Joint Pain Survey Results April 22, 2008. 2 Methodology Interviewing Leger Marketing conducted this survey online. Data was collected between February

Joint Pain Survey Results

April 22, 2008

2

MethodologyInterviewing

Leger Marketing conducted this survey online. Data was collected between February 11 and 18, 2008. In total 2161 interviews were completed; 433 of which were respondents who said they have been diagnosed with Osteoarthritis.

Respondent Qualification

A random selection was achieved by inviting male and female respondents to complete the survey. A total of 2161 interviews were completed. The margin of error for a sample of this size is +/-2.1%,19 times out of 20.

Booster Sample

A booster sample was employed to ensure at least 400 of the interviews were completed among Canadians who say they have been diagnosed with Osteoarthritis by a healthcare professionals.

Quality Control

Leger Marketing’s experience and expertise in public opinion and market research extend to the quality and standards of every research project. Detailed verification and validation procedures at each stage of the process ensure data accuracy.

Region/ProvinceCompleted Interviews

Atlantic 147Quebec 581Ontario 856Manitoba/Saskatchewan 174Alberta 180BC 223

Total 2161

3

One in seven Canadians say they have been diagnosed with Osteoarthritis •Fourteen per cent of Canadians said they have been diagnosed by a healthcare professional with osteoarthritis. •As suspected, more older Canadians than younger say they have been diagnosed with this condition.•More females than males say they have been diagnosed with osteoarthritis.

Q13: Have you ever been diagnosed by a healthcare professional with any type of condition which affects joints causing pain, loss of mobility, deformity and/or dysfunction? Total Canadians: n=2161

2%5%

13%

30% 30%

11%17%

0%

14%

Total 18-24 25-34 35-44 45-54 55-64 65+ Male Female

Significantly higher at the 95% confidence level

4

Many believe that aches and pains are a natural part of aging •Nationally, three quarters believe aches and pains are a natural part of aging.•One third would be more active if it didn’t cause pain.•Six in ten disagree that medication – prescription or OTC – is the best treatment for pain.•One third (29%) of those who mange their pain with prescription drugs do no think it is the best treatment for pain. •Almost half (49%) who mange their joint pain with OTC drugs do not agree that it is the best treatment for pain.

Q32: To what extent do you agree or disagree with the following statements? Total Canadians: n=2161

82%

97%

37%

26%

30%

74%

8%

2%

50%

59%

57%

23%

Physical activity is beneficial to those currentlyexperiencing joint pain

An active lifestyle is an important part of agingwell

I would be more active if it didn’t cause me pain

Over-the-counter medication is the besttreatment for pain

Prescription medication is the best treatmentfor pain

Aches and pains are a natural part of aging

Agree Disagree

5

Seven in ten with osteoarthritis would be more active if it didn’t cause them pain •Half of those with osteoarthritis think prescription medication is the best treatment for pain while one third agree that OTC meds are the best this may be related to how those with osteoarthritis manage their joint pain:

•Half of those who take prescription medication say they have been diagnosed with osteoarthritis and on third of those who take OTC meds say they have been diagnosed with osteoarthritis.

Q32: To what extent do you agree or disagree with the following statements? Osteoarthritis sample: n=433

85%

98%

72%

31%

48%

74%

12%

2%

27%

59%

45%

26%

Physical activity is beneficial to those currentlyexperiencing joint pain

An active lifestyle is an important part of agingwell

I would be more active if it didn’t cause me pain

Over-the-counter medication is the besttreatment for pain

Prescription medication is the best treatmentfor pain

Aches and pains are a natural part of aging

Agree Disagree

6

Two thirds of Canadians anticipate an increase in joint pain as they age•One in five (14%) 18 to 24 year olds expect joint pain to not occur at all as they get older.•The majority of people with Osteoarthritis (81%) expect joint pain to increase as they age.•Eight in ten (80%) Canadians who say they have no control over their joint pain expect their pain to increase as they get older. •Two in five (43%) of those who expect their joint pain to increase as they get older manage their pain with OTC drugs.

Q30: In regards to joint pain (joint pain may be described as aches, pain or soreness in one or more of your joints), whether you currently experience it or not, what do you expect to happen as you get older? Do you expect joint pain to… Total Canadians: n=2161

13%

1%

2%

19%

52%

14%

Not occur at all

Decrease significantly

Decrease somewhat

Stay about the same

Increase somewhat

Increase significantly

Total Canadians

Increase: 65%

Decrease: 2%

30%

51%

15%

3%

1%

1%

Osteoarthritis

7

Of Canadians who think their joint pain will increase as they age more than half believe it is the natural aging process

Q31: Why do you say you say you expect joint pain to <INSERT RESPONSE FROM Q.39> as you get older? Total Canadians n=2161

Canadians who expect joint pain to decrease as they get older n=51

%I exercise and eat right. I am in good health 36%I had, w ill have surgery, treatment, etc. 16%I have no problems or symptoms now 9%I w ill be doing less straining activities as I age 3%I already have pain, a problem, an injury 1%Other 7%I don't know 30%

Canadians who expect joint pain to not occur at all as they get older n=282

%I exercise and eat right. I am in good health 18%I have no problems or symptoms now 13%No family history 8%I had, w ill have surgery, treatment, etc. 1%Natural aging process 1%It runs in the family >1%I don't know 60%

Canadians who expect joint pain to increase as they get older n=451

%Natural aging process 56%I already have pain, a problem, an injury 10%It runs in the family 6%Poor shape, no exercise, overw eight 3%Heavy training, activities demanding on joints 2%As told (by doctor) 1%I exercise and eat right. I am in good health 1%I had, w ill have surgery, treatment, etc. >1%I w ill be doing less straining activities as I age >1%I have no problems or symptoms now >1%It has not changed in years, it is stable and should remain stable >1%Other 1%I don't know 20%

Canadians who expect joint pain to stay about the same as they get older n=390

%I exercise and eat right. I am in good health 28%I have no problems or symptoms now 11%It has not changed in years, it is stable and should remain stable 7%I already have pain, a problem, an injury 5%I w ill be doing less straining activities as I age 2%I had, w ill have surgery, treatment, etc. 1%No family history 1%It runs in the family 1%Natural aging process 1%Heavy training, activities demanding on joints 1%Poor shape, no exercise, overw eight >1%Other 1%I don't know 43%

8

4%

23%

55%

18%

Not at all active

Somewhat inactive

Somewhat active

Very active

Total Canadians

A quarter of Canadians say they are inactive•Most Canadians consider themselves to be active to some degree whether it be very or somewhat active.

Q4: Overall, in terms of your physical activity level, keeping in mind your daily activities at home, work, etc., would you describe yourself as being… Total Canadians: n=2161

73% ACTIVE

28% INACTIVE

15%

56%

25%

4%

Osteoarthritis

9

Inactive Canadians acknowledge possible consequences down the road

Q6: You said that you are… Do you think your current level of physical activity will affect you later in life? These may be positive or negative results such as joint pain (causing or relieving), mobility limitations or maintaining/improving flexibility and balance, or any other physical outcomes such as weight control, breathing/lung capacity, blood pressure, or disease. ? Total Canadians: n=2161

•Sixty-five per cent of Canadians who describe themselves as being not at all active think their current inactivity level will affect them negatively later in life.

No, 8%Yes - positively,

9%

Yes - negatively, 65%

Both positively and negatively,

9% No, 4% Yes - positively, 8%



22%

Not at all Active Somewhat Inactive

No, 3%

Yes - positively, 51%



31%

Somewhat Active

No, 4%

Yes - positively, 69%


25%

Very Active

•7 in 10 Canadians who are very active believe this current level of activity will have a positive impact later in life.

10

About one in five Canadians do not consider themselves physically active •The majority of Canadians consider themselves physically active throughout the week and those who have Osteoarthritis are no different.

Q5: Which of the following statements best describes you? Typically…Total Canadians: n=2161

17%

16%

52%

11%

3%

I do not consider myself physically active

I tend to be physically active for 2 or more daysin a row and then take a break for the rest of

the week

I am physically active throughout a 7-day week

I am physically active during the week, and notat all on the weekend

My physical activity occurs on the weekend,and not at all during the week

Total Canadians

2%

11%

55%

14%

18%

Osteoarthritis

11

70%75%

69%76% 77%

69% 65%72% 74%

80%73% 73%

85%

71%

ATL QC ONT MB/SK AB BC 18-24 25-34 35-44 45-54 55-64 65+ Male Female

Eight in ten Canadians who are 65 and over describe themselves as being physically active •More than half (57%) of Canadians who experience joint pain daily describe themselves as physically active. •Two in five (45%) Canadians who say they have no control over their joint pain describe themselves as physically inactive. •Younger and older Canadians are less likely to be inactive than those 25 to 44. •The Atlantic provinces seem to be more likely to describe themselves as physically active than any other province

Q4: Overall, in terms of your physical activity level, keeping in mind your daily activities at home, work, etc., would you describe yourself as being… Total Canadians: n=2161

73% ACTIVE

28% INACTIVE 30%25%

31%24% 23%

31% 35%28% 26%

20%29%

15%

28%27%

ATL QC ONT MB/SK AB BC 18-24 25-34 35-44 45-54 55-64 65+ Male Female


12

Almost two thirds of Canadians engage in at least one physical activity daily •About two thirds (60%) of Canadians engage in at least one physical activity daily.•Housework/chores and walking are the most frequently engaged in activities.•More women than men engage in at least one physical activity daily (64% vs. 55% respectively). •More than two thirds (68%) of Osteoarthritis suffers engage in at least one physical activity every day.

Q3: How often do you engage in each of the following physical activities? Total Canadians: n=2161

20%

11%

21%

34%

42%

75%

85%

13%

17%

30%

35%

24%

20%

12%

25%

70%

47%

29%

33%

5%

1%

Other

Running/jogging

Sports

Yard work / gardening

Planned exercise (at home or a fitnessfacility)

Walking

Housework / various chores

Daily/Weekly Once or more per month Never

13

Many Canadians who are unhappy with their activity level are not very active

Q7: Overall, how satisfied or dissatisfied are you with your current physical activity level? Total Canadians: n=2161

12%

37%

41%

11%

Not at all satisfied

Somewhat dissatisfied

Somewhat satisfied

Very satisfied

31%

45%

64%

44% 8%

1%

3%

4%

Very Somewhat Somewhat Not at all Active Active Inactive Active

52% SATISFIED

48% DISSATISFIED

•Satisfaction with activity level is almost evenly split.•Nine in ten of those who are satisfied with their activity level say they are somewhat or very physically active.•A large proportion of people who are dissatisfied with their activity level are somewhat inactive or report not being active at all.

9%

44%

37%

11%

Osteoarthritis

14

Physical problems are a barrier to exercise and cause dissatisfaction •Twelve percent of Canadians who are dissatisfied with their current physical activity level say the reason is due to health or physical problems that keep them from exercising.

Q8: Why do you ay you are <insert response from Q7> with current physical activity level? Total Canadians: n=2161

Canadians who are satisfied with their current physical activity level n=1076

%I could, should do more exercise, I don't do enough (in w inter) 37%I am physically active 12%I feel w ell, I am in good health, in shape 12%I exercise, w orkout regularly 8%I don't have time to exercise 6%I have a health, physical problem keeping me from exercising 4%Other 1%I don't know 17%

Canadians who are dissatisfied with their current physical activity level n=1085

%I could, should do more exercise, I don't do enough (in w inter) 50%I have a health, physical problem keeping me from exercising 12%I don't have time to exercise 11%I don't like exercise, I am not motivated, lazy 5%I am overw eight 4%I don't feel w ell, lack of energy 3%I don't do any physical activities 2%Other 1%I don't know 11%

15

For one quarter of Canadians pain limits physical activity •Time presents the greatest barrier to being physically active.•One quarter of Canadians reported pain as something that limits the amount of physical activity they are currently engaged in.

Q12: What, if anything, limits the amount of physical activity you are currently engaged in? Total Canadians: n=2161

6%

9%

12%

14%

20%

26%

26%

56%

3%Weather (w inter)

Lack of transportation

Lack of motivation/discipline

Health issues (heartproblems, hypertension)

Lack offacilities/resources/prgrams

Physical limitations

Pain

Money

Lack of time

Total Canadians

38% say that pain and/or physical

limitations restricts their

physical activity

30%

26%

62%

47%

13%

27%

7%

8%

2%

Osteoarthritis

•Seven in ten (72%) people with Osteoarthritis said that pain and/or physical limitations restricts the amount of physical activity they are presently engaged in.

16

One tenth of Canadians who have not been diagnosed with joint pain say that pain limits their physical activity •Time presents the greatest barrier to being physically active for Canadians who have not been diagnosed with joint pain as well as money.

Q12: What, if anything, limits the amount of physical activity you are currently engaged in? Canadians who have not been diagnosed with any type of condition which affects joints causing pain, loss of mobility, deformity and/or dysfunction: n=1325

6%

7%

9%

9%

11%

15%

27%

63%

3%Weather (w inter)

Lack of transportation

Health issues (heartproblems, hypertension)

Lack of motivation/discipline

Physical limitations

Pain

Lack offacilities/resources/prgrams

Money

Lack of time

Canadians not diganosed with joint pain condition

17% say that pain and/or physical

limitations restricts their

physical activity

17

For many Canadians pain is a regular interference •More than one in ten Canadians experience pain on a daily basis that prevents them from partaking in certain physically activities.•55% of Canadians experience pain at some time or another that prevents them from engaging in certain physical activities.•Nine in ten Osteoarthritis sufferers (94%) experience pain that interferes with certain physical tasks.

Q14: How often do you experience pain that prevents you from partaking in certain physical activities (includes daily household tasks, planned exercise, gardening, etc)? Joint pain may be described as aches, pain or soreness in one or more of your joints. Total Canadians: n=2161

45%

23%

8%

8%

3%

13%

Never

Less than once every 2weeks

Once or more per weekbut not weekly

1 to 3 times per week

4 to 6 times per week

Daily

Total Canadians

24% experience pain on adaily or weekly basis

42%

11%

16%

8%

16%

6%

Osteoarthritis

18

37%

23%

25%

15%

I never experience joint pain

Acute, that is short-term and may be injury-related, muscle or joint pain and/or strains

Recurrent (on and off)

Chronic (long-term)

Total Canadians

Fifteen per cent of Canadians live with chronic pain•Older Canadians are more likely to report experiencing chronic or recurrent pain while acute pain is more prevalent among 18 to 35 year olds. •As would be expected, almost everyone who said they have been diagnosed with osteoarthritis define their pain as chronic or recurrent.

Q15: There are 3 main classifications of pain. How would you define your usual experience with joint pain? Total Canadians: n=2161

45%

45%

8%

2%

Osteoarthritis

10%

22%

25%

43%

Non-Osteoarthritis

19

Many Canadians say that joint pain interferes with their day to day activities •On a daily basis at least one in ten Canadians, who ever experience joint pain, feel the impact of this pain on their day-to-day activities, quality of sleep and ability to do chores. •About one in four say that pain interferes with family and friend relationships.

Q16: How often does joint pain, regardless of the type or intensity, interfere in any way with the following aspects of your life? Canadians who experience joint pain: n=1424

9%

11%

11%

4%

5%

9%

9%

13%

5%

13%

16%

6%

6%

11%

11%

14%

17%

35%

35%

16%

17%

34%

40%

37%

63%

39%

36%

71%

69%

44%

37%

35%

Ability to w ork

Ability to dochores

Sleep

Relationshipsw ith friends

Relationshipsw ith family

Enjoyment of life

Mood

Day to dayactivities

Daily Weekly Once or more per month Never

26%

28%

31%

54%

59%

60%

62%

64%

71%

69%

63%

44%

39%

37%

36%

35%

Relationshipsw ith friends

Relationshipsw ith family

Ability to w ork

Enjoyment of life

Ability to dochores

Mood

Sleep

Day to dayactivities

Interfere Does not interfere

20

8%

12%

17%

21%

21%

24%

25%

30%

Relationships withfriends

Relationships withfamily

Ability to work

Enjoyment of life

Mood

Sleep

Ability to do chores

Day to day activities

Daily

Of those who say they have been diagnosed with osteoarthritis one third say joint pain impacts their day to day activities on a daily basis •One quarter of those who say they have been diagnosed with osteoarthritis say that their joint pain effects their relationship with their family and a similar proportion say it impacts their mood. •Overall, those who say they have been diagnosed with osteoarthritis say they are effected by joint pain on a higher daily occurrence than joint pain suffers who say they have not been diagnosed with osteoarthritis.

7%

6%

6%

7%

7%

8%

4%

3%Relationships with

friends

Relationships withfamily

Ability to work

Enjoyment of life

Mood

Sleep

Ability to do chores

Day to day activities

Daily

Q16: How often does joint pain, regardless of the type or intensity, interfere in any way with the following aspects of your life? Canadians who experience joint pain: n=1424

Osteoarthritis Non-Osteoarthritis

21

Overall, one third of Canadians expect to be less physically active 20 years from now•Age and attitudes toward aging and physical activity level are related.

•Half of those 18 to 24 expect to be just as physically active (as they are now) when they are older compared to one fifth of Canadians who are 65+.

•People with Osteoarthritis are less optimistic about their level of physical activity 20 years from now.

Q9a: How physically active do you expect to be 20 years from now? Total Canadians: n=2161

37%34%

26%

16%

7%

1%

48%50%

48% 47%

19%

31%

14% 14%

23%

54%

33%

59%

0%

20%

40%

60%

80%

100%

18-24 25-34 35-44 45-54 55-64 65+

More physically active

Just as physically active

Less physically active

33%

40%

19%


Just as physicallyactive

More physically active7%

26%

53%

Osteoarthritis

22

Some Canadians expect to be more physically active 20 years from now because they will have more time

Q10: Why do you say you expect to be <INSERT RESPONSE FROM Q.9> in the next 20 years? Total Canadians: n=2161

Canadians who expect to be more physically active 20 years from now? n=399

%I plan, hope to be more active 37%I w ill have more time 28%To be healthy and stay young , live longer, maintain quality of life 12%My physical condition w ill have improved, w ill have had surgery 3%I am physically active and alw ays w ill be, or w ish to be just as active then2%Other 1%I don't know 15%

Canadians who expect to be just physically active 20 years from now? n=895

%I am physically active and alw ays w ill be, or w ish to be just as active then 47%To be healthy and stay young , live longer, maintain quality of life 12%I w ill still be young, in good shape 5%I w ill have more time 4%Because I w ill be very old (and not be able to keep the pace 4%I plan, hope to be more active 4%That w ill depend on my health and condition 4%Other 1%I don't know 18%

•Almost one third of Canadians who expect to be more physically active 20 years from now say this because they think they will have more time to exercise.

23

Many Canadians expect to be less physically active 20 years from now because they will simply “be very old” •One in ten of Canadians who expect to be less physically active 20 years from now say the reason is because of health or physical problems.

Q10: Why do you say you expect to be <INSERT RESPONSE FROM Q.9> in the next 20 years? Total Canadians: n=2161

Canadians who expect to be not at all active (inactive) 20 years from now n=140

%Because I w ill be very old (and not be able to keep the pace 36%I w ill be dead 35%Because of health or physical problems 9%I am not very active now and w ill be less then 4%I don't know 17%

Canadians who expect to be less physically active 20 years from now n=727

%Because I w ill be very old (and not be able to keep the pace) 66%Because of health or physical problems 11%I w ill be dead 2%I w ill have less time 2%I am not very active now and w ill be less then 2%I w ill have more time 2%I am physically active and alw ays w ill be, or w ish to be just as active then 2%I don't know 11%

24

Half of those who expect to be physically in active 20 years from now are dissatisfied with this expectation•Almost everyone who says they expect to be more or just as physically active 20 years from now is satisfied with this expectation.•The level of satisfaction is almost evenly split when it comes to expecting a lower or non-existent physically active lifestyle 20 years from now.

Q11: You said you expect to be <INSERT RESPONSE FROM Q.9> 20 years from now. How do you feel about your expectation? Total Canadians: n=2161

49%

53%

90%

95%

52%

47%

10%

5%

Not at all physicallyactive


Just as physicallyactive

More physically active

Satisfied Dissatisfied

25

Half of those who expect to not be physically active 20 years from now are dissatisfied with this expectation•While it is surprising that anyone would be satisfied with the idea of being less or not at all active 20 years down the road, it is illustrated below the link between satisfaction with this possible outcome and age.

•Seven in ten of those 65 and older are satisfied with their expectation of being less physically active 20 years from now (when they are 85 and older).

Q11: You said you expect to be <INSERT RESPONSE FROM Q.9> 20 years from now. How do you feel about your expectation? Total Canadians: n=2161

14%

66%

32%26% 30%

100%

18-24 25-34 35-44 45-54 55-64 65+

53% of those who expect to be less

physically active are satisfied with this

expectation

49% of those who expect to not be at

all active are satisfied with this

expectation

54%

71%

37% 38%49%

22%

18-24 25-34 35-44 45-54 55-64 65+

*

*Caution: this is based on 3 respondents 18-24.

26

One third are as physically active as they thought they would be 20 years ago •Forty percent say they are less physically active today than they thought they would be 20 years ago.•More than half of those who have been diagnosed with osteoarthritis believe they are less physically active today then what they thought they would be 20 years ago compared to one third of those who have not been diagnosed with osteoarthritis. •Women are more likely than men to say they are less physically active now than they anticipated 20 years ago. A greater proportion of men than women feel they are just as active as they expected to be.

Q33a: Are you as physically active today as you thought you would be 20 years ago? Canadians 40+: n=1439

42%

24%

34%

I am less physicallyactive than I thought I

would be

I am more physicallyactive than I thought I

would be

I am as physicallyactive as I thought I

would be

Total Canadians

26%

20%

54%

Osteoarthritis

36%

25%

38%

Non-Osteoarthritis


39% males vs.29% females

46% females vs.37% males

27

Many Canadians in their 60’s and older are less physically active than they thought they would be •Forty percent say they are less physically active than they thought they would be 40 years ago.•More than half of those who have been diagnosed with osteoarthritis say they are less physically active today then they thought they would be 40 years ago compared to one third of those who have not been diagnosed with osteoarthritis.

Q33b: Are you as physically active today as you thought you would be 40 years ago? Canadians 60+: n=433

42%

31%

27%

I am less physicallyactive than I thought I

would be

I am more physicallyactive than I thought I

would be

I am as physicallyactive as I thought I

would be

Total Canadians

22%

25%

53%

Osteoarthritis

29%

34%

37%

Non-Osteoarthritis


28

More than one third of Canadians have not sought medical help for their joint pain •Many Canadians experience joint pain but have not sought medical help.•A quarter of those with Osteoarthritis seek medical help when they first start or started to experience joint pain.

Q17: When do you or did you seek medical help for your joint pain? Canadians with joint pain: n=1424

10%

17%

7%

15%

11%

4%

36%Have not sought medical help

After 5 or more years

After 1 to 4 years

After a few months

Within 1 to 2 weeks

After a few days

When I first start/started to experience pain

Canadians with joint pain

25%

8%

10%

26%

16%

7%

9%

Osteoarthritis

•36% of Canadians with joint pain said they have not sought medical help. However, when asked who they turn to first to manage joint pain:•13% GP•5% Chiropractor•4% Physiotherapist•6% Massage Therapist•4% friend/family•4% pharmacist

29

One in five of those who experience chronic pain waited a few months before seeking medical help•Ten per cent of Canadians with chronic pain have not sought medical help, nor have a third of those with recurrent pain.•26% of Canadians who experience chronic or recurrent pain have not sought medical help.

10%

8%

16%

22%

9%

8%

27%

Have not soughtmedical help


After 1 to 4 years

After a few months

Within 1 to 2 weeks

After a few days

First start/started toexperience pain

35%

4%

10%

18%

12%

9%

13%



After 1 to 4 years

After a few months

Within 1 to 2 weeks

After a few days


55%

3%

6%

13%

10%

5%

9%



After 1 to 4 years

After a few months

Within 1 to 2 weeks

After a few days


Q17: When do you or did you seek medical help for your joint pain? Canadians with joint pain: n=1424

Chronic Recurrent Acute

30

Two in five Canadians turned to a GP first to help them manage their joint pain

Q18: When it comes to helping you manage your joint pain, who/what did you turn to first? Canadians with joint pain: n=1424

1%

1%

1%

2%

2%

3%

5%

7%

10%

41%

20%

5%

1%

No one

Other

Rheumatologist

Internet

Naturopathic Doctor

Osteopath

Pharmacist

Friend/Family

Orthopedic Surgeon/specialist

Massage Therapist

Physical/Physiotherapist

Chiropractor

Doctor (GP)


70%

5%

6%

2%

4%

1%

2%

1%

1%

3%

2%

3%

4%

Osteoarthritis

•Seven in ten people with Osteoarthritis would or have turned to a GP first.

31

For half of Canadians who experience pain rest is the most common choice for management

Q24:How do you normally manage your joint pain? Canadians with joint pain: n=1424

3%

3%

4%

5%

6%

6%

7%

8%

8%

12%

12%

15%

19%

19%

20%

28%

29%

29%

40%

48%

7%

3%

3%

Ignore/don't do anything

Glucosamine

Celebrex

Naturopathic care

Aspirin/ ASA

Alcohol

Acupuncture

Meditation

Nutritional counseling

P rescription drugs

P hysiotherapy

Aerobic activities

Chiropractic care

Balance activities

P hysical activity

Massage therapy

Ibuprofen/Advil

Acetaminophen/Tylenol

Yoga/stretching

Gentle pain free joint movements

Muscle strengthening activities

Warm or cold applications

Rest

38%

40%

35%

16%

20%

18%

15%

12%

8%

9%

2%

•Sixty-two per cent of Canadians with joint pain include some type of physical activity as part of their pain management.

•Among those with joint pain, 47% use drugs/ medication as part of their pain management.

•In general, people who have been diagnosed with Osteoarthritis are using similar methods to manage their pain.

•Highlighted in blue are methods used where the Osteoarthritis sample differ.

32

One in seven Canadians suffering from joint pain use prescription drugs to manage their joint pain

Q24:How do you normally manage your joint pain? Canadians with joint pain: n=1424

19%

20%

2%

2%

3%

3%

1%

1%

2%

Chondroitin

Aleve

Non-prescriptive drugs

Robaxacet, Robax Platine

Motrin

Glucosamine

ASA/Aspirin

Ibuprofen/Advil

Acetaminophene/ Tylenol

41% Use Over The Counter Drugs

7%

1%

1%

2%

3%

1%

1%

1%

Percocet

Oxycontin

Lyrica

Arthrotec

Codeine

Naproxene

Celebrex

Prescription Drugs(unspecified)

14% Use Prescription Drugs

•More than half (54%) use some type of drug – OTC or prescription – to mange their joint pain. •More older Canadians (45 to 65+) tend to use OTC drugs to manage their join pain than those aged 18-44 (45% vs. 33% respectively). •One third (34%) of those who say the have no control over their joint pain mange it with OTC drugs.

•Half (51%) of those who say they have exhausted all pain management options use OTC drugs to manage their joint pain•More women than men claim to manage their joint pain with OTC drugs (44% vs. 37% respectively).

•One third (32%) of those who classify their joint pain as Chronic say they use prescription drugs to manage the pain. •One third (32%) of those who say they have been diagnosed with osteoarthritis say they use prescription drugs to manage their joint pain.

33

One third feel that adapted physical activity programs would help them better manage their joint pain•One in five believe better professional healthcare would help them manage their joint pain better.•There is also desire for better medications and information sources. •One quarter believe nothing would make a difference. •One third of Osteoarthritis sufferers feel that better or new medication would help them better manage joint pain.

Q24b: Which of the following would help you to better manage your joint pain? Canadians with joint pain: n=1424

18%

18%

23%

17%

31%

Nothing

More informationsources

Better or newmedication

Better professionalhealthcare

Adapted physicalactivity programs


31%

22%

34%

19%

15%

Osteoarthritis

34

About one in ten Canadians who experience joint pain say they have no control over it•Many pain sufferers believe they have at least some control over it. •Almost half (46%) of those who manage their joint pain with non-drug approaches feel they have control over their joint pain •More than half (53%) of those who manage their pain with drugs (OTC and prescription) feel they have some control over their joint pain.

Q25: Based on all the things you do to cope or deal with pain in general, overall how much control do you feel you have over joint pain? Canadians with joint pain: n=1424

37%

9%

8%

46%

No control

Some control

A lot of control

Complete control


5%

34%

54%

8%

Osteoarthritis

Control: 46%

35

“It doesn’t work, nothing can be done, it always hurts”•One third of Canadians who do not have control over their joint pain say they feel this way because they believe nothing can be done.•Almost a quarter of Canadians who say they have some control over their joint pain say this because they believe that medication, treatment and exercise ease the pain.

Q26: Why do you feel you have <INSERT RESPONSE FROM Q.25> over joint pain? n=1424

Canadians who have no control over their joint pain n=118

%It doesn't w ork, nothing can be done, it alw ays hurts 32%It is only temporary, doesn't alw ays w ork, can come back any time 11%I can live w ith it, it is bearable, it is minimal 6%There no control of the source of pain (Weather, injury, etc.) 4%Other 4%I don't know 41%

Canadians who have some control over their joint pain n=690

%The medication, treatment , exercise ease the pain 23%It is only temporary, doesn't alw ays w ork, can come back any time 14%I know the cause of the pain and I can avoid or control it 14%I am able to alleviate the pain, I can manage it, there are many options available 8%I can live w ith it, it is bearable, it is minimal 6%It doesn't w ork, nothing can be done, it alw ays hurts 5%I don't know 26%

36

One in five Canadians with joint pain say they “can live with it”

Q26: Why do you feel you have <INSERT RESPONSE FROM Q.25> over joint pain? n=1424

Canadians who have control over their joint pain n=616

%I can live with it, it is bearable, it is minimal 18%The medication, treatment , exercise ease the pain 17%I know the cause of the pain and I can avoid or control it 17%I am able to alleviate the pain, I can manage it, there are many options available 14%The pain is gone (almost) completely, only occasional 6%I don't know 25%

•The explanations for why people who have joint pain feel they can control it are related to knowing what causes the aggravation and thus avoiding the cause, feeling able to live with it because it is minimal and knowing how to alleviate it.

37

One in ten are not comfortable with the way they manage their joint pain•Twelve per cent of Canadians who experience joint pain are uncomfortable with how they are managing their joint pain. •Among joint pain sufferers who say they are uncomfortable with how they are managing joint pain, the proportions of people who report using various types of physical activity to help manage the pain are smaller than those who are comfortable with how they are managing joint pain.

Q27: How comfortable are you with the way you manage your joint pain? Canadians with joint pain: n=1424Q29: To what extent do you agree or disagree with the following statements? Canadians with joint pain: n=1424

53%

35%

2%

10%

Very uncomfortable

Somewhatuncomfortable

Somewhat comfortable

Very comfortable


88% Comfortable

12% Uncomfortable

16%20% 20%

15%

7%

31% 30%31%

Musclestrengthening

Gentle jointmovement

Stretching/yoga Other physicalactivity


Comfortable with how managing joint painUncomfortable with how managing joint pain

•People who are uncomfortable are less likely to be using physical activity to help manage joint pain than those who are comfortable with their method(s) of joint pain management.

38

One in ten are uncomfortable with the way they manage their joint pain because they do not like to take drugs •One third (34%) of Canadians who take medication (OTC and prescription drugs) for their joint pain said they are uncomfortable with the way they manage their pain because the pain is still there, nothing helps.

Q28: Why do you feel you have uncomfortable with the way you manage your joint pain? n=163

Canadians who are uncomfortable with they way they manage their joint pain n=163

%

The pain is still there, nothing helps 30%I don't like to take drugs 11%I could do, could have done more exercise, lose weight 17%Other 10%I don't know 33%

39

A third of Canadians ignore their pain altogether •Many Canadians wait until the pain is unbearable before taking any action.•One in four of those who say they have been diagnosed with Osteoarthritis believe they have exhausted all options in terms of pain management.

Q29: To what extent do you agree or disagree with the following statements? Canadians with joint pain: n=1424

56%

16%

35%

72%

27%

84%

45%

96%

61%

43%

73%

63%

25%

68%

10%

54%

4%

38%

0% 20% 40% 60% 80% 100%

Agree Disagree

63%

27%

35%

73%

32%

91%

39%

96%

78%

34%

62%

62%

24%

64%

8%

59%

4%

21%

0% 20% 40% 60% 80% 100%

Agree Disagree

I see my physicianregularly

At the end of the day I am responsible for my own health

I sometimes wait until my pain is unbearable before I take action

I follow my doctors treatment instructions as best as possible

I sometimes seek a second opinion after meeting with my regular doctor

I know my body better than anyone

I ignore my pain altogether

I have exhausted all options in termsof pain management

At the first sign of pain I take appropriate action

Canadians with Joint Pain Osteoarthritis Sample

Joint Pain Survey Results

March 13, 2008

Documents

Joint Pain Survey Results April 22, 2008. 2 Methodology Interviewing Leger Marketing conducted this survey online. Data was collected between February