1. Presented by The Arthritis Society Manitoba/Nunavut Division
Pain Busters Workshop
Presented by
The Arthritis Society Manitoba/Nunavut Division

3. Our Mission
To provide leadership and funding for research, advocacy and solutions to improve the quality of life for Canadians affected by arthritis
VISION: Living well while creating a future without arthritis

4. ARTHRITIS FACTS
The Arthritis Society is a non profit organization with 66 years of service to Manitoba
We are not funded by government
We are supported by the generosity of donors from Manitoba and the United Way

5. National Arthritis Facts
1 in 6 Canadians are living with arthritis
1 in 8 have osteoarthritis
60% are under 65 years of age
100,000 Canadians each year are diagnosed with arthritis
There are over ? different types of arthritis?
Even though there is no cure, a lot can be done to minimize the effects and control the inflammation.
There are over 119 different types of arthritis and musculoskeletal conditions.
4.6 million diagnosed with arthritis.
4.4 affected by osteoarthritis

6. National Facts 4.6 million people diagnosed with arthritis
3 million with osteoarthritis
1.6 million with inflammatory condition
many people have more than one form of arthritis

7. Provincial Arthritis Facts – Manitoba
250,000 people live with arthritis everyday in Manitoba
Arthritis is the most common cause of long-term disability

8. Future of Arthritis Our next generation will be facing:
1in 4 with arthritis
Osteoarthritis diagnosed every 60 seconds
Rheumatoid arthritis diagnosed every 11 hours
increase in Rheumatoid arthritis will be increased by 63%
Over 10 million with arthritis

9. Why should I control my arthritis?
Controlling your arthritis will help you to:
reduce or eliminate pain
continue to participate in daily activities
prevent the disease from progressing
reduce or prevent disability
Maximize long term quality of life
To participate in daily activities  To optimize mobility with minimal or no restrictions
One may be able to prevent the disease from progressing to the point of joint deformity (which is permanent if it occurs)
Achieving all of these goals will help to maximize your quality of life. 9 9

10. INTRODUCTION
The Arthritis Society would like to provide you with information to make your own choices in managing your pain.
Many people feel that there is nothing they can do about their pain.
We will share ways to minimize, not eliminate your chronic pain.

11. What is Pain?
Pain starts in different parts of your body but lives in your head.
Acute Pain – injury or surgery
Chronic Pain – over 3 months

12. Chronic Pain -Can be intermittent or persistent (12+ hrs./day)
-Most common causes: arthritis, fibromyalgia and low back pain
-Neuropathic pain: disease or injury to the nervous system itself
Mayo Clinic says chronic pain may be caused by a process called sensitization.

13. Pain Cycle When you have disease , you have pain
Pain causes tense muscles
Tense muscles causes stress
Stress makes you frustrated, fearful, angry
This puts you in depression, that makes you very fatigued
That make the complete cycle of pain.

14. DAILY PAIN LEVELS: Unmanaged Pain
This is what an average level of pain looks like over the course of the day. Up and down.

15. DAILY PAIN LEVELS: Managed Pain
This is what we would like to see. That you try and keep the pain at a reasonable level, more at a constant low, than lots of highs and lows.

16. Pain Management (physical)
Heat:
Hot Packs
Warm baths or showers
Electric blanket or heating pad
Hot water bottle
Cold:
Gel packs
Frozen popping corn kernels
Heat is used to open up the flow of blood. It enables you to move your joints more easily as the muscles are relaxed from the heat
Cold is used to restrict the blood flow. It would be used to help decrease swelling and inflammation.
Both modalities can be used for all types of arthritis.
You wouldn’t use heat on a joint that is already inflamed
The frozen popping corn is regular popping corn placed in a freezer zip lock bag and put in the freezer. It will take on any shape of joint, knee shoulder etc. They can be left on as they will only stay frozen for about 15 minutes and then they take on your skin temperature. They will not cause any burn to the body. If you bag breaks you will have popping corn in the bed!!!

17. Pain Management (physical)
Cautions to observe:
Check if feeling is normal. Can you feel hot and cold?
Skin in good condition?
Do not apply heat over medication patches, as it can cause rapid absorption and side effects.
Do not use hot or cold over any form of heat producing cream or ointment.

18. Pain Management (physical)
Consider posture and positioning
Supportive chairs
Physical options:
Massage Therapists
Licensed acupuncturist

19. Pain management Distraction: Lemon Stairs Long time distraction:
Gardening, music, movie, book
Learning to relax muscles-
Jacobson’s Progressive Muscle Relaxation

20. Managing Stress A daydream A happy event
How would you spend a million dollars?

21. Symptoms of Depression
loss of interest in friends or activities
isolation or withdrawal
difficulty or changes in sleep patterns

22. Symptoms of Depression
loss of interest in personal care or appearance
increased or decreased appetite

23. Symptoms of Depression
unintentional weight loss or gain
general feeling of unhappiness, crying

24. Symptoms of Depression
loss of interest in sex, intimacy
suicidal thoughts
frequent accidents

25. Symptoms of Depression
feeling tired or fatigued
low self-image, loss of self-esteem
frequent arguments or loss of temper
feeling confused, lack of concentration

26. Dealing with Depression
Importance of contact with others
Planning ahead for a special event
Getting out of the house everyday
Doing something nice for yourself
Doing something nice for others
Movement like walking or stretching
ENJOYING LIFE SHOULD BE A PRIORITY

27. Causes of Fatigue Active disease Lack of physical fitness Depression
Poor nutrition
Medications
Stress
Poor sleep

28. Fatigue Management
schedule frequent rest periods during the day

29. Fatigue Management alternate heavy and light work
sit to work, if possible
communicate about your fatigue with others

30. Fatigue Management examine your lifestyle and philosophy
- are you trying
to do too much?

31. Fatigue Management ask for help use good body mechanics - posture
maintain proper weight

32. Fatigue Management use your joints wisely
– there are many assistive aids
be organized, plan ahead
Ask for help

33. Fatigue Management Healthy eating Exercise and physical activity
Managing fatigue helps break the pain cycle
It rejuvenates both the mind and body

34. Physical activity can help manage arthritis
Fact!
Physical activity can help manage arthritis
(Move stage left)
In fact – properly designed physical activity – in combination with other lifestyle changes, such as good nutrition - can actually help you manage your arthritis.

35. Physical Activity = Exercise =
To avoid confusion, let’s clarify what I mean when I talk about physical activity, and what I mean by exercise.
In this presentation, physical activity refers to activities that are a part of your everyday life.
They include household, workplace and lifestyle activities that can help you become more active. Examples include gardening, mopping, and dusting.
Exercise is a type of physical activity that uses exertion to improve physical fitness. Sample exercises we’ll discuss later, and those in the booklet have specific benefits for people with arthritis.
The reason we make this distinction is that, when some people hear the word exercise, images of busy gyms and treadmills come to mind.
Exercise is only one way to be physically active – there are other ways that suit many different needs. Even parking farther away from the entrance to the grocery store counts as physical activity.
You do not need a fancy gym membership to exercise control over arthritis! 35

36. 4 people in this picture. Notice how happy they are
4 people in this picture. Notice how happy they are. They have found an activity that they love to do, so that keeps them all very active all week. In this picture they have, hip and knee replacements, mastectomy, scoliosis, fibromyalgia, relapsing remitting polychondritis, post polio syndrome, osteoarthritis, rheumatoid arthritis.
The importance of getting out, exercising and being a social butterfly. 36

37. Benefits of Exercise & Physical Activity
Increases strength, mobility & balance
Decreases pain and disability
Increases blood circulation & joint nutrition
Decreases body fat
Decreases stress
Improves bowel & bladder function
Improves sleep patterns
Improves heart & lung efficiency

38. Programs and Services
We offer a self management program: Ease the Pain: Take charge of Arthritis
Presentations on the different types of arthritis.
Arthritis friendly exercise programs:
Tai Chi for people with arthritis, PACE, Land
Arthritis aquatics and Ai Chi - Water

39. PAIN MANAGEMENT TEAM YOU ? Podiatrist Social Worker Community
The Arthritis
Society
Podiatrist
Social
Worker
Community
Resources
Spiritual
Leader
Dietitian
Occupational
Therapist
Psychologist
YOU
Pharmacist
Registered
Massage
Therapist
Colleagues
Family
Physician
Nurse ?
Rheumatologist
Physiotherapist
Family &
Friends
Nurse
Practitioner

40. Contact Us: National website: www.arthritis.ca
Phone: (in Winnipeg)
Fax Toll free:
Address: Broadway,
Winnipeg, R3C 3R6