Paul Casimir has been living with arthritis for half his life, but doesn't let it stop him doing the things he enjoys. He tells his story.
Paul was diagnosed with rheumatoid arthritis at 20. He was a fast runner throughout his teens, but at 19 his body started to stiffen up.
"I had been feeling a little bit strange for about a year before I was diagnosed with arthritis," says Paul. "I just seemed to move at the pace of a distracted goat. I didn't really know what was going on. I was at drama school at the time and I kept getting cast as octogenarians."
One day, after finishing a play, he collapsed into bed, completely exhausted. When he woke up, his knees had swollen to the size of dumplings, and he was in bedfor four days. His doctor was puzzled.
"It then went away for a while, but returned with a vengeance a couple of months later," says Paul. "I was referred to a rheumatologist, who diagnosed rheumatoid arthritis. It was something I'd never heard of and I didn't know why it was happening to me. I had tears in my eyes when she told me."
Paul managed his condition with painkillers and anti-inflammatory medication forthe nextfew years. It was difficult for him to move properly. "Dancing was what got me through the roughest times," he says. "Even when I could barely move, I could still dance. Standing still was excruciating, but transferring my weight from one leg to the other was bearable."
One day, he decided to see how he would get on without medication. He has never looked back.
"I didn't really notice much of a difference with the medication," he says. "People diagnosed now would be offered different kinds of medication, such as disease-modifying medication, but I guess that wasn't around when I was diagnosed.
"After a while it became really important to me to start challenging the condition, to take back control of my life."
He started swimming and going out dancing, and stopped worrying about what other people thought. It's been five years since the last big flare-up.
"I just learnt to get on with life,"he says."It's easy to dwell on the pain and misfortune and to think 'why me'. But in the end, that's really quite futile. What's important is to focus on all the things you enjoy. I swim regularly and enjoy a ramble in the woods, whereas 20 years ago I'd have thought 'Let's go for a walk' was the most ridiculous suggestion someone could make! The richer your experiences in life, the more you're distracted from the pain.
"And I still look good on the dancefloor, dancing like a robot from 1984!"
Arthritis is a common condition that causes pain and inflammation in a joint. The two most common types of arthritis are: osteoarthritis and rheumatoid arthritis.
Living with arthritis isn't easy and carrying out simple, everyday tasks can often be painful and difficult.
Paul Casimir has been living with arthritis for half his life, but it didn't make him stop him doing the things he enjoys. One day, he decided to see how he would get on without medication. He has never looked back.
Jo has been living with osteoarthritis for 15 years. When she felt her independence slipping away, she knew she had to take stock of her life.
When we think of arthritis, we normally think of old age. But the disease can strike young people too. Kate Llewelyn, 34, first noticed her symptoms when she was just 13.