Follow the latest research regarding osteoarthritis treatment options.

Relaxation May Improve Your Quality of Life

Guided imagery harnesses the power of imagination to induce relaxation and reduce stress. In a nutshell, you focus intently on imagining pleasant or relaxing sights, sounds, tastes, smells and other sensations.

The technique is thought to work by tricking your body into responding to the soothing sensations as though they were the real things. For instance, if you see yourself in your mind’s eye floating peacefully on a cloud, your body may actually relax, slowing your pulse and lowering your blood pressure. In addition, your body may release endorphins, chemicals that are natural painkillers.

Preliminary research from Purdue University (Research in Nursing & Health, October 2006; Pain Management Nursing, September 2004) also has found that guided imagery may improve pain, mobility and the quality of life for people with osteoarthritis.

Real results

One study by the Purdue researchers included 28 women over age 65 who had osteoarthritis pain. These women were randomly divided into an imagery group, which listened to a 12-minute guided imagery tape twice a day for 12 weeks, and a control group, which was included for comparison’s sake and didn’t take part in the guided imagery. The script for the tape was designed to promote relaxation and positive thoughts about reduced pain and improved mobility. It was filled with vivid imagery about beautiful sights, soothing sounds and comfortable feelings. The tape also led the women through a relaxation exercise in which they relaxed major muscle groups one after another, moving from the feet to the head.

By study’s end, the imagery group had improved its health-related quality of life, while the control group had not. Pain and mobility are big factors in quality of life, and a previous study by the same researchers suggested that guided imagery might help manage these osteoarthritis symptoms. However, even when questions about pain and mobility were excluded from a questionnaire used to measure quality of life, the imagery group still showed improvements. The remaining questions covered topics such as social activities, support from other people, tension and mood. This suggests that imagery exercises may help improve not only physical symptoms, but also social and emotional wellbeing.

Minding the body

Guided imagery is one of a group of mind–body techniques that focus on the interaction between mental and physical factors as they influence overall health and wellbeing. An underlying assumption of these techniques is that people with a variety of illnesses can play an active role in managing their disease.

Guided imagery can be learned and practiced on your own with the help of a tape or book. Imagery training is also offered by therapists and other health care providers. To find a qualified practitioner, ask your doctor, a local hospital or a wellness center for a referral. If you’re being treated for an emotional or mental disorder, talk to your therapist first before trying this approach.

The bottom line

Hundreds of studies have shown that guided imagery can help reduce stress and make life less difficult for people with a wide range of diseases. When you have osteoarthritis, possible benefits include less pain, fewer problems getting around and enhanced social and emotional coping. In short, guided imagery won’t make the disease disappear, but it may make the symptoms easier to live with.

PLEASE NOTE: The studies and their findings that are presented in this article are for informational purposes only and are not meant to take the place of the advice of your doctor. By providing you with this information, Genzyme Corporation is not endorsing its content. You should consult with your doctor before starting any new health regimen.

References

“Alternative Treatments for Arthritis: An A to Z Guide.” D. Foltz-Gray. Atlanta, GA: Arthritis Foundation, 2005.

“Imagery.” American Cancer Society. Available at: http://www.cancer.org/Treatment/TreatmentsandSideEffects/ ComplementaryandAlternativeMedicine/MindBodyandSpirit/imagery. Accessed September 6, 2011.

“Effect of Guided Imagery With Relaxation on Health-Related Quality of Life in Older Women With Osteoarthritis.” C.L. Baird and L.P. Sands. Research in Nursing & Health. October 2006, vol. 29, no. 5, pp. 442–451.

“A Pilot Study of the Effectiveness of Guided Imagery With Progressive Muscle Relaxation to Reduce Chronic Pain and Mobility Difficulties of Osteoarthritis.” C.L. Baird and L. Sands. Pain Management Nursing. September 2004, vol. 5, no. 3, pp. 97–104.

“What is Complementary and Alternative Medicine?” National Center for Complementary and Alternative Medicine. Available at: http://nccam.nih.gov/health/whatiscam. Accessed September 6, 2011.

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Indication

Synvisc-One® (hylan G-F 20) and SYNVISC® (hylan G-F 20) are indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative non-pharmacologic therapy and simple analgesics, e.g., acetaminophen.

Important Safety Information

Before trying Synvisc-One or SYNVISC, tell your doctor if you are allergic to products from birds — such as feathers, eggs or poultry — or if your leg is swollen or infected. Synvisc-One and SYNVISC are only for injection into the knee, performed by a doctor or other qualified health care professional. Synvisc-One and SYNVISC have not been tested to show pain relief in joints other than the knee. Talk to your doctor before resuming strenuous weight-bearing activities after treatment. Synvisc-One and SYNVISC have not been tested in children, pregnant women or women who are nursing. You should tell your doctor if you think you are pregnant or if you are nursing a child. The side effects most commonly seen when Synvisc-One or SYNVISC is injected into the knee were pain, swelling and/or fluid buildup in or around the knee. Cases where the swelling is extensive or painful should be discussed with your doctor. Allergic reactions such as rash and hives have been reported rarely.

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