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Daily Living > Relationships > You and Your Doctor > Beyond Doctor’s Orders
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Beyond Doctor’s Orders

5 ways to enhance your chance of success with arthritis.

Succeeding with a chronic illness involves more than just following doctor’s orders. If you’re willing to work at it, these five habits will ensure you live successfully with arthritis:

1. Learn all you can.

Knowledge is power. Read everything you can, and locate trusted sources of news and information (online or offline); find out where exercise classes are being held in your community; and ask lots of questions – of your doctor, your physical therapist and other health-care providers.

2. Pay attention to your emotions.

Living with a chronic condition such as arthritis ups your chance of developing depression. Warning signs include constant tiredness, lack of appetite, trouble making decisions, disrupted sleep and feeling worthless. To head off depression, develop a network of family and friends who raise your spirits and can help you keep active.

3. Make your doctor your partner in care.

You’re more likely to find success if you and your physician make informed decisions together. Make sure your doctor spends time with you discussing treatment options and answering all your questions. Talk about ways to improve your functioning, such as losing weight, becoming more active or reducing stress. Don’t be embarrassed to talk to your physician about anything, including admitting when you haven’t followed her advice. Agree to disagree when the two of you have different opinions – and keep talking about it.

4. Take action.

It’s natural to be unsettled and upset after being diagnosed with arthritis or a related condition. But those who live successfully with chronic illness accept that their diagnosis is here to stay and they quickly start thinking about how to adapt their lives. Look at what you can do and what you may need to change (whether it’s activities, diet, exercise or stress level). Make a plan (with your doctor) and write it down. Talk to family and friends about the changes you’ll need to make. Letting others know about your plan can help you stick with it.

5. Invest in yourself.

You don’t have to give up the life you had before you were diagnosed, but you may have to put that plan you made into action. It’s not surprising to hear that the most successful patients are the ones who made changes, such as exercising more, losing weight and eating more nutritious meals. Recognize your responsibility – and ability – to take good care of yourself in order to live healthfully. Make sure your goals are realistic, even if they involve only small steps right now. Enlist family and friends to help you make healthy changes, and monitor your own behavior frequently.

Judy
20 Apr 2012, 10:03
I got RA at the young age of 22 ! I thought it was going to ruin my life. I knew what it was and how bad it can cripple me. I visited a lady, at a young age ,with my sister and her husband when got there she was all
Curled up, twisted up lying in a bed and could not move it scared me to death!!!!!!
Years later I woke one morning and my shoulders was hurting so bad and I could not lift myself up to get out of bed I felt like I had cement blocks were were lying on my shoulders. After struggling for a while I finally pulled myself up and out of the bed. Once I was up and moving around my shoulders got better but at night when I got still it started back. After a few days other joints started hurting I got to point at age 22 I acting like a old lady! My mother was watching she said Judy you need to go to a doctor because you are to young to be acting like that. So I made an appt to see a doctor. The Doc ask me to describe my symptoms I told him I hurt when I'm still but when I up and moving it got much better. The doc said you have just described RA the first thing in my head was that lil curled up lady I saw years ago!!!!! Back then there were no RA doctors I had to see a internest and he did know a lot about how to treat me so started me on gold shots. I know God flashed that lady to for a reason because man I took off running says I'm going to fight this and I'm still fighting!!
Thank goodness there was finally a RA doc in Greenville and he started me on meds I have taken every med and infusions that I'm on now!! My doc and I have been to gather for about 30 years now. I see him every 2 months. I take methotrexate and Rituxan now. I have done very well but I'm much older now and have had to fuse both wrist, both elbows, both knees and I'm still running from RA that picture of that lady is still in my head God showed me what it could do to you!!!! And I will never stop running till I'm in Heaven! You have to stay strong and positive ! I have been told by people that I have inspired them by never giving up! For a long time nobody new I had RA I covered up so well . I pray that what I have written will help someone! Be strong and don't give up! God never gives you more than you can handle!!!! And he gave it to you for a reason!!! Amen
Amy14
11 Apr 2012, 21:34
Thanks, Kathy and Rina for your comments, especially about using dietary changes and exercise to help control the RA. I got lots of relief almost immediately from eliminating dairy, gluten, sugar, alcohol and processed foods from my diet. Also, good quality supplements including EFA's and oils, glucosamine/chondroitin, and using detoxification techniques on a regular basis have helped a lot. After 21 years of having the disease, I am much less crippled up than I might be thanks to combining these more "natural" therapies with medication and good health care.
Kathy
29 Mar 2012, 11:19
I was diagnosed with RA about 5 years ago and was convinced there had to be more that I could do than just take the medications prescribed by my doctor. They didn't completely control my pain anyway. So I started a journey to learn more about this horrible disease. I thought at first my well water might be a contributin factor so I spoke with my Rheumatologist about it and he said he didn't think that was a factor but if I was concerned I could quit drinking the water from our well for 30 days and if I did not see significant improvement in 30 days then I would know that the well water was not a contributing factor. I tried that and saw no improvement, so I continued looking. In February 2012 I started a 30 elimination diet and dietary supplementation. Within that 30 days I found my pain and inflammation greatly reduced. The program is based on 5 principles: 1. Eating Clean (organic foods) 2. Elimination Allergenic or Addictive Foods (gluten, processed sugars, dairy, alcohol, caffeine, artifical colors, artificial flavors & sweeteners, saturated & trans fats)3.Increasing Nutrient Intake (more fruits, vegetables, & supplements)4. Balancing Blood Sugar (balanced diet with foods low on the glycemic index) 5. Supporting Elimination Organs (detoxification and supplements). I made sure I was using good supplements (not just the cheapest ones on the rack). I took a daily multivitamin, joint support formula, vegan Omega 3, CoQ10, and strong antioxidents)I also did a 7 day body detoxification. I kept a food journal so that I could track what I ate when and the effects it had on my pain. Within the 30 days I had significant improvement. I found some of my inflammation triggers to be processed sugars,carbs that were high on the glycemic index, and stress. I felt so much better that after the first 30 days I contined to do the plan. I hope this information is helpful.
Alma M.Cobacha
11 Mar 2012, 08:44
HI TO aLL!
I AM 35 YRS OF AGE AND I WAS DIAGNOSED WITH RA. TILL NOW I FEEL DEPRESSED AND I JUST WANT TO GIVE UP..BUT WHAT ABOUT MY TWO GIRLS THEY NEED ME,SO I WANT TO BE STRONG AND FIGHT FOR THIS RA.BUT FOR NOW I TAKE MEDICINES PRESCRIBED WITH MY DOCTOR,AND GO FOR DIET ,EAT HEALTHY FOOD LIKE VEGIE, FISH, AND FRUITS AND IT HELPS A LOT..AND PRAY TO HIM IS THE BEST REMEDY.
PS. I WANT TO HAVE MORE FRIENDS PLS WRITE ME OR EMAIL ME. THANKS
nicole
27 Nov 2011, 23:15
@wildcherry. Please don't give up! I am 21 years old and was dx over the summer. I don't really know what to say to encourage you, but I do know that taking it 1 day at a time helps me. When I wake up and realize that I'm not sore or feeling gross from my meds, its a good day. The good news for you is that YOU BEAT CANCER! That is encouragement enough to anyone who peruses this site regularly. The RA is a pain, but it can be managed. Keep your head up! You won the war, now all you have is a few side battles to fight.
Wildcherry
23 Nov 2011, 07:17
I am a breast cancer survivor. 1 and a half years now. Last year I had 33 hours of surgery, spread out over time, but all major surgery. I underwent chemotherapy as well. I have had fibromyalgia for 14 years, exec, asthma since birth. Diagnosed with RA (CCP positive) yesterday. I have unknown need for oxygen. I had two strokes in 2006 and they found a 1/2 inch hole in my heart that they closed. I am 46. Anyone have RA that effects your heart and/or lungs? They believe the RA was triggered from my cancer and being sick from chemo. Any suggestions on how to live with all of this? I feel numb and lost and usually am a strong warrior...however right now I feel like curling up and crying for the day. Where did my fight go...
Brenda Watson Noud
12 Nov 2011, 18:31
I have not been officially diagnosed with RA but all signs point to it. have had severe joint and tissue pain and swelling after eating certain foods such as anything containing nitrates,sulfides artificial coloring. I have gone to all natural food no artificial sweeteners and I'am keeping my fingers crossed.

BrendashiHis
Lei
28 Oct 2011, 09:09
Hello All!
I'm 34 years old and about 3 weeks ago, I woke up with unexplained, severe swelling and extreme pain in my finger and toe around the joints. I went in last week and the doctor did some labs. This morning they called me to tell me that my lab results were elevated for arthritis. I am waiting to see another doc next week to really get a handle on a diagnosis. My question is, what were some of the symptoms that any of you experienced with RA. I have read the articles, but wanted to hear from real women. I am preparing myself for the possiblity of RA.
Thank you for your time.
Rina
07 Sep 2011, 22:49
Hello,

I was diagnosed with RA August 2, 2011. I have done a lot of research and this is what I take daily to help with the symptoms of the RA.
1. Glucosamine 1500 mg / Chondroitin 1200 mg
2. Super B Complex
3. Vitamin E 400 I.U.
4. Iron 18 mg or higher
5. Vitamin D-3 1000 I.U.
6. Fish Oil 1000 mg

I have cut back on red meats, eatting more fish, fruits and veggies. Stay away from processed meats for it contains a lot of sodium. I find if I forget to take the vitamins and other items I have listed above I hurt more than if I take them. Try using ice packs or cool baths to relieve pain and swelling. Drink lots of water, especially your 8 to 10 8 oz that one should drink every day. Stay away from caffine (even sodas) Google what foods are best to eat when you suffer from RA. I know that RA hurts, I have had it for awhile but didn't know it.Here I thought it was just my job (working in the medical profession) and being on my feet for a 12 hour shift was the problem, never would of thought it was RA. But one needs to stay active. If modern medicine is helping but not enough try alternative medicine. You'd be surprised as to what is in natural items that can help with a lot of different things. The Good Lord gave us things right here on earth to help us we just need to look for it. ALSO: Stress plays a big factor, try to make your life morte stress free. Blessings be to all who have any arthritis or any other health problems, The Lord walks with you and will relieve your pain if you ask for his help.
God Bless
And to Lisa, You need someone to talk to write to me, I am a good listener and might just become a friend. Please don't give up, there are people who care out there, you just need to reach out.
Gloria
22 Aug 2011, 22:43
I have had fibromyalgia for 11years now and yesterday my doc told me he thinks I have RA. What am I going to do? I try not too conplain but sometime I hurt so badly I have to say something. My husband, daughter, and son sometime make fun of my. They call it picking I call it pain. I'm hurting all over and my family is laughing at me it's so hard. Sometime I try to laugh with them because I don't want them to no how much it hurts me. But sometimes I can't bring myself to laugh. Please help me how do I get through this?
Donna
08 Aug 2011, 15:36
For Janice

I am so sorry about your grand daughter, but want to offer her ( and you) some hope. Go to website karenhurd.com to read of her nutrition advice which has been successful ( semi-miraculous ) for several people I know personally. I also have RA and have been symptom free for 5 months while following this plan. Good for all "auto-immune" conditions and is so simple that you will wonder why everyone doesn't know about it yet. You may want to buy the book and have a phone consultation with her, but that would all be under
$ 100 and the rest you can do on your own. Just real foods, nothing special to buy. Good luck and God bless ! I will also be praying for your grand daughter to have great relief !
Carol
23 Jul 2011, 12:51
Hello guys,
I've been reading your stories and it really saddens me. I was diagnosed with RA in December of 2010. It's been rough but not impossible to deal with. In addition to prescription medications and pain pills I've tried things like; cinnamon and Manuka honey with has helped me a lot with pain and inflammation. Also I have altered my diet by eating more fruits and veggies which seems to have helped. I am definitely overweight and I am just starting to get serious about losing the weight because the extra pressure on my joints is definitely a bad thing.
My advice is to you all is to keep praying, and keep trying new things to help relieve the pain and inflammation. Good luck to you all and always remember you are not alone. Also remember; it does get better. I promise.
Janice
19 Jul 2011, 21:50
My granddaughter was 18 months when we were told she had JA. She is now 17 and was diagnosed with RA a couple of years ago. She has had shots, infusions, and I other medicines. I am really concerned about her. She had an infusion today and is having a reaction (flushing and increased heart rate). I am really concerned about her having to take so much medication but her and her mom just don't think she will be able to get around at all without the medication. If anyone knows of anything that might help my granddaughter, I am certainly ready to listen. Thank you.
liltledebi
29 May 2011, 04:34
@ Lisa, you need internet friends. Join an online support group so you have people to talk to. Get a Facebook account and add others with RA. Set up your Facebook to go to your phone. Then you will be getting peoples updates all day and can give your opinion, converse, and have a social life. Do updates often and be sure to take an interest in your new friends. Remembering a small detail like someone having cats ensures they feel noticed and will strengthen your bonds with them. Play a social online browser game. I played travian for a year and made online friends I still have three years later. Join meet-up.com to find local groups. I do boardgames and dinner groups. Invest in a good portable chair cushion to take with you. Take yoga. It's going to not always be pleasant and some days you just won't go, but the benefits are amazing. Also, water aerobics. Both are great for you and also help you to get out and stay social. Hope I helped, hang in there!

Debi
Donna
07 Apr 2011, 21:35
I have had back surgery 2002 .Today i was told that I had a lot of arthritis in my body. What I have read tonight really frightens me. I already have much pain at age 67 and I am not ready to be in bed everyday. I am reading about special diets, vitamins and things to do. I do take Omega 3 already. What else would help me. What meds. and over the counter products will help me with this pain! The things I have read about it attacking the spinal cord really has me frightened. Please advise me.
Thankyou.
Nance
01 Apr 2011, 19:34
I've read the postings from Lisa's through Karen's. I understand the isolation due to being too uncomfortable when in motion that it prevents you from seeking social interaction. I have osteoarthritis (also depression, high blood pressure, etc.) and live in a very small town about 45 minutes away from interactive groups. Driving that long can drain the life out of someone in pain before he or she can even arrive at an activity. I am divorced, lost my employment, and my children are married and have families of their own to care for. They and my grandchildren do care but since the discomfort/pain of arthritis is invisible to anyone who does not have it, the restrictions it places on me are things they can't appreciate. If I say "I can't" or "my legs hurt" or "I'm having one of my bad days" they understand but still are disappointed or impatient.

I live alone with two cats whose favorite past time is to lay in the walk path in my home. I think they want to see if I really will step on their tails or jump over the way I used to do. They have come to recognize they are going to get trounced. Although they aren't a support group, they are adjusting to the changes needing to be made. They have now chosen to curl up under a chair so they can watch me walk but don't seek attention with the old method of a swishing tail and rolling over on their backs.

Anyway, back to the subject of isolation. It really helps me when I volunteer, on days when the pain is not too bad. Coming out of the spin cycle of dwelling on the pain and letting it dominate my thoughts helps with coping with all the different health problems. It still hurts like h___, but not talking it to death keeps it in the "small" place of my mind. It's just a thing that is a part of my world, like laundry and dishes; I don't like it but it will be here until the end of time and a part of everything I do.

As to the bed recommendation requested: I had to invest in a supportive mattress and chose the sleep number bed. I live (and sleep) alone so I could get a single chamber queen. It inflates and deflates but I don't have a special number, the control just does what the button toggle tells it to do until you release it. I have found that during the course of the night I need to start out with it being very supple but adjust the firmness up and down depending on the degree of pain. I like that quality. The bed has to form to me, not me to the bed. The discomfort tends to flucuate because I have this in ALL my joints, not just major ones. (The little bones in my feet get stress fractures from trying to turn around and the joint connecting the bones won't go.) The sleep number bed adjusts to body weight, not location so if you need a little extra "give", and can manage it, you can push your hip or knee or shoulder down and the other areas will stay where you left them and support those body parts.

I understand the overwhelming nature of being in pain and knowing that there isn't a "fix" and it will progress as time passes. The best method I have for adapting to that is to just remember there will be times when it lessens and those will be almost euphoric. It just helps to put this in it's place, you have arthritis, it does not have you.
Karen
22 Mar 2011, 10:31
Lisa my heart goes out to you. I have been where you are now, feeling that there is no one who cares. I care and will be praying for you. I had gastric bypass in 2005 it went wrong. I went for 307lbs to 65 lbs on a feeding tube for 3 yrs. I had 4 major surgeries spent almost a yr in a nursing hm. My last surgery was 12 1/2 hrs long my family was told to come and tell me good bye. Gods grace brought me through it all. I've been out of the nursing hm for 2 yrs and am doing so much better. However from all the malnutrition I have alot of other problems. I don't have a splean any longer. I have several auto imune diseases. I knew I had osteo arthritus. Christmas 2010 was diagnosed with RA and 3 wks ago diagnosed with fibermialga. I now understand why I have been feeling so fatigued. I crochet blankets for unwed mothers, and cook for a jail minestrie once a week, I'm on disability but I try to give back to the community because God gave me a second chance. But the pain of osteo and ra is awful and I'm not allowed to have any medication for arthritus or anti inflamitories. I don't absorb vitamins and the Drs fear that they would be bad for my imune system. The only thing I have found to give me reliefe is a cream that my arthritus Dr approved you can only order it on the internet. But I get relief in a few min it helps for about 5 hrs. It is called "Super Blue Stuff" www.bluestuff.com it helps with Arthritis, joint pain, backaches, muscle pain, sprains & strains, and bruises. It has emu oil and other natural ingrediants in it. Everyone that has tried it is amazed. Depression is a hard thing to go through. I fight it daily. But don't give into it get youself some help. Even if your legs tell you that you don't want to walk. Walk any way. I told my Dr my hands hurt so bad but I was going to keep chrocheting. She smiled and said "good, thats what I like about you. You don't give up" Thats what I suggest to you is not give up. Your friends might have given up. But if they did what kind of friends were they anyway. Real friends are few and far between. When you get a true friend you have to hold onto them dearly. I'll be praying for you and your illness and that God would put someone in your life that helps you to have hope. But you take the first step and do something for you today. :)
Nancy
15 Mar 2011, 19:51
Lisa and Princess-A year ago I was so depressed I wanted to just give up. Thought I had no friends or family that cared includng my husband. My 2 sisters came for Thanksgiving Dinner and immediately recognized that I was severly depressed. I got a lecture and was told to get myself to the doctor. I knew that depression was common with RA and OA which I have, so was not surprised. Neither was my doctor. Best advice I ever received. I suspect you both need the same advice so here goes. You may be depressed and you ned to express your feelings of isolation to your doctor. They happen with arthritis and can be treated. Don't delay. Today I still hurt but I feel much better emotionally and am able to handle the pain better. It stil hurts but I can smile more now annd have fun-not the same kind but fun with my family and friends.
Princess
15 Mar 2011, 16:31
Lisa I completely agree with everything that you said! Without my husband I don't know what I would do. The only added benefit that I have is that my husbands Aunt also has RA and has had it for many more years than myself. Sometimes we get together and "vent", but that is few and far between and we are going through the same thing. It even took many years for my husband to completely understand. It makes you feel alone, and that is the worst feeling in the world!
kathryn denise
15 Mar 2011, 13:23
to georgia smith-----i have a tempurpedic bed which has been great. i was diagnosed with osteoarthritis almost 4 years ago, i have had my bed for 3 years and i love it(so do my three cats). it helps with the swelling and night pain--can stay asleep.

there isn't enough money to make me give it up.

try ginger and turmeric with food. i take ginger root from the vitamin shoppe and it helps with swelling and pain--it's a natural anti-inflammatory.
georgia smith
15 Mar 2011, 11:18
I need to replace my old lumpy mattress and wonder what kind I should look for. I have RA. Thank you.
Lisa
15 Mar 2011, 10:31
This is reasonable advice however some of the things suggested are taken for granted. In 'Pay attention to your emotions', 'Take action', and 'Invest in yourself' it is assumed that we have a wide circle of support in family and friends. These articles say to 'develop', 'talk to', and 'enlist' these people.

I am 45 and have one, count it ONE, person who I can talk to every day about these issues and that is my husband. My mother cares deeply but she has her own life and is often not in the same country, I cannot 'enlist' her at every turn. My father cares too but is very busy making sure his business of which my husband is employed keeps rolling along. My parents are 70 & 71 and it's time they get a break.

Now on to friends....they abandoned me when I got sick. Some did it gradually by reducing encounters with me to the point of zero unless it was work related, others told me straight up "I don't want to know about your RA", some were polite but treated me as if I had a horrible contagious disease, and one woman, who I stood by in her many times of need, couldn't be bothered and just up and found healthy people to be with, it hurt me deeply.

What this article does not address is the fact that many of us with severe disease course have lost the friends we thought we had and lets face it, 'developing' new ones isn't easy when we're sick almost every day. Where I live their are no athritis groups. My rheumatologist can't help because of privacy laws. If it wasn't for my husband there wouldn't be much point in anything anymore.

I'm open for suggestions, but when they involve 'talking to, developing, and enlisting' a circle of family and friends that I don't have it's not very useful advice.

Could you get real editors? I know I'm not the only one that has felt the double hit of not just a chronic disease but the following abandonment by people I thought were close.

Could you write an article about that with some REALISTIC ways to cope? There are many of us that could use that.

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