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Arthritis – Anxiety And depression

Top tips to deal with psychological issues in arthritis

The crippling symptoms, debilitating illness and longer duration of arthritis can often lead to severe mental and psychological issues. Two of such common issues include anxiety and / or depression. However, fortunately, both of these symptoms can be effectively controlled with ongoing care and lifestyle measures. Remission, the control of symptoms and a return to normal function, is the goal of treatment and can be achieved for many people with arthritis.

Psychological distress affects at least half of the patients seeking treatment for chronic pain (as in arthritis). In a survey of 500 consecutive pain patients treated with stable opioid doses at a pain treatment center, depression occurred in 59% of the patients, with anxiety in 64%. Although chronic pain in general is associated with increased prevalence of depression and anxiety, these symptoms appear to be even more common in arthritis. In addition, patients with arthritis and comorbid anxiety or depression tend to have more physical symptoms and disability

  1. Avoid sleeping during the day because this can make it more difficult to get to sleep at night.
  2. Avoid caffeine – for example in tea, coffee and chocolate – after midday.
  3. Eat sensibly to prevent feeling hungry during the night but avoid eating and drinking large amounts just before bedtime.
  4. Avoid drinking alcohol if you experience significant sleep disturbance as it may aggravate your anxiety.
  5. Don’t smoke before bedtime or during the night.
  6. Take regular exercise during the day, but not within 3 hours of going to bed.
  7. Try not to use your bedroom for what may be stimulating activities, for example watching television, working or eating.
  8. Try to establish a relaxing routine and go to bed at the same time every day, ideally when you’re sleepy.

Be positive
Stress is often a trigger for a flare of anxiety or depression in arthritis, so seeking help with unwanted thoughts and feelings can also help reduce the physical impact of the disease. Believing that you can improve your condition isn’t just wishful thinking: it actually helps you feel better and more in control of your life. Understand how your treatments will help and how to get the most out of them.

Exercise regularly
Physical activity has a direct, inverse relationship with almost all kinds of depression and anxiety. Accordingly, proper exercise is very important to improve overall health and keep joints flexible. This can be quite simple. Walking is an excellent way to get exercise. A walking aid or shoe inserts will help to avoid undue stress on feet, ankles, or knees affected by arthritis. An exercise bike provides another good option, as well as yoga and stretching exercises to help with relaxation. Some people with arthritis find it easier to move in water. If this is the case, swimming or walking laps in the pool offers activity without stressing joints.

Try Provailen
At present there is no ‘medical or surgical cure’ for arthritis. However, early use of medicines and herbal supplements (such as Provailen) can slow down any damage caused by the disease, relieve pain and stiffness, and reduce the possibility of long-term disability. The aim of Provailen therapy is to achieve remission; the absence of any symptoms and a return to normal function of your joints. Therefore, it can help relieve pain and reduce swelling and stiffness in arthritis. Above all, if used on daily basis and for long term, Provailen can also cause general health benefits such as:
- Improved sleep
- Reduced anxiety due to the enhanced sense of well-being
- Decreased depressive episodes because of sustained pain relief



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