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TressaWil Asked February 2015

Is physio care good for age related joint pains?

My mom is having joint pain and it is getting worse with each day. I tried so many treatments and she is also trying out some exercises suggested by the doctor but the pain seems to stay. I am now thinking of a physio attention, will that help?
We have a physiotherapy clinic, Dynamic Physiotherapy and Sports Injury Clinic, in our neighborhood, Mississauga.

bettyb21 Feb 2015
I agree with the comments about water therapy. I had a hip replacement two years ago and try to swim/water aerobics 4-5 times a week. I really notice it if I don't go--a little stiff and sore. Instead of going to PT facility, would she go to the Y or an aquatic center. My supplemental health insurance coverages a membership in a health club and I don't pay anything. Or Is there any way you can get a therapist to come to your moms home? If her PMD says that she is housebound maybe her insurance would cover it?

joannes Feb 2015
help2day.....My Mom lives in Tucson....her MD wrote orders for 'in home' PT and there are agencies that send the therapist to the home to plan an exercise routine that can be done in the home or around the home. You might want to look into that. You might have to check on internet or phone book, make some calls and find the agency and then ask Dr. to write order for that agency? Worth looking into anyhow.

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ferris1 Feb 2015
Aqua therapy is contraindicated if you have osteoporosis. One needs weight-bearing exercise to fully get the benefits. I have been getting hyaluronic acid injections into my left knee and it feels great now. Try that.

Jgeezer81 Feb 2015
I haved used Synvisc for several years for arthritic pain in my R knee. It works very well for a period of time. Mine has varied from 12 to 22 months. I am 81 years old.

greeneyedmom Feb 2015
I forgot to mention pain relievers, such as Naproxin (Aleve over the counter). My mother takes Tramadol for her pain. Interestingly, our old dog also took Tramadol for arthritis.

greeneyedmom Feb 2015
My mother also has a personal trainer come to her home twice weekly, which helps her arthritis. He talks her on walks if the weather is nice. Of course, that is not cheap but in her case, it is worth it. I now have the same condition in my knees and the things I do are try to lose weight, walk as much as I can stand, have personal training twice weekly, and get a shot every few months.

help2day Feb 2015
"in house" meaning she stayed for 2 weeks in a rehab facility.

help2day Feb 2015
Physiotherapy will indeed help IF you Mom continues to do her "homework".

My 86-year old Mom, too, complains of joint pain (in her knees). She has pretty good osteoarthritis in them, however, she won't consistently do exercises on her own. After a two week hospital stay after my Dad died 6 years ago, she went to PT rehab for 2 weeks, getting PT twice a day for two weeks in house. When she was discharged, she was practically "running" down the hall barely using her walker. PT told her to continue doing her exercises at home. Of course, with no one giving her the one-on-one attention like she was used to a rehab, she went home, sat down on the couch, watched TV and reverted to her routine of barely moving. This, consequently, caused her joints to stiffen up again and today, she can barely walk at a snail's pace.

It's frustrating as I cannot be there every day to cajole her into doing her exercises. She chooses not to and her resulting complaints of "my knees hurt" is starting to fall on deaf ears (mine). Over and over I've suggested to her to move her legs while she is sitting but she doesn't do it. (She really should have had knee replacements 20 years ago, but when I suggested that then, she balked about how she "didn't like surgery" and "ooooh, that will hurt".) Well, fast forward 20 years and she's constantly complaining about her knees. Guess what? She's not getting knee replacements now at 86 years old.

Certainly, I can get her primary care doctor to "order" PT but then it will fall on me to take her out in this horrible cold weather twice a week for PT. For what result? It will cost her multiple co-pays and she will again NOT do the exercises at home. I'm constantly spinning my wheels on this. I would gladly take her to physical therapy (she so enjoys the therapist's attention, of course) if she would continue to do her exercises at home. As it is, outpatient PT feels like an "outing" for her to socialize and many hours of inconvenience for me. Sorry I sound harsh, but you can feel my frustration. I don't know what else to do. Good luck.

terryjack1 Feb 2015
Yes, they can modify the exercises to fit your mom's physical level. It may seem a bit strange to some, but it can help make the body stronger which helps with pain control. Pool therapy is fantastic and one can do more because there is less weight on the joints. It's a fun way to exercise. Once she starts, she should begin seeing results (maybe not right away) within 2 weeks. Gradually her strength will increase. She won't have the strength she had at age 20, but her quality of life will increase because her pain level has decreased.

Countrymouse Feb 2015
Yes it is - the better shape your musculature and ligaments are in, the less strain there is on joints - but for heaven's sake make sure your therapist has specialist training and/or experience in working with frail older people.

nhinchliff Feb 2015
Cortisone shots don't always work, but it's worth a try. They worked for me the first couple of times, but I get little relief from them now. There's also a gel-like substance (Synvisc) they can inject which works on some people.

greeneyedmom Feb 2015
She can also get cortisone shots.

nhinchliff Feb 2015
And....Littlesis is right. Water therapy is great. I've taken water exercise classes at the "Y" and they help a lot.

nhinchliff Feb 2015
I have stage for Osteoarthritis. Physical therapy, walking, massage, attention to diet, and occasional Tylenol and Celebrex for inflammation help keep my pain at a minimum.

Littlesis47 Feb 2015
Aqua therapy is the best, if you can find a therapist in your area. Take Advil or pain medication twenty minutes before you start to work your joints. Ease into it. Go slow. Don't give up! I have had two hip replacements and can now walk again.

ferris1 Feb 2015
Absolutely! Anytime you do exercise, you lubricate the joints thereby making them less painful.

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