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All gummed up

机译：都糊涂了

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摘要

I RECENTLY FLEW IN A PIPER CUB and had to strategize how to climb into the aircraft. Forget being graceful; just getting into the small seat took some thoughtful maneuvering. If you experience similar challenges with joint pain, there is much we can do to relieve symptoms that doesn't involve taking medication. The treatment, however, does require self-discipline in two areas: Losing weight and exercise. Small changes help noticeably and shedding just five or 10 pounds, when combined with regular exercises such as walking or bicycling, can significantly improve flexibility. If your condition is more advanced and you have been diagnosed with osteoarthritis or even rheumatoid arthritis, and are under a physician's care, there is good news regarding airman medical certification. In years past, certification warranted a special issuance medical certificate, but new FAA guidelines allow aviation medical examiners to issue medical certificates without written or verbal FAA approval. Through the new CACI (conditions aviation medical examiners can issue) certification process, worksheets provide both your treating physician and your AME with a checklist of information needed for office certification.
机译：我最近飞到了一个小鸟笼中，不得不制定策略来爬上飞机。忘记优雅；刚进入小座位需要一些周到的操作。如果您遇到类似的关节痛挑战，我们可以采取很多措施来缓解不涉及服药的症状。但是，这种治疗方法确实需要在两个方面进行自律：减肥和运动。进行一些小改动非常有效，与常规的锻炼（如步行或骑自行车）相结合，仅减轻5或10磅的体重就可以显着提高灵活性。如果您的病情进一步恶化，并且已被诊断出患有骨关节炎甚至类风湿性关节炎，并且在医生的护理下，那么有关于飞行员医疗证明的好消息。在过去的几年中，认证要求提供特殊的签发医疗证书，但是新的FAA指南允许航空医学检查员在未经FAA书面或口头批准的情况下签发医疗证书。通过新的CACI（航空医学检查员可以发布的条件）认证流程，工作表为您的主治医生和AME提供了办公室认证所需信息的清单。

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