Pain Busters Workshop

1. 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. 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? National Arthritis Facts

6. 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 National Facts

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

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

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

14. DAILY PAIN LEVELS:Unmanaged Pain

15. DAILY PAIN LEVELS:Managed Pain

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

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

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

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

34. Fact! Physical activity can help manage arthritis

35. Physical Activity = Exercise =

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. 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 Programs and Services

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

40. Contact Us: • 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