• What is arthritis?
  • The musculoskeletal system
  • The immune system
• Diagnosing arthritis
  • Your medical history
  • Pain and stiffness
  • Physical examination
  • Diagnostic studies
• Osteoarthritis
  • More than wear and tear
  • Possible causes of osteoarthritis
  • Symptoms of osteoarthritis
  • Diagnosing osteoarthritis
  • Drug treatment for osteoarthritis
  • Surgical treatment for osteoarthritis
• Rheumatoid arthritis
  • Causes of rheumatoid arthritis
  • Symptoms of rheumatoid arthritis
  • Diagnosing rheumatoid arthritis
  • Medications for rheumatoid arthritis
  • Surgery for rheumatoid arthritis
• Other types of arthritis
  • Gout
  • Pseudogout
  • Ankylosing spondylitis
  • Reactive arthritis 
  • Psoriatic arthritis
  • Enteropathic arthritis
  • Lyme disease and other types of infectious arthritis
• Physical and complementary therapies 
  • Assistive devices
  • Complementary therapies
• SPECIAL BONUS SECTION: Self-care strategies for coping with arthritis
• Appendix: Drugs for treating arthritis 
• Resources
• Glossary

Self-care strategies for coping with arthritis: Exercise

Even the healthiest people find it difficult to stick with an exercise regimen. But those with arthritis commonly discover that if they don’t exercise regularly, they’ll pay the price in pain, stiffness, and fatigue. Regular exercise not only helps maintain joint function, but also relieves stiffness and decreases pain and fatigue. Feeling tired may be partly the result of inflammation and medications, but it’s also caused by muscle weakness and poor stamina. If a muscle isn’t used, it can lose 3% of its function every day and 30% of its bulk in just a week. A 2009 review article in Current Opinion in Rheumatology asserts that both aerobic and muscle-strengthening exercises are safe and effective for people with chronic arthritis. Below are brief summaries of different forms of structured exercise programs (most of which are offered by local Arthritis Foundation chapters) and their potential benefits.

Land-based programs. These include community-based group classes led by health or fitness professionals with specialized training in instructing people with arthritis. Examples include Fit and Strong!, a program targeted to older adults with osteoarthritis; the Arthritis Foundation’s Exercise Program (AFEP); and its Walk with Ease program. All include some combination of a warm-up routine and three standard exercise goals, plus specialized activities to enhance body awareness, balance, and coordination. Studies have found that people with arthritis in their hips, legs, and feet who took Fit and Strong! classes were able to exercise longer, felt more confident about their ability to exercise, and reported less joint stiffness compared with those in a control group. Many of the benefits lasted between six and 12 months. Those attending AFEP classes for eight weeks had less pain, stiffness, and fatigue, and these improvements persisted at least six months, as well. In one study, people who completed the Walk with Ease program (which also teaches participants about managing their disease) had more confidence, less depression, and less pain, compared with participants who attended classes focused on pain management.

Water-based programs. Also known as aquatic or pool therapy, these group classes are done in water that’s nearly 90° F and feature a variety of exercises, including range-of-motion exercises and aerobics. According to one study, people who took the Arthritis Foundation Aquatic Program improved knee and hip flexibility, as well as strength and aerobic fitness. Other investigations suggest water exercise lessens pain and boosts physical functioning, and the benefits after the 12-week session were sustained for three months after the last class.

Strength and resistance training. This form of exercise, which uses equipment such as weight machines, free weights, and resistance bands or tubing, strengthens not only muscles but also your bones and your cardiovascular system. Resistance training improves muscle strength, physical functioning, and pain in 50% to 75% of people with knee osteoarthritis, according to a 2008 review article. One Japanese study compared people with knee osteoarthritis who either took NSAIDs or did twice daily knee extension exercises to strengthen their quadriceps (the muscles on the front of the thigh). At the end of the eight-week study, both groups had less pain and stiffness, as well as improved functioning and quality of life.

Tai chi. With origins in Chinese martial arts, this low-impact, slow-motion exercise also emphasizes breathing and mental focus. A number of small studies suggest tai chi helps people with different forms of arthritis, mainly by increasing flexibility and improving muscle strength in the lower body, as well as aiding gait and balance. The Arthritis Foundation, along with Dr. Paul Lam, a family physician and tai chi instructor, developed a standardized form of tai chi designed specifically for people with arthritis. Based on Sun-style tai chi, one of the discipline’s five major recognized styles, it includes agile steps and a high stance (meaning the legs bend only slightly). 

Yoga. Scant research has explored the benefits of yoga for people with arthritis. One study showed that people with knee osteoarthritis who took eight weeks of Iyengar yoga (a form of yoga that focuses on correct body alignment, and uses blocks, belts, and other props to assist in performing postures) had less pain and could function better at the end of the study. Another study of people with rheumatoid arthritis found benefits from participating in twice-weekly Iyengar sessions for six weeks — namely, less pain and depression and greater mobility. But both studies were quite small, and neither included a comparison group.

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Well written article, nice exercises and good guidance according to how you can go through it. On the other hand i feel that it could have covered a wider aspect of this issue, by writing about the physiological benefits and influence of such exercises. In that way the article can be beneficial for both students and people inside health care taking into account the deeper understanding such people can get. It is important to know that moderate strength training helps the joint (this is the result), but how in terms of microscopical physiological processes.

Good summary of info, but not enough emphasis on strenthing joints. More about excercise, etc. Especially for those with early phases of arthritis. Really need more comprehensive joint strengthing workout instructions. Hopefully this will be covered in "The Joint Pain Relief Workout", I am looking for instructions before the pain becomes serious.