Stay active and exercise when you have arthritisArthritis - exercise; Arthritis - activity
When you have arthritis, being active is good for your overall health and sense of well-being.
Exercise keeps your muscles strong and increases your range of motion. (This is how much you can bend and flex your joints). Tired, weak muscles add to the pain and stiffness of arthritis.
Exercise can make arthritis worse.
Getting regular exercise can do which of the following?
A. Improve your mood
B. Keep your joints flexible
C. Keep muscles stronger
D. B and C
E. All of the above
Which type of exercise is best for people with OA?
A. Strength training exercises
B. Water exercises
C. Range-of-motion exercises
D. Balance exercises
E. All of the above
How much moderate aerobic exercise should you get each week?
B. 60 minutes
C. 120 minutes
D. 150 minutes
Strength training exercises aren't important for people with OA.
Balance exercises can help if you:
A. Have trouble walking
B. Are prone to falling
C. Are afraid of falling
D. All of the above
Bicycling is a good exercise for people with OA.
How often should you add more time to your workout?
A. Each week
B. Every two weeks
C. Every three to four weeks
D. As often as you want
If you're having a bad day, it's best to skip exercising.
You should stop exercising and see your doctor if:
A. You have pain that is sharp or constant
B. You have pain that lasts longer than two hours after exercise
C. You have pain that makes you limp
D. Your pain does not get better with rest or medicine
E. Your swelling is severe or your joints are red
F. Any of the above
Choose From These Activities
Stronger muscles also help you with balance to prevent falls. Being stronger can give you more energy, and help you lose weight and sleep better.
If you will be having surgery, exercising can help you stay strong, which will speed up your recovery. Water exercises may be the best exercise for your arthritis. Swimming laps, water aerobics, or even just walking in the shallow end of a pool all make the muscles around your spine and legs stronger.
Ask your health care provider if you can use a stationary bike. Be aware that if you have arthritis of the hip or knee cap, biking can worsen your symptoms.
If you are not able to do water exercises or use a stationary bike, try walking, as long as it does not cause too much pain. Walk on smooth, even surfaces, such as the sidewalks near your home or inside a shopping mall.
Ask your physical therapist or doctor to show you gentle exercises that will increase your range of motion and strengthen the muscles around your knees.
As long as you do not overdo it, staying active and getting exercise will not make your arthritis get worse faster.
Taking acetaminophen (such as Tylenol) or another pain medicine before you exercise is OK. But do not overdo your exercise because you took the medicine.
If exercise causes your pain to worsen, try cutting back on how long or how hard you exercise the next time. However, don't stop completely. Allow your body to adjust to the new exercise level.
Felson DT. Treatment of osteoarthritis. In: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelly and Firestein's Textbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017:chap 100.
Hsieh LF, Watson CP, Mao HF. Rheumatologic rehabilitation. In: Cifu DX, ed. Braddom's Physical Medicine & Rehabilitation. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 31.
Iversen MD. Introduction to physical medicine, physical therapy, and rehabilitation. In: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelly and Firestein's Textbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017:chap 38.
Review Date: 7/7/2019
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.