Working with clients who have arthritis in their hands is a common scenario at Pacific Northwest Pilates. Whether it’s osteoarthritis from repetitive tasks like typing or pinching, or rheumatoid arthritis from various causes, even athletes can experience hand overuse. Addressing their needs effectively is crucial to ensure their safety and progress.

Key Tips for Managing Hand Arthritis

1. Opt for a Larger Grip:

+Avoid fine motor activities that involve small pinching motions.

+Prevent ulnar drift by ensuring grips do not pull fingers towards the ulnar side of the hand.

+Steer clear of loading the hands in a way that exacerbates ulnar deviation, as this can lead to increased dysfunction over time.

2. Handling the Reformer:

+Clients often ask about the best way to position their thumbs when using the reformer. The primary tip is to use a soft, wider grasp.

+Positioning on the bar is key: ensure the load is supported primarily by body weight.

+Allow the free leg to rest on the ground initially, which helps in managing weight distribution and reduces stress on the hands.

3. Progress Gradually:

+Start with exercises that isolate and work the scapular muscles. This can be done with minimal load to ensure safety and comfort.

+Gradually increase the load as the client builds tolerance and strength in the hands and upper body.

By following these guidelines, you can help your clients with arthritis in their hands to safely and effectively engage in their Pilates practice, enhancing their strength and mobility without exacerbating their condition. For a more detailed demonstration, check out our video tutorial below.