Exercising with arthritis

Written by: Dr Stephanie Kaye-Barrett
Published:
Edited by: Lisa Heffernan

Anyone with arthritis will know that exercise plays a crucial role in managing the pain and stiffness associated with their condition. Moderate daily exercise can relieve symptoms of arthritis and improve mobility and functionality. However, the pain associated with arthritis can make it difficult to exercise and some people may avoid exercising altogether.

 

However, avoiding exercise and inactivity only worsens the symptoms of arthritis and makes managing it more difficult. Dr Stephanie Barrett is here to answer some questions about exercising with arthritis.

 

How much exercise should I be de doing every day?

Ideally, you should aim to do 30 minutes of exercise five days a week, and aim to spend at least 30 minutes a day moving on your feet. You can even break down the length of time you’re exercising into smaller chunks of ten minutes because it’s important to strengthen your joints and to keep them moving.

 

What should I do if I have pain before working out?

You might be used to mild pain and discomfort on a daily basis, but as you begin to exercise that pain should gradually decrease. It’s recommended that if you experience moderate pain in a particular joint or area, work out other joints for a few days and leave these joints to rest. Start gently and increase the amount of time you exercise little by little.

 

What if I experience pain while working out?

If any exercise is causing pain, it’s important to stop that exercise, as it could indicate inflammation or injury. If you experience severe inflammation that doesn’t subside after rest, ice or anti-inflammatories for a few days, seek medical advice.

 

Managing pain after a workout

If you’re still sore an hour after workout sessions, then it may be time to re-evaluate your exercise regime. You should feel that your muscles have done some work, but you shouldn’t be in pain or exhausted. Try exercises that put less pressure on the joints like swimming and water aerobics.

 

You can also try lowering the intensity of your workout. Long-lasting pain could be a sign that you’re pushing yourself too hard. Avoid unnecessary pain by exercising within your limits.

 

Exercise can be beneficial for people with arthritis if it is done with the support of physiotherapists or occupational therapists, and as long as it doesn’t cause pain or discomfort. Some benefits of exercise for arthritis patients include:

  • Increased flexibility
  • Improved mobility
  • An increase in energy levels
  • Better sleep
  • Improved balance, posture and strength
  • Help with maintaining a healthy weight

 

Most of the time overuse injuries experienced from exercising can be managed with hot and cold packs, rest or even physical therapy like physio or occupational therapy. However, if you’re in a lot of pain 24 hours after a workout, seek medical help as soon as possible.

 

Speak with a rheumatologist like Dr Stephanie Barrett about the benefits of exercise for arthritis and if you would like to build an exercise regime to fit your needs and abilities.

By Dr Stephanie Kaye-Barrett
Rheumatology

Dr Stephanie Kaye-Barrett is one of central London's leading rheumatologists, with over 20 years of consultant-grade experience. She specialises in injectable and osteoporosis treatment and the resolution of painful musculoskeletal conditions including gout, fibromyalgia syndrome (FMS), arthritis, and rheumatoid arthritis, alongside hypermobility and inflammatory joint diseases.

She is the founder of RTMS London at The London Clinic, the first rheumatology clinic in the UK to offer the repetitive transcranial magnetic stimulation (rTMS) brain stimulation technique for fibromyalgia and chronic musculoskeletal pain. RTMS is a treatment method that requires no medication and is recommended by the National Institute for Care and Health Excellence (NICE) for depression. the safety record of TMS has been well-established over many years of use. Dr Barrett introduced this to treat non-inflammatory musculoskeletal pain that has not responded to usual modalities. Studies have also found that a course of rTMS treatments has been found to reduce pain symptoms in many patients with fibromyalgia. 

Furthermore, Dr Kaye-Barrett, who also treats lateral hip pain/trochanteric bursitis, shoulder pain, tennis elbow, and plantar fascitis, leads 'one-stop' rheumatology services at her clinics, where she advises on prevention, detection, and treatment of musculoskeletal pain and fibromyalgia. Additionally, she is a specialist in new biological therapies for the treatment of rheumatoid arthritis and persistent inflammatory arthritis of the knee, in particular.

Due to her exemplary work, Dr Kaye-Barrett has been featured on BBC's series called "The Diagnosis Detectives", where leading experts in the UK diagnose patients with puzzling symptoms. 

Dr Kaye-Barrett initially qualified from Liverpool University School of Medicine, winning the final year clinical medical prize. She won the Graham White scholarship and Roaf Travelling scholarship to pursue specialist training abroad before receiving the Junior Clinical Fellowship from Arthritis Research UK. Her research subsequently led to her completing an MD at the Royal Free Hospital.

Among her many roles in public associations, Dr Kaye-Barrett was elected President of the Royal Society of Medicine, Rheumatology Division, in 2017 where she is now a trustee and member of council. She is highly involved in her field via both research, and the education of future rheumatologists. Her research focuses included osteoporosis, vitamin D deficiency, gout, and early identification of rheumatoid arthritis. Dr Kaye-Barrett lectures nationally and internationally, and she underwent training as an appraiser for the Independent Doctors Federation (IDF). Furthermore, Dr Kaye-Barrett has been featured in all published Tatler's 250 Top Doctors Guides.

Currently, Dr Kaye-Barrett is working with the Royal Society of Medicine to provide medical education in live webinars and interviews regarding COVID-19 and the Cytokine Storm, as well as other autoimmune and auto inflammatory topics in relation to COVID-19. These live interviews and webinars were broadcast to 22 countries around the globe.

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