An OT practitioner is working with a 55-year-old client with osteoarthritis

She has pain at the base of her thumb at the carpometacarpal (CMC) joint and nodes at several of the distal interphalangeal (DIP) joints. She reports attending a yoga class the previous evening that required weight bearing on her hands. Her pain increased after the class and still persists during her OT appointment. What should the OT practitioner tell the patient?
A. Continue the yoga class to increase strength.
B. Avoid any activity that causes pain for more than 1 to 2 hours after completion.
C. Review joint protection principles.
D. B and C.
E. None of the above.

ANS: D
The therapist should use the OT treatment session as a teachable moment to incorporate joint protection principles into her patient's activities. The patient should modify or decrease any exer-cise that lasts more than 1 to 2 hours after completion. Strengthening exercises that cause pain should be avoided.