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HealthInfo Waitaha Canterbury

Helping myself with long-term (chronic) joint pain

Te āwhina i ahau anō i te mamae ā-pona wā-roa

Some conditions, such as arthritis, mean you may have to learn how to live with a certain amount of continuing joint pain. It may seem daunting at first, but many people can live very full and active lives with long-term joint conditions.

It's important to focus on the things you can do rather than on what you cannot. Keeping fit and socially active can really help to distract you from your pain. Not all people with arthritis will need joint replacement surgery. The following strategies will help you minimise your pain and live well.

Manage your weight

Being overweight puts extra strain on your joints. Losing weight will help to decrease your pain – even a small weight loss will help. Making sure you eat a healthy balanced diet can also make you feel better and help to keep your weight down.

Stop smoking

Smoking not only damages your lungs, it can make inflammatory conditions such as arthritis worse. It also slows down how quickly you heal. If you might need surgery, it's essential that you stop smoking – many surgeons will not offer you an operation if you smoke.

Keep moving

People with painful joints often avoid moving around much because they think it will make their pain worse. But keeping active will actually make you feel better.

Regular, moderate activity keeps your muscles strong, keeps your weight under control, makes you feel better and reduces joint pain and stiffness. Exercises in water or on a bike are low-impact and are unlikely to make joint pain worse. Arthritis New Zealand has more information on activity for arthritis and specific programmes in your area. Or you can speak to your GP.

Pain relief

Your GP can prescribe safe pain relief to help with your symptoms, particularly to relieve pain at night. There are no medications that can completely remove the pain from joints, but medication and making sure you have a healthy lifestyle can make a real difference.

This pain relief page has information about ways to improve joint pain without medication.

Managing long-term (chronic) pain

Having pain that never completely goes away can be very tiring and frustrating. It's important to look after your physical and mental health while you're living with long-term pain.

It's also important that you remain as independent as possible and keep doing the things you enjoy doing. If you find living with long-term pain saps your energy levels, find out about how to conserve energy.

Getting help with long-term joint pain

Your GP can help you manage your pain and can direct you to other health professionals and services. Some GPs are also trained to perform steroid injections if you need these.

Physiotherapists have expert knowledge of how joints work. They can help you with techniques to manage your pain and give you exercises to strengthen your muscles. You can search for a private physiotherapist on Physiotherapy New Zealand's website.

You might like to ask your GP or physiotherapist about Support for getting active.

Occupational therapists look at how you do your everyday activities in your normal environment. This can include how you can keep working and driving. They can recommend lifestyle changes, activities, equipment and support that will help you get the most out of your daily life. You can search for a private occupational therapist on Occupational Therapy New Zealand's website.

Podiatrists can look at how you're walking and moving to see if changing that can help reduce your pain. They may also be able to recommend footwear and shoe inserts that will help. You can search for a private podiatrist on Podiatry New Zealand's website.

Your GP might also suggest referring you to the Pain Management Team at Burwood Hospital if they think specialist input could help you manage your pain.

Support organisations such as Arthritis New Zealand can provide you with lots of information, ideas and events in your area.

On the next page: Pain relief for long-term (chronic) joint pain and arthritis

Written by HealthInfo clinical advisers. Last reviewed February 2022.

See also:

Chronic (persistent) pain

Disability aids

Page reference: 174495

Review key: HILJP-228010