When you have rheumatoid arthritis (RA), joint pain and weakness can make normal activities around the home difficult. You might find some tasks cause pain or strain, and other activities become almost impossible. But don’t give up just yet! There are many ways that you can protect your joints from pain and strain and make jobs around the home easier to manage.
Joints affected by RA are usually weaker and less stable than ‘normal’ joints. This makes them more vulnerable to damage, particularly from twisting or repetitive movements. As soon as you find out you have RA, it is important to start looking after your joints. Small changes in the way you do things can greatly reduce the stress on your joints and help prevent problems becoming worse in the future, or causing permanent damage.
Here are some ways you can look after your joints:
If you carefully plan and organise your activities, you can make the most of your energy. Pacing helps you to finish what you want to do without increasing your pain or fatigue.
When doing tasks around the house, set a steady pace and take a break BEFORE you get tired and sore. Alternate periods of rest and activity during the day. As a rough guide, try to take a 10-15 minute rest every one and a half hours. You can also rest different joints and muscles throughout the day by regularly changing activities. For example, switch from an activity that requires standing, to one that allows you to sit so that you can rest your legs and back. Remember, don’t overdo things on ‘good days’ as it could result in pain and fatigue the following days.
It is important to listen to your body and take notice of pain. Pain can serve as a warning. Pushing through pain can make it worse and can also increase stress, tiredness and joint damage. While pain messages should always be respected, a fear of pain can stop you from living an active life and can lead to further problems. Many people will give up on an activity if it hurts. However, it is better to keep doing these activities a little at a time, with plenty of rests, rather than give up altogether something which you enjoy.
Look for ways that you can use tools or your environment to help you accomplish tasks. For example, slide objects along a bench rather than lifting them, take advantage of carts or trolleys when transporting large items.
Use your strongest and largest joints and muscles to distribute weight and reduce joint stress and pain. For example, use your thigh muscles instead of your back to squat and lift an object. Be sure to only squat as far as your pain allows.
Muscles and tendons are at their strongest when the joints are in straight alignment. Try to avoid or change activities that put your affected joints into unstable or awkward positions. For example, when holding objects, try to keep your wrists straight and your fingers in line with your knuckles and wrist. Check the way you hold the kettle or iron, or how you carry a shopping bag.
Simply changing the way you do an activity can save time, energy and unnecessary joint pain. For example, can you do this task while sitting rather than standing? Sit at the table when chopping vegetables for dinner rather than standing if you have sore knees, hips or feet.
Staying in the same position for long periods can lead to tired muscles and stiff joints. It is generally recommended to change positions or stretch every 20 minutes.
Aim to maintain good posture when sitting or standing. For example, when sitting, use a chair with a firm or supportive back rest. Try to avoid soft, ‘saggy’ couches.
There are many products with useful features that can be purchased to help you protect your joints and make daily tasks easier.
For practical tips and information on making daily tasks easier, check out our At home with arthritis: simple steps for managing in the home booklet in additional resources.
If you would like to discuss arthritis and aids with our health educators, please call the Arthritis Infoline on 1800 011 041