FITNESS Q&A: Exercise and arthritis of cervical vertebrae
Q. I am concerned about the type of exercises I can do for arthritic changes that are going on in my cervical vertebrae. Some of the vertebrae are fused, and I have lipping between the spines and the bodies of the remainder, with a lack of most disk spaces. Any suggestions would be appreciated. - Robert Kreycik, Denver, Colo.
A. The human body is miraculously held upright by a column of 33 bones that extends from the skull to the pelvis. The cervical vertebrae are the seven that constitute the upper part of the spine, from the skull to the chest. These vertebrae not only support the neck but also give it the necessary flexibility.
Wear and tear on the spine is experienced by all of us who trundle about on two legs. Injury or repeated trauma, such as that experienced from sports injuries, recreation or work, can lead to arthritis, which usually manifests itself once we are over age 50. Most treatments involve rest, immobilization with a collar or brace, drug therapy and exercise. Other remedies may include cold compresses, massage, warm-water massage (Jacuzzi or whirlpool) and chiropractic manipulation. In some severe cases, surgery may be the only option.
When cervical arthritis develops, "pain in the neck" takes on a much deeper meaning. Symptoms of cervical arthritis include chronic neck pain; muscle weakness; numbness in the neck, arms, hands and possibly even fingers; tenderness to the touch at the neck; stiffness that limits movement; headaches; and even loss of balance.
Dr. Michael Schiff, director of clinical research at the Denver Arthritis Clinic and Clinical Professor of Medicine at the University Of Colorado, reminds us that there are many forms of arthritis, and the therapy is specific to the type you have. He suggests you ask your physician: "What type of arthritis do I have? What is the prognosis for continued disability? Are there medical treatments that might slow the progression of the disease?" Schiff also supports exercise, referring to it as "the key in all forms of arthritis. You should see a registered physical therapist to go over exercises TO do and NOT to do. This can be done in one visit, then done at home."
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According to Amy Valenta, physical therapist for the U.S. Women's National Rugby Team, "Knowing specifically what kind of arthritis is present and the types of symptoms that the patient is having is key to prescribing the appropriate treatment and exercise program. I would recommend that the patient be seen by a physical therapist to establish a program that would encompass all of his needs. The main goal of the program should be to decrease destructive forces on the joint, strengthen the muscular support of the joint and to improve or maintain joint mobility."
Your work with a physical therapist will probably also include a review of your posture and learning ways to carry yourself at work so you do not continue to aggravate your neck. You may also need to invest in a different pillow for sleeping.
By LINDA BUCH
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