The Rheumatologists' Secret Weapon

I am a fan of the profession of Occupational Therapy.  The services they provide to patients in helping to provide the coping strategies and aiding in the empowerment we need to manage our own health problems is stellar.  They are the secret weapon for many rheumatologists; if not recommended check with your Doctor and then seek them out on your own if necessary.

When I was first diagnosed with RA 30 years ago I met an OT at the hospital and learned the Principles of Joint Protection.  One of the most important is that you always use a larger stronger joint to perform an activity when possible.  So it is better to push yourself up from  chair using forearms rather than your hands or fingers.  You need to preserve the small easily damaged joints.

                                       www.arcinteriors.com

Of course the first thing people think of with OT and inflammatory arthritis are the items that can be used to help with daily activities.  There are household items like key turners and kitchen items. My favourite of all time is the right angled knife.  It makes cutting so much easier on my hand and wrists. I also preserve my finger joints when I write by using pens with a large barrel or made larger as you see in this picture:  

There are so many ways that an occupational therapist can help you to carry on with doing the things that are important to your life and your job.  They would usually start with an assessment and make a treatment plan for you - perhaps including special exercises, or modification of the way you do things.

Here's an example of a life-changing OT experience from my friend Julia who was suffering every time she had to use her washroom.  Her knees were causing so much pain that it would sometimes take her 30 minutes to get off of the toilet and carry on with her activities.  One visit from an OT and a raised toilet seat solved her biggest problem. She actually says "Now I love my toilet!"  How many people have you ever heard say that?

                                      www.ojmedical.com

So my advice would be that if certain activities are becoming difficult or if you are having a lot of pain in a specific area you should get a referral to consult an occupational therapist.  They can help with any joints but especially if your hands or wrists are affected by RA.

Here are 2 signs that there may be an OT in the vicinity.

The frying pan and heat gun may be specific to rheumatology OTs but I am willing to bet you'll go a long way before you find an OT with no wheelie bag.

There are many types of splints and supports that an OT can make, or help you to find for your hands and fingers.  Here are pictures of two types that have helped me.

                      Resting splints can help with wrist pain and maintain good hand and finger positioning.

Silver ring splints can keep your fingers in a more functional position.

You can also have your work area assessed to see if you are working ergonomically.  

I am concentrating here on only one area where OTs can specialize.  They also play a large role in helping anyone learn better ways to live and deal with a large range of problems from autism to stroke to mental health. 

There is more information about splints in this post. from the past.  Here's my chance to thank the OTs who have helped me through the years.