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Medical Forum / Diseases and Disorders / Arthritis / October 2006

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The suit aiming to replicate arthritis - For 20 minutes, I had  osteoarthritis

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epo - 13 Oct 2006 10:16 GMT
I expect much of this applies to fibromyalgia as well. [pease note
crosspost]

http://news.bbc.co.uk/1/hi/health/6039754.stm Thursday, 12 October 2006,
09:42 GMT 10:42 UK
By Jane Elliott Health reporter, BBC News

X-ray of knee with osteoarthritis. Credit: Neil Borden/Science Photo
Library
X-ray showing a knee with osteoarthritis
For 20 minutes, I had osteoarthritis.

Bending down to pick anything up was impossible. I could not open jars or
cans, and climbing stairs was a slow painful experience.

A bunion cut into my foot and my joints were stiff and slow to respond.

I found it hard to get from sitting to standing and tied a shoelace with
difficulty.

Pain

As time went on, my neck and knee started to ache and I tried to visualise
how my life would change if I had indeed got the condition. There would be
no running around with the children - in fact no running full stop.

Day-to-day tasks would take twice the time, and some might even go by the
board - would I bother putting on make-up if it caused me pain?

I think this suit is a wonderful idea if it gives doctors and nurses a
chance to try it
Sheena Turner

For a very short period I had a glimpse into the pain felt by the 8.5
million Britons with osteoarthritis - then with relief I took my special
simulation suit off.

The suit, which cost £20,000 and was developed by Loughborough University
mimics the characteristics of the condition to give wearers a "real life"
insight into the pain and impaired quality-of-life associated with
osteoarthritis (OA).

Experts hope the suit can be used not only to raise the profile of the
condition, but also to show healthcare professionals and carers how the
condition affects them.

Jane Elliott in the suit
The body suit replicates some of the discomfort of OA

Dr Garth Logan, former president of the Primary Care Rheumatology Society
and a GP in Northern Ireland, said he hoped many people would gain a
better understanding from trying on the suit.

"We are hoping doctors, nurses and carers can try it, and I would really
love to see politicians trying it on."

He said by trying on the suit health professionals could get a better idea
how their patient is feeling and might ensure more sympathetic responses.

"Part of the problem is that most doctors have had preconceptions and we
need to say there is more they could be doing."

Empathy

It's something Sheena Turner would certainly agree with.

The 62-year-old former nurse has had severe pain associated with
osteoarthritis for 22 years. Her neck, shoulder, hips, lumbar spine, and
hands, including her thumbs, are all affected.

As her condition worsened she had to give up work and walking, both of
which she loved.

But despite the considerable lifestyle changes the condition has forced on
her, Sheena says the medical profession has, on the whole, been less than
sympathetic.

She recalls a succession of unsympathetic comments including: "For
goodness sake, just take some paracetamol", "Most people your age have
aches and pain", and "It's just your age".

Sheena feels it is time medics learnt more empathy for the patients they
are caring for.

"When my nurses were looking after the elderly I used to tell them to put
cotton wool in their ears, or wear cloudy glasses, to give them an idea
what it is like to be elderly.

OA is the most common arthritis condition
It occurs when the cartilage covering the bony surfaces of joints breaks
down or when spurs develop at the edge of the bones in a joint
Weight-bearing joints such as the lower back, hips and knees are most
affected

"I think this suit is a wonderful idea if it gives doctors and nurses a
chance to try it."

Jane Spence, of Arthritis Care, was diagnosed with the condition two years
ago at the age of 45 and says the suit could be a vital education tool.

"The osteoarthritis suit is a great idea. It can be a struggle to explain
how bad the pain can get to friends, family and even doctors.

"Most days it feels as if I'm wearing a suit of rusty armour, like the Tin
Man from the Wizard of Oz, and some days I experience unrelenting,
razor-like pain."

In conjunction with the suit, a new web-based education programme for GPs
is also being launched to mark World Arthritis Day.

The JOINT Osteoarthritis Education Programme will be made available to GPs
throughout the UK, providing advanced training on the diagnosis and
management of the condition, including both drug-based and lifestyle
approaches to help improve mobility and minimise pain.

Dr Logan said: "JOINT is an important step forward for the effective
treatment of osteoarthritis-related pain.

"The confusion surrounding the safety of a number of traditional therapies
has now made it vital for GPs to take stock of the current treatment
options.

"For those of us involved in developing the programme, JOINT has enabled
us to outline a holistic approach for GPS and other healthcare
professionals managing osteoarthritis that will have direct and immediate
benefit for their patients."
___________________________________________
Let's hope the message gets out; physical help (family help or affordable
or free community resources) and pain meds are needed.
diclidophora@yahoo.co.uk - 13 Oct 2006 10:59 GMT
I saw this on TV yesterday.
I could believe the guy was suffering, even painss which might have
simulated OA.
It didn't totally convince me and of course he always had the knowledge
that he could take it off after 20 mins or so and not have to live with
it forever.

No doubt the intentions are good and if it gives non sufferers an idea
of what the pain is like it may do so good and spread the word.

Peter (PS forgot to sign my surgery moan above)

> I expect much of this applies to fibromyalgia as well. [pease note
> crosspost]
[quoted text clipped - 125 lines]
> Let's hope the message gets out; physical help (family help or affordable
> or free community resources) and pain meds are needed.
Squirrely - 14 Oct 2006 04:22 GMT
Thanks for sharing this with us. This is something good.

Signature

  Love and hugs Jo

   (\__/)  .~    ~. ))
  /O O  ./      .'
 {O__,   \    {
   / .  . )    \
   |-| '-' \    } ))      Warning: squirrels.
  .(   _(   )_.'
 '---.~_ _ _&

I saw this on TV yesterday.
I could believe the guy was suffering, even painss which might have
simulated OA.
It didn't totally convince me and of course he always had the knowledge
that he could take it off after 20 mins or so and not have to live with
it forever.

No doubt the intentions are good and if it gives non sufferers an idea
of what the pain is like it may do so good and spread the word.

Peter (PS forgot to sign my surgery moan above)

epo wrote:

> I expect much of this applies to fibromyalgia as well. [pease note
> crosspost]
[quoted text clipped - 125 lines]
> Let's hope the message gets out; physical help (family help or affordable
> or free community resources) and pain meds are needed.
René - 15 Oct 2006 05:55 GMT
Jo, you are obviously a much more generous soul than I am.  :)  You got a
different message than I did from that post.  Just shows how crabby I am
these days!  lol

I hope things are better for you -- uphill battles are the PITS!  We need a
few breaks from it all now and then, huh!

Take care!

René

> Thanks for sharing this with us. This is something good.
>
[quoted text clipped - 135 lines]
>> Let's hope the message gets out; physical help (family help or affordable
>> or free community resources) and pain meds are needed.
Squirrely - 15 Oct 2006 06:57 GMT
I am thinking Rene, in the sense that if the drs could feel our pain, then
we would get better treatment. Then they would finally get the idea we are
not just making this all up.

I  can also see your point too though.

Signature

  Love and hugs Jo

   (\__/)  .~    ~. ))
  /O O  ./      .'
 {O__,   \    {
   / .  . )    \
   |-| '-' \    } ))      Warning: squirrels.
  .(   _(   )_.'
 '---.~_ _ _&

> Jo, you are obviously a much more generous soul than I am.  :)  You got a
> different message than I did from that post.  Just shows how crabby I am
[quoted text clipped - 6 lines]
>
> René
René - 14 Oct 2006 03:53 GMT
Well, usually I'm all for teaching people what life is like for those of us
with osteoarthritis and other painful and disabling disorders.

But am I the only one who thinks this whole "osteoarthritis suit"
enterprise is ridiculous?

I think that the only people who will actually benefit from it is the
Loughborough University.   £20,000 ????  Give me a break!

The whole premise sounds beneficial and I'm not belittling the true pain and
difficulty of living with any similar disorder.  I'm just saying that
someone in that University must be a world-class snake oil salesman.

There are other ways to demonstrate how we really feel.  I can give you a
good kick in your knees.   How about pushing you under an 18-wheeler truck?
And I wouldn't even charge you a penny.  I'm not sure that just "20 minutes"
demonstration would be enough, though.

I agree that even the people who *should* have more empathy and knowledge
often do not.  Yes, there are stupid people in all walks of life and in all
professions.

René

>I expect much of this applies to fibromyalgia as well. [pease note
> crosspost]
[quoted text clipped - 125 lines]
> Let's hope the message gets out; physical help (family help or affordable
> or free community resources) and pain meds are needed.
Thumper - 14 Oct 2006 16:34 GMT
>Well, usually I'm all for teaching people what life is like for those of us
>with osteoarthritis and other painful and disabling disorders.
[quoted text clipped - 19 lines]
>
>René

I usually tell people that RA is like a severe sprain in your joint
that is happening in several joints at once.  Sometimes it's in the
whole body and the difference between that an a sprain is that even if
it lets up you know you aren't healed.  The pain will be back shortly,
if not in the same joints, others.
It helps them understand a little but I know deep down that even my
wife doesn't understand.  Living with RA is a multi leveled thing.
First you have the acute pain that differs day to day.  That I put on
a level of 8-10 many days.  Then there is the constant pain around 5
or so on the scale that many of us live with every day.  t never
really goes away and in addition, does a real number on you brain.
Depression can set in.

Oh, I forgot the one other type of pain which is that not directly
caused by RA but is a by-product of favoring a knee or ankle for
instance that throws your back or something else out of wack.  I've
had a severely painful back for some time now that started because the
RA had settled in my right knee for a couple of weeks.  Nothing helps
so I'm on my way to a chiropractor.
Thumper

>>I expect much of this applies to fibromyalgia as well. [pease note
>> crosspost]
[quoted text clipped - 125 lines]
>> Let's hope the message gets out; physical help (family help or affordable
>> or free community resources) and pain meds are needed.
Nann Bell - 14 Oct 2006 18:14 GMT
yeah, and so much of it is having that pain in so many places at once.  I
often find that adding one more place or one more pain tips me from coping to
a lump on the couch.  it surprises me how easing one thing can often get me
back down to coping level, even though I still feel lousy.

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

> I usually tell people that RA is like a severe sprain in your joint
> that is happening in several joints at once.  Sometimes it's in the
[quoted text clipped - 16 lines]
> so I'm on my way to a chiropractor.
> Thumper
d'huit - 15 Oct 2006 02:14 GMT
yeah, and so much of it is having that pain in so many places at once.  I
often find that adding one more place or one more pain tips me from coping
to
a lump on the couch.  it surprises me how easing one thing can often get me
back down to coping level, even though I still feel lousy.

Signature

Nann

that's a key for me, too, that one last straw on the camel's back thing.
when enough places hurt, my brain goes into overwhelm mode.

with this last surgery--i keep wondering if i don't feel any pain at the
incision site at all, because there are so many other things that hurt more.
it's almost like that cartoony kind of remedy for pain--"hit me in my arm!
that way i don't feel the pain in my leg."

kate

remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

On Sat, 14 Oct 2006 11:34:15 -0400, Thumper wrote
(in message <aa02j259iv9jhfq4afm93ojs05mh9ep29c@4ax.com>):

> I usually tell people that RA is like a severe sprain in your joint
> that is happening in several joints at once.  Sometimes it's in the
[quoted text clipped - 16 lines]
> so I'm on my way to a chiropractor.
> Thumper
johnie - 14 Oct 2006 23:12 GMT
René wrote:>snip<
> There are other ways to demonstrate how we really feel.  I can give you a
> good kick in your knees.   How about pushing you under an 18-wheeler truck?
> And I wouldn't even charge you a penny.  I'm not sure that just "20 minutes"
> demonstration would be enough, though.

Im with you on this one, rene. My favorite simulation is for the
shoulders. You pound a red-hot 20 penny nail directly into the bursa.
Its not quite as painful as the real thing but close.>g<

johnie
Thumper - 15 Oct 2006 18:10 GMT
>René wrote:>snip<
>> There are other ways to demonstrate how we really feel.  I can give you a
[quoted text clipped - 7 lines]
>
>johnie

That sounds good but for someone that has never experienced this pain
it has little frame of reference unless they are familiar with driving
20 penny nails into joints.
Thumper
d'huit - 15 Oct 2006 17:56 GMT
i don't think most doctors or nursing staffs would try this suit, unless it
was a required part of their training.  but, as it is, most medical school
students don't even receive nearly enough training in how to even treat, or
create treatment plans, for chronic pain sufferers.

kate

I expect much of this applies to fibromyalgia as well. [pease note
crosspost]

http://news.bbc.co.uk/1/hi/health/6039754.stm Thursday, 12 October 2006,
09:42 GMT 10:42 UK
By Jane Elliott Health reporter, BBC News

X-ray of knee with osteoarthritis. Credit: Neil Borden/Science Photo
Library
X-ray showing a knee with osteoarthritis
For 20 minutes, I had osteoarthritis.

Bending down to pick anything up was impossible. I could not open jars or
cans, and climbing stairs was a slow painful experience.

A bunion cut into my foot and my joints were stiff and slow to respond.

I found it hard to get from sitting to standing and tied a shoelace with
difficulty.

Pain

As time went on, my neck and knee started to ache and I tried to visualise
how my life would change if I had indeed got the condition. There would be
no running around with the children - in fact no running full stop.

Day-to-day tasks would take twice the time, and some might even go by the
board - would I bother putting on make-up if it caused me pain?

I think this suit is a wonderful idea if it gives doctors and nurses a
chance to try it
Sheena Turner

For a very short period I had a glimpse into the pain felt by the 8.5
million Britons with osteoarthritis - then with relief I took my special
simulation suit off.

The suit, which cost £20,000 and was developed by Loughborough University
mimics the characteristics of the condition to give wearers a "real life"
insight into the pain and impaired quality-of-life associated with
osteoarthritis (OA).

Experts hope the suit can be used not only to raise the profile of the
condition, but also to show healthcare professionals and carers how the
condition affects them.

Jane Elliott in the suit
The body suit replicates some of the discomfort of OA

Dr Garth Logan, former president of the Primary Care Rheumatology Society
and a GP in Northern Ireland, said he hoped many people would gain a
better understanding from trying on the suit.

"We are hoping doctors, nurses and carers can try it, and I would really
love to see politicians trying it on."

He said by trying on the suit health professionals could get a better idea
how their patient is feeling and might ensure more sympathetic responses.

"Part of the problem is that most doctors have had preconceptions and we
need to say there is more they could be doing."

Empathy

It's something Sheena Turner would certainly agree with.

The 62-year-old former nurse has had severe pain associated with
osteoarthritis for 22 years. Her neck, shoulder, hips, lumbar spine, and
hands, including her thumbs, are all affected.

As her condition worsened she had to give up work and walking, both of
which she loved.

But despite the considerable lifestyle changes the condition has forced on
her, Sheena says the medical profession has, on the whole, been less than
sympathetic.

She recalls a succession of unsympathetic comments including: "For
goodness sake, just take some paracetamol", "Most people your age have
aches and pain", and "It's just your age".

Sheena feels it is time medics learnt more empathy for the patients they
are caring for.

"When my nurses were looking after the elderly I used to tell them to put
cotton wool in their ears, or wear cloudy glasses, to give them an idea
what it is like to be elderly.

OA is the most common arthritis condition
It occurs when the cartilage covering the bony surfaces of joints breaks
down or when spurs develop at the edge of the bones in a joint
Weight-bearing joints such as the lower back, hips and knees are most
affected

"I think this suit is a wonderful idea if it gives doctors and nurses a
chance to try it."

Jane Spence, of Arthritis Care, was diagnosed with the condition two years
ago at the age of 45 and says the suit could be a vital education tool.

"The osteoarthritis suit is a great idea. It can be a struggle to explain
how bad the pain can get to friends, family and even doctors.

"Most days it feels as if I'm wearing a suit of rusty armour, like the Tin
Man from the Wizard of Oz, and some days I experience unrelenting,
razor-like pain."

In conjunction with the suit, a new web-based education programme for GPs
is also being launched to mark World Arthritis Day.

The JOINT Osteoarthritis Education Programme will be made available to GPs
throughout the UK, providing advanced training on the diagnosis and
management of the condition, including both drug-based and lifestyle
approaches to help improve mobility and minimise pain.

Dr Logan said: "JOINT is an important step forward for the effective
treatment of osteoarthritis-related pain.

"The confusion surrounding the safety of a number of traditional therapies
has now made it vital for GPs to take stock of the current treatment
options.

"For those of us involved in developing the programme, JOINT has enabled
us to outline a holistic approach for GPS and other healthcare
professionals managing osteoarthritis that will have direct and immediate
benefit for their patients."
___________________________________________
Let's hope the message gets out; physical help (family help or affordable
or free community resources) and pain meds are needed.
Thumper - 15 Oct 2006 18:16 GMT
>i don't think most doctors or nursing staffs would try this suit, unless it
>was a required part of their training.  but, as it is, most medical school
>students don't even receive nearly enough training in how to even treat, or
>create treatment plans, for chronic pain sufferers.
>
>kate

Chronic pain treatment centers seem to be more interested in keeping
people from becoming addicted than managing the pain.  Perhaps it's a
liability problem.  All I know id that when I have one of those whole
body flares, addiction would be just fine with me.  Even medication
that shortens your life would be fine if it's an either or
proposition.  I just can't see dooming someone to years of
excruciating pain in the name of preventing  addiction.  After all,
methadone treatment doesn't stop addiction and that seems to be fine
with the medical community.

Thumper

>I expect much of this applies to fibromyalgia as well. [pease note
>crosspost]
[quoted text clipped - 125 lines]
>Let's hope the message gets out; physical help (family help or affordable
>or free community resources) and pain meds are needed.
d'huit - 15 Oct 2006 18:37 GMT
On Sun, 15 Oct 2006 08:56:53 -0800, "d'huit"
<threecedars1@comcast2.net> wrote:

>i don't think most doctors or nursing staffs would try this suit, unless it
>was a required part of their training.  but, as it is, most medical school
>students don't even receive nearly enough training in how to even treat, or
>create treatment plans, for chronic pain sufferers.
>
>kate

Chronic pain treatment centers seem to be more interested in keeping
people from becoming addicted than managing the pain.  Perhaps it's a
liability problem.  All I know id that when I have one of those whole
body flares, addiction would be just fine with me.  Even medication
that shortens your life would be fine if it's an either or
proposition.  I just can't see dooming someone to years of
excruciating pain in the name of preventing  addiction.  After all,
methadone treatment doesn't stop addiction and that seems to be fine
with the medical community.

Thumper

one does have to scrutinize the medical professionals at any pain clinic and
find out what they believe about chronic pain.  one also needs to know if
and how they create a specifically designed comprehensive treatment plan for
the individual patient.  one size does not fit all.  in many instances, that
one size fits all mentality, pervasive at many pain clinics, creates more
problems for the patient.

kate

>I expect much of this applies to fibromyalgia as well. [pease note
>crosspost]
[quoted text clipped - 125 lines]
>Let's hope the message gets out; physical help (family help or affordable
>or free community resources) and pain meds are needed.
 
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