The Scotsman

Stay flexible and pain free with a proactive approach

Joint wear and tear affects millions of us – but there’s still lots we can do to help keep them healthy now, and in the longer term, says Abi Jackson

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Many of us will experience some degree of joint degenerati­on or osteoarthr­itis as we get older, and Valentina Roffi, a clinical specialist physiother­apist at Sprintphys­io.co.uk, says musculoske­letal problems are the most common health issue among our ageing population­s.

But while the word ‘degenerati­on’ might sound alarming, it’s often not the losing battle it can sometimes seem, and Roffi stresses it’s a myth that joint problems will always “inevitably get worse”.

For some people, osteoarthr­itis – which develops after the cartilage lining the joint wears down, leading to inflammati­on, stiffness and pain – can be chronic and severe, and pain management treatment and even surgery may be needed in some cases.

But there’s lots we can do to help protect and boost the joint health – both before and after degenerati­on develops. Here are six ways to help future-proof your joints...

Get niggles checked early

Don’t wait until you’re in absolute agony and can no longer put any weight on that dodgy knee or hip to seek advice. Tackling things early can often prevent them getting worse.

If you’re experienci­ng ongoing symptoms involving multiple joints, see your GP. If it’s just one joint or muscle strain and you suspect it’s a sports injury, book in with a physiother­apist.

Keep moving

If you’ve got an acute injury or flareup, resting can be very important. However, while it’s easy to think we need to avoid being active if we have aches and stiffness, this can be counterpro­ductive and might make things worse. If you’re unsure or starting a new exercise regime for the first time, seek advice from your doctor or physio, and always listen to your body.

Generally though, we need to be regularly moving our bodies. This means avoiding sitting in one position for too long (desk workers and Tv/gaming addicts, take note) and getting regular exercise, even if it’s just daily walks.

Be stretch savvy

A healthy degree of flexibilit­y is important – but so too is rememberin­g we’re all different, says Sprint Physio’s Anj Periyasamy. So, rather than getting too competitiv­e in that yoga class, focus on listening to your own body.

Think joint-friendly nutrition

Rob Hobson, head of nutrition for Healthspan (healthspan.co.uk), says nutrition can’t be overlooked in joint health. A varied, balanced diet is always the number one rule, but Hobson also suggests ensuring you get plenty of omega 3 (found in oily fish, nuts and seeds), calcium (found in dairy products, green leafy veg, soya beans, tofu and fortified dairy alternativ­es), magnesium and vitamin D (most of our vitamin D is produced from sunlight, so experts recommend everyone in the UK and Ireland takes a supplement during autumn and winter months, when there isn’t enough sunlight to meet our needs).

Hobson notes people may also want to avoid ‘inflammato­ry foods’ – such as red and processed meats, margarine and deep-fried takeaway foods – and pack in plenty of ‘antiinflam­matory foods’, like extra virgin olive oil, oily fish, brightly-coloured fruit and veg, nuts and seeds.

Strengthen your core

Prioritisi­ng your core can be lifechangi­ng in the battle against pain, stiffness and caring for our joints. It

improves posture, balance and helps take the strain off our spines.

We’re not talking about a bulging six-pack though. It’s about working all the big core muscles around the torso, back, abdomen and hips, as well as all the tiny stabiliser muscles around the spine and pelvic floor. Pilates is excellent for this, but it’s important to build up slowly and seek guidance if you have a history of pain and joint problems. Your physio will be able to suggest simple exercises you can do at home to get going safely.

Be supplement savvy

Dr Sarah Brewer, Healthspan medical director, says products “designed to support joint health are among the most popular and widely taken supplement­s” – and there is clinical evidence around their effectiven­ess.

“Of these, glucosamin­e, chondroiti­n and omega-3 supplement­s top the list,” says Brewer. “Glucosamin­e and chondroiti­n have anti-inflammato­ry effects and also provide building blocks to repair cartilage and make the synovial fluid [around the joints] more cushioning. Their main action is to act as a biological signal to switch on the repair of joint tissues.”

Healthspan has a range of glucosamin­e-based supplement­s, including Optiflex Glucosamin­e, from £9.95.

Turmeric is also hailed for its antiinflam­matory antioxidan­t benefits, thanks to the active ingredient curcumin, which is associated with helping reduce mild joint pain and swelling (Healthspan Opti-turmeric Capsules, from £8.95). There’s also been growing interest around CBD oil, with claims it may help ease muscle and joint pain. As well as CBD oil supplement­s, Healthspan also has a new CBD Balm, £19.95, which contains soothing lavender and can be applied to sore muscles and joints. ■

 ??  ?? Building core strength through exercise can help tackle joint pain
Building core strength through exercise can help tackle joint pain
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