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Russ Physical Therapy

Arthritis in Bentonville and Springdale, AR

You have already tried the heating pad, the pills, and the rest days. The joint still stiffens overnight and complains every time you stand up. Arthritis is not a signal to stop moving. It is a signal to move differently.

01What Causes It

What causes arthritis?

Arthritis is not one diagnosis. It is a family of conditions that wear, inflame, and stiffen a joint until simple things get complicated: stairs, jar lids, the first ten minutes after you stand up. You have probably been told it is age and that you should take it easy. Joints are fed by movement, so that advice is a large part of why it keeps getting worse. Finding out which kind of arthritis you have, and which joints carry more load than they should, is what tells your therapist how to load you back up safely.

Physical therapist examining a patient's arthritic joint

The cartilage that pads the ends of your bones thins over years of use, so the joint has less cushion and more friction. This is the most common form, and it is the one people most often accept as permanent decline. Worn cartilage does not have to mean a worn life. The muscles that cross the joint can take over a large share of the load, which lowers the pressure on the surface that is left. Building that muscle is slow, unglamorous, and it works.

Some arthritis comes from the immune system attacking the lining of the joint rather than from wear. That kind needs medical management from your physician, and it also needs movement. Well-timed, gentle exercise keeps range of motion from disappearing during a flare and rebuilds strength between flares. Your therapist plans around your flare cycles instead of pretending they do not happen.

A fracture, a bad sprain, or a ligament tear that healed but was never rebuilt leaves the joint slightly off. It tracks differently, it loads unevenly, and it wears faster. Arthritis after an injury often shows up years later, long after everyone stopped thinking about the injury. We ask about your history because the joint that hurts today usually points back to something that happened a long time ago.

Pain makes you protect the joint. Protecting it means using it less. Using it less shrinks the muscle around it and tightens the joint capsule, so the next movement hurts more than the last one did. Most people are already several laps into this loop by the time they call us. Breaking it takes a starting point that is genuinely tolerable and a progression you can actually stick to.

If one hip will not extend, the other side and the low back cover the difference. If an ankle is stiff, the knee absorbs what the ankle should have. Years of that quietly concentrate force onto a few surfaces. Watching how you actually walk, squat, and climb stairs shows your therapist where the load is piling up, and changing that pattern takes pressure off the joint that hurts.

Extra load and low general fitness raise the demand on an arthritic joint every hour of the day. Being lectured about that changes nothing. Being handed ways to build fitness the joint can tolerate changes a great deal, whether that is cycling, supported strength work, or the AlterG anti-gravity treadmill at our Bentonville clinic.

02How PT Helps

How physical therapy in Bentonville and Springdale helps.

Arthritis care that works looks nothing like resting. Your first visit is an evaluation: which joints are involved, what they can and cannot do right now, where the strength has gone, and what you want back. From there your therapist uses hands-on work to free up the joint and the tissue around it, then loads it deliberately so the muscle protecting it gets stronger. Loading an arthritic joint sounds backwards. It is the whole point. Joints respond to graded, repeated demand, and the muscle spanning the joint is the shock absorber you still have full control over.

You work with one therapist who knows your case rather than a different face each visit. Arkansas has direct access, so you can book the evaluation without a physician referral, and we verify your benefits before you come in. We are in network with BCBS, Medicare, TRICARE, Humana, Ambetter, ARKids First, AAA, and Workers' Compensation. Nobody here will tell you arthritis has been cured. Your therapist will tell you honestly what looks changeable and roughly how long it should take.

03What To Expect

What to expect from your recovery.

01

Pain: settle the joint down

The first phase takes the edge off so you can move at all. Hands-on treatment, joint mobilization, and carefully chosen movement bring the irritation down while your therapist maps which joints are driving the problem. You also leave with a short home program, because what happens on the other six days matters more than the hour you spend with us.

02

Prime and perform: build strength around it

Once the joint tolerates work, we load it. Strength in the hips, quads, glutes, and grip is what keeps an arthritic joint quiet through a normal day. The program gets harder in steps you can feel, and every step ties to something real: stairs, getting up off the floor, lifting a grandchild, carrying groceries in one trip.

03

Prevent: keep what you built

Arthritis is a long game, so the final phase hands the work to you. You leave with a program you can run on your own, a plan for flare days, and a clear sense of what is worth calling about.

In Their Words
Russ Physical Therapy provides effective rehab in a personable environment. If you do the work, you will love the result.
Loretta M. · Arthritis management · ongoing
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