Exercise is one of the simplest and most effective ways to manage pain. Almost all who suffer from chronic pain are able to exercise. The benefits of a regular fitness regimen extend beyond pain control and include better overall health as well as improved mood and energy level.
The primary reason to exercise is to increase muscle strength and better support arthritic joints. Studies demonstrate that in osteoarthritis, for example, exercise can result in decreased stress across joints and less pain. This effect is most obvious in those with disk disease of the lumbar spine; core strengthing clearly reduces back pain over time. In addition, arthritis and pain can lead to deconditioning and muscle atrophy through disuse. In short, if it hurts to move, subconsciously we move less. Weakness can lead to more stress across joints, falls, other injuries and loss of independence. You can combat weakness and deconditioning through exercise.
Another good reason to exercise is to develop tolerance. Exercise by definition is somewhat painful. The more we exercise, the more we learn to ignore the discomfort. Over time, this effect can diminish pain significantly. In fibromyalgia, for example, exercise is the most effective way to reduce pain.
Exercise is also good for the mood. Being outside or going to an exercise class requires leaving your house and limits isolation. Endorphins, brain chemicals produced during exercise, also help with depression.
If exercise is so important, then, how is is possible for those with severe arthritis? Fortunately there are many options to get moving. For most of those suffering from chronic pain, aquatic therapy is an excellent choice that allows very low-impact exercise in a soothing warm water setting. Others can walk or ride a stationary bike. Chair exercise classes can help those who cannot walk or stand easily.
The benefits of exercise are clear and opportunities abound. The Arthritis Foundation (www.arthritis.org) is a good source of information for appropriate exercise options in your area. As always, though, ask your doctor before beginning an exercise program.
