Bones and joints Archive

Leg strength becomes even more vital as people age, as the legs are essential for routine movements such as going up and down stairs, sitting and rising from chairs, bending over and standing up, and protecting against falls. The main leg muscles are gluteals, quadriceps, hamstrings, and calves. Some exercises that can help strengthen these muscles are bridges, step-ups, and heel raises.

Total knee and hip replacements are highly successful procedures that can relieve pain and restore mobility for people with severe arthritis. Occasionally, joint replacement fails, and revision surgery is needed. Reasons for revision include infection, implant loosening, dislocation, and fracture. Warning signs of a problem include persistent pain, swelling, or instability. Revision surgeries are more complex, require longer recovery, and carry higher risks than the original surgery. Experienced surgeons who perform these procedures frequently tend to have the most success.

An analysis of 217 trials found that lower-impact aerobic exercise (walking, cycling, and swimming) is most effective for easing knee osteoarthritis pain and improving function. Other exercise types, such as flexibility, mind-body, neuromotor, and strengthening, also offer benefits.

Men often carry around extra belly fat and lose muscle mass as they age. An expanding waist could be sign of too much visceral fat, which is stored within the abdominal cavity and surrounds vital organs, including the pancreas, liver, and intestines. Research has shown that visceral fat can increase blood pressure, blood sugar, and total cholesterol levels, and raise the risk of fatty liver disease. Building muscle mass with resistance training and getting aerobic exercise improve muscle metabolism and help reduce visceral fat.

Chronic pelvic pain-medically known as chronic prostatitis / chronic pelvic pain syndrome, or CP/CPPS-is one of the more common and challenging conditions older men face. Because the underlying cause may not be identified, doctors often take a trial-and-error approach to managing the common symptoms like throbbing, aching pain, urination problems, and sexual dysfunction. Options include different types of medication, physiotherapy, shock wave therapy, and aerobic exercise.

Tai chi uses a series of gentle, flowing motions and slow, deep breathing to exercise the body and calm the mind. It's good for health in many ways, especially for balance, which improves as the body becomes more attuned to changes in movement. Tai chi can be practiced outdoors as well as indoors, which is helpful during winter months. To get started in a tai chi practice, it helps to take a class with an instructor who supervises practitioners' progress. Classes can be found at wellness centers and health clubs.

Among 12 physical therapy approaches for knee osteoarthritis compared in a 2025 study, three stood out. Knee braces, followed by hydrotherapy (exercise in water) and exercise (strength training and aerobics), were best for reducing pain and stiffness and improving physical function.

Complete recovery from total knee replacement surgery can take six to 12 months. Working with a physical therapist to regain strength and mobility, most people can return to normal daily function within three months. It's important to remain active once physical therapy concludes. Lower-impact activities, such as walking, hiking, biking, swimming, golfing, strength training, and aerobic activities, are recommended. High-impact activities, such as running, may shorten the life span of the implant.

An exercise routine that targets muscles in the legs and buttocks can help build the strength and stability that are essential for daily functioning. Lunges are an excellent exercise for this. Older adults can do them safely if they have sufficient leg strength to do the exercise correctly. For those who lack the necessary strength, modified versions can be done until it's possible to gradually work up to doing the full lunge. Once that is mastered, more advanced versions include the side lunge and walking lunge. Holding weights can increase the challenge.

Arthritis in the joint at the base of thumb (the carpometacarpal joint) can cause pain, weakness, and instability. It can seriously impair the ability to function. Thumb arthritis is diagnosed with a physical examination and x-rays. It can be managed with occupational therapy, which includes learning optimal hand positions and exercises and wearing a hand splint. Pain relief options include heat, pain medications, and cortisone injections. If these are inadequate or the condition is severe, surgery is an option.