Preface | p. ix |
Acknowledgements | p. xi |
Foreword | p. xiii |
Introduction | p. xv |
What is Rheumatoid Arthritis? | p. 1 |
The immune system | p. 2 |
The function of the joint | p. 2 |
How rheumatoid arthritis affects the joint | p. 3 |
Rheumatoid arthritis and osteoarthritis: the differences | p. 4 |
The importance of an early diagnosis | p. 4 |
The unpredictability of rheumatoid arthritis | p. 6 |
A personal scenario | p. 8 |
Pain and Discomfort: The Key Issues | p. 11 |
Coping with pain | p. 11 |
Understanding pain | p. 13 |
The pain gate | p. 14 |
The Tens machine | p. 15 |
Massage | p. 15 |
Acupuncture | p. 16 |
Distraction | p. 17 |
Natural pain-killers | p. 17 |
Nutrition | p. 18 |
Relaxation | p. 20 |
Posture | p. 20 |
The pain diary | p. 21 |
Splinting | p. 22 |
Medication | p. 22 |
Surgery | p. 23 |
A personal scenario | p. 24 |
Understanding Medication | p. 26 |
Medication for rheumatoid arthritis | p. 27 |
New treatments | p. 32 |
Complementary therapies | p. 34 |
A personal scenario | p. 37 |
How to Protect Your Joints and Reduce Pain | p. 39 |
Conserving your energy | p. 40 |
Avoiding static positions | p. 42 |
Discouraging deformities | p. 43 |
A personal scenario | p. 48 |
Equipment and Adaptations | p. 52 |
Equipment for the kitchen | p. 53 |
Equipment and tips for personal care | p. 56 |
Clothing | p. 57 |
Selecting furniture | p. 60 |
Adaptations | p. 62 |
The Importance of Exercise and Good Posture | p. 64 |
Planning your exercise | p. 64 |
Exercise at the table | p. 66 |
Useful yoga exercises | p. 67 |
Exercises for the car | p. 71 |
Exercises for the chair | p. 72 |
Standing exercises | p. 72 |
Exercises at the kitchen sink | p. 73 |
Exercises on the bed | p. 73 |
Exercises for the bath | p. 73 |
Hydrotherapy and swimming | p. 74 |
The benefits of exercise | p. 75 |
A personal scenario | p. 76 |
Good posture | p. 77 |
Guidelines for good posture | p. 79 |
How to Relax and Manage Your Stress | p. 83 |
Symptoms of stress | p. 84 |
A definition of stress | p. 85 |
Why stress occurs | p. 85 |
Restoring the balance | p. 87 |
The fight or flight response | p. 90 |
LEarning to relax | p. 90 |
The postures of stress | p. 91 |
Getting started | p. 92 |
A personal scenario | p. 97 |
Work and Leisure | p. 99 |
The benefits of employment | p. 99 |
Factors that help you stay in employment | p. 100 |
Changing work | p. 103 |
Disability benefits | p. 105 |
A personal scenario | p. 106 |
Avoiding the downward spiral | p. 109 |
Rheumatoid Arthritis and Relationships | p. 111 |
Asking for help | p. 112 |
Making changes | p. 113 |
Rheumatoid arthritis and sex | p. 114 |
A personal scenario | p. 116 |
Achieving a Positive Outlook | p. 118 |
Dealing with the diagnosis | p. 118 |
How we deal with loss | p. 119 |
Becoming an expert patient | p. 122 |
The benefits of active coping | p. 122 |
Helpful support | p. 123 |
A personal scenario | p. 126 |
Helping yourself | p. 127 |
Appendix: The Work of the Occupational Therapist | p. 129 |
A-Z Guide to Wellbeing | p. 133 |
Useful Resources | p. 141 |
References | p. 147 |
Index | p. 151 |
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