May 2011, 18:37
Osteoarthritis is not a disease, it is a condition. There are many herbs, homeopathic remedies and dietary choices that can help this condition improve. We need to utilize the services of acupuncturists, nutritionists, naturopaths and other alternative practitioners and respect them at least as much as the medical profession. I'm almost an octogenarian, had to have knee replacements recently thanks to many injuries, but never had to take any meds because there were plenty of alternative supplements out there from which to choose. One example: in Germany they compared Celebrex with a homeopathic remedy - Zeel. They got better results with the Zeel and no side effects.
Susan
12 May 2011, 16:00
I'm 7 mos. out from my right knee replacement. I also have RA. I am in lots of pain & the night pain is most difficult. What I've learned is that the monster in me OA& RA)is not in control, I am in control of it. When I'm @ the gym, I'm an athlete; @ the doctor offices, I'm a patient. I feel it's how we look @ everything in life. If we allow, anything can be overwhelming.

Good luck everyone, we're in this together!
Lorna Harris
12 May 2011, 15:09
I have had OA since grade school, and the doctors could not tell me why I had pain. In 06 I had a total RT. knee replacement, and I may have to have the left one done. Now, I am getting the pounds off. I also have OA in my feet and plantar fasciitis in my left foot. Doing exercises, and staying active helps with the pain. You can never let it take over your life. I let it take over my life before the knee surgery, and on my left foot. No matter how long it takes do finish on task it does not matter. What matters is that you finished the task yourself. I learned that the hard way.
I was forced into retirement in 09 after my foot surgery. It was retire or be fired and lose my benefits. All of you keep up the good work, live your lifes, and do not give into it.
Joe
12 May 2011, 14:10
First off, there is no recovery. That's the bad news. The good news is that no matter how bad it gets you can manage it. Live day by day, sometimes hour by hour. Take your meds and excercise as much as possible. I have severe spinal OA, DJD, all kinds of stenosis, more than 13 herniated discs, a right hip replacement going on 5 years, severe polyneuropathy, on and on. I have had OA since I was born basically, I'm one of the lucky people who has a genetic foundation to my disease. Unfortunately doctors didn't believe I could have OA as severe as it was until a full spine MRI about 6 years ago. Now I get full treatment as needed, better late than never. I'm retired on disability at 52. Good luck to you all!
Victoria Mathis
12 May 2011, 13:24
T.T
Downsides? Your not going to be dancing or running for a while. Your going to want help getting groceries. If it's the gas pushing leg your going to want to wait a while before driving. It hurts a lot if you hit it on furniture.
Take those pain pills as percribled.
Do the exercise because it's the key to recovery.
Listen to your body, don't over do it. however, get up and move everyday. The more you increase that flexibilty the better and faster you will recover. Not everyone recover's at the same speed. I wasn't fast but I recovered very well. I would say at 10 months I was fully recovered.That's when I walked up and down hill all day long at a craft fair. Don't worry about how long it takes just make sure you get there.
JIm Barber
12 May 2011, 11:38
I am a 65 year old male retired on disability with OA. I was diagnosed with it in 1994 and had the right hip replaced in 2002. Titanium was used for the replacement hip.

My hip operation and recovery went very well. Here is why.

I was in good shape and not over weight. I followed the guidelines faithfully and exercised as much as possible as prescribed without putting undo stress on the new hip.

It took a while and at times it seemed like no progress was being made. I was patient and eventually it paid off. When I went to see my surgeon for the final visit I showed up on one crutch. He was rather upset as I was supposed to have been on two crutches at the time. I did not bother to tell him that I had been walking a mile a day using only a cane to lighten the load on the new hip.

After full recovery I was able to continue my active sailing lifestyle until just recently. I have just finished 8 years of voyaging in Mexico. The OA in my lower back has made it difficult for me to continue. It is okay, it was a great life and I have taken up computer science to keep me busy in my old age.

I hope this helps anyone who is considering hip surgery at this time or in the future. You are the one that has to do it, no one can do it for you, they can only help you reach your goal.

JB
gen
12 May 2011, 11:27
I have OA and a stinging pain on my left backside. I'm trying Vit.B12 it's seems to be helping. When I get this I take 2 Tramadol tablets. It HELPs for a couple days. any more help? THANKS
Henry A Thinnes
12 May 2011, 11:12
I just started having problems with my upper body. I have stiffness accompanied with some pain. It gets less as the time passes.
Krista
12 May 2011, 10:30
I have had systemic Juvenile arthritis since I was 3. I have had it 36 years. I also have OA and RA. I have been on all the top of the line meds all my life..I take many meds to control my arthritis. I have had 14 orthopedic surgeries..both hips and knees and one elbow replaced. All of them have been revised.. All have fractured. My disease is alot like lupus. Only 10% of the kids who get JRA get the systemic kind. When my disease flares, my sedrate can be off the charts-like it was 140 one time. I also get anemic and stop making blood. I am immune suppressed due to my meds. Just to name a few prednisone, Enbrel, etc etc. Its been a very difficult journey especialy these last 8mos as I have an infection in my r. knee and cannot bear weight. I have not walked since Dec. and will not have my knee replacement till Aug. My disease is unbelieveable. Many people do not suffer like i have. Keep the hope. GO to the best hospital and the best dr. My doc is in NY. I Live in CT. Do what you have to do. I go to the best Dr. Dr. NIckerson at Columbia Presbyterian in NYC. All my Drs are therre and they all talk to each other. Make sure ther is communication between your drs. If you are not on multiple meds, a joint replacement is a much easier process. I have had my diseasse since i Was 3 so it was all through my growth years. THis is a disadvantage to getting it later in life. Its never too late to get a joint replacement. For many people this surgery is a new lease on life. For me it was not.
michael ward
29 Apr 2011, 11:16
i suffer from oa on my spine and iam in constant pain with 2 different pain killers, plus now i have been told that 1 of my bones has completely been squashed .
TT
28 Mar 2011, 09:15
QA, What's the downside for a female at the age of 47yrs getting a knee & joint replacement surgery?
I have been suffering with arthritis since my first knee sugery at the age of 15yrs old..now 47 it's not getting better.I've tried exercise, supplements..injections according to the Bone Dexa scan I had in 2009 the arthritis has progressed as if i was a 80yr old women..
Stacey
21 Mar 2011, 16:40
I have OA in my hands, feet, & knees. I also have a history of blood clots so i take blood thinners and my Dr. keeps telling me there is nothing I can take to help with the pain. any suggestions?
Dorothy
14 Mar 2011, 14:53
FYI
Sally
07 Mar 2011, 12:24
I have OA in both hands in the thumbs. Other than wearing the "hand wraps" as I call them, and rubbing some think of arthritas cream on the areas that hurt, is there anything else I can do?
Thanks, Sally
ismael pacheco
26 Feb 2011, 17:46
Sorry,I have OA in two hands and I made all yow has mentioned for months and oders techniques.No way,I lost the time and still the same.Just I looking for is the solution for the pain-and belive me is is really pain-the swellin and flexibility.Is clear to me thers no cure.and no mgic pill,but must be a way to live with.
Thnks
Ismael

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