About This Column
Here you'll find advice on how to take a more comprehensive approach toward managing your rheumatoid arthritis (RA). Keep in mind, this column is intended to advise you on how to complement your treatment, not replace it. Please consult your doctor to determine what advice may be right for you.
Featured Article
Joint Care for RA: Part 2
Fingers and Wrists
Mar 19, 2008
As a result of chronic inflammation, joints in the hands can slowly move out of their natural alignment. The joints most commonly affected are the knuckles, the middle joints of the fingers, the joints at the base of each thumb, and the wrists. Fortunately, you can help reduce the stress on these joints by adjusting the way you perform many basic daily activities. Based on recommendations from the Arthritis Foundation, I've developed a short list of do's and don't's. Before adopting any of these suggestions, please remember to consult your rheumatologist. He or she may have some additional advice based on your unique situation.
Don't grip anything too tightly or for too long (writing, carrying suitcases) to avoid deforming pressures.
Do carry purses and grocery bags with your forearms, instead of your hands and wrists.
Do increase the size of the items you grip on a daily basis (toothbrushes, utensils and cookware, pencils and pens).
Don't hold, lift, or carry heavier items (pots, pans, books) with your fingers; use the palms of your hands instead.
Don't support your body weight with your wrists and hands.
Do use your palms, instead of your fingers, when getting up from a chair.
Don't rest your chin on top of your fingers or wrists.
Do hold stirring utensils in your palm with your thumb on top and mimic the action of mixing paint. Think about the action coming from your shoulder and torso, instead of your wrist.
Do use an electric jar or can opener and avoid twisting motions with your wrists. If you feel like you are strong enough, remember to press down on top of the can or jar with your palm and twist the lid using torque from your shoulder and torso.
As I mentioned last week, don't try to make all these changes at once. Do gradually incorporate a few each day, so you'll have a better chance of making them a habit. Tune in next week, when we'll discuss tips for your elbows and shoulders.
Managing Pain and Stress
