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Managing your 'moans'......Top tips for a better life

This page is all about learning, sharing and caring, passing on tips to make life better.

These hints are gathered from many sources, some tested and tried, others not so familiar. If you are unsure if they are suitable for you, speak to your GP or practice nurse.

Some of these hints are helpful to people who have what are known as Long Term Conditions. These are chronic conditions, having symptoms which continue throughout life, such as Heart Failure, Chronic Obstructive Pulmonary Diease, Stroke, Parkinson's Disease, Multiple Sclerosis and others. Musculoskeletal disorders, affecting joints, bones and muscles are another major group of conditions ranging from Rheumatoid Arthritis to Chronic Back Pain.  Very often it is the chronic pain which is the major factor. This continues to be one of the greatest challenges to health care.     

My own experiences of managing multiple Long Term Conditions

The main approach these days, confirmed by England's Chief Medical Officer Dame Sally Davies, is to teach people to enhance their health themselves with support from professionals, managing their condition so that they have optimum comfort and function. I hope these tips will aid you in doing this.

First some general ones.


No one seems to know what this is or what causes it. It often happens later in the day, sometimes even in bed. It is my conjection that there is a build up of fluid in the knees through the activity of the day. It possibly becomes so much that pressure is created within the joint, stimulating nerve endings in the soft tissue which then causes the jumpiness. It's as if the fluid doesn't know where to go to relieve the pressure.

Our joints are beautifully designed and have little pumps regulating the synovial fluid. Working these pumps would get the fluid moving just as one would do in a dam that is too full. Moving the joint activates the pumps and relieves the pressure. Any comfortable bending and stretching of the knees will have this effect. If you are still up you can do this sitting in the chair or you could stand up and, with your feet apart and holding on to a support, bend your knees and straighten up again.. If you awake with it in the night bend and straighten your knees lying either on your back or your side.

Those of you who have arthritis often wake with pain and doing the same movement may well ease it.


A guide in Israel recommended eating the pith of citrus fruit in order to maintain regular bowel movements. It is only the white under the skin that is eaten and on its own is not bitter. Easy-peeling fruit is perhaps easier to manage.


More than half the population suffer from what is termed 'incontinence' of the bladder and bowel. Both are very distressing and can so easily lead to staying at home with all its social consequences. There are two types of bladder incontinence. That when urine leaks out on coughing or sneezing, or any extra pressure on the tummy. It is called 'stress incontinence'. The other is called 'urge incontinence' when there is a sudden urge to go and the urine flow cannot be held back.

There is help for both and the problem should be mentioned to your GP or District Nurse as soon as possible. One option is a course of physiotherapy which will determine which kind it is and an appropriate treatment is given. Most NHS trusts have continence advisors who can relieve a lot of the embarrassment connected wih incontinence. Ask you GP or District Nurse for a referral. Here is a link to the charity Bladder and Bowel Foundation


Honey is the secret, combined with lemon or apple cider vinegar, for the throat and with warm milk for sleeplessness. Check with your District Nurse if unsure. In some cases milk may increase mucous production.


Make sure they are firm but not too hard. Your body should sink in for about a two-inch depth and then there must be a firm surface. A mattress cover may well do the trick.


There is now thought to be an inflammatory process involved in what we call OA. It is not simply wear and tear.


Other conditions will be found in the box to the right.