Osteoarthritis exercise time

Written by Li Jie
Orthopedics
Updated on September 19, 2024
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We say that all exercise must have a limit, and it should be within the patient’s tolerance. Walking exercises for osteoarthritis are permissible, but we do not advocate excessive exercise. Instead, it is best to focus primarily on rest. We say that life depends on movement, but joints rely on stillness. What does this mean? We do not advocate excessive activity in the joints. What is considered excessive activity? For example, if an osteoarthritis patient finishes a day of walking exercise and feels no pain, swelling, or discomfort in the joints, then the degree and amount of exercise they undertook are acceptable. However, if the patient finishes exercising and experiences significant pain, swelling, or discomfort in the joints by the evening, this indicates that the exercise was too much, and it was not suitable for them. They must rest and avoid such intense activities, indicating that walking exercises are not suitable. Thus, whether walking exercises are appropriate for patients with arthritis needs a balanced view, especially for patients in the acute phase of osteoarthritis. The mindset of exercising through the pain, regardless of discomfort, is absolutely incorrect. During the acute phase of osteoarthritis, we recommend resting as much as possible. During the remission phase of osteoarthritis, whether and how much walking exercise one should engage in also needs to be determined based on the severity of the patient’s condition and their subjective feelings. It cannot be generalized.

Other Voices

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Written by Li Jin
Orthopedics
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What is osteoarthritis?

Osteoarthritis is a disease caused by degenerative changes in the joints. Symptoms primarily include swelling, pain, fluid accumulation, and restricted movement in the joint areas. In severe cases, it can even lead to joint deformity and dysfunction. Treatment for arthritis is mainly divided into non-surgical and surgical methods. Conservative treatment can be attempted first. Patients with arthritis should rest and avoid vigorous activities. Symptomatic treatment may include anti-inflammatory pain relievers, cartilage nutrition drugs, or intra-articular injections of hyaluronic acid. Additionally, hot compress physiotherapy and other methods can be used to alleviate symptoms. When conservative treatment is ineffective, or if there is deformity and dysfunction of the limbs, joint replacement surgery may also be considered.

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Written by Cheng Bin
Orthopedics
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Is hot compress good for osteoarthritis?

For patients with osteoarthritis, hot compresses are very effective. Hot compresses can promote local blood circulation, which can effectively alleviate the clinical symptoms of osteoarthritis. Usually, hot compresses are applied using hot water bottles, or by heating bran or salt, which are very effective. Typically, apply the hot compress twice a day, each time for more than half an hour. Additionally, aside from hot compresses, it is important to protect the affected area in patients with osteoarthritis, avoid exposure to cold, and reduce irritation to the area. When necessary, treatment may also need to be supplemented with medications, such as pain relievers and drugs that nourish the cartilage.

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Written by Lv Yao
Orthopedics
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The difference between osteoarthritis and rheumatism

Osteoarthritis is caused by degeneration in old age that damages the cartilage, resulting in pain during joint movement due to the friction between the bones beneath the cartilage, as well as restricted mobility and even deformity. Rheumatoid arthritis, on the other hand, is typically caused by joint cartilage damage from rheumatic diseases, leading to the destruction of the cartilage. This disease is due to abnormalities in the immune system causing elevated anti-O and rheumatoid factors, and can be definitively diagnosed through etiological examination, physical examination, or blood tests.

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Written by Guan Yu Hua
Orthopedic Surgery
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Is soaking feet good for osteoarthritis?

Osteoarthritis can benefit from soaking the feet in warm water, slightly hotter if possible, as the feet have numerous nerves. This can promote blood circulation and facilitate metabolism, such as the elimination of bodily waste, which is beneficial, especially for middle-aged and elderly people, in preventing cardiovascular and cerebrovascular diseases. Osteoarthritis depends on the location and is a chronic joint disease. Its primary pathological change is the degenerative alteration of the joint cartilage. Typically, this condition affects middle-aged and older individuals, more so women than men. Early changes include the deterioration of the joint cartilage, leading to the exposure of the subchondral bone, which can then cause periostitis, changes in the joint capsule, and surrounding muscles. Usually, it presents as rest pain, which may decrease with light activity. Treatment often involves nonsteroidal anti-inflammatory drugs or intra-articular injections of sodium hyaluronate for lubrication and joint protection. In severe cases, joint replacement, such as knee replacement, may be necessary. Thus, soaking the feet can be beneficial for those with osteoarthritis.

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Written by Na Hong Wei
Orthopedics
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Is osteoarthritis easy to treat?

Osteoarthritis is a difficult-to-treat disease because currently, there is no complete cure for joint disorders in medicine. Therefore, the treatment principles are early diagnosis, early treatment, and early rehabilitation. Mainly, methods are used to delay the progression of the disease, maximally preserve joint function, and enable patients to live normal lives. The first approach is non-pharmacological treatment, which is the foundation for drug therapy and surgical treatment, primarily involving physical therapy methods such as heat therapy, hydrotherapy, traction, microwave therapy, acupuncture, and massage to alleviate joint pain and swelling during acute flare-ups. The second approach is pharmacological treatment, mainly including non-steroidal anti-inflammatory drugs and traditional Chinese medicine. The third approach involves considering surgical treatment if conservative treatments prove ineffective. Surgical treatments can involve procedures such as joint debridement to remove inflamed, loose cartilage and bone tissues, and smoothing rough joint surfaces. If these methods are still ineffective, the last treatment option may be needed for severe cases, which is artificial joint replacement. Thus, the treatment of osteoarthritis is a stepwise approach. However, regardless of the treatment method used, there is currently no cure, making osteoarthritis a challenging disease to treat.