Your axial spondyloarthritis (axSpA) can affect you in many different ways, but an occupational therapist can help you with some of the difficulties you face.
Occupational therapy aims to help people who have difficulty with their everyday work, home or leisure activities because of illness or disability. Some occupational therapists (OTs) have specialist knowledge in dealing with problems caused by axSpA, and they’ll work with you to find solutions to these difficulties, allowing you to carry on independently with your daily activities.
Occupational therapy can help you manage your axSpA in a number of ways:
Occupational therapists may work within the public health services, in private practice or in a charity. Your GP, rheumatologist or rheumatology nurse may refer you to an occupational therapist, or you can ask to see someone if you feel it would be helpful. In some cases, you may be referred to a specialist hand therapist who’ll be able to offer similar help and advice.
If you’re having trouble managing at home, you can ask your doctor to put you in touch with an occupational therapist. They may be able to see you in your own home.
At your first appointment, your occupational therapist will assess your condition, including which joints are affected and where you have pain. They’ll ask about any problems you’re having with everyday tasks. It’ll help if you think about these before your appointment. This might include difficulties with:
When they’ve highlighted particular problems, your occupational therapist will explore possible solutions with you. This may include:
Your occupational therapist can help you to analyse your work, household and leisure activities, find out where there are problems and suggest changes that might help you.
You may need to rethink the way you do things, such as:
For example, if you have problems with ironing because it’s uncomfortable to stand for too long or to hold the iron, then the solution may be to sit or perch on a stool, to wear a supportive wrist splint and/or to use a lightweight iron.
Your occupational therapist can advise on the best gadgets to make tasks easier at home or at work. There’s a huge range of aids and appliances available – from chunky-grip pens to vegetable peelers. If need be, the therapist can help you get special equipment such as kettle-tippers, bath seats, raised toilet seats and stair lifts.
You can get equipment through a local retailer or from a community equipment store or via a local retailer. Your occupational therapist can advise on what you need and where to get them.
Community occupational therapists are experts in home adaptations such as ramps, level-access showers and stair lifts.
If you have difficulties getting around, your occupational therapist can suggest vehicle adaptations to help you, such as a panoramic-view mirror if turning your head is difficult. Or they can help you decide on the best choices for your next car, such as an automatic car.
For more complex problems your occupational therapist can assist with getting help from other agencies or a specialist mobility centre. They may also be able to advise you about wheelchairs and scooters.
For people living with axSpA, it’s important to start looking after your joints as soon as possible. Your occupational therapist will show you how to reduce the strain on your joints. This is known as joint protection. It doesn’t mean you should stop using your joints, just that you should try to use them differently. for example by:
They can be applied to household, leisure or work activities.
Your occupational therapist can also advise on how to manage the fatigue that’s often associated with arthritis by:
Relaxation techniques can help to counter the effects of stress and fatigue, and can help with pain control.
You can find an occupational therapist via the Occupational Therapy Australia website.
This resource has been developed based on the best available evidence. A full list of references is available upon request.