The Role of Physiotherapy

Presented at the Society AGM by Mary Hanania, Royal Free Hospital London

In conjunction with the correct medical advice, Physiotherapy can be effective in the management of scleroderma. You can be seen at the Royal Free Hospital as an inpatient once a member of the medical team or nursing staff has referred you. As an outpatient, you can be referred to the physiotherapy rheumatology clinic by your rheumatologist, where the physiotherapist will be happy to offer you advice and exercises. Some general points to keep in mind are set out below.

•  Stretching is very important and should be a part of your daily exercise program.

•  Daily stretching is essential to maintain joint range and flexibility.

•  Stretches should not be painful, but you may find them uncomfortable.

•  You should hold a stretch for approximately 15-30seconds.

•  Scleroderma is not worsened by exercise, and it is important to keep as fit and healthy as you can.

•  You should exercise little and often. An excellent form of exercise is walking, swimming, riding a stationary bike etc.

•  One form of exercise is strength training. This is very important as it makes bones and muscles stronger.

•  Good forms of strength exercises include; walking, climbing stairs, and performing sit to stand off a chair with arms folded.

•  Strength exercise helps fight osteoperosis (osteoperosis is the thinning of bones, making them more likely to break).

•  It is important not to overtire yourself.

•  You should be taking frequent short breaks rather than one long one.

•  Always think about and look after your posture. It is up to you to protect your joints.

•  Assistive equipment and splints may help to support your joints and make daily activities easier.

Wax therapy may be helpful to reduce pain and stiffness in the joints of the hand. We do not offer wax therapy treatment in the hospital for hygiene reasons but you may purchase a small wax kit for home-use from various retailers. This information can be provided by your local rheumatology department.