Osteoarthritis: Exercising With Arthritis
What is an Actionset?
- Exercise may make you feel better, reduce your joint pain, and make it easier for you to do your daily tasks.
- A common symptom of osteoarthritis is pain after activity, which may make you not want to exercise. But you can use heat and cold therapy or take pain medicines to help relieve pain and make it easier for you to exercise and stay active.
- Exercise should be balanced with rest and joint care. If your joints hurt or you have redness or swelling, rest your joints, then try a little exercise. You might also think about using assistive devices, such as splints or braces, for a short time to protect your joints.
- Sharp or unusual pain may be a sign of injury. Talk to your doctor if you have new pain or if your pain is a lot worse.
- Always check with your doctor before you start an exercise program.
Exercises that will help you if you have osteoarthritis include:
- Aerobic activity that gets your heart beating faster and makes you breathe harder, such as walking, biking, swimming, and water aerobics. You can also get some aerobic activity by being more active in your daily routine. Vacuuming, housework, gardening, and yard work can all be aerobic.
- Strength exercises, such as lifting light weights or dumbbells or using elastic tubing, at home or in a gym.
- Range-of-motion exercises that help keep you flexible, such as stretching or exercises that target a certain joint.
Exercises to avoid
Don't do exercises that put a lot of stress on the joint that hurts. For example, if you have arthritis in your hands, try not to do exercises or sports that need a tight grip, such as biking. If you have arthritis in your knees, try not to do exercises that put stress on your knees, such as playing tennis.
Be careful not to exercise too much. Joint pain that lasts longer than a couple of hours after exercise may be a sign that you did too much.
Exercise can help keep your joints and muscles from getting stiff and weak. And it will help you feel better and help you stay at a healthy weight. Weak muscles and extra weight can put added stress on your joints and can cause your arthritis to get worse faster.
Exercising won't "wear out" a damaged joint. But if your joint is very loose or doesn't line up the way it's supposed to, some kinds of exercise may not work well or may even make your arthritis worse. Your doctor or physical therapist can help you find an exercise that is best for you.
Exercises that stretch the muscles can help prevent stiffness and injury. Exercises that strengthen the muscles and ligaments around a joint can help protect and reduce stress on the joint. For example, stronger thigh muscles can help reduce stress on the knees and hips.
Several studies show that exercise can help to:
- Improve how well the hip and knee joints work and move.
- Improve how well a person with knee arthritis can move and may delay or prevent the need for surgery.
- Improve posture and balance in older adults with arthritis, which may help prevent falls.
One of the easiest exercises is one of the most important. Just moving each joint as far as you can several times each day helps push old fluid out of the joint and bring fresh new fluid in. This is good for the surfaces of the joint, and it helps you stay flexible.
Motivation to exercise
Sometimes it's hard to get motivated to exercise, even though we know how good it is for us to do. Here are some ways to get started and stay active:
- Find a friend to exercise with you, or join a support group. Many people are more likely to stay with their exercise program if they exercise with a friend.
- Try a class at your local health club or with your local arthritis chapter that is designed for people who have arthritis.
- Record your efforts. Some people are motivated by seeing their progress written down.
- Reward your efforts. When you reach a step toward your goal, reward yourself by doing a special activity or buying something.
You don't have to spend a lot of money at a health club or on equipment to exercise. You can do many exercises, such as walking, almost anywhere at no cost. At a local health club such as the YMCA, you can enroll in a class (rather than pay for a complete membership) that doesn't cost a lot and is designed for people who have arthritis.
There are several types of exercises that you can do to help keep your muscles strong and reduce joint pain and stiffness:
- Aerobic activity strengthens your heart and lungs and builds your endurance. For aerobic exercise, you can:
Note: Start slowly. For example, do 10 minutes of activity at a time, 1 or 2 times a day. Then work your way up to where you can do it for a longer time. Aim for at least 2½ hours of moderate activity a week. One way to do this is to be active 30 minutes a day, at least 5 days a week.
- Walk outdoors through your neighborhood or on city paths. Or you can walk indoors on a treadmill or at the mall.
- Do water aerobics. You might try walking in water that is up to your waist or your chest (if walking outdoors or indoors isn't comfortable for you). The water helps take the weight off painful joints. And it provides some resistance.
- Swim at your local health club, YMCA, or neighborhood pool. Many locations offer classes designed for people with arthritis. Swimming is a great choice for people who have hip or knee arthritis, because water takes weight off the joints while also providing some resistance.
- Bike outdoors or inside on an indoor bike.
- Be more active in your daily routine. Vacuuming, housework, gardening, or yard work can all be aerobic.
- Strength exercises improve and keep the muscles in your body strong. Strength exercises include:
Note: Before you start to do strength exercises, ask a physical therapist or your doctor which exercises would be best for you. And ask how to do strength exercises safely so you don't get hurt. Exercise books and videotapes can also show you how to do strength exercises the right way.
- Lifting light weights or dumbbells or using elastic tubing. You can use these at your local health club, or you can buy them to use at home.
- Using an exercise machine at home or weight machines at your local health club.
- Range-of-motion exercises help keep you flexible and prevent more damage to your joints. Range-of-motion exercises include:
Note: Exercises that stretch and strengthen the muscles and joints can help older adults keep their balance, which can help prevent falls.
- Moving each joint through its full motion. Move each joint as far as you can in each direction without causing pain, 8 to 12 times each day. Remember to do all the little joints, such as those in your fingers.
- Long, slow stretches to keep the soft tissues around the joints flexible. For example, stretches for the legs include calf stretch, quadriceps (thigh) stretch, and hamstring (tendons in the back of the knee) stretch.
- Exercises that target a certain joint such as the knee in order to improve motion in that joint and prevent more damage. An example of this is a quadriceps stretch to keep your knees flexible.
Several types of exercises can help you stretch and strengthen your hands and reduce knee pain and stiffness.
If you have arthritis of the knee, you may be able to reduce the stress on your knee by wearing the right shoes or by adding insoles to your shoes. Talk to your doctor or physical therapist about the footwear that would be best for you.
Taping the kneecap in a certain position may also help reduce pain. If you and your doctor find that taping helps you, you can learn how to put the tape on by yourself.
If an activity makes you feel sore, try something else. You can also change how you do the activity. Here are some things you can try:
- Rest between each exercise or activity.
- Decrease your speed.
- If you like to walk or swim, go a shorter distance. You might take two or three short walks in a day rather than one long walk.
- Do a shorter workout, then rest and do a little more later.
- Lift less weight.
Ask your physical therapist or doctor
Talk to your physical therapist or doctor before you start an exercise program. Ask what kind of exercise is best for you. He or she can help you learn the right way to do the exercise. Also ask:
- How to exercise if a joint is sore or if a joint is swollen.
- Whether you should take nonsteroidal anti-inflammatory drugs (NSAIDs) to make it easier for you to exercise or use ice after you're done exercising. Be safe with medicines. Read and follow all instructions on the label.
For more information, see:
What to do when your joints hurt
If your joints hurt, try to rest them. Use assistive devices that can help you do your daily activities with less stress on your joints. Your doctor may suggest over-the-counter medicines to help reduce pain in your joints.
Other steps to help get rid of pain and stiffness include heat or cold therapy. You can use heat and cold therapies before or after exercise. It just depends on what works better for you.
For heat therapy, you can:
- Put a warm towel on the joint that hurts.
- Put a hot pack on the joint that hurts.
- Take a warm bath or shower.
- Get water therapy in a heated pool or whirlpool.
Cold therapy may relieve pain or numb an area. Use a cold pack (such as a bag of ice or frozen vegetables wrapped in a thin towel).
It's still important to try to exercise a little, after your pain is relieved. Walking is a great way to stay active. If you have pain when you walk, or if you want to switch back and forth between walking and other exercises, try walking in waist- or chest-deep water, swimming, or riding an indoor bike.
For more information about exercise and osteoarthritis, talk to:
- Your doctor.
- A physical therapist.
- An occupational therapist to help you regain and build skills that are important for being able to care for yourself.
For further information on exercise and osteoarthritis, the following organizations can provide information:
|American Academy of Orthopaedic Surgeons (AAOS)|
|6300 North River Road|
|Rosemont, IL 60018-4262|
|Phone: ||(847) 823-7186|
|Fax: ||(847) 823-8125|
|Web Address: ||www.orthoinfo.aaos.org|
The American Academy of Orthopaedic Surgeons (AAOS) provides information and education to raise the public's awareness of musculoskeletal conditions, with an emphasis on preventive measures. The AAOS website contains information on orthopedic conditions and treatments, injury prevention, and wellness and exercise.
|P.O. Box 7669|
|Atlanta, GA 30357|
|Web Address: ||www.arthritis.org|
The Arthritis Foundation provides grants to help find a cure, prevention methods, and better treatment options for arthritis. It also provides a large number of community-based services nationwide to make living with arthritis easier, including self-help courses; water- and land-based exercise classes; support groups; home study groups; instructional videotapes; public forums; free educational brochures and booklets; the national, bimonthly consumer magazine Arthritis Today; and continuing education courses and publications for health professionals.
|National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health |
|1 AMS Circle|
|Bethesda, MD 20892-3675|
|Phone: ||1-877-22-NIAMS (1-877-226-4267) toll-free|
|Phone: ||(301) 495-4484|
|Fax: ||(301) 718-6366|
|TDD: ||(301) 565-2966|
|Web Address: ||www.niams.nih.gov|
The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) is a governmental institute that serves the public and health professionals by providing information, locating other information sources, and participating in a national federal database of health information. NIAMS supports research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases and supports the training of scientists to carry out this research.
The NIAMS website provides health information referrals to the NIAMS Clearinghouse, which has information packages about diseases.
You can find more information in the topic Osteoarthritis.
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Other Works Consulted
Stitik TP, et al. (2010). Osteoarthritis. In WR Frontera et al., eds., DeLisa's Physical Medicine and Rehabilitation: Principles and Practice, 5th ed., vol. 1, pp. 781–809. Philadelphia: Lippincott Williams and Wilkins.
|Primary Medical Reviewer||Anne C. Poinier, MD - Internal Medicine|
|Specialist Medical Reviewer||Joan Rigg, PT, OCS - Physical Therapy|
|Last Revised||May 9, 2013|
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