Managing Osteoarthritis Pain: The Impact of Exercise on Joint Health - Orthopedics

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Managing osteoarthritis pain, particularly in the context of exercise, is a nuanced topic that requires a careful balance between maintaining physical activity and preventing exacerbation of symptoms. Osteoarthritis (OA) is a degenerative joint disease that often leads to pain, stiffness, and reduced mobility, particularly in weight-bearing joints like the knees. Your experience with knee pain and the conflicting diagnoses of osteoarthritis and tendonitis highlight the complexity of joint issues, and it's understandable that you seek clarity on how to manage your condition effectively.

Firstly, it's essential to recognize that while exercise is generally beneficial for individuals with osteoarthritis, the type, intensity, and frequency of exercise must be tailored to the individual's specific condition and pain levels. Engaging in low-impact activities is often recommended, as they can help maintain joint function and reduce stiffness without placing excessive strain on the joints. Activities such as swimming, cycling, and even table tennis, which you mentioned enjoying, can be excellent choices. However, it's crucial to listen to your body. If you experience pain during or after these activities, it may be a sign that you need to modify your approach.

In your case, playing table tennis five times a week for an hour is a significant commitment. While this sport is less impactful than running or jumping, the quick lateral movements and the intensity of play can still provoke discomfort, especially if your knee is already compromised. The use of knee braces is a good preventive measure, but they should not be a substitute for proper technique and body mechanics. Ensuring that you maintain good posture and avoid overexertion during play is vital to prevent further injury.

Regarding your concerns about worsening knee and back pain, it's essential to incorporate rest and recovery into your routine. Adequate rest allows the body to heal and adapt, while heat therapy post-exercise can help alleviate muscle tension and improve circulation to the affected areas. Additionally, consider integrating stretching and strengthening exercises into your routine, focusing on the muscles surrounding the knee and core to provide better support and stability.

As for the supplement "維骨力" (Glucosamine), its efficacy can vary among individuals. Some studies suggest that glucosamine may help reduce joint pain and improve function in some people with osteoarthritis, while others show minimal benefit. It's worth discussing with your healthcare provider whether continuing this supplement is appropriate for you, especially if you have not noticed any improvements.

In summary, managing osteoarthritis pain while remaining active involves a multifaceted approach. Here are some key recommendations:
1. Modify Exercise: Continue with low-impact activities like table tennis, but be mindful of your body's signals. If pain increases, consider reducing the frequency or duration of play.

2. Incorporate Rest and Recovery: Allow adequate time for recovery between exercise sessions, and consider using heat therapy post-activity.

3. Strengthening and Stretching: Engage in exercises that strengthen the muscles around your knees and improve flexibility. This can help stabilize the joint and reduce pain.

4. Consult Healthcare Providers: Regularly discuss your symptoms and exercise regimen with your healthcare provider or a physical therapist. They can provide tailored advice and adjustments based on your progress.

5. Evaluate Supplements: Discuss the continued use of glucosamine or other supplements with your doctor to determine their relevance to your treatment plan.

By taking a proactive and informed approach, you can manage your osteoarthritis symptoms effectively while still enjoying the physical activities you love.