osteoarthritis Archives - GrandmaBetsyBell

surgery for arthritis

Posted on June 12, 2016

Gentle Reader,

There comes a time when surgery for arthritis makes sense. I have reached that time. I began blogging at www.NoWheelchair.wordpress.com in 2004, to share strategies a person with arthritis could use to avoid taking medication or having surgery. My posts have been about my own journey to manage increasingly severe osteoarthritis and spinal stenosis, and more recently a condition known as listhesis, or the collapsing of vertebra to the left and to the right. As my Feldenkrais practitioner keeps telling me, “You’ve got a complicated spine.”

It has been an interesting process to dedicate this year to a protocol of my own making. I have gone to a physical medicine specialist, Dr. Ren, at the Polyclinic who suggested physical therapy for eight sessions. The PT exercises did nothing to alleviate the weakness in my legs, nor the pain, lovely as it was to show up to the attention of admiring young men twice a week.

I decided to take Dr. Ren’s offer of an injection of steroids in L5 and L4 and I had a good four pain free weeks. With less pain, I was able to pay attention to my gait and realized I was so unstable on my right side that my right hip was swinging out with every step. I decided to go back to Becci Parsons, my Feldenkrais practitioner for help getting symmetrical again. Walking everywhere with hiking sticks helps with symmetry. My strong upper body lifts my weaker legs up and the hiking sticks keep me parallel. They are less for balance than for lifting weight off the collapsed vertebra.

Nerve pain came back after a short time. Dr. Ren thought I might be a good candidate for surgery. Becci has had two operations for very similar conditions so I went to her neurosurgeon, Dr.Peter Nora. Dr. Nora has twenty years of back surgery under his belt. When I met him, I looked at his hands which are small and delicate. A good sign. He put me through the diagnostic paces where you resist pressing your knees together and then apart; your feet in and then out; your knee lifting against pressure; all of which I passed with flying colors. It seemed obvious this 79 year old woman showed no sign of weakness. He tried one last diagnostic tool: I stood against the wall pressing my heals, my back and my head against it. The test: stand for ten minutes in that position. I lasted 5 seconds before my legs gave way.

I so appreciated Dr. Nora’s willingness to listen to my experience. When I stand around for a while, the right leg loses feeling and will not support my weight. Think about when standing around is what we do as humans: hanging out in the kitchen with family while we cook; looking at a painting in the museum; holding a drink at a cocktail party or reception; singing in the choir at church; waiting in line at Starbucks, at the airport, at the bank. All of these scenarios result in weakness and the sensation of getting ready to fall over. Dr. Nora heard me and kept trying moves so he could reproduce my experience in a controlled clinical setting. Thank goodness. I once had an orthopedist kick me out of his office after I told him I walked to Broadway and Madison from the 3rd Ave bus stop, a distance of about a mile, most of it up a steep hill. I was using my sticks so I could do it.

Dr. Nora explained the surgery by showing me the MRI of my spine from the bottom to the top as if you were looking up a tube in which the spinal cord runs. Between L3, L4 and L5, the poor spinal cord disappeared completely. He will carve off the bonein those areas to stop the pinching of the nerves. It could be a big change for the better. Since I have been avoiding surgery for so many years, there is no guarantee all the nerves will come back, but the pain should reduce considerably.

You would think I would get in for surgery for arthritis as quickly as possible. But my calendar is full this summer with harvesting the raspberries (bending, lifting and twisting), camping with family, traveling to Hawaii with a granddaughter and several graduations. The first stretch of time when I could commit to no bending, no twisting and no lifting for a month begins August 16th. So that is when the surgery is scheduled.

In the mean time, Dr. Ren’s Assistant, Diana Ferdana, who calls me pharmaceutically naive, meaning I have little experience with drugs, prescribed Gabapentin. This drug prevents seizures and also blocks nerve pain. Side effects bother me as I am a little loopy, a little sleepy, but the benefit of the smallest possible dose is considerable. I still take Shaklee’s Pain Relief Complex to keep other arthritis under control, like my thumbs and fingers and shoulder. She also gave me an industrial sized back brace which I wear when picking raspberries, doing laundry, emptying the dishwasher, sweeping the floor. You get the idea, bending, lifting and twisting.

I still go to the Xgym every week. My trainer has talked to Becci and together they have a workout plan that stabilizes my core while building upper body strength. These exercises don’t ask much from my weak legs other than stability although I am doing controlled lunges with hiking sticks. Staying fit is important when heading for major surgery. The guys at Xgym will help me get back on my feet when the surgery is over.

I am still walking most days although forty minutes to an hour is as long as I can go without sitting down to give my back relief. So no hiking with my group. This is the hardest loss for me as I have been in the wilderness nearly every week since 2004, summer and winter. Happily there are plenty of parks nearby with old growth forest and trails, but there is nothing like deep wilderness. I miss it and my hiking buddies.

I share all this personal experience with the hope that you or someone you know will take heart in their own struggle with arthritis. Don’t give up and sit down. We have to keep moving to avoid further damage and disability. At this point for me, I can do damage by over-doing so I have to learn to listen to the signals that say, enough. Most days at least a mile of walking works. I begin each day with tiny Feldenkrais movements to activate the core, the psoas and the multifidae that go up and down my spine to stabilize it. Just half an hour of that careful “exploration”, as Becci calls it, makes the difference for movement all day.

So, Be well, Do well and Keep Moving.
Feel free to share this. And don’t forget to like me on Face book.

Comments and questions are encouraged.

Betsy

206 933 1889

Cortisone for Sciatica

Posted on April 8, 2016

Gentle Reader,
Sciatica, sciatica, sciatica. On every hand I hear people complaining about sciatic pain, drop foot, back difficulties and arthritis in general. I have had more acute sciatic pain plus a long stretch of time at home (no travel plans until July) so I decided to try cortisone for sciatica. I first focussed on discovering the cause. What would a medically trained physician have to say about my condition?

I imagine most people begin in the doctor’s office. You, who read my posts, may be among those who seek alternative care first. I have done Feldenkrais, Deep tissue sports massage, private pilates, Myofascial Release, Raiki, Alexander, Therapeutic Yoga, chiropractic, Physical Therapy—what am I forgetting? Ah, yes, my wonderful team at the Xgym, half the time and twice the results. Personal trainers who tailor my 25 minute workout to build upper body, leg and core strength while protecting my back.
My first injury happened in 1989 with a major exacerbation in 1992. Back then I did all the above and my doctor of choice was Stan Herring, a neurosurgeon who now limits his practice to the University of Washington Huskies and the Sea Hawks. He’s the doctor who looked at my x-rays and a later MRI and asked if I’d come in a wheelchair. “Get strong, Betsy. Your bones are no good for surgery so get strong.”
If you know me and see me on Face book, you know that is exactly what I have been doing. Weekly hiking, daily walking up and down the hills of West Seattle, long walks in exotic places in the off season, cross country skiing and snow shoeing when we have snow in our Cascades.
The sciatic has gotten progressively worse affecting my right leg and causing numbness and sometimes extreme pain. I put myself under the care of Dr. Ren at the Polyclinic. She is a physical medicine doctor who specializes in keeping people moving who suffer from back related problems (among other things). She confirmed that I have extreme spinal stenosis and osteoarthritis, two herniated disks at L4 and L5. She sent me to physical therapy for eight session. As has been true with previous visits to PT’s, I had fun with those young specialists and enjoyed their stretching, icing and exercises, but nothing beneficial came of it. In fact, the gross motor activities prescribed may have made my condition worse.
Next step was to get the shot of cortisone for sciatica in the L5 area where the narrowing is so small, it’s a wonder any nerve impulses get through at all. I’ve been scheduled for this procedure three previous times and canceled each time. I wasn’t ready. Dr. Ren did a fabulous job. Her needle found the spot producing an electric shock that sprung my leg all the way to my two middle toes to life with a jerk. After I caught my breath, I congratulated her.
The first day I felt wonderful and so moved stuff around in the garage. Stupid. Without the pain, I realized my gait was completely cattywampus—right hip collapsing with each step, left leg struggling to hold me up. Something whispered to me, “Go back to Becci Parsons and let her healing hands remind you how to stand and walk and sit and roll over.” Becci is the Feldenkrais therapist who got me back on my feet after the herniation so many years ago. She is a former dancer and has the same “keep moving” spirit I have. She has suffered from a similar herniation and has ended up with surgery. She can move fluidly with nearly equal strength on both sides (her right side has some weakness and lack of nerve response when her foot gets caught).
Becci, after three session, has me sitting on my sits bones with a nature curve in my lower spine, pressing one heal to the floor on the exhaling breath while lifting the right heal ever so slightly. I am paying attention to the distance between my arm pit and my hips on both sides, keeping that distance equal. I am paying attention to every muscle group that tries to help lift that right heal. Tiny movements with laser focus to re-pattern the injured nerves and muscles. She checked out my gait with the hiking sticks and said it was remarkable how my shoulders remained even, my right side did not collapse and my left hip didn’t swing out. That decision on my part to walk everywhere with hiking sticks was the best self care for my condition. It gets me a seat on a crowded bus, too.
I have an appointment for a new MRI although Dr. Ren’s assistant Diana didn’t see how the stenosis could have gotten any worse. Then I will have a surgery consultation with Becci’s neurosurgeon. I hope I don’t have to go there, but I am willing if it would help me gain real strength on my right side.

pain free from cortisone injection for sciatica — Hiking sultan canyon trail off hwy 2 in the North Cascades

The blessing is not being in pain. I stopped taking Shaklee’s Pain Relief Complex which inhibit the pain path without any side effects. Low and behold, other arthritis pain showed up in my hands. I don’t hike as far as the other members of my gang of hikers, but I am strong enough to lead the pack and am pain free. My hiking friends have been solicitous, gradually increasing the length and the elevation gain. Last week and next will be 700 ft of altitude gain and six miles round trip (Boulder Creek trail of Hwy 530). I know it well and there are places to stop if I need to let the others go on.
There is something about spending a day in the wilderness every week that keeps my spirit soaring and my sense of well being strong. I’ve mentioned before that our gang has scouted out wheel chair accessible wilderness walks for that time in the future when one of us can’t walk. So far, I don’t need to be pushed.
I share my pain, suffering and healing stories in case they resonate with something you are going through, or someone you know. If you have any interest in connecting with any of the practitioners I have used, please follow the hot links to them. If you are interested in trying the supplements and dietary changes that have been so helpful to me, please check out this post in particular. If you have questions or comments from your own experience, I and my readers would love to hear from you.
Thanks for reading,
Be well, Do well and Keep Moving,
Betsy
206 933 1889

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Physical Therapy

Posted on March 6, 2016

This article is part of a series of posts I have written about various therapies that may be helpful to relieve suffering due to arthritis.

Physical Therapy has not been high on my list of therapies helpful to relieve sciatica. However, pain up and down my right leg emanating from pinched nerves at L5 and L4 sent me back to the Physical Medicine doctor at my HMO, the Polyclinic here in Seattle. Dr. Ren recommended the Physiotherapy Associates at Greenlake. Eight sessions later, I still have pain, but I am stronger and less fearful.

Perhaps you have had similar responses to pain. When you hurt every time you walk a couple blocks, pretty soon, you stop walking altogether. When that happened to me, I stumbled on Tarama Gillest, Therapeutic Yoga instructor and owner of Bend n Move. In four sessions with her, I learned to manage my anticipation of pain with deep breathing and a series of body loosening and strengthening moves. I got out my sticks and took them everywhere so when the pain came, I have help. The hiking sticks help me lift my body with my arms, taking the pressure off my back.

In spite of this therapeutic intervention, I still experienced increased weakness in the right leg. This is where Physical Therapy came in. Two things to tell you about Physical Therapy with Physiotherapy Associates.

1. the exercises and stretching moves they employed did not increase pain. In fact, the opposite. Several of their stretches and exercises were ones I feared because they mirrored the actions that have caused pain in the past, such as the doggy leg lift when on all fours. In the controlled environment at the Physical Therapy office, I have been able to do leg lifts, strengthen the ham string without fear. Fear of pain is one of the problems that keeps us from moving.

2. Repetition increased strength. Do you know how many reps these guys make you do? 15 to 20 with each leg, twice or three times. You have to increase strength with that kind of workout.

They always end with icing and a ten minute rest. I recommend this PT experience for anyone who is struggling with the results of arthritis.

Finally, the therapist and my personal trainer talked to discuss my strength training at Xgym, so I have a tailored program to keep the upper body strong while I am working on the muscles and tendons and nerves below the waist.

The experience that pushed me over the edge was cross country skiing last week. The pain was so great, I had to stop after 2 hours and sit in the car while my companions enjoyed another hour and a half of skiing. I decided to follow the advice of my skiing/hiking buddy’s husband. I am going to see an orthopedist who specializes in a mildly invasive surgery to clean out the spinal stenosis bone growths. The real culprit is a narrowing of the spinal opening. If he can help, he will. If he looks at my MRI and decides he can’t help…….. well, I will have to continue doing the things I am doing in order to get into the wilderness and hike or ski the trails.

Shaklee’s Pain Relief Complex is helpful. I still recommend it. You can take lots without hurting your stomach, and by that I mean, 4 – 10 a day.

Wish me luck. Betsy

Be well, Do well and Keep moving. Above all else, Keep moving.

Betsy

Be well, Do well and Keep moving, Betsy

Arthritis, Be Well health tips, Keep Moving: Managing Arthritis

Do I need a pain diagnosis?

Posted on January 22, 2015

Do I need a pain diagnosis?

I was standing in front of the piano along with my fellow choir members. Heading back to my seat, I realized my right leg was dangling from my hip. No feeling. Just a dead weight. While standing for rehearsal something, probably in my back, pinched off a nerve to the entire leg. Numb. If I took a step, would I crash to the ground?

This has happened before. I was alarmed by the numbness in late May of 2013. I was leaving in a few days for a writers’ retreat in southern France. While I have experience the numbness off and on during the past two and a half years, when it came on right before leaving for a 100-mile hike in England in May of 2014, I was worried. I remembered walking from Montmartre to the Shakespeare and Company bookstore on the left bank, talking to my right leg the whole way, “Lift, swing, step, lift, swing, step.”

The incident last week was much worse.

Dr. Kirdahy, the chiropractor who has been keeping me out of the operating room for years, was puzzled when I went to see him. “You have no pain?” “No” I reassured him. “I have no pain.” “How can that be?”

Maybe because I take Shaklee’s Pain Relief Complex first thing in the morning and as often as required to keep pain at bay all day long.

“What’s in this Pain Relief?”

Pain Relief contains two herbs: Boswellia and Safflower

Boswellia extract

A controlled clinical trial found that a daily dosage of 1,000 mg of Boswellia

Extract taken in divided doses significantly improved joint discomfort,

Knee flexion, and walking distance.1

In a clinical study, an extract containing boswellic acids was shown to promote

comfortable joint movement.2

Safflower extract

The benefits of the safflower are newly discovered in the West, but have a long

tradition of use in Asia.3

Kimmatkar et al. Efficacy and tolerability of Boswellia serrata extract in treatment of osteoarthritis of knee: a

randomized double blind placebo controlled trial. Phytomedicine. 2003;10:3–7.

Etzel R. Special extract of Boswellia serrata (H15) in the treatment of rheumatoid arthritis. Phytomedicine.

1996;3:91–94.

Hsu HY. Oriental Materia Medica. A Concise Guide. 1986. New Canaan, CT, Keats Publishing Inc. and

Oriental Healing Arts Institute, Long Beach, CA.

[From the Shaklee Product Guide, a fact sheet]

I told Dr. Kirdahy I would come back next week after 36 hours without any Pain Relief Complex.

This chiropractic visit induced a search of the literature for the answer to my question: does pain help diagnosis?

According to Spine Health, because the causes of back pain can be very complex, it is often more difficult to get an accurate diagnosis for back pain than for other medical conditions. While some spinal diagnoses are relatively straightforward (such as tumors, infections, or fractures), for many conditions there is little agreement among spine specialists about a diagnosis.

However, getting an accurate diagnosis of the cause of back pain is critical, because different diagnoses will require very different treatment approaches. And the sooner an accurate diagnosis is made, the sooner the patient can find an appropriate treatment for pain relief and to improve his or her ability to enjoy everyday activities.

Pain is our friendliest enemy — it keeps us out of trouble even though it often seems to actually be the problem.

The body ‘locates’ pain near the surface quite well but has trouble indicating the source when the pain is deep. Pain from deep injuries, diseases or infections of organs, such as the heart, stomach, lungs and back may seem to come from somewhere else nearby or may radiate into multiple places. Intense pain may be more localizing but not always.

Therefore, when back pain is accompanied with other changes, fever, swelling, redness, heat, neurological problems or changes in body functions, the diagnosis may be sharper — and the back pain diagnosis may be more serious.

The milder backaches that one feels over one’s lifetime can generally be successfully managed by simple back pain treatments — rest, medication, massage, the application of salves, exercise, weight loss and learning to put up with it.

So, if the severity of back pain does not serve as a guide for when to see a physician, the question is how does one know? While there are exceptions, there are several generally accepted guidelines of when to see a doctor for back pain:

If the back pain has any of the following characteristics, it is a good idea to see a physician for an evaluation:

Back pain that follows a trauma, such as a car accident or fall off a ladder
The pain is constant and getting worse
Back pain that continues for more than four to six weeks
The pain is severe and does not improve after a day or two of typical remedies, such as rest, ice and common pain relievers (such as ibuprofen or Tylenol)
The pain is worse at night (most common forms of back pain are alleviated by rest)
Severe pain at night (e.g. pain that wakes one up from deep sleep)
Abdominal pain that accompanies the back pain
Numbness or altered sensation in the saddle area (upper inner thighs, groin area, buttock or genital area)
Neurological problems, such as weakness, numbness or tingling in the leg(s) or arm(s).

I have seen orthopedists, neurologists and sports medicine doctors for my chronic pain. Currently, I handle the pain with Pain Relief Complex, exercise, Back2Life machine every morning, and moving as much as possible during the day (sometimes a challenge as I am a writer!) So I would say I live my life pain free.

The above article persuades me that it is time to cut out the Pain Relief for a day or two to see just how bad this pain is. Before leaving for England last May, I had an MRI and a consultation with the Sports medicine doctor at my clinic. She told me I have several bulging discs, a normal condition in people my age, but that I was not at risk for hospitalization or major trauma on my hike. In fact, she assured me, the 100 miles hike would be good for me.

And it was.

The degree of increase in the numbness worries me. Doing without Pain Relief even for 48 hours worries me, too.

I’ll keep you posted. Next week, I will discuss the most common medications used to handle osteoarthritis pain, and why you might want to think twice about using them habitually. Stay tuned.

Be well, Do well and Keep moving,

Betsy

206 933 1889

betsy@hihohealth.com

Leave your comments. They help other readers and me, too.

Arthritis, Be Well health tips

resveratrol for joints

Posted on June 6, 2014

Gentle Reader,

There is so much I could share about this past weekend at my alma mater, Bryn Mawr College, just outside Philadelphia on the MainLine. In keeping with the goal of this blog, I will single out arthritic joint issues and focus on possible remedies for joint pain.

Twenty-nine of my classmates came to celebrate our 55th reunion. Everyone looked great: not too many wrinkles, lovely hair, sparkling eyes. But when it came time to walk up a few stairs, joints fail and pain ensues. The cart is called to drive people where they need to go. I’m wondering if the anti-aging product I’ve been taking for ten years has helped my joints so the same is not true for me.

Have you heard about Resveratrol? It is the anti-oxidant found in red wine. Shaklee started working on producing a pure tonic that combines the resveratrol and polyphenols found in the muscadine grade about ten years ago. I have been taking my daily dose of this delicious liquid called Vivix since they made it available for sale.

There is no question that my body, like my class mates, suffers from the aging deterioration of cells that is normal for a 77 year old. It appears we do not all age in the same way or at the same rate. I have had severe osteo arthritis and spinal stenosis for years, probably brought about by factors such as stress, poor diet, and environmental toxins. I’ve worked hard on the diet part, but you cannot always eat perfectly, now can you. These factors can weaken cells’ natural defenses, lower cell energy, damage DNA, and decrease cell performance. All of these can contribute to cellular aging.

Clinical Studies show Vivix® ingredients positively impact four key mechanisms of aging at the cellular level.

Shaklee scientists conducted a study to see if Vivix could defend against cell damage.

Cell Defense

Blunts Biological Stress
A clinical study published in The Journal of Endocrinology and Metabolism showed that key ingredients in Vivix blocked a key marker of biological stress response after the consumption of a high-fat fast food breakfast totaling 930 calories.

The results were exciting, while the study had nothing to do with joints, it showed that Vivix protected cells from damage. My joints were damaged long before Vivix came along. Perhaps protection is less important than repair. Let’s see what happened with repair.

Cell Repair

DNA Protection & Repair
Laboratory studies show that key Vivix ingredients help protect against DNA damage, supporting DNA replication for healthy cell function.

Shown in laboratory studies, Vivix protects and repairs DNA, which is assaulted millions of times every day. These assaults can damage the cell’s DNA, creating a “typo” that may compromise cell function and longevity.

A recent visit with my sports medicine doctor revealed a smaller than average spinal passageway for the cord to pass through. Like my father before me, my spinal cord has little wiggle room. That is the result of inherited DNA. The data suggest that DNA can be repaired by resveratrol. I am convinced that my joint health has improved instead of worsened over the last ten years. The recent MRI indicated improvement.

Could it be that resveratrol reduces joint pain? This is certainly my experience.

To learn more about Vivix and the ingredients, studies and results, click here.

Vivix is expensive. It may be worth it if you want to slow down aging at the cellular level. It certainly seems to help with joint pain and there are only side benefits from drinking a swig from the bottle every day. I would give the body 90 to 180 days before deciding Vivix has made no difference in your joint function. It is possible you will feel a positive difference much sooner. Your blood is all new in 90 days and the joints, because of lower blood flow, will take double that to show results.

There are other resveratrol products on the market, but none have the muscadine grape’s extra anti-oxidants which seems to enhance the punch provided by resveratrol. In addition, purity of product makes a difference and Shaklee scientists have been able to produce a 95% pure tonic. Less purity may result in loose bowels. Get some and see what your results are.

Good luck and keep moving, as moving is always the best single antidote to painful joints.

Be well, Do well and Keep moving,

Betsy

206 406 5940

Be Well health tips, Keep Moving: Managing Arthritis

Healthier bones

Posted on April 30, 2014

Gentle Reader,

Do you ever have the experience of anticipating a really big event that is going to make demands on your body? You become more aware of the little aches and pains, the warning signals that all is not well? Maybe bone health has gotten worse. You worry about an escalation of the little twinge into something big right in the middle of the planned for event. You think about Traveler’s Insurance and then read the fine print that says unless you buy it with 14 days of purchasing your plane ticket and paying for the experience, you have to declare a pre-existing condition. Are these twinges enough to be called a pre-existing condition?

By now, you know that I have been living with a diagnosis of spinal stenosis and osteoarthritis. These are both age-related and trauma induced arthritis. My first trauma was in 1989 and then the herniation in L5 was exacerbated in 1993 by sitting in a slouched position in an airplane for 7 hours. At that time, I went to Dr. Stan Herring, sports medicine doctor to the Huskies sports teams and neurosurgeon. He told me my bone health as revealed in the MRI pictures were so bad, he was surprised I wasn’t in a wheel chair.

Over the past year my right leg has been going numb and weak from time to time, especially when standing for a long time, like in choir or wandering through a museum. Last June, I walked all over Paris with a numb right leg. No pain, just a feeling of distance, dissociation from that limb, even when walking around without a hiking stick or other means of extra support. In fact, I hardly ever experience pain above a 3-4 on the old 10-point scale. Probably because I pop an herbal Shaklee Pain Relief Complex tablet at the slightest twinge of pain.

I decided to call Dr. Herring’s office to see how he is treating his athletes these days. His practice has changed and he directs other doctors now. He is not a provider in my AARP Advantage insurance program. So, I met Dr. Ren at the Polyclinic for a review of my most recent MRI and a comparison to all the others I have had in the past. Three conclusions are worth sharing with you.

1. I do have bulging discs including a new one at L2, moving up the spine. But none is penetrating the spinal cord. I have what she calls a genetically narrow passageway for the spinal cord. This explains why I am so like my father in arthritis of the back; he suffered terribly. It was ironic, since he was an Orthopedic surgeon and performed hundreds of laminectomies and fusions over the course of his practice. He couldn’t operate on himself, so he never had his own back fixed. You can see where I get my “do it yourself” attitude.

2. There has been some improvement in the spinal stenosis and osteoarthritis since the last MRI. This I count as a victory and I attribute it to the fact that bone replaces itself slowly over time. Given proper nutrition and other care through strengthening and toning muscles, bone can improve. I am thrilled that my bone health has improfed. What a fabulous result! I will continue to visualize the formation of healthy new bone. I will certainly continue with a diet loaded with fruits and vegetables and lean meats and fish, plus little or no gluten or dairy. I am committed to continuing my workouts at the Xgym, because stronger muscles build stronger bones.

3. Dr. Ren called me her poster child, to be improving bone health at 76, almost 77, instead of getting worse. She also told me that low back problems on a major trip would only cause discomfort and was not life threatening. No need to update my will on account of my back issues and numb leg. Whew…

Let me review my early morning routine in case it would be helpful for you.

1. Lie on the floor for 12 minutes with my knees bent over the Back2Life Machine.

2. A Feldenkrais hip opening exercise, 10 counts with each leg. This video shows an extended version of my routine. A full hip opening practice in two parts. I limit myself to the dropping of the knee, extending the heal and back up again, 10 times on each side. If you are a beginner with Feldenkrais, I recommend following her program from start to finish for best results. You can later incorporate the segment that seems to give you the most benefit.

3. hanging upside down on the gravity inversion table for a total of 25 breathes. Here is a video of an expert doing her back mobilization exercises on this inversion table. It makes me seasick. I have never been able to work the way she does, but I can vouch from the success I have had with lengthening a stretching my spine. She inspires me to work up to what she demonstrates.

All this before breakfast. In addition, each week I walk a couple miles most days which include steep uphill climbing (I live in West Seattle on top of a hill and my destination is on the top of another hill a mile a way, therefore Up and Down going and coming.) On Tuesday I practice yoga with an instructor who builds slowly to the big poses and I stop when a twist gets to be too much. On Wednesday I hike in our mountains surrounding Puget Sound, usually 6 miles, more or less. On Monday and Friday, Clayton works me out at the Xgym, concentrating on 5 muscle groups and in a controlled manner, bringing them to complete fatigue. It takes 25 minutes. None of this takes a long time, except for the luscious outdoor experience on Wednesday. I hate to miss it when I have to. Nearly anyone could put this into their schedule.

I also take several supplements that improve joint mobility and strength muscles tissue: Fish oil, Vitamin E, Vitamin C and Calcium. They all work better because of an excellent catalyst, Shaklee’s multivitamin and mineral tablet. I take the one for seniors which is especially formulated for the aging absorption for someone over 50.

The special event, you might ask? A friend and I are going to hike 100 miles in England following the “highway” used by Lady Anne Clifford, a 17^th century noble woman who owned most of Northumberland and Yorkshire. We will walk from castle to castle beginning just north of Leeds, hiking for 9 days in the dales, wild and dramatic country to Penrith in the Lake District. It will be June, long days and with any luck, not too much rain. I will leave the end of May, feeling confident that my self-care and hiking sticks will see me to the end. I’ll be home on June 20^th.

Be well, Do well and Keep Moving,

Betsy

Let us know of your adventures. How you are preparing or maintaining your body to meet your travel goals? Sharing makes it all better.

betsy@hihohealth.com

206-933-1889

Be Well health tips

arthritic hands

Posted on April 18, 2014

Gentle Reader,

Several friends have complained about arthritis in the hands. There are some things you can do to reduce the pain, increase mobility and slow the process down.

Osteoarthritis is a type of arthritis that is caused by breakdown of cartilage, with eventual loss of the cartilage of the joints. Cartilage is a protein substance that serves as a “cushion” between the bones of the joints. When the cartilage deteriorates (degenerates), the bone next to it becomes inflamed and can be stimulated to produce new bone in the form of a local bony protrusion, called a “spur.”

Osteoarthritis is also known as degenerative arthritis because of the degeneration of the cartilage that causes it. Among the over 100 different types of arthritis conditions, osteoarthritis is the most common and affects over 20 million people in the United States alone. Osteoarthritis occurs more frequently as we age. Before age 45, osteoarthritis occurs more frequently in men. After age 55 years, it affects women more frequently. Osteoarthritis causes no symptoms in many patients. Symptoms of osteoarthritis include local pain, stiffness, tenderness, and occasionally swelling in the affected joints. Dr. William Shiel, Jr. MedicineNet.com.

Picture a ball and socket joint. Between the two bones is the synovial membrane. A layer of cartilage at the end of each bone is the shock-absorbing cushion between the two bones.

Arthritis occurs first in any joint that has been previously injured. Also occurs with wear and tear on joints with age. Carrying extra weight deteriorates joints more rapidly.

Bone spurs extend from bone into soft tissue and damage the synovial membrane.

Bone spurs and kidney stones result from improper calcium metabolism. If you don’t have enough calcium intake to maintain calcium blood level, calcium must be pulled out of storage from the bones. Calcium ready to be excreted by the kidneys goes back into the blood. This free unbound calcium goes to areas of highest activity and settles in the fingers, wrists, spine, hips, and neck. This is the cause of arthritis in the hands. It is necessary to take enough calcium every day to prevent spurs and kidney stones. I recommend OsteoMatrix by Shaklee because of the extensive research to prove that the nutrients in this supplement actually break down and get to the blood and bone. Many calcium supplements contain binders that prevent break down into usable nutrients. Check your brand for clinical studies.

Wear and tear of joints leads to improper cushioning, to bone rubbing against bone, to inflammation (swollen and stiff). If you lose all the synovial membrane and most of the cartilage, your joint must be replaced. If you take action soon enough, you can rebuild cartilage, stimulate, and rebuild the synovial membrane.

(This information comes from Diane Petoskey, a renowned nutritionist who lectures widely in North America. I have heard her speak at all day seminars on health several topics and have listened to all of her health audio tapes. Her recommendations work most of the time with most people. They are worth a try. The side benefits from the supplements are many. Going the medication route tends to damage the body over the long haul as there are so many negative side effects. Buying supplements costs more because insurance doesn’t pay for them. However, the gain in good health is considerable. I personally had arthritis at a young age, in my late teens and 20’s and took lots of Aspirin, Motrin and other pain killers. When I started in with Shaklee at age 48, I used the basic supplements and 15 – 20 alfalfa tablets a day and stopped all medications for arthritis. In recent years, the Shaklee scientists have continued to do research on the pain receptors and on joints and have developed other arthritis relief products, including a soothing Pain Cream. Please try the packet on sore joints to see how they feel. Let me know what questions you have. I am now 76 and ski, hike, walk, do stairs, dance and generally move comfortably through most yoga positions and doing chores in my garden and two-story house. I take no pain medications other than the Shaklee products. My neurologist has done MRI’s of my back over the years and repeatedly says the pictures would suggest I needed a wheel chair and yet I am extremely active.)

Nutrients good for joints: minerals are very important

OsteoMatrix 1500-2000 mg/day

Magnesium (Vita mag) 750-2000 mg/day (cal-mag ratio = 2:1)
Alfalfa: provides trace minerals. When the body is too acidic, it damages the synovium. Alfalfa is alkaline. Take 24-30/day (the tablets are small) Alfalfa also reduces inflammation. You may need to go up to 60/day for a couple of weeks to reduce pain and swelling. Note: meat eaters have high levels of uric acid in the blood which damages the synovium.

MSM: in capsules. For inflammation of joints. Take 6000 mg/day
Zinc: at least 45 mg/day

Garlic: for inflammation and joint problems. Garlic kills viruses, yeast, parasites, bacteria, it is anti-inflammatory, also regulates B/P. take 3-9/day

Vita C: stimulates production of collagen (cement that holds cells together). Helps to rebuild joints, also good for inflammation. Take 3,000-5,000 mg/day

Omega guard (Essential Omega 3 Complex) essential fatty acids. Take 9/day

GLA: take 6/day

Lecithin: take 9-12/day

CarotoMax: take 3/day

B-Complex: take 6 a day

Vita Lea: take 2 a day

Joint Health Complex: stimulates production of cartilage. Minimum of 6/day. May have to use 9. It will take months to rebuild your joints, then you can reduce nutrients to maintain your joints.

Exercise: don’t over stimulate the joints. If you have arthritis, first decrease inflammation, then exercise. Arthritics definitely improve with exercise because circulation of blood increases and more nutrients go into the joints. Start with water aerobics. Here are some exercises for arthritic hands.

You may balk at consuming so many supplements. I can tell you from personal experience that I have been able to maintain healthy joints by taking slightly fewer. Diane Petoskey’s recommendations seemed extreme to me. However, many people have followed her advice to the letter and experienced major improvement. If you want dramatic results, you have to take dramatic measures. You might take the plunge and try this approach wholeheartedly for 3 months. Your blood is completely new in ninety days, so a three month trial will tell you if this approach is effective. Medicine is cheaper, but does not build healthy cells for the future.

I’d love to read your comments.

Be well, Do well and Keep Moving,

Betsy

206 933 1889

Betsy Bell’s Health 4u

4455 51^st Ave. SW

Seattle, WA 98116

1-800-643-2486

http://www.HiHoHealth.com

Betsy@HiHoHealth.com

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Sleep and Arthritis Pain

Posted on February 28, 2014

Gentle Reader,

What’s up with not getting a deep, long sleep at night? I have heard from several of my customers that falling asleep is no problem, but they wake up in the night and can’t get back to sleep afterward. Not getting a good night’s sleep is a serious concern in our modern busy world and it seems to worsen when we develop arthritis aches and pains in our later years. Read on for a thorough discussion of arthritis and sleep.

What are the health risks of interrupted, inadequate sleep?

Turning to WebMD we get a lengthy discussion about 10 things to hate about sleep loss.

In a nutshell:

1. Sleepiness causes accidents: 100,000 a year resulting in 1550 deaths. Mostly people under 25 were driving when drowsy, not to mention the 1979 nuclear accident at Three Mile Island, the massive Exxon Valdez oil spill, the 1986 nuclear meltdown at Chernobyl.

2. Sleep loss dumbs you down. You just can’t think well when you are sleepy and without deep rest, your brain cannot store and catalog all the things you learned today. Nighttime is memorization time.

3. Serious health risks of chronic sleep disorders

Heart disease
Heart attack
Heart failure
Irregular heartbeat
High blood pressure
Stroke
Diabetes

4. Lack of sleep kills the sex drive. Need I say more?

5. Sleepiness is depressing. May I add that it is depressing to the sleepy person and to those who would like to play, work, and enjoy life with that person.

6. Lack of sleep ages your skin. It is the cortisol produced by stress that causes those extra lines and dark patches under the eyes. And missing sleep is stressful.

7. Sleepiness makes you forgetful. Maybe you don’t have early onset Alzheimer’s; you only suffer from poor sleep.

8. Losing sleep can make you fat. When you are sleepy, you crave fat-laden carbs.

9. Lack of sleep may increase early death. Read the report to see the study.

10. Sleep loss impairs judgment, especially about sleep. We cannot see how impaired our brain function is.

Since this is a blog about arthritis, I wanted to see if lack of sleep affected our joints. Turns out there is a vicious circle of pain and lack of sleep going on when you have painful arthritis. From a study reported in the Daily Mail about this problem,

Experts say insomnia is common among the ten million arthritis sufferers in Britain, with some estimates suggesting that nearly two in three experience trouble sleeping. However, until recently restless nights were viewed as a secondary and almost inevitable problem for people with arthritis. But now scientists are realising that this problem is a two-way street: not only does joint pain cause sleep loss, but sleep deprivation makes joint pain worse, and can even accelerate joint damage. There is growing concern that sleep disturbance exacerbates osteoarthritis (wear-and-tear arthritis) and rheumatoid arthritis (where the immune system attacks the joints), and experts believe that treating insomnia could lead to an improvement in the condition.

Osteoarthritis develops when cartilage that protects the surface of bones becomes damaged and starts to break down. The exact causes remain unknown, but genes, weight and age are all thought to be involved. Much of the pain and swelling is caused by inflammatory molecules in the body travelling to the joint.

For reasons that are not fully understood, disrupted sleep leads to increased numbers of these inflammatory markers, which further aggravates sore joints. One of these markers is called interleukin-1 (IL-1), which is made by white blood cells. One expert thinks IL-1 is the ‘primary trigger’ of osteoarthritis. Lack of sleep causes arthritis pain and visa versa.

Professor Peter Wehling, an orthopaedic surgeon whose Dusseldorf clinic has become a pilgrimage site for sports stars seeking to prolong their careers, says even a limited amount of sleep disruption can cause the immune system to ‘go into overdrive’. It then begins to ‘flood the body with white blood cells in a vain attempt to address exhaustion-related distress’, as he puts it in his book The End Of Pain.

Many of the IL-1 producing white blood cells lodge in the joints and cause ‘discomfort and gradual erosion of cartilage’, he says. Professor Wehling warns that even one bad night’s sleep can set this in motion.

Professor Silman from Arthritis UK agrees that inflammatory compounds play a role in arthritis. ‘Sleep disturbance can change the body’s natural cycle of hormones as well as possibly adversely affecting the underlying levels of inflammation,’ he says. He agrees that IL-1 is ‘an important player’ in the development of inflammatory arthritis, but says other cytokines — inflammation-causing chemicals — may also be involved. He adds that some of the symptoms of osteoarthritis, especially in its early stages, may be a direct consequence of inflammation.

And while loss of sleep may release damaging inflammatory chemicals, it also means the joints miss out on the healing benefits of sleep.

Sleep is the longest time during which the body has low levels of inflammation and opportunity to heal. Around 15 to 25 per cent of it should be deep sleep — this equates to around 1½ to two hours every night. During this time, energy levels are restored and the immune system strengthened. But it can take up to 45 minutes of sleeping to enter deep sleep — and these deep phases seem to occur only in the first half of the night, for reasons not understood. This means that if someone is tossing and turning they may have very little deep sleep. This not only increases the number of inflammatory markers in the body, but it can also disrupt the workings of hormones vital for joint healing, says Professor Wehling. Perhaps most notably it lowers production of human growth hormone, sometimes called the ‘master hormone’ because it is vital to many processes in the body including tissue repair, weight management and continuing replacement of bone and collagen. Though human growth hormone is produced in small surges during the day, by far the biggest burst comes 60 to 90 minutes after falling asleep as we enter deep sleep.

Inflammation suppresses human growth hormone — and so deep sleep causes levels to surge.

But without much deep sleep, we may not produce enough growth hormone, speeding the decline of tissue and bone, causing it to become worn in joint areas. Furthermore, weariness makes people more sensitive to pain, and can lead to them becoming even more immobile.

Professor Kevin Morgan, director of the Sleep Research Centre at Loughborough University, explains: ‘Moving involuntarily in the night can wake you up with a lightning shaft of pain and a cracking sensation. ‘This sleep disruption makes pain worse the next day, and makes a person less inclined to want to move around. ‘However, movement and activity makes joints hurt less.’

Arthritis Research UK is funding a study by King’s College London’s Institute of Psychiatry, which aims to identify and treat the issues preventing patients with rheumatoid arthritis from being physically active and sleeping well. Around 200 people with the disease are taking part in the research, which it is hoped will lead to new techniques to tackle inactivity, sleep disruption and pain.

A similar study by the University of Washington in Seattle involving 375 patients with osteoarthritis is also being held and is due to report next year. It is examining whether targeting pain and sleep problems is more beneficial than a regimen focusing on pain alone. The researchers have hypothesised that the dual approach will have greater long-term benefits for sleep and pain, increase physical activity and lead to a reduction in healthcare costs.

Jo Cumming, head of helplines at Arthritis Care, says the charity speaks to 12,000 people a year, and 63 per cent say they don’t get a good night’s sleep.

‘It is a huge burden to bear. When GPs are considering medication or joint replacements one of the things they ask patients is whether the pain stops them sleeping,’ she says.

But Professor Morgan argues that previously GPs have considered insomnia as an unfortunate consequence of another health problem, rather than an important health problem in itself.

This has led to patients not always receiving the best treatment.

‘You have to put in a lot of work convincing clinicians that sleep problems are not just collateral damage from the main disease,’ he says.

So what can help those with joint pain achieve a good night’s sleep?

Tips include cutting out afternoon naps, using lamps rather than ceiling lights in the evening, avoiding caffeine after 3pm and not drinking alcohol after 9pm.

Professor Wehling also recommends ‘keeping a consistent bedtime and rising within an hour of sunrise’.

Avoiding midnight snacks can also help.

An estimated 50 per cent of our body weight is carried by the menisci, small pads of cartilage in the knee, so piling on the pounds adds substantially to an already considerable strain. Excess body fat can also heighten arthritis directly because our fat cells expand and produce more cytokines, which fuel inflammation.

However, a lack of sleep can lead to weight gain, which is known to make joint pain worse.

Levels of melatonin, the key hormone in regulating our daily body cycle or circadian rhythm, are also disturbed by sleep loss, and this in turn upsets the balance of two other hormones.

The first is ghrelin, known as the ‘hunger hormone’. Elevated levels of ghrelin at night can prompt people to raid the kitchen, craving carbohydrates in particular. It also causes extra insulin production, making the body store more fat.

The second is leptin, which usually helps regulate appetite, but may be disrupted by loss of sleep. Studies in mice also suggest that leptin may itself have inflammatory effects.

What are some solutions to this problem?

Talk to your doctor and help him/her see that lack of sleep is important enough to work through the available medications to find one that works.

If you are like me and prefer to solve this problem through alternative methods, I have found a number of strategies that work for me. While I still wake up in the night, I can nearly always get back to sleep and return to a deep, untroubled sleep, waking up well rested.

Shaklee makes two supplements which help induce a restful sleep at the beginning of the night.

Gentle Sleep Complex swallowed all at once or made into a tea about 1/2 hour before bed along with

Stress Relief complex. Taking 2 seems to be the best amount for helping with sleep at night.

Lavender oil dabbed on the bottoms of the feet. (I know, sounds woo woo but it seems to work. You can also buy a little chimney with a dish on top for the Lavender oil. The odor wafts through the bedroom and helps with sleep.) WebMD has information about lavender oil.

There are some other oils that some people use like Rescue Remedy. You can find these oils in most stores that sell supplements. I have used a drop of Rescue Remedy under my tongue when other methods did not result in a return to deep sleep at that 2 a.m. hour.

Insomnia Relief Audio CD — Peggy Cappy’s sleep meditation

I also have used Peggy Cappy’s soothing voice on her mediation for back rejunvenation. I have it on an Ipod which I keep at the head of my bed. Peggy Cappy has a CD for sleep which I just ordered. I’ll give a full report when I have used it. I often begin my night listening to her Back Care CD and fall asleep immediately. I swear my back pain has lessened considerably over the years I have been listening to her. I have blogged about Peggy Cappy in the past.

Another thing I do routinely is make a note of anything I must do the following day so I know they are scheduled and I can trust that I will get back to them.

I recently discovered that my trusted Feldenkris practitioner addresses this problem with a new series/private consultations/workshops. http://www.becciparsons.com/Sounder_Sleep_System.html I haven’t taken her classes, but she is the practitioner who got me walking/sitting/standing/bending again after herniating my L5 disc in 1989. Becci Parsons has been a guest blogger for me. Please read that post for more information.

Happy Dreams,

Be Well, Do Well and Keep Moving.

Betsy

I would love to hear from you how you manage sleeplessness. Please send me an email.

betsy@hihohealth.com

206 933 1889

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Arthritis or Tendonitis?

Posted on February 20, 2014

Gentle Reader,

Tendonitis or arthritis? Which is it? My oldest daughter (52) was feeling sprightly one morning in Ecstatic Dance and accepted an invitation to do a cartwheel and round off. Why not? She is fit, exercises daily and used to do them easily when she was a gymnast back in high school. So off she sped across the floor, executing the perfect cartwheel and round off, landing smartly on her heels, arms out in a victory pose. Immediately she felt the sharp pain in her right buttock but went on dancing. That was last August. By December she could not bear weight on that leg, on her sit bone which made walking and sitting painful and challenging. The diagnosis was a torn hamstring tendon, a rare accident usually confined to linebackers. Most orthopedists see a hand full in a life-long practice. She found one who, in twenty years, had repaired twelve such injuries. The operation was successful and she is walking, driving, and sitting comfortably again. This condition is a torn or ruptured tendon. Definitely not tendonitis or arthritis of the hip, which she fleeting believed it might be.

Tendonitis, commonly called tennis elbow, swimmer’s shoulder, trigger finger, is an inflammation of the fibrous, cordlike connective tissue that attaches muscle to bone. Tendons can withstand amazing amounts of force, but they are not indestructible. Witness my daughter’s round off. The pain of tendonitis accompanies stiffness and swelling near a joint. Arthritis presents in the same way. When you get this pain, stiffness and swelling, you usually take some anti-inflammatory drugs such as ibuprofen; apply ice and rest the affected joint. But this could be a miss-diagnosis. [information from an article in Johns Hopkins Health Alerts]

Perhaps the inflammation is actually in the sheath around the tendon. Tendons do not contain many blood vessels, so they are seldom inflamed. If you are over 50, it is possible your tendons are degenerating. The collagen that makes up the tendon breaks down, causing multiple microscopic tears. What little blood circulation there is to the tendon also decreases with age, making the healing of these microscopic tears more difficult. This degenerative condition is called tendinosis. Can you tell the difference between tendinosis and arthritis?

It is common to develop tendinosis and have no symptoms until some sudden trauma or the gradual build up of repetitive motion in work, sport or exercise. Perhaps my daughter had tendonosis compromising the tendon’s elasticity. She would not have known that she was at risk for a major trauma to the hamstring tendon.

Here’s a way to tell if your joint pain, stiffness and swelling is tendon related or bone and joint related: try taking glucosamine (Joint Health Complex by Shaklee) for two weeks. If it helps, you likely have osteoarthritis. If not, it is more likely a tendon problem.

Glucosamine has been shown in quite a few scientific studies to help with cartilage formation. Cartilage is what your joints are made of, and what arthritis attacks, so upping the rate of production of cartilage helps your joints. You feel better….if you have arthritis.

On the other hand, glucosamine will not help with collagen formation, and tendons are made of collagen. So it stands to reason that if you feel like you have “joint pain”, take glucosamine, and do not experience any relief, one very likely culprit could be your tendons. Tendon insertion points are often very close to joints and it can be difficult to tell exactly where the pain is coming from.

Taking NSAIDs (anti-inflammatories) using ice and rest can provide temporary relief for either tendonosis or arthritis, but since both are the result of inflammation, using these treatments will not help you distinguish between the two. Knowing which one you have is important if you intend to treat the condition yourself. If you take NSAIDs and they do not help, you probably have degeneration of the tendon.

This information comes from a web site http://www.targettendonitis.com/ by Alex Nordach, who is marketing his ebook (for $29) on how to treat degenerating tendons. I have not purchased this book so I can’t recommend it. If you are interested, follow the link and see for yourself.

What I can tell you about natural healing for both joint and tendon caused pain, is the following:

Acupuncture can relieve pain, stiffness and swelling.

Vitamins C and B Complex, plus Alfalfa help build collagen naturally, reduce inflammation and increase blood flow into the area. And I do not mean one or two tablets. 3000 mgr. of Sustained Relief C and 6 tablets a day of Shaklee’s B Complex can make a difference. I could tell you stories of people who have avoided surgery for carpal tunnel syndrome by taking lots of B Complex. Alfalfa tablets are small pea sized pills and should be eaten by the spoon full, not one by one. We are talking food. Can’t swallow that many pills? Chew them up. Shaklee’s Alfalfa tablets smell sweet when you open the bottle and taste like new mown hay with no sticks or twigs.

Whether your joint pain is tendonosis or arthritis, these supplements will help. Since glucosamine is expensive and NSAIDs mess up your stomach, check out the treatments to see what you are dealing with and then proceed with these three supplements. Their side benefits are legion.

In most of my blog posts, I talk about the various causes of arthritis and things you can do to manage arthritis short of medication and surgery. This blog addresses another cause of joint pain, tendonitis and tendinosis. I hope this refinement — arthritis or tendonitis–helps you.

If this information is helpful, please let me know.

Be Well, Do Well and Keep Moving,

Betsy

206 933 1889

Be Well health tips

Yoga for Arthritis

Posted on February 6, 2014

Gentle Reader,
I have a diagnosis of arthritis, osteoarthritis and spinal stenosis. I gave up yoga for arthritis about 6 years ago, as it seemed to exacerbate the pain in my hips and spine. However, when my youngest daughter Ruth raved about her 6 a.m. yoga class and the teacher, I took notice. She convinced me that Laura could instruct me in a way that would build from the core so that I would not hurt myself. Furthermore, Laura and Beattie, her partner, were conducting a yoga retreat at the hot springs retreat center in Oregon called Breitenbush. I have always wanted to go. It would be wonderful to spend a weekend with my daughter. I signed up.

Have you ever enrolled in a program only to have buyer’s remorse? My thoughts raced around my head: I can’t do yoga for arthritis. I’ll hurt myself again. How will I spend my days with no internet or telephone? (That’s right. No connectivity at Breitenbush.) I planned to take a book, attend the first hour and bow out politely.

With the right yoga instructor, yoga for arthritis is not only possible but builds strength, stamina and flexibility. That is an all-important caveat: the right yoga instructor.
I not only lasted the first hour-and-a-half session on Thursday night, but the morning two hours on Friday as well. I took the Friday afternoon session off. By 10 a.m. on Saturday morning, Ruth and I had soaked in the hot springs pools four times. I was ready to try again. Not only was I able to practice with the other 12 participants for two hours on Saturday, but again that afternoon.

And, Ruth and I took a spectacular 4 ½-mile hike through the emerald green forest surrounding the Breitenbush site. Sunday morning’s two-hour session was beautiful. I did not try handstands or back bends, but everything leading up to those poses was restorative and strong.

How do you choose a yoga instructor that will help and not hurt your arthritic joints? If you are serious about including yoga for arthritis management, I recommend you visit studios and sit in on the session labeled hatha yoga, slow-moving emphasis on arriving at the pose from a core-strengthened place. I found of the various yoga practices. If you have arthritis, I would not recommend the fast moving practices. Participate as best you can, stopping short of anything that twists or hurts.

If you are a Type A competitive person used to high achievement goals (that would be me), you need to monitor your progress in a class very carefully so as to not over do. The personal triumph of the weekend retreat at Breitenbush was to opt out of the Friday afternoon class without feeling like a failure. I needed to rest my body in order to benefit from the rest of the weekend.

Open heartedness and acceptance are two attitudes to cultivate as you find a yoga practice for arthritis. Leave your judgments at the door and listen to your body.

I have posted information about Peggy Cappy many times before. She is a Public Television personality and yoga teacher who works with older people. Her videos and especially her CD mediation for healing the arthritic back are part of my daily routine.

The joy of practicing in a room full of other people over the weekend reminded me how much I have missed breathing, moving and meditating with others. I loved the group experience so much, I have been to one of Laura’s and Beattie’s Seattle classes and I plan to incorporate their practice in my week.

Do not settle for less than a careful, hands-on instructor if you want to use yoga for arthritis. It could get you into trouble. I wish you luck in finding a good instructor. Let me know how it goes with yoga if you already incorporate this modality in your arthritis or other health management.
Be well, Do well and Keep Moving
Betsy
BetsyBellsHealth4U
206 933 1889
betsy@hihohealth.com