It’s the catch-22 of arthritis: The more pain you have, the less you want to move — but the less you move, the more pain you have.

But movement is exactly what your body needs to combat your disease, says Lisa Folden, an occupational therapist and naturopathic lifestyle coach at Healthy PhiT Physical Therapy & Wellness in Charlotte, North Carolina. “Movement in the joints encourages the production of synovial fluid, which lubricates the joint spaces and makes movement more comfortable over time,” she explains.

Thankfully there is a way to break this vicious cycle: Enter the occupational therapist, a professional therapist who specializes in helping you not just maintain your lifestyle but thrive with less pain. This is a broad definition of an occupational therapist, per the American Occupational Therapy Association: “Occupational therapists and occupational therapy assistants help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities.”

We interviewed seven OTs to get the tips they wished all their clients with arthritis knew and followed. Here’s what they told us:

1. Wake up and stretch

Before you do anything else, take a few moments to stretch. You don’t even have to get out of bed, Folden says. “Everyone should stretch in the morning, but people with arthritis have a much higher risk of developing significant muscle tightness and contractures in the joints due to avoiding movement,” she explains, which contributes to a vicious cycle of pain and inactivity. “Stretching the muscles of the body helps to stop this dangerous cycle right away. Focus on the entire body, specifically the hamstrings, quads, calves, back muscles, and shoulders.” Gentle range-of-motion stretches can help you feel active even on days when you have a lot of pain or fatigue.

2. Take the pain out of hair care

Holding your arms above your head to wash, blow dry, or style your hair can be impossible with shoulder, wrist, or hand pain. Adapt your routine to your needs, Folden says. You can flip your head upside down to make washing and drying easier on your shoulders. Or consider purchasing a “dome” style hair dryer that doesn’t require you to hold your arms up.

3. Get creative with clothing

The trick to getting dressed or undressed while dealing with arthritic joints is to get creative, Folden says. First, be a more discerning shopper. Look for clothing with elastic waists, large zippers, and other easy-on/easy-off features. To make your current wardrobe more manageable, “there are tons of adaptive tools you can purchase, from long arm grippers to extended shoe horns to button hooks,” she says. Check out these popular assistive devices. Keep a chair near your closet so you can sit down while you get dressed. “Put on one garment at a time and take your time. Plan ahead so that you don’t feel rushed,” she adds. Here’s more advice to make getting dressed with arthritis easier.

4. Take a walk every day

Walking may be the last thing you feel like doing, but if you want to feel better, you need to make a daily walk a top priority, says Zach Kovacevic, an occupational therapist at Texas Physical Therapy Specialists. Research has found that for every additional 1,000 steps you walk per day, you are 12 percent less likely to need a total knee replacement and if you walk 6,000 steps a day or more, you reduce your risk by more than half, he says. “Walking can decrease pain, pain medication usage, and sick leave,” he says.

5. Give strength training a try

Many people with arthritis avoid weight lifting because they worry that the repetitive motions will injure their joints. While you should check with your doctor about which exercises are safe for you, the truth is that strengthening the muscles around your sore joint will help improve joint pain over time by taking pressure, says Jasmine Marcus, an physical therapist at McCune and Murphy Physical Therapy in Ithaca, New York. “Targeted strength training can reduce your pain significantly,” she says.

6. Try the neck slide

Aching, sore necks are a symptom of many types of arthritis and can lead to headaches and disability if untreated. One non-medicinal way to deal is with a “neck slide stretch,” says Chicago-based therapist Katy Lush. “Slide your head down like you’re making a double chin. Then nod your chin toward your chest and hold for a few breaths. Slowly lift your head back up. Repeat it again and lean your head side to side when it’s hanging forward for an extra stretch,” she explains.

7. Stretch out sore hips

Arthritic hips can make every daily activity — from walking to sex — feel so much harder. Gently stretching them every day can help keep the joints loose and lubricated, reducing pain, Lush says. “While seated, cross your right ankle over your left knee. Sit up straight. Grab onto your right shin and calf and twist them toward you. Hinge forward an inch or two and hold. Repeat on the left,” she explains.

8. Play your thumb like a joystick

Hands, and thumbs in particular, are one of the most common places to feel arthritis pain. When your pain is flaring it can make seemingly simple things, such as turning on the faucet or opening a package of food, feel impossible. One quick way to help alleviate some stiffness is to do the joystick stretch, Lush says. “Make a thumbs up with your right hand, and then grab the thumb with your left hand. Lightly draw the thumb back like a joystick and lean it a little to the right for an extra stretch. Repeat on the left hand,” she says. Here are more arthritis hand exercises you can try.

9. Take a Pilates class

The combination of stretching and strengthening makes Pilates a perfect exercise for loosening up stiff joints while decreasing pain and increasing range of motion, says Lush, who is also a Pilates instructor who frequently works with arthritis patients. The trick is to find a Pilates instructor who specializes in arthritis are there are particular moves you should modify or avoid, depending on which joints are the most problematic, she says. Group fitness classes can be a great way to socialize and exercise at the same time. Use your judgment about how you feel — avoid pushing yourself during an active flare.

10. Install ride apps

Uber was invented for a reason — and it’s not just for getting drunk people home from parties. “Driving with arthritis can be tough, not just for comfort but also safety. So if you don’t feel safe and comfortable, then you absolutely shouldn’t drive,” Folden says. Install the app for Lyft or so you’ll always have a safe option if you’re having a bad flare. In the meantime, she advises working on stretching your neck, wrists, ankles, and hands.

11. Trick out your toilet

The key to a comfortable bathroom experience is to get a height-adjustable seat you can place over the toilet. “This item is not super expensive and will give the option of finding the height that is perfect for you,” Folden says. “By raising the height of the toilet, you ensure that your knees have a little less load on them and getting down to and up from the toilet will be much easier.”

12. Refresh your spice rack

Some herbal supplements have been shown to help reduce inflammation, one of the primary causes of arthritis flare-ups, says Kulraj Singh, a physiotherapist and occupational therapist at the Tavistock Clinic in England. His favorite? “I recommend my clients use turmeric as it’s been shown in research to help reduce symptoms of arthritis,” he says. Here are other supplements for arthritis your doctor might recommend you take.

13. Buy a snazzy water bottle

Okay you could just buy a plain old boring water bottle, we guess. The point is to stay well-hydrated all day long, as dehydrated joints are flaring joints, Folden says. “Water really is the fountain of youth and life,” she says. “Staying hydrated improves blood flow, which affects synovial fluid and makes all activity more tolerable.” Buy an eye-catching water bottle and take a sip every time you notice it.

14. Go ‘forest bathing’

Stress can be an important trigger of arthritis pain and swelling. This is why it’s so important to take steps to reduce and manage stress in your life, especially if you have an inflammatory arthritis, like rheumatoid arthritis, Singh says. Easier said than done though, right? He recommends a Japanese practice called Shinrin-yoku or “forest bathing,” which basically involves simply being outside, in nature, with no distractions.

15. Bring out your inner zen with tai chi

All the occupational therapists we interviewed agree: The more you move, the better you’ll feel. Even if your joints don’t seem to think so at first. In addition to more traditional exercises like walking and strength training, people with arthritis respond very well to tai chi, a low-impact Chinese martial art that combines stretching, rhythmic calisthenics, and meditation, Folden says.

16. Get coffee with your best friend

Arthritis can be terribly isolating, making you feel like you can’t do what you love and, worse, that no one understands what you’re going through. But while your loved ones may not truly know arthritis, they do know you — and that’s the important part, Singh says. Sometimes all you need is a listening ear and a little sympathy to feel better about your situation. Then make sure you return the favor. Listening to your loved ones vent can be a good way to distract yourself from your own problems. Here’s more advice about how to complain productively when you have chronic illness.

17. Consider weight loss part of your treatment plan

Talking about weight loss with your doctor or other members of your health care team can be uncomfortable, and docs may not always bring it up. But losing even a little weight can do a number on your arthritis symptoms if you’re overweight.

Your joints very literally bear the load of your body when you move so a simple way to help relieve arthritic joints is to lighten the load on them. And you don’t have to lose a jaw-dropping number — dropping just 5 percent of your weight can improve your pain by 30 percent. If you can drop 10 percent of your weight — 20 pounds from a 200-pound frame — you could cut your pain levels in half, he explains.

18. Take up pottery or join a book club

During a bad arthritis flare-up, living a “normal” life can feel impossible, but you need to do everything you can to maintain your routine and enjoy activities that you love, Folden says. “I tell my patients to do all the things that bring you joy and make you happy. Spend time with family and friends. Visit museums. Work on your garden. Whatever activities bring a smile to your face, do them and often,” she says. “Living with a chronic condition like arthritis should not rob you of your life or your joy.” (That said, sometimes you need to bow out of plans when you feel really crappy. Here’s how to say no to social activities without the guilt.)

19. Cut down on sugar

What’s life without cake? Perhaps a life with less pain, says Matt Huey, MPT, an occupational therapist in the Dallas/Ft. Worth area. “Eating processed foods — and especially too much sugar — may worsen arthritis symptoms,” he explains. It can be hard to give up your favorite treats, especially when you feel like you’re already giving up so much to your disease, but cutting down on sugar will reduce inflammation and can help you lose weight. He recommends talking to a dietitian who specializes in arthritis to help get you on a proper program. Try these tips to cut out sugar without missing it too much.

20. Don’t get freaked out by your scan results

Getting regular imaging tests — X-rays, MRIs, or CTs — is part of diagnosing and monitoring all types of arthritis. But many people look at their scans, see the level of damage, and freak out, Kovacevic says. “Know that it’s very common for people have arthritic changes on their scans, but have no pain symptoms,” he explains. How your arthritis is treated is based on a combination of physical exams, what your blood and imaging tests show, and how you feel on a daily basis.  It’s your doctor’s job to monitor your tests and discuss with you whether your current treatment options are doing a good-enough job preventing disease progression.

21. Remember that pain doesn’t have to mean panic

Once you have arthritis, every little twinge and tweak can make you wonder if a flare is returning with a vengeance (understandable), but it’s important to be patient and observe when your pain starts, Marcus says. “During a flare-up, I tell my patients not to panic or make rash decisions, such as insisting on surgery,” she says. “Most flare-ups will resolve with some combination of gentle exercise, heat or ice, and anti-inflammatories.” Read these tips for how people with arthritis mentally cope with their flares.

22. Make an appointment with an occupational therapist

Obvious? Yes, but it must be said, Huey says. Making (and keeping) regular appointments with your occupational therapist can be the difference between painful disability and living a life that’s not controlled by arthritis, he says. “We can do an assessment on how you are moving and show you basic things to keep you from getting stiffer and help you get stronger,” he says. “We are the experts in movement. Talk to us.”

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