Got Arthritis? 5 Exercises That Relieve Pain

There’s no cure for arthritis, but sufferers have a powerful, cheap way to manage pain – exercise. How to start? Check out our guide to the best arthritis workouts…

When your arthritis makes it hurt to just get out of your chair, it’s no surprise you’re tempted to stay put. But moving is exactly what you need.

Physical activity actually is the best medicine for arthritis, doctors say.

Believe it or not, “exercise can decrease pain, particularly for people with osteoarthritis, the most common type of arthritis,” says Patience White, M.D., chief public health officer of the Arthritis Foundation and professor of medicine and pediatrics at the George Washington University School of Medicine.

In fact, exercise, such as walking, was just as effective in reducing knee pain as drugs like naproxen (Aleve) or ibuprofen (Advil), according to a 2008 report in the Cochrane Database of Systematic Reviews.

Regular workouts also may prevent arthritis from getting worse in the long run.

Plus, physically active people seem to have “a higher quality of life and are less likely to become disabled or have days with lots of pain,” says Kevin Fontaine, Ph.D., assistant professor of medicine at the Center for Mind-Body Research at Johns Hopkins University School of Medicine in Baltimore.

Need another reason to get moving? Workouts keep off the pounds. Obesity poses a double whammy: It increases the risk of arthritis and makes its symptoms worse.
How much you exercise is up to you, your schedule and what your body can handle. For arthritis sufferers, just 20 minutes three times a week is enough to make a difference, reports Arthritis Today, the journal of the Atlanta-based Arthritis Foundation.

No time? Then break it up into two 10-minute intervals in the day.

If you’re afraid your joints are too swollen to exercise, schedule a doctor’s visit. New medications help relieve pain and swelling so arthritis patients can work out, says Halsted Holman, M.D., professor emeritus of medicine and former director of the Stanford Multi-Purpose Arthritis Center at Stanford University’s School of Medicine.

You’ll need your physician’s OK to start exercising too.

Your workout should be challenging, but not painful enough to cause injury, Holman says. You’ve overdone it if you have joint or muscle pain that continues for two hours after exercising or if pain is worse the next day. The Rx: Shorten your workout or do it more gently.

So what exercise should you do? Whatever moves your joints but doesn’t aggravate your symptoms, Holman says.

To get started, check out these 5 types of exercise – they’re sure to ease your arthritis symptoms:

1. Walking
How it helps: Walking strengthens muscles, which helps shift pressure from the joints, and reduces pain. It also compresses and releases cartilage in your knees, bringing nourishing oxygen to your joints.

Get started: The Arthritis Foundation recommends walking 10 minutes at least 3-5 days a week. As you get stronger, take longer walks and incorporate short bursts of speed into a moderate pace until you build up to walking 3-4 miles an hour.
Set up your own walking schedule or use the foundation’s 12-Week Walking Plan.

Keep in mind: People with severe hip, knee or foot problems should check with their doctor before starting a walking program.

2. Water Exercise
How it helps: Warm water – between 83˚ F and 90˚ F – helps relax your muscles and decrease pain, according to the University of Washington Department of Orthopedics and Sports Medicine. So exercises like swimming and aerobics, walking and jogging in water are good for stiff, sore joints. Check out 8 Water Workouts.

Water also supports your body as you move, which reduces stress on the hips, knees and spine, and offers resistance without weights. They’re ideal for people with severe hip, knee or foot pain.

“Water provides 12 times the resistance of air, so you’re really strengthening and building muscle,” according to Arthritis Today.

Get started: Sign up for a water exercise class at a YMCA, community or senior center near you, or use these Arthritis Today tips to get started:

Stand in shoulder-height water and walk the same way you would on land. Then walk backward and sideways to tone more muscles.

Stand up straight and maintain your posture to avoid straining your back.

Lift your knees higher as you walk to boost your workout.

Try interval training – pumping your arms and legs faster for a brief period then returning to your normal pace.

Keep in mind: Because your body is supported in water, aquatic workouts don’t build bone density. So you’ll need to add walking or lifting light weights to your exercise routine.

3. Indoor Cycling
How it helps: “Indoor cycling is an excellent way to get a cardiovascular workout without stressing weight-bearing joints,” says Matthew Goodemote, head physical therapist at Community Physical Therapy & Wellness in Gloversville, N.Y.

A stationary bike is also a good option for people with balance problems – common among inactive arthritis patients – because there’s no need to lean the bike to turn.

Get started: Adjust the seat height so your knee is as straight as possible when the pedal is at the lowest point, advises the University of Washington Department of Orthopedics and Sports Medicine.

Don’t pedal faster than 50-60 revolutions per minute. Add resistance only after you’ve warmed up for five minutes, but don’t add so much that you have trouble pedaling.

Goodemote advises patients to start a 5-minute session at a comfortable pace three times a day. When you can ride pain-free, increase to seven minutes, ramping up to 10, 15 and 20 minutes at a time.

Keep in mind: People with very painful knees should avoid indoor cycling, because it can aggravate the condition, cautions Fontaine.

4. Yoga
How it helps: Beginner yoga classes’ simple, gentle movements gradually build strength, balance and flexibility – “all elements that may be especially beneficial for people with arthritis,” says Steffany Haaz, MFA, a certified movement analyst, registered yoga teacher and research coordinator with the Johns Hopkins Arthritis Center.
It also reduces inflammation, according to a recent Ohio State University study published in the journal Psychosomatic Medicine.

Yoga has even more benefits: It increases energy and promotes a positive mental outlook, which helps patients better cope with arthritis.

Get started: Take a yoga class at a yoga studio, gym or community center. You can find a certified teacher through the Yoga Alliance, the accrediting body for yoga instructors worldwide. Tell the instructor before class that you have arthritis issues so they can help modify poses to accommodate your limited mobility.

More comfortable exercising at home? Gaiam, a company that produces yoga videos, recently collaborated with the Mayo Clinic to produce “The Arthritis Wellness Solution” DVD. It has tips from specialists and a segment showing arthritis-specific yoga poses and meditation exercises designed to relieve tension and enhance circulation.

Look on the internet and book stores, for more information.

You can also check out our Easy Yoga Poses for Any Body Slideshow.

Keep in mind: Yoga should never hurt. If you feel pain in a pose, you’re probably overdoing it. With the use of props – blankets, straps, even chairs – yoga poses can be modified to accommodate people with very limited range of motion, strength or balance.

5. Tai Chi
How it helps: A traditional style of Chinese martial arts that goes back centuries, tai chi features slow, rhythmic movements to induce mental relaxation and enhance balance, strength and flexibility.

“Tai chi is extremely valuable to arthritis patients because its movements are slow and controlled and put little force on the joints,” Fontaine says.
Several studies have shown that tai chi improves mental well-being, life satisfaction and perceptions of health, which address the negative effects of chronic pain associated with arthritis.

If you suffer from knee pain, tai chi has particular benefits, according to the November 2009 issue of Arthritis Care & Research, a journal of the American College of Rheumatology. Researchers from Tufts University School of Medicine found that the Chinese workout improved physical function and reduced pain in patients over 65 years old with knee osteoarthritis.

Get started: The Arthritis Foundation offers a 12-step tai chi course, developed by Paul Lam, M.D., a family physician in Sydney, Australia.

Keep in mind: Tai chi is often done in the morning, but it’s best to exercise whenever you have the least pain and stiffness, when you’re not tired and when your arthritis medication is most effective, according to the UW Orthopedics and Sports Medicine department.

If your joints tend to be stiff, it also helps to take a warm (not hot) shower before exercise.

Are You Bad to the Bone?
For years, you’ve been the first one on the tennis courts, the weekend hiker, the intrepid gardener on your knees for hours. While all those activities are great for you, they can also be hard on your joints. Find out how much you know about protecting your joints and osteoarthritis. Dig on the internet for information to better your health!