Getting a good night's rest is an important step in battling fatigue. Use good sleep hygiene by avoiding nicotine, and refraining from alcohol or caffeine before bed because they can disrupt sleep. Go to bed and get up at the same times every day. Make your bedroom cool, dark and comfortable.
Fatigue and sleep problems go hand-in-hand for many people with arthritis. The main culprits are the inflammatory disease process and the accompanying chronic pain. Inflammation. If you have an autoimmune disease, your immune system attacks your body and inflammation is the result.
It's also strongly linked to conditions that can cause long-term pain, such as fibromyalgia, polymyalgia rheumatica and complex regional pain syndrome. People with osteoarthritis have also reported having fatigue.
People describe it as being overwhelming and uncontrollable. They feel worn out and drained of energy, and sometimes even lose all interest in anything. It can increase the need for sleep and make it hard to concentrate or do anything.
Drug Therapies
Antidepressants often prescribed for chronic fatigue include: Tricyclics: amitriptyline (Elavil), desipramine (Norpramin), notriptyline (Pamelor) Selective serotonin reuptake inhibitors (SSRIs): citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft)
You may feel tired, weak and ill. Some sufferers feel feverish, sweaty and lose their appetites, which can lead to weight loss. Many say they feel like they've been hit by a bus. As the joint lining becomes increasingly inflamed they swell and become red and hot to the touch.
Osteoarthritis is a degenerative disease that worsens over time, often resulting in chronic pain. Joint pain and stiffness can become severe enough to make daily tasks difficult. Depression and sleep disturbances can result from the pain and disability of osteoarthritis.
Osteoarthritis symptoms range from stiffness and mild pain to persistent, severe joint pain. Common signs include swelling and tenderness, stiffness after getting out of bed, and a crunching feeling or sound of bone rubbing on bone.
Stay active, when you can
On the whole, the answer is "keep moving." Your joints were made to move. They need movement to nourish the joint and keep the muscles around the joint strong and limber. Doctors encourage their patients with arthritis to be as active as they can—as long as it isn't exacerbating joint pain.
Osteoarthritic joints have low levels of aggrecan, proteoglycan, type-II collagen, and runt-related transcription factor 1(RUNX1).
Living healthily
A good diet and regular exercise will help keep muscles strong and control your weight, which is good for osteoarthritis and also has other health benefits.
Osteoarthritis can degrade cartilage, change bone shape and cause inflammation, resulting in pain, stiffness and loss of mobility. OA can affect any joint, but typically affects hands, knees, hips, lower back and neck.
Exercising and losing weight if you're overweight are important ways to lessen the joint pain and stiffness of osteoarthritis. Exercise. Low-impact exercise can increase your endurance and strengthen the muscles around your joint, making your joint more stable. Try walking, bicycling or water aerobics.
“Low-impact exercises, like walking, cycling or using an elliptical machine are smart choices,” says Dr. Zikria. “If you run, play basketball or do other high-impact activities, avoid hard surfaces and don't do it every day.” Multiple studies show that mild to moderate exercise is beneficial for people with arthritis.
The most common triggers of an OA flare are overdoing an activity or trauma to the joint. Other triggers can include bone spurs, stress, repetitive motions, cold weather, a change in barometric pressure, an infection or weight gain. Psoriatic arthritis (PsA) is an inflammatory disease that affects the skin and joints.
Medical causes– unrelenting exhaustion may be a sign of an underlying illness or condition (such as flu, glandular fever, chronic fatigue syndrome, thyroid disorders, heart disease or diabetes). Lifestyle-related causes – alcohol or drugs or lack of regular exercise can lead to feelings of fatigue.
Mental laziness and lack of motivation can also be caused by one simple problem: not having enough exercise and nutrients in the body. One should consider eating healthy food high in protein, such as green, leafy vegetables, and fatty fish. Research also suggests eating berries and walnuts and drinking coffee or tea.