* YOGA FOR ARTHRITIC KNEE PAIN*
*Arthritis technically means progressive worsening of the functioning of a
joint. Commonly seen in people above the age of 50, many people encounter
manifestations of arthritis in some form or the other (due degeneration or
age related wear and tear). As a person ages, the cartilage present in
between bones start to thin, and its load bearing capacity decreases. This
causes the entire load of the body to get transferred onto the bone
surface, just below the cartilage, leading to the formation of osteophytes
(also known as bone spurs).*
*The most common symptoms of this condition is pain and swelling or
stiffness of the knee. Joint inflammations may occur because of poor shock
absorption capacity and routine activities that cause minor injuries to the
knee joint. The pain could be dull, severe, only in front, all around the
knees, at the back of the knee, at the side of the knee or along the thigh
or calf. The pain could also be varying in intensity with different
activities – climbing up and down the stairs, sitting, getting up, sitting
cross legged, walking etc.*


*What makes a person more susceptible to this condition?Excess weight: This
leads to an earlier wear and tear and degeneration of the joint, due to the
excessive load the knees often have to bear.Heredity: People with a strong
family history of osteo-arthritis face a greater chance of developing it
earlier in life. Also, this factor is seen to be a very common cause for
the onset of arthritis on women.*

*Injury: Previous or intervening injury to the bones, cartilages, or the
ligaments of the knee predisposes a person to an earlier or graver forms of
osteo-arthritis.Poor muscle tone: Existing osteo-arthritis can get worse
when the muscles around the knee are not strong enough.*
*How you can tackle the disease: There are few factors that can make the
symptoms of the condition worse and therefore, getting these things under
control can go a long way in minimising the progression of the disease.
Here are a few things you can do.*

*Lose weight: While this is far simpler said than done, you must understand
that excessive weight puts a great load on the joints leading to it’s
further degradation.Exercise regularly: The surrounding muscles should be
strengthened by means of adequate exercises. This way there will be better
shock absorption, which means lesser chance of joint injury, inflammation
and minimal or no symptoms.*

*People with arthritic knee pain often suffer from severe bouts of pain,
here are few handy tips on tiding through these phases:The knee should be
rested. An elastic knee cap should be used whenever there is swelling in
the joint.*


*Medication should be strictly followed to relieve pain, swelling or
spasms.Short wave diathermy (heat therapy), ultrasonics, local heat, local
ice application etc. Should be used whenever needed.Once the pain settles,
gentle movements and exercises should be done.*

*Strictly avoid massaging the joint.Asanas that help during these stages*
*Yogendra Nishpanda Bhav: Also known as the no-movement pose is a great way
to relax, and beat stress. It also helps beat pain and keep your joints
away from any kind of strain.*
*Steps to do this pose:*













*Lean against a wall, touching your head to the wall and sit in a relaxed
manner with your legs stretched in front of youKeep a distance of 2-3 feet
between your legsPlace your hands gently on your upper thighs with palms
facing upwardsListen to the sound of any vehicle passing by at a
distanceSit in this posture for 5 mins and focus on any distant
soundSavasana: Another relaxing pose, this asana helps to clam the body. It
also helps in the recuperation of the muscles and joints after a lot of
swelling and pain. Here is how you can do savasana or yog nidra the right
way.Sukhasana: Also known as the easy pose, sukhasana is meant to help your
knee regain flexibility and to beat pain. If you cannot bend your knee, you
can try doing this asana while sitting on a chair. Read more about the
steps to perform sukhasana.Hastapadangushtasana: Also known as the extended
hand to big toe pose, this asana helps strengthen the muscles around the
knees, therefore beating knee pain. It also helps increase flexibility
thereby reducing the chances of injury. For people with arthritic knee
pain, this asana should be performed as they lie down. Here is how to do
the hastapadangushtasana. In supine poseYastikasana: Yastikasana or the
stick pose is a great asana that facilitates maximum stretching of the
body. It helps negate the ill effects of sitting in a bad posture for long
periods of time, relaxes tense abdominal and pelvic muscles, and offers
rest and relaxation, helping you beat fatigue and stress. For people with
arthritis this pose should be done with their ankle stretched upwards. Here
is how you can do this asana.Asanas to be done during phases when the pain
and swelling is minimalAt such times you can try to do simple asanas like
padmasana, paryankasana, bhadrasana, ardhamatsyasana and konasana.Tips to
manage arthritis during the sub-acute and chronic phasesStrengthen the
musclesWhile the need for medication becomes less, the need for exercises
becomes paramount. Stretching the muscles like the hamstrings and calf
muscles, may be needed to mobilize the joint and increase its flexibility.
Exercises that can strengthen quadriceps are also essential.Treat the
symptomsIt is important that the person suffering from osteo-arthritis know
that it is self-defeating to expect improvements their medical reports like
an X-ray. The truth is that as years progress the joints will degenerate.
However, the silver lining here is that this progression does not always
correlate clinically. A patient can lead an asymptomatic or minimally
symptomatic active life despite the osteo-arthritis. It needs to be well
understood and accepted that there is no cure for this condition.*


*Circulated by;*
*K.Raman.*
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