Gabe Mirkin, M.D.
When you have arthritis, your joints hurt you wake up,
but you force yourself to get out of bed and as you keep on
moving, the pain lessens. Is your body trying to tell you
something when you feel better after you start to move? Many
studies have shown that bed rest worsens the pain of arthritis,
and a strength training program can help to control it.
Most people with arthritis think they should rest their
muscles and joints, but resting is the worst thing you can do.
When you move around, the cartilage in your joints acts like a
shock absorber. Resting weakens cartilage and increases its
likelihood to break. Resting also weakens muscles so they can’t
control the joints, allowing more wobble of the joints with each
movement and increasing cartilage damage.
People with arthritis should exercise, but they should not
jog, run or engage in sports that cause your feet to pound on the
ground, such as tennis or rope-jumping. When you hit the
ground hard with each step, your foot stops suddenly and the
force is transmitted up your leg to your knees and hips. This
force can break cartilage. Choose an activity with smooth
motions such as cycling, swimming or rowing. You can pedal a
bicycle because pedaling is done in a smooth rotary motion that
does not jar your joints.
People with arthritis should also lift weights because this
strengthens muscles to stabilize joints, and helps to strengthen
cartilage to protect it from breaking. Ideally, everyone with
arthritis should have access to weight machines and be taught
how to lift weights with proper form, in sets of ten, two or three
times week. The combination of a smooth, continuous exercise
and a supervised weight lifting can help protect you from further
joint damage and reduce your pain.
Checked 5/13/10