Pain Busters Workshop

Presented byThe Arthritis Society

Manitoba/Nunavut Division

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

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

National Arthritis Facts1 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?

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

Provincial Arthritis Facts – Manitoba

250,000 people live with arthritis everyday in Manitoba

Arthritis is the most common cause of long-term disability

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

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.

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

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.

Pain Cycle

DAILY PAIN LEVELS:Unmanaged Pain

Daily Pain Levels

0

2

4

6

8

10

Time of Day

Pain

Leve

l

DAILY PAIN LEVELS:Managed Pain

Daily Pain Levels

0

2

4

6

8

10

Time of Day

Pain

Leve

l

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

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.

Pain Management(physical)

• Consider posture and positioning• Supportive chairs

• Physical options:• Massage Therapists• Licensed acupuncturist

Pain management

• Distraction:• Lemon• Stairs

• Long time distraction:• Gardening, music, movie, book• Learning to relax muscles- Jacobson’s Progressive Muscle Relaxation

Managing Stress

• A daydream

• A happy event

• How would you spend a million dollars?

Symptoms of Depression

• loss of interest in friends or activities

• isolation or withdrawal

• difficulty or changes in sleep patterns

Symptoms of Depression

• loss of interest in personal care or appearance

• increased or decreased appetite

Symptoms of Depression

• unintentional weight loss or gain

• general feeling of unhappiness, crying

Symptoms of Depression

• loss of interest in sex, intimacy

• suicidal thoughts• frequent accidents

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

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

Causes of Fatigue

• Active disease• Lack of physical fitness• Depression• Poor nutrition• Medications• Stress• Poor sleep

Fatigue Management

• schedule frequent rest periods during the day

Fatigue Management

• alternate heavy and light work

• sit to work, if possible• communicate about

your fatigue with others

Fatigue Management

• examine your lifestyle and philosophy - are you trying to do too much?

Fatigue Management

• ask for help• use good body

mechanics - posture

• maintain proper weight

Fatigue Management

• use your joints wisely

– there are many assistive aids

• be organized, plan ahead

• Ask for help

Fatigue Management

• Healthy eating

• Exercise and physical activity

• Managing fatigue helps break the pain cycle

• It rejuvenates both the mind and body

Fact!Physical

activity can help

manage arthritis

Exercise =

Physical Activity =

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

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

Podiatrist

Dietitian

Psychologist

Colleagues

Physiotherapist

Nurse

Rheumatologist

Family Physician

Pharmacist

Occupational Therapist

The Arthritis Society

SocialWorker

YOU

?

CommunityResources

Family &Friends

PAIN MANAGEMENT TEAM

NursePractitioner

Spiritual Leader

RegisteredMassage Therapist

•National website: www.arthritis.ca

•Phone: (in Winnipeg) 204 942-4892

•Fax 204 942-4894 Toll free: 1-800-321-1433

•Address: 105-386 Broadway,

Winnipeg, R3C 3R6

•E-mail: info@mb.arthritis.ca

Contact Us:

Thank you for attending this program. We’d like to take this opportunity to ask that you please take a few minutes to share your feedback with us.

You can provide your feedback online at

www.arthritis.ca/yoursay