Did you know that staying active can help ease arthritis symptoms? In addition to taking CELEBREX, there are other things you can do in the new year that may help you keep moving. Click on the boxes to learn more about an all-around approach to managing arthritis pain.


Practical Tips That May Help You Keep Moving

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Arthritis pain can make moving difficult. Stretching and physical activities like strength training and low-impact aerobic exercise may help loosen your joints and keep you moving in the new year. Be sure to check with your doctor to see if this physical activity is right for you.

Stretching
Strength Training
Aerobic Exercise
Warm up. Stretch out.*

If physical activity is right for you, it may be a good idea to stretch. Warm up by walking slowly and gently swinging your arms for a few minutes.

Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.

*Be sure to check with your doctor to see if this physical activity is right for you.

Upper Body - Chest Stretch*

Step 1: 
Stand in front of a doorway, feet shoulder-width apart and knees slightly bent.

Step 2: 
With arms bent at the elbow in a 90-degree angle, place your palms on the sides or frame of the doorway.

Step 3: 
Lean forward and you'll feel your pectoral muscles stretch.

Bonus: 
The muscles on the front of your shoulders get a stretch, too.


Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.
*Be sure to check with your doctor to see if this physical activity is right for you.

Upper Body - Wrist Stretch*

Step 1: 
Place hands together, in praying position.

Step 2: 
Slowly raise elbows so arms are parallel to floor, keeping hands flat against each other.

Step 3: 
Hold position for 10 to 30 seconds.

Step 4: 
Repeat 3 to 5 times.


Adapted from National Institute on Aging Web site. www.nia.nih.gov
"How to Improve Your Flexibility"
*Be sure to check with your doctor to see if this physical activity is right for you.

Upper Body - Neck Stretch*

Step 1: 
Lie on the floor with a phone book or other thick book under your head.

Step 2: 
Slowly turn head from side to side, holding position each time for 10 to 30 seconds on each side. Your head should not be tipped forward or backward, but should be in a comfortable position. You can keep your knees bent to keep your back comfortable during this exercise.

Step 3: 
Repeat 3 to 5 times.

Adapted from National Institute on Aging Web site. www.nia.nih.gov
"How to Improve Your Flexibility"
*Be sure to check with your doctor to see if this physical activity is right for you.

Lower Body - Hamstring and Ankle Stretch*

Step 1: 
Sit on the edge of a chair with your right leg extended, right heel on floor.

Step 2: 
Flex right foot and toes.

Step 3: 
Lean forward gently from your hips and hold for 10-60 seconds to feel a stretch in the back of your thigh.

Step 4: 
Repeat with left leg.


Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org
*Be sure to check with your doctor to see if this physical activity is right for you.

Lower Body - Calf Stretch*

Step 1:
Stand up straight, holding onto a chair or some other stable object.

Step 2:
Put left leg behind you, keeping left heel on the floor.

Step 3:
Bend right knee and lean toward the chair, holding for 10-60 seconds. You should feel the stretch in the calf of the left leg.

Step 4:
Repeat with right leg.


Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.
*Be sure to check with your doctor to see if this physical activity is right for you.

Lower Body - Groin Stretch*

Step 1: 
Stand with legs slightly wider than shoulder width and hold onto a stable object like a chair.

Step 2: 
With left foot facing forward, point right foot to right 45 degrees, then lunge to the right without letting knee go past toes.

Step 3: 
Repeat move on left side.


Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.
*Be sure to check with your doctor to see if this physical activity is right for you.

Lower Body - Leg Swings*

Step 1: 
Stand up straight, holding onto a chair or some other stable object with your left hand for support.

Step 2: 
Standing to the right side of the chair on your left leg, move your right leg to the front, side, and back, tapping your toe at each point.

Step 3: 
Repeat with left leg.


Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.
*Be sure to check with your doctor to see if this physical activity is right for you.

Strengthening Exercises

These exercises may help you build strong muscles that help support and protect your joints. Weight training is an example of a strengthening exercise that may help you maintain your current muscle strength or increase it.

Be sure to check with your doctor to see if this physical activity is right for you.

Adapted from the MayoClinic.com article, "Exercise Helps Ease Arthritis Pain and Stiffness" (http://www.mayoclinic.com/health/arthritis/AR00009)

Keep Moving

Aerobic exercises can help with your overall fitness. They can improve your health, help you control your weight and give you more stamina. That way you may have more energy to get through your day. Examples of low-impact aerobic exercises that may be easier on your joints include:

  • Walking
  • Riding a bike
  • Swimming
Be sure to check with your doctor to see if this physical activity is right for you.

Adapted from the MayoClinic.com article, "Exercise Helps Ease Arthritis Pain and Stiffness" (http://www.mayoclinic.com/health/arthritis/AR00009)

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Did you know that for every pound lost, 4 pounds of stress is removed from the knees? Maintaining a healthy weight can make managing your arthritis easier.

Balanced Meals
Kitchen Tips
Weight Loss Programs
What's on Your Plate These Days?

You probably remember the old food pyramid. It's now been changed to a more representative graphic — a plate that shows how to proportion your fruits, vegetables, grains, proteins, and dairy. Maintaining a healthy weight begins with a healthy understanding of what you should be eating.

Proteins

All foods made from meat, poultry, seafood, beans and peas, eggs, processed soy products, nuts, and seeds are considered part of the Protein Foods Group. Beans and peas are also part of the Vegetable Group.

Vegetables

Any vegetable or 100% vegetable juice counts as a member of the Vegetable Group. Vegetables may be raw or cooked; fresh, frozen, canned, or dried/dehydrated; and may be whole, cut up, or mashed.

Fruits

Any fruit or 100% fruit juice counts as part of the Fruit Group. Fruits may be fresh, canned, frozen, or dried, and may be whole, cut-up, or pureed.

Grains

Any food made from wheat, rice, oats, cornmeal, barley, or another cereal grain is a grain product. Bread, pasta, oatmeal, breakfast cereals, tortillas, and grits are examples of grain products.

Dairy

All fluid milk products and many foods made from milk are considered part of this food group. Most Dairy Group choices should be fat free or low fat. Foods made from milk that retain their calcium content are part of the group. Foods made from milk that have little to no calcium, such as cream cheese, cream, and butter, are not. Calcium-fortified soymilk (soy beverage) is also part of the Dairy Group.

Recommendations
5 Ways to Make Cooking Easier

Preparing a healthy, nutritious meal is important, but cooking can be daunting when your knees are aching or your fingers are stiff. Try these shortcuts to help make cooking with arthritis easier.

Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.

Batch Cook

Prepare 2 or more chicken breasts at a time and refrigerate the leftovers to use in salads or sandwiches the next day.

Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.

Stock the Slow Cooker

Place meat or poultry, pre-sliced vegetables, spices, and liquid in a slow cooker, turn it on and hours later enjoy a hot, cooked meal. And there's only 1 pot to wash.

Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.

Cook It Quick

Microwave frozen vegetables or leftovers quickly, without adding fats or depleting nutrients. Using a microwave oven on the countertop eliminates stretching or stooping to cook.

Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.

Easier Grip

Use kitchen or cooking utensils with padded handles or grips.

Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.

Have a Seat

Instead of standing at your counter or stovetop, pull up a high barstool and sit down to chop, mix, or stir.

Copyright © 2011 Arthritis Foundation. All rights reserved. For more information on this topic, visit www.arthritistoday.org.

Talk to Your Doctor. Then Pick a Program.

Losing weight is one of the best ways to relieve the stress on your joints that can lead to arthritis pain. Depending on your age, weight, sex, and activity level, there are a multitude of weight loss programs available to
you — everything from plans that closely monitor calories, to plans that focus on certain foods or food groups, to plans that offer prepared foods and meal plans. Before you choose, it's very important to talk to your doctor about the one that may be right for you.

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Prescription CELEBREX has been an arthritis treatment option for millions of patients for over 12 years.

  • Just one 200mg CELEBREX a day can provide 24-hour relief for many with arthritis pain and inflammation.*
  • In clinical studies with OA patients, CELEBREX is proven to improve daily physical function, so moving is easier.
  • CELEBREX is not a narcotic.

When it comes to relieving your arthritis pain, you and your doctor need to balance the benefits with the risks. Ask your doctor if CELEBREX is right for you.

*Individual results may vary. This dosing is for osteoarthritis.

The more you know about arthritis, the more you can do to try to manage it. Explore some of the facts about joint pain and learn what you can do to help relieve it.

Osteoarthritis
Rheumatoid Arthritis
Osteoarthritis

Osteoarthritis (OA) is the most common form of arthritis in the U.S. Approximately 27 million adults have reported being diagnosed with OA by their doctor. While the cause of OA is unknown, it occurs when cartilage in joints breaks down over time.

Quick Facts About OA
  • One in 2 people in the U.S. will experience some form of OA in their lifetime.
  • OA is much more common in women than men.
  • OA accounts for more than 50% of arthritis cases in the U.S. (nearly 27 million of the 46 million adults who have reported doctor-diagnosed arthritis).
Symptoms of OA

The most noticeable symptom of OA is a feeling of pain in or around the joint. Other symptoms include:

  • Tenderness and stiffness in the joint
  • Loss of flexibility or range of motion
  • Grating sensation or sound in the joint, also known as crepitus

Rheumatoid Arthritis

Unlike osteoarthritis, rheumatoid arthritis (RA) is an autoimmune disease. An autoimmune disease is when the body's defense system malfunctions and begins to mistakenly attack itself.

Quick Facts About RA
  • Typically, RA affects the smaller joints first, such as the ones in your hands and feet, and then may move on to other joints.
  • RA is 2 to 3 times more common in women than in men and can start developing as early as age 20.
  • In addition to symptoms of swelling and pain, RA can cause fever, fatigue, and loss of appetite, which can lead to weight loss.
Symptoms of RA

Like OA, the primary symptom of RA is pain felt in and around the joints. In addition to pain, other symptoms of RA found in joints may include:

  • Swelling of joints
  • Joints that are tender to the touch
  • Red and puffy joints
  • Morning joint stiffness that lasts at least 30 minutes but can continue for hours

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Arthritis symptoms may be physical, but for some, they can be frustrating, as well. Here are a few things that may help you release tension and create a "Zen Zone" in your own home. Be sure to check with your doctor to see if this physical activity is right for you.

Relaxing Activities
Create Your Zen Zone
Find Out What Works for You, and Stick with It.

For a person in pain, the typical worries of daily life can become much more difficult, often turning common hassles into major obstacles. Here are a few daily solutions that may help you stay relaxed.

Adapted from the MayoClinic.com article,
"Stress Management and Relaxation Techniques"
(http://www.mayoclinic.org/pain-rehabilitation-center-rst/stressmanagementtechniques.html)

Guided Imagery (Visualization)

Visualize calming images of relaxing places and situations to cope with emotions, feelings, or circumstances.

Adapted from the MayoClinic.com article,
"Stress Management"
(http://www.mayoclinic.org/stress-management/types.html)

Progressive Muscle Relaxation*

Repeatedly flex and relax the muscle groups throughout your body. It can enhance body awareness and help to identify and reduce muscle tension.

Adapted from the MayoClinic.com article,
"Stress Management"
(http://www.mayoclinic.org/stress-management/types.html)

*Be sure to check with your doctor to see if this physical activity is right for you.

Massage Therapy*

Rub, stroke and knead the body's soft tissues (muscle, connective tissue, tendons, ligaments, and skin). If you are considering massage therapy, find a qualified practitioner. Check credentials, and discuss the number of treatments and the cost involved.

Adapted from the MayoClinic.com article,
"Stress Management"
(http://www.mayoclinic.org/stress-management/types.html)

*Be sure to check with your doctor to see if this physical activity is right for you.

Yoga*

Yoga can provide a great way to relax the mind and body and increase flexibility. There are a variety of yoga styles or ways you can practice it. So find the one that's right for you and consider signing up for a class.

Adapted from the MayoClinic.com article,
"Stress Management"
(http://www.mayoclinic.org/stress-management/types.html)

*Be sure to check with your doctor to see if this physical activity is right for you.

Creating Your Own "Zen Zone" is Easy When You Follow a Few Simple Guidelines.

You could find a peaceful place to meditate. Or you can make one depending on what you like.

No Distractions

The first step in creating your Zen Zone is figuring out the location. The room or area should be quiet, with little or no distractions.

Warm It Up

The temperature in your Zen Zone should be warm — never too hot or too cold.

Mood Lighting

Meditating requires a softly lit environment. Candles or gentle lighting is recommended.

Dress Comfortably

Make sure you're wearing clothes made of soft materials that fit loosely and comfortably.

That Sounds Nice

Soft music or nature sounds like flowing water or gentle winds can help clear your mind.

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Indications:

CELEBREX is indicated for the relief of the signs and symptoms of osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis, and for the management of acute pain in adults.

Important Safety Information:

All prescription NSAIDs, like CELEBREX, ibuprofen, naproxen, and meloxicam have the same cardiovascular warning. They may all increase the chance of heart attack or stroke that can lead to death. This chance increases if you have heart disease or risk factors for it, such as high blood pressure or when NSAIDs are taken for long periods.

CELEBREX should not be used right before or after certain heart surgeries.

Serious skin reactions, or stomach and intestine problems such as bleeding and ulcers, can occur without warning and may cause death. Patients taking aspirin and the elderly are at increased risk for stomach bleeding and ulcers.

Tell your doctor if you have:
* A history of ulcers or bleeding in the stomach or intestines
* High blood pressure or heart failure
* Kidney or liver problems

CELEBREX should not be taken in late pregnancy.

Do not take CELEBREX if you’ve had an asthma attack, hives, or other allergic reactions to aspirin, any other NSAID medicine or certain drugs called sulfonamides.

Life threatening allergic reactions can occur with CELEBREX. Get help right away if you’ve had swelling of the face or throat or trouble breathing.

Prescription CELEBREX should be used exactly as prescribed at the lowest dose possible and for the shortest time needed.

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Pfizer has programs that can help. Call 1-866-706-2400
or click here www.PfizerHelpfulAnswers.com
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The product information provided in this site is intended for residents of the United States.
The products discussed herein may have different product labeling in different countries.

The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. All decisions regarding patient care must be made with a healthcare provider, considering the unique characteristics of the patient.

Copyright © 2011 Pfizer Inc. All rights reserved.
Pfizer, PO Box 29387, Mission, KS 66201.

Last Updated: December 20, 2011
CSP00928/410811-01

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