Playing Through Arthritis : How to Conquer Pain and Enjoy Your Favorite Sports and Activities

210 Pages·2003·0.71 MB·English

by  David Silver

Playing Through Arthritis
How to Conquer Pain and Enjoy Your Favorite
Sports and Activities
David S. Silver, M.D.
Clinical Chief of Rheumatology, Cedars Sinai Medical Center
Copyright ©2003 by David S. Silver. All rights reserved. Manufactured in the United States of America. Except as
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DOI: 10.1036/0071428836
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To my father, Jerry, the greatest man I have ever known.
Thanks for teaching me all that is good and making me
who I am.
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Contents
Foreword ix
Acknowledgments xi
Before You Begin xiii
Introduction 1
THE FIRST QUARTER
Exercise 13
How Does Exercise Prevent and Treat Osteoarthritis? 14
Joint Flexibility and Range of Motion 17
Lower Back 18
Knees and Hips 24
Ankles and Feet 29
Neck 30
Upper Back and Shoulders 34
Elbows 39
Wrists, Hands, and Fingers 39
Muscle Strength and Endurance 41
Lower Back 41
Knees 45
Hips 50
Ankles and Feet 51
Neck, Upper Back, and Shoulders 53
Elbows 56
Wrists, Hands, and Fingers 57
Aerobic Exercise 59
Walking 61
Bicycling 62
Yoga and Tai Chi 63
Swimming 64
Other Aerobic Exercises 64
Warm Water Exercises 65
The Final Play 68
v
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vi Contents
THE SECOND QUARTER
Nutrition and Vitamins 69
Ideal Body Weight and Arthritis 70
Are There Foods or Vitamins That May Help
Prevent or Treat Arthritis? 73
Whole Foods Versus Refined Foods 73
Omega-3 Fatty Acids 74
Nightshade Foods 75
Bioflavonoids 75
Antioxidants 76
Vitamin A and Beta-Carotene 77
The B Vitamins 77
Vitamin C 78
Vitamin D 78
Vitamin E and Selenium 79
Boron 79
Zinc 80
How Much of These Vitamins and Minerals
Should I Take? 80
The Model Arthritis Diet 81
HALFTIME PEP TALK
Coping with Stress and Depression 85
Recognizing the Signs and Triggers of Stress 87
Depression 91
THE THIRD QUARTER
Traditional Therapies 95
Acetaminophen 96
Topical Creams 97
Injections 99
Pain Medications 101
Nonsteroidal Anti-Inflammatory Drugs 102
COX-2 Inhibitors 105
Contents vii
Diacerein 108
Metalloproteinase Inhibitors 108
Tetracyclines 109
Heat and Cold 109
Bracing 110
Liquid Cartilage 111
Surgery 111
Is the Cure on the Horizon? 112
How Does All of This Fit into Your Strategy? 113
THE FOURTH QUARTER
Alternative Therapies 115
General Guidelines 117
Glucosamine and Chondroitin 119
MSM, SAM-e, DMSO, and Other Sulfur Compounds 122
Cetyl Myristoleate 124
Emu Oil 125
Other Herbal and Dietary Remedies 125
Turmeric (Curcumin) 126
Boswellia 126
Ginger 127
Bromelain 128
Cartilage and Collagen 129
Acupuncture 130
Magnet Therapy 131
Massage, Rolfing, and Feldencritz 132
Manipulation and Other Manual Techniques 133
Homeopathy 134
WORKING OVERTIME
Your Personalized Arthritis Strategy 137
Step 1: Set Your Goals 138
Step 2: Make Time 139
viii Contents
Step 3: Figure Out What to Incorporate
into Your Strategy 141
Step 4: Choose Exercises to Meet Your Goals 142
Walking and Jogging 143
Hiking 144
Golf 144
Tennis 147
Basketball 150
Softball and Baseball 152
Soccer 154
Skiing (and Snowboarding) 155
Football 159
Volleyball 160
Bicycling 161
In-Line Skating 162
Aerobics 162
Swimming 164
Bowling 165
Other Sports 165
Sex and Arthritis 165
Step 5: Choose the Right Medication 166
Step 6: Find the Right Doctor 167
Rheumatologists 167
Orthopedic Surgeons 168
Physiatrists 168
Internists 168
Family Practitioners 169
Step 7: Put It All Together 169
Final Thoughts 171
Bibliography 173
Index 181