{"id":7279,"date":"2022-04-13T05:43:01","date_gmt":"2022-04-13T11:43:01","guid":{"rendered":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/?page_id=7279"},"modified":"2022-09-15T12:10:33","modified_gmt":"2022-09-15T18:10:33","slug":"standard-5-core-treatment-2-exercise-and-physical-activity","status":"publish","type":"page","link":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/individual-standards-toolkit-introduction\/standard-5-core-treatment-2-exercise-and-physical-activity\/","title":{"rendered":"5. Core Treatment 2 Exercise and Physical Activity"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#9ab9ad&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;heading&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;40px&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; text_line_height_tablet=&#8221;1em&#8221; text_line_height_phone=&#8221;1em&#8221; text_line_height_last_edited=&#8221;on|desktop&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>CORE TREATMENT 2 \u2013 EXERCISE AND PHYSICAL ACTIVITY<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;22px&#8221; text_line_height=&#8221;1em&#8221; header_text_align=&#8221;center&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;38px&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>STANDARD 5<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;20px&#8221; text_line_height=&#8221;1.9em&#8221; custom_padding=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Exercise and physical activity programs are an important part of the care plan when you have OA of the hip or knee. Programs tailored for your needs offer support and information on progressive exercises and how to modify or change the activities as your symptoms change. These programs focus on improving your strength, endurance, and movement, which will help support regular movement and improve your overall health. Working with your clinician team will make sure your priorities, values, and preferences are part of setting exercise and physical activity goals.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; disabled_on=&#8221;on|off|off&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#9ab9ad&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;contain&#8221; background_position=&#8221;center_left&#8221; custom_margin=&#8221;-12px||||false|false&#8221; custom_margin_tablet=&#8221;-12px||||false|false&#8221; custom_margin_phone=&#8221;0px||||false|false&#8221; custom_margin_last_edited=&#8221;on|phone&#8221; custom_padding=&#8221;||33px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_image src=&#8221;https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/line-01-e1650521660256.png&#8221; title_text=&#8221;line-01&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; width=&#8221;80%&#8221; max_width=&#8221;80%&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_fullwidth_image][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; top_divider_color=&#8221;rgba(12,113,195,0.32)&#8221; top_divider_height=&#8221;27px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][lwp_divi_breadcrumbs _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/lwp_divi_breadcrumbs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||||false|false&#8221; custom_padding_tablet=&#8221;||||false|false&#8221; custom_padding_phone=&#8221;0px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;heading&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;40px&#8221; text_line_height=&#8221;1em&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; text_line_height_tablet=&#8221;1em&#8221; text_line_height_phone=&#8221;1em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p class=\"overview\">OVERVIEW<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<ul>\n<li>You might find that over time your legs are weaker,<span class=\"tooltips\"><sup>1,2<\/sup><span class=\"tooltiptext\"><sup>1<\/sup>de Zwart AH, Dekker J, Lems WF, Roorda LD, Van Der Esch M, Van Der Leeden M. Factors associated with upper leg muscle strength in knee osteoarthritis: A scoping review. Journal of rehabilitation medicine. 2018;50(2):140-50.<br \/><sup>2<\/sup>\u00d8iestad BE, Juhl CB, Eitzen I, Thorlund JB. Knee extensor muscle weakness is a risk factor for development of knee osteoarthritis. A systematic review and meta-analysis. Osteoarthritis and Cartilage. 2015;23(2):171-7.<\/span><\/span> which may mean that you won\u2019t be able to use or move them as well as before.<\/li>\n<li>Not being active (sedentary) is one of the major risk factors of osteoarthritis, as it can make your symptoms worse, which can affect your quality of life<span class=\"tooltips\"><sup>3<\/sup><span class=\"tooltiptext\"><sup>3<\/sup>Musumeci G, Aiello FC, Szychlinska MA, Di Rosa M, Castrogiovanni P, Mobasheri A. Osteoarthritis in the XXIst century: Risk factors and behaviours that influence disease onset and progression. International Journal of Molecular Sciences. 2015;16(3):6093-112.<\/span><\/span> and your overall health<span class=\"tooltips\"><sup>1-4<\/sup><span class=\"tooltiptext\"><sup>1<\/sup>de Zwart AH, Dekker J, Lems WF, Roorda LD, Van Der Esch M, Van Der Leeden M. Factors associated with upper leg muscle strength in knee osteoarthritis: A scoping review. Journal of rehabilitation medicine. 2018;50(2):140-50.<br \/><sup>2<\/sup>\u00d8iestad BE, Juhl CB, Eitzen I, Thorlund JB. Knee extensor muscle weakness is a risk factor for development of knee osteoarthritis. A systematic review and meta-analysis. Osteoarthritis and Cartilage. 2015;23(2):171-7.<br \/><sup>3<\/sup>Musumeci G, Aiello FC, Szychlinska MA, Di Rosa M, Castrogiovanni P, Mobasheri A. Osteoarthritis in the XXIst century: Risk factors and behaviours that influence disease onset and progression. International Journal of Molecular Sciences. 2015;16(3):6093-112.<br \/><sup>4<\/sup>Bowden JL, Hunter DJ, Deveza LA, Duong V, Dziedzic KS, Allen KD, et al. Core and adjunctive interventions for osteoarthritis: Efficacy and models for implementation. Nature Reviews Rheumatology. 2020;16(8):434-47.<\/span><\/span>.<\/li>\n<li>Regular exercise and physical activity are among the best treatments to improve your symptoms<span class=\"tooltips\"><sup>4,5<\/sup><span class=\"tooltiptext\"><sup>4<\/sup>Bowden JL, Hunter DJ, Deveza LA, Duong V, Dziedzic KS, Allen KD, et al. Core and adjunctive interventions for osteoarthritis: Efficacy and models for implementation. Nature Reviews Rheumatology. 2020;16(8):434-47.<br \/><sup>5<\/sup>Rice D, McNair P, Huysmans E, Letzen J, Finan P. Best evidence rehabilitation for chronic pain part 5: Osteoarthritis. Journal of Clinical Medicine. 2019;8(11):1769.<\/span><\/span> and maintain your overall wellness.<\/li>\n<li>Most recommended exercises and physical activities for hip and knee OA focus on the lower half of\u202fyour body (below the waist), including the trunk\/core, gluteal, quadriceps, hamstring, and calf\u202fmuscles\u200b<\/li>\n<li>Prescribed exercise can be done on your own or by joining a program. Over time and when it\u2019s safe,\u202fyou can gradually increase your daily physical activity by increasing how often, and how long you do\u202fthe program.\u200b<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;18px&#8221; background_color=&#8221;#f2f2f2&#8243; custom_padding=&#8221;20px|20px|20px|20px|true|true&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3 style=\"text-align: left;\"><strong>KEY RESOURCES<\/strong><span style=\"font-size: medium;\"><span style=\"font-size: medium;\"><\/span><\/span><\/h3>\n<ul class=\"fix\" style=\"text-align: left; font-size: medium;\">\n<li><a href=\"https:\/\/findingbalancealberta.ca\/\" target=\"_blank\" rel=\"noopener\">Finding Balance<\/a><\/li>\n<li><a href=\"https:\/\/www.ualberta.ca\/glen-sather-clinic\/patient-resources\/exercises-for-arthritis.html\" target=\"_blank\" rel=\"noopener\">Glen Sather Sports Medicine Clinic Videos for Safe Exercises for Osteoarthritis<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/living-well\/optimized-self\/exercise-motion\/introduction-to-exercise-for-osteoarthritis\" target=\"_blank\" rel=\"noopener\">Arthritis Society Flourish Exercise Videos<\/a><\/li>\n<li><a href=\"https:\/\/www.albertahealthservices.ca\/findhealth\/Service.aspx?id=1080775&amp;serviceAtFacilityID=1126573\" target=\"_blank\" rel=\"noopener\">Rehab Advice Line<\/a><\/li>\n<li><a href=\"#\" class=\"learn-more OAtoolkit\">OA Self-Management Toolkit<\/a><\/li>\n<li><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/2_Sample-Resource-Inventory.pdf\" target=\"_blank\" rel=\"noopener\">SAMPLE Resource Inventory\u200b<\/a><\/li>\n<li><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/3_NEW-FORM-Care-Plan-Documentation.pdf\" target=\"_blank\" rel=\"noopener\">FORM to Document\/Modify a Care Plan for Conservative Management of OA<\/a>\u200b<\/li>\n<li><a href=\"https:\/\/myhealth.alberta.ca\/health\/pages\/conditions.aspx?Hwid=hw125723\" target=\"_blank\" rel=\"noopener\">MyHealth Alberta<\/a><\/li>\n<li><a href=\"https:\/\/www.healthiertogether.ca\/health-conditions\/osteoarthritis\/\" target=\"_blank\" rel=\"noopener\">Healthier Together<\/a><\/li>\n<li><a href=\"#\" class=\"learn-more ASLM\">Arthritis Society Learning Modules<\/a><\/li>\n<\/ul>\n<p style=\"margin-top: 20px;\"><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/resources-2\/\" style=\"text-align: left;\"><strong>View All Resources<\/strong><\/a><\/p>\n<p><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/references-for-standard-5-core-treatment-2-exercise-and-physical-activity\/\" style=\"text-align: left;\"><strong>View References<\/strong><\/a>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; custom_padding_tablet=&#8221;0px||0px||true|false&#8221; custom_padding_phone=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/image-20-02-scaled.jpg&#8221; title_text=&#8221;image-20-02&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||-129px|||&#8221; custom_padding=&#8221;||146px|||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Speak with your clinician about strategies to manage your <a href=\"#\" class=\"learn-more managingyouroa\">osteoarthritis<\/a> along with the prescribed exercises that meet your needs and physical activity programs. Once you\u2019re comfortable with your body and your options for modifying or changing your exercises and physical activities, you\u2019ll be better able to safely exercise and do your day-to-day activities.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;heading&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;40px&#8221; text_line_height=&#8221;1em&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; text_line_height_tablet=&#8221;1em&#8221; text_line_height_phone=&#8221;1em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Prescribed Movement<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>During your care planning, your primary clinician should offer options for exercise and physical activity to focus on strength and flexibility and balancing it with your heart health. Or your primary clinician can refer you to other <a href=\"#\" class=\"learn-more referralclinicians\">clinicians<\/a> specialized in prescribed exercise to work with you to develop an exercise program.<\/p>\n<p>Most recommended exercises and physical activities for hip and knee osteoarthritis focus on the lower half of your body (below the waist), including the trunk\/core, gluteal, quadriceps, hamstring, and calf muscles. The muscles of the stomach and back help support the hips and knees.<\/p>\n<p>It\u2019s very common to be afraid that you\u2019re going to hurt your joint even more or end up with an injury while exercising or doing your activities. However, your pain and stiffness aren\u2019t directly related to the health of your joint.<\/p>\n<p><strong>It may feel confusing to be told you have to move a sore joint or body part, but exercise and moving a sore joint are important to keep joints healthy and slow the osteoarthritis.<\/strong> If you have other health conditions that could make activity risky for you, such as heart or lung conditions, make sure your clinicians know and work with them to safely modify your program.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(12,113,195,0.08)&#8221; background_image=&#8221;https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/2020\/11\/Background2.png&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;22px&#8221; text_orientation=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>A well-rounded movement plan<span class=\"tooltips\"><sup>4-6<\/sup><span class=\"tooltiptext\"><sup>4<\/sup>Bowden JL, Hunter DJ, Deveza LA, Duong V, Dziedzic KS, Allen KD, et al. Core and adjunctive interventions for osteoarthritis: Efficacy and models for implementation. Nature Reviews Rheumatology. 2020;16(8):434-47.<br \/><sup>5<\/sup>Rice D, McNair P, Huysmans E, Letzen J, Finan P. Best evidence rehabilitation for chronic pain part 5: Osteoarthritis. Journal of Clinical Medicine. 2019;8(11):1769.<br \/><sup>6<\/sup>Holden MA, Button K, Collins NJ, Henrotin Y, Hinman RS, Larsen JB, et al. Guidance for implementing best practice therapeutic exercise for people with knee and hip osteoarthritis: what does the current evidence base tell us? Arthritis Care &amp; Research. 2020;Accepted for publication.<\/span><\/span>:<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;35px|35px|35px|35px|true|true&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; box_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul class=\"nest\">\n<li>Accommodates for your baseline wellness<\/li>\n<li>Addresses your:\n<ul>\n<li>Needs<\/li>\n<li>Goals<\/li>\n<li>Symptoms<\/li>\n<li>Budget limits<\/li>\n<li>Preferences<\/li>\n<li>Values<\/li>\n<\/ul>\n<\/li>\n<li>Has an early plan for progression<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;35px|35px|35px|35px|true|true&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; box_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul class=\"nest\">\n<li>and incorporates:\n<ul>\n<li>Daily movement goals (see below)<\/li>\n<li>Education on safe practices strategies for:\n<ul>\n<li>Recovery<\/li>\n<li>Tracking and managing pain<\/li>\n<li>Pacing and modifying your activities<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; global_colors_info=&#8221;{}&#8221;]The Treatment Menu from <a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/3_OA-Self-Management-Toolkit.pdf\" target=\"_blank\" class=\"in-text\" rel=\"noopener\">your Toolkit<\/a> gives you several choices for both exercise and physical activity. Use these ideas to help you tell your clinician what you\u2019re interested in. If you choose something you\u2019re interested in, you\u2019ll be more likely to enjoy it and to keep doing the exercise or physical activity.<\/p>\n<p><em>Note: Structured programs may cost money so talk with your clinician about what you\u2019re able and willing to incorporate into your budget.<\/em>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(12,113,195,0.08)&#8221; background_image=&#8221;https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/shapes-bg-1.png&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||50px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;heading&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;40px&#8221; text_line_height=&#8221;1em&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; text_line_height_tablet=&#8221;1em&#8221; text_line_height_phone=&#8221;1em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Physical Activity Target<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600|||||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;20px&#8221; global_colors_info=&#8221;{}&#8221;]Once your clinician approves, a target of 150 minutes of moderate to vigorous aerobic movement per week is recommended<span class=\"tooltips\"><sup>7-8<\/sup><span class=\"tooltiptext\"><sup>7<\/sup>Canadian Society for Exercise Physiology. Canadian 24-hour movement guidelines: An integration of physical activity, sedentary behavior, and sleep Ottawa, Ontario: Canadian Society for Exercise Physiology; 2021 [Available from: https:\/\/csepguidelines.ca\/<br \/>\n<sup>8<\/sup>World Health Organization. WHO guidelines on physical activity and sedentary behavior. Geneva; 2020.<\/span><\/span>.[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;35px|35px|35px|35px|true|true&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; box_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;25px&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; text_line_height_tablet=&#8221;&#8221; text_line_height_phone=&#8221;1.9em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]Moderate Activity\t[\/et_pb_text][et_pb_blurb title=&#8221;Description\t&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x49;||divi||400&#8243; icon_color=&#8221;#6d125c&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;21px&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; header_level=&#8221;h1&#8243; header_font=&#8221;|600|||||||&#8221; header_text_color=&#8221;#000000&#8243; header_font_size=&#8221;18px&#8221; body_font_size=&#8221;18px&#8221; image_icon_custom_padding=&#8221;||||true|true&#8221; border_style_all_image=&#8221;none&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>You can carry a conversation while doing these activities<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=&#8221;Examples&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x49;||divi||400&#8243; icon_color=&#8221;#6d125c&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;21px&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; header_level=&#8221;h1&#8243; header_font=&#8221;|600|||||||&#8221; header_text_color=&#8221;#000000&#8243; header_font_size=&#8221;18px&#8221; body_font_size=&#8221;18px&#8221; image_icon_custom_padding=&#8221;||||true|true&#8221; border_style_all_image=&#8221;none&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Brisk walking, biking, household chores, yard work, and dancing<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;35px|35px|35px|35px|true|true&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; box_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;25px&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; text_line_height_tablet=&#8221;&#8221; text_line_height_phone=&#8221;1.9em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]Vigorous Activity[\/et_pb_text][et_pb_blurb title=&#8221;Description&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x49;||divi||400&#8243; icon_color=&#8221;#6d125c&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;21px&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; header_level=&#8221;h1&#8243; header_font=&#8221;|600|||||||&#8221; header_text_color=&#8221;#000000&#8243; header_font_size=&#8221;18px&#8221; header_line_height=&#8221;1.5em&#8221; body_font_size=&#8221;18px&#8221; image_icon_custom_padding=&#8221;||||true|true&#8221; border_style_all_image=&#8221;none&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>You\u2019d feel a little out of breath during a conversation while doing these activities<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=&#8221;Examples\t&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x49;||divi||400&#8243; icon_color=&#8221;#6d125c&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;21px&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; header_level=&#8221;h1&#8243; header_font=&#8221;|600|||||||&#8221; header_text_color=&#8221;#000000&#8243; header_font_size=&#8221;18px&#8221; body_font_size=&#8221;18px&#8221; image_icon_custom_padding=&#8221;||||true|true&#8221; border_style_all_image=&#8221;none&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Faster-paced walking, biking uphill, and swimming<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; global_colors_info=&#8221;{}&#8221;]You can work your way up to this target by gradually increasing your daily physical activities. Several short activities are better than no activity at all! Structured exercise programs contribute to the 150 minutes per week.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; top_divider_style=&#8221;arrow&#8221; top_divider_color=&#8221;#9ab9ad&#8221; top_divider_height=&#8221;20px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text module_class=&#8221;heading&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600||on|||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;40px&#8221; text_line_height=&#8221;1em&#8221; header_2_font=&#8221;Source Sans Pro|600|||||||&#8221; header_2_text_align=&#8221;center&#8221; header_2_text_color=&#8221;#ffc212&#8243; header_2_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;70px||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; text_line_height_tablet=&#8221;1em&#8221; text_line_height_phone=&#8221;1em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; header_2_text_shadow_style=&#8221;preset1&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Tips for Self-Managing Movement<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;18px&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]Your clinician team will show you how to safely do exercise and physical activities within reasonable limits and acceptable pain levels. You\u2019ll also learn how to use your pain as a guide when doing any exercise or activity. If you\u2019re starting on your own before you see a clinician, you can use the following as a guide:<\/p>\n<ul class=\"nest\">\n<li>Start by measuring your \u2018baseline\u2019 pain\n<ul style=\"list-style:circle\">\n<li>Baseline pain is rating how strong your pain is while you\u2019re sitting or resting and noting where it hurts<\/li>\n<li>Rate the pain between 0 and 10 (0 = no pain; 10 = the worst pain you can imagine) for each place where you feel it<\/li>\n<\/ul>\n<\/li>\n<li>Do the recommended exercise or activity<\/li>\n<li>Once you\u2019re done the exercise or activity, rate your pain and note the again where it hurts<\/li>\n<\/ul>\n<p>If the pain goes back to baseline within 24 hours after you did the exercise or activity, keep doing them.<\/p>\n<p>If your pain isn\u2019t back to the baseline within 24 hours, the exercise or activity you did may have been too much for your joint.<\/p>\n<p><strong>Speak with your clinician team for advice on how to adjust the exercise and activity so that you do return to your baseline within 24 hours.<\/strong>[\/et_pb_text][el_modal_popup modal_id=&#8221;referralclinicians&#8221; trigger_element_type=&#8221;element_class&#8221; trigger_element_class=&#8221;referralclinicians&#8221; modal_title=&#8221;Referral Between Clinicians&#8221; show_footer=&#8221;off&#8221; modal_header_custom_padding=&#8221;10px|10px|10px|10px|true|true&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; modal_title_text_font=&#8221;|600||||on|||&#8221; modal_title_text_font_size=&#8221;18px&#8221; modal_body_text_font_size=&#8221;16px&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; modal_width=&#8221;100%&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div class=\"modal-container\">\n<table>\n<tbody>\n<tr>\n<th style=\"background-color: #fff;\"><\/th>\n<th colspan=\"9\">Category of OA Treatments<\/th>\n<\/tr>\n<tr>\n<th>Discipline that may offer the treatment<\/th>\n<th>Education<\/th>\n<th>Exercise and Physical Activity<\/th>\n<th>Weight Management<\/th>\n<th>Supports (Walking and Environmental<\/th>\n<th>Cognitive Behavioural Therapy<\/th>\n<th>Self-Management Programs<\/th>\n<th>Non-prescription Pharma Treatments<\/th>\n<th>Prescription Pharma Treatments<\/th>\n<th>Joint Injections<\/th>\n<\/tr>\n<tr>\n<td>Family Physicians<\/td>\n<td>X<\/td>\n<td><\/td>\n<td>X*<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td>X*<\/td>\n<\/tr>\n<tr>\n<td>Nurse Practitioners <span data-contrast=\"auto\" xml:lang=\"EN-CA\" lang=\"EN-CA\" class=\"TextRun Highlight SCXW221516243 BCX0\"><span class=\"NormalTextRun SCXW221516243 BCX0\">(NPs, RNs, LPNs)<\/span><\/span><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td>X*<\/td>\n<\/tr>\n<tr>\n<td>Physiotherapists<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X*<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td>Restricted<\/td>\n<\/tr>\n<tr>\n<td>Occupational Therapists<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X*<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Kinesiologists<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Exercise Physiologists<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Sport and Exercise Medicine Physicians<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<\/tr>\n<tr>\n<td>Radiologists<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<\/tr>\n<tr>\n<td>Rheumatologists<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<\/tr>\n<tr>\n<td>Physiatrists<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<\/tr>\n<tr>\n<td>Chiropractors<\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Orthopaedic Surgeons<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td>X<\/td>\n<\/tr>\n<tr>\n<td>Pharmacist<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Registered Dietitians<\/td>\n<td>X<\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Counsellors<\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Psychiatrists<\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Psychologists\/Mental Health Therapists<\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td>X<\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Podiatrists<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<\/tr>\n<tr>\n<td>Pedorthists<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>X<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>[\/el_modal_popup][el_modal_popup modal_id=&#8221;managingyouroa&#8221; trigger_element_type=&#8221;element_class&#8221; trigger_element_class=&#8221;managingyouroa&#8221; modal_title=&#8221;Managing Your OA&#8221; show_footer=&#8221;off&#8221; modal_header_custom_padding=&#8221;10px|10px|0px|10px|false|true&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; modal_title_text_font=&#8221;|600||||on|||&#8221; modal_title_text_font_size=&#8221;18px&#8221; modal_body_text_font_size=&#8221;16px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"modal-container\">\n<div style=\"padding-bottom: 20px;\">\n<p>You understand that OA is a progressive disease with no cure. You live with your disease every day, while the clinicians provide support for short periods or short interactions. Throughout these 9 standards, the principles of self-management are reinforced. Confidence in self-management can be supported by the family and patient-centred care approach using SDM techniques.<\/p>\n<p>All the processes and strategies described in these standards focus on supporting you as you learn more about your OA so you can have all the tools you need to make choices for your OA journey. The principles of self-management are vital to managing your symptoms day-to-day. Even when you\u2019re doing everything \u2018right\u2019, OA can flare up for no reason that you can figure out. Once you understand this, and you have the tools you need, you\u2019ll be ready to act when this happens.<\/p>\n<\/div>\n<div id=\"attachment_4837\" style=\"width: 310px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4837\" class=\"wp-image-4837 size-medium\" src=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/image-23.png\" aligncenter=\"\" alt=\"Shared decision making\" width=\"300\" height=\"168\" \/><p id=\"caption-attachment-4837\" class=\"wp-caption-text\">SDM<\/p><\/div>\n<p>As care progresses, every clinician should support your treatment and coping choices. Other ways to manage your coping strategies for OA include:<\/p>\n<ul style=\"margin-left: 10px;\">\n<li>setting your priorities and goals<\/li>\n<li>managing your symptoms<\/li>\n<li>hot and cold therapies<\/li>\n<li>selecting your own activities<\/li>\n<li>manging your mental health<\/li>\n<li>making clinician appointments as needed<\/li>\n<\/ul>\n<p>There\u2019s more information in <a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/individual-introduction\/standard-7-adjunct-treatments\/\">Standard 7<\/a> if you want to become even more confident in your self-management techniques.<\/p>\n<\/div>\n<p>[\/el_modal_popup][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][el_modal_popup modal_id=&#8221;OAtoolkit&#8221; trigger_element_type=&#8221;element_class&#8221; trigger_element_class=&#8221;OAtoolkit&#8221; modal_title=&#8221;OA SELF MANAGEMENT TOOLKIT&#8221; show_footer=&#8221;off&#8221; modal_header_custom_padding=&#8221;10px|10px|10px|10px|false|true&#8221; modal_body_custom_padding=&#8221;||||true|true&#8221; modal_animation_style=&#8221;slide&#8221; modal_animation_direction=&#8221;left&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;0e4bb1fa-d312-42c0-b873-269eda7f61b5&#8243; modal_title_text_font=&#8221;|600||||on|||&#8221; modal_title_text_font_size=&#8221;18px&#8221; modal_body_text_font_size=&#8221;16px&#8221; width_tablet=&#8221;&#8221; width_phone=&#8221;auto&#8221; width_last_edited=&#8221;on|phone&#8221; modal_width_tablet=&#8221;100%&#8221; modal_width_phone=&#8221;100%&#8221; modal_width_last_edited=&#8221;on|phone&#8221; border_color_all_modal=&#8221;#005e85&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"modal-container\">\n<p><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/1_OA-Self-Management-Toolkit-2.pdf\" target=\"_blank\" rel=\"noopener\">OA Self Management Toolkit<\/a>, Includes:<\/p>\n<ul>\n<li><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/1a_OA-Self-Management-Toolkit-Report-Card.pdf\" target=\"_blank\" rel=\"noopener\">Report Card<\/a><\/li>\n<li><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-content\/uploads\/3_NEW-FORM-Care-Plan-Documentation-1.pdf\" target=\"_blank\" rel=\"noopener\">Treatment Menu<\/a><\/li>\n<\/ul>\n<\/div>\n<p>[\/el_modal_popup][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][el_modal_popup modal_id=&#8221;ASLM&#8221; trigger_element_type=&#8221;element_class&#8221; trigger_element_class=&#8221;ASLM&#8221; modal_title=&#8221;Arthritis Society Learning Modules&#8221; show_footer=&#8221;off&#8221; modal_header_custom_padding=&#8221;10px|10px|10px|10px|false|true&#8221; modal_body_custom_padding=&#8221;|0px||0px|false|true&#8221; modal_animation_style=&#8221;slide&#8221; modal_animation_direction=&#8221;left&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;0e4bb1fa-d312-42c0-b873-269eda7f61b5&#8243; modal_body_text_font_size=&#8221;16px&#8221; modal_width_tablet=&#8221;100%&#8221; modal_width_phone=&#8221;100%&#8221; modal_width_last_edited=&#8221;on|desktop&#8221; border_color_all_trigger_element=&#8221;#005e85&#8243; border_color_all_modal=&#8221;#005e85&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"modal-container\">\n<ul>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/managing-chronic-pain\" target=\"_blank\" rel=\"noopener\">Managing Chronic Pain<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/medical-cannabis-and-arthritis\" target=\"_blank\" rel=\"noopener\">Medical Cannabis and Arthritis<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/navigating-your-healthcare\" target=\"_blank\" rel=\"noopener\">Navigating Your Healthcare<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/overcoming-fatigue\" target=\"_blank\" rel=\"noopener\">Overcoming Fatigue<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/eating-well\" target=\"_blank\" rel=\"noopener\">Eating Well<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/daily-living\" target=\"_blank\" rel=\"noopener\">Daily Living<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/staying-active\" target=\"_blank\" rel=\"noopener\">Staying Active<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/mental-health-and-well-being\" target=\"_blank\" rel=\"noopener\">Mental Health and Well-being<br \/>\n<\/a><\/li>\n<li><a href=\"https:\/\/arthritis.ca\/support-education\/online-learning\/arthritis-and-work\" target=\"_blank\" rel=\"noopener\">Arthritis and Work<br \/>\n<\/a><\/li>\n<\/ul>\n<\/div>\n<p>[\/el_modal_popup][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<a class=\"et_pb_button et_pb_button_0 stickyMenu floating et_pb_bg_layout_light\" href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/individual-standards-toolkit-introduction\/standard-6-core-treatment-3-managing-weight\/\" data-icon=\"5\"><span>VIEW NEXT<\/span><\/a>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"bookmark\">\n<div id=\"ribbon\"><span id=\"content\"><a href=\"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/individual-standards-toolkit-introduction\/\">INDIVIDUAL<\/a><\/span><\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>CORE TREATMENT 2 \u2013 EXERCISE AND PHYSICAL ACTIVITYSTANDARD 5Exercise and physical activity programs are an important part of the care plan when you have OA of the hip or knee. Programs tailored for your needs offer support and information on progressive exercises and how to modify or change the activities as your symptoms change. These [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":7769,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-7279","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/pages\/7279","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/comments?post=7279"}],"version-history":[{"count":48,"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/pages\/7279\/revisions"}],"predecessor-version":[{"id":9733,"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/pages\/7279\/revisions\/9733"}],"up":[{"embeddable":true,"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/pages\/7769"}],"wp:attachment":[{"href":"https:\/\/toolkit.albertaboneandjoint.com\/osteoarthritis\/wp-json\/wp\/v2\/media?parent=7279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}