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Heather Williams, DPT Responds:
Heather Williams, DPT, a physical therapist at the joint mobility center at the Hospital for Special Surgery, in New York City, responds: Although exercise may be painful at first, a carefully planned exercise program may actually help reduce pain and stiffness, and can increase flexibility, balance, and strength. Start with your primary-care provider and request a referral to a physical therapist who can evaluate you and recommend choices that are safe but effective.
Those with arthritis usually do well with no- to low-impact aerobic exercises that keep unwanted stress off the joints. Examples may include water aerobics or walking in the shallow end of a pool. A stationary bicycle also may provide an aerobic workout with minimal impact on most joints. Be sure to lower the bike's resistance so you can pedal easily, and raise the seat until you can almost fully extend your leg on the downstroke to minimize stress on the knees. Tai chi is another form of exercise that's easy on joints but can help improve balance and strength. Look for classes at your local health club and senior center.
To round out your fitness goals, your physical therapist may recommend doing some isometric exercises, which help strengthen muscles when you are in a sustained position (pushing against a wall, for example). A word of caution: Be careful not to overdo it during flare-ups. Resume your routine after inflammation subsides.
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Heather Williams
DPT
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