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How Yoga and Other Exercises Can Relieve Symptoms of Rheumatoid Arthritis

Ask the average person on the street if exercise is beneficial and they’ll likely say that it is, even if they don’t exercise regularly themselves. Indeed, most of us take it for granted that a program of regular exercise can improve both physical and mental well-being.

But is it safe or even prudent to exercise if you have rheumatoid arthritis?

According to the American College of Rheumatology, it is. People with arthritis who exercise regularly typically have less pain, more energy, improved sleep and better day-to-day function than people who do not exercise.

[See: 7 Surprising Things That Age You.]

“In general, exercises should be low-impact, safe and functional,” says Kimberly Steinbarger, a physical therapist in Bangor, Maine and the academic coordinator of clinical education in the School of Physical Therapy at Husson University. “Anything that utilizes the full range of motion available to their joints, and makes them feel like they are working, without strain, is key.”

Walking, swimming and biking are all good. Gentle stretching exercises like yoga or tai chi can help improve flexibility, strength and balance.

A study by researchers at Johns Hopkins University echoes these findings. The study, which investigated whether yoga was safe and beneficial in people with osteoarthritis and RA, found that participants reported substantial improvements in physical and general health.

During the study, participants attended two 60-minute yoga classes a week for eight weeks, and practiced an additional hour each week at home. Classes were taught by certified yoga instructors who had experience teaching people with physical limitations, and yoga poses were modified to account for any reduced joint mobility or physical restrictions of the participants.

Twenty percent of participants reported improved scores in walking, pain, energy, mood and the ability to complete physical tasks at work and home, compared with a control group who did not exercise.

Importantly, these benefits were still evident nine months after the study’s end.

[See: How to Practice Yoga When You Have Arthritis or Another Chronic Condition.]

“People with arthritis who are considering yoga should discuss with their doctors about which specific joints are of concern,” suggests Dr. Clifton O. Bingham III, a rheumatologist in Baltimore, professor of medicine at Johns Hopkins School of Medicine and one of the study’s lead authors.

“Find a [yoga] teacher who asks the right questions about limitations and works closely with you as an individual, and about how to modify poses to suit your needs,” says Bingham. “Start with gentle yoga classes.”

Apart from general health advantages, research indicates that people with RA can derive specific benefits from exercise.

Exercise can improve cardiorespiratory and cardiovascular fitness and decrease the rate of strokes and heart attacks, one the major complications of RA. It can also slow or prevent rheumatoid cachexia, the loss of muscle mass and strength that occurs in approximately two-thirds of people with RA.

An exercise program can be tailored to address specific issues. For example, a person who has difficulty moving around the home can start by moving from a sitting to a standing position as many times as is safely possible in one minute.

If necessary, you can start by using your hands to help you push up and out of the chair, with the goal of eventually being able to stand up without using the hands. “Then you can increase the number of repetitions,” says Steinbarger, who also suffers from RA herself.

Once that becomes too easy, you can do mini-lunges or squats while holding on to a heavy table or the sink, if balance is not an issue.

Walking is probably the easiest exercise program to start because no equipment is required. People with RA can start walking around the home and progress to outside, slowly increasing distance and speed. “This can be done even if you use an assistive device for ambulation, such as a cane,” notes Steinbarger.

[See: 12 ‘Unhealthy’ Foods With Health Benefits.]

“Slower gait velocities are a good indicator of fall risk, so gradually moving faster, if it is safe for you to do so, can really help with balance and mobility,” she adds.

Strength training using light weights or resistance bands can help increase muscle strength. However, you may want to check with your doctor or consult a personal trainer first to make sure you don’t have specific problems with the joints of your fingers and wrists that could interfere with strength training.

People who are physically active live longer and are happier and healthier than those who don’t, including people with RA. You can adjust or adapt any form of exercise that you choose in order to accommodate your situation and physical limitations.

More from U.S. News

How to Practice Yoga When You Have Arthritis or Another Chronic Condition

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12 ‘Unhealthy’ Foods With Health Benefits

How Yoga and Other Exercises Can Relieve Symptoms of Rheumatoid Arthritis originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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