Managing Joint Health: Exercise and Arthritis Concerns for Young Adults - Physical Fitness

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I do not smoke; I exercise more than three times a week and have arthritis.
I have irregular medical check-ups and have experienced chest pain during inactivity, along with skeletal or joint issues that may worsen with activity.
I have other discomforts related to activity.
My height is 172 cm, weight is 70 kg, and my BMI is 23.66 (normal).
Flexibility: 40 (very good).

------(The above is the online assessment result)------
Hello Dr.
Cheng: I have moderate arthritis, but is exercising two to three times a week too much? Additionally, I have been on long-term medication without improvement.
I am still young; will this lead to the need for a joint replacement in the future?

Qiaolun, 20~29 year old female. Ask Date: 2002/05/21

Dr. Zheng Shunping reply Physical Fitness


Hello Ms.
Chiao-Lun: Moderate arthritis (is it rheumatoid arthritis?) exercising two to three times a week is appropriate, but avoid excessive movement of the knee joint, such as hiking or running.
If long-term medication has not improved the condition, it is recommended to visit a nearby hospital for evaluation and treatment by a rehabilitation specialist.

Reply Date: 2002/05/21

More Info


Managing joint health is a crucial concern for young adults, especially those who are physically active and may have pre-existing conditions such as arthritis. Your situation, where you experience moderate arthritis yet maintain a regular exercise routine, raises important questions about the balance between physical activity and joint health.

Firstly, it's essential to understand that exercise is generally beneficial for joint health. Regular physical activity helps maintain a healthy weight, strengthens the muscles around the joints, and improves flexibility and range of motion. However, the type and intensity of exercise are critical factors to consider, especially for individuals with arthritis. High-impact activities, such as running or jumping, can exacerbate joint pain and lead to further deterioration of joint health. In contrast, low-impact exercises like swimming, cycling, or walking can provide the benefits of exercise without putting excessive strain on the joints.

In your case, exercising two to three times a week is not inherently too much, but it depends on the nature of the activities you are engaging in. If your workouts include high-impact exercises that aggravate your joint pain, it may be wise to modify your routine. Incorporating strength training, flexibility exercises, and low-impact aerobic activities can be beneficial. Additionally, consider consulting with a physical therapist or a sports medicine specialist who can tailor an exercise program to your specific needs and limitations.

Regarding your concern about the long-term effects of arthritis and the potential need for joint replacement surgery, it's important to recognize that not all individuals with arthritis will require such interventions. The progression of arthritis varies significantly among individuals. Factors such as genetics, the severity of the condition, lifestyle choices, and adherence to treatment plans all play a role in determining the trajectory of joint health.

If you have been on long-term medication without significant improvement, it may be time to revisit your treatment plan with your healthcare provider. There are various treatment options available for managing arthritis, including physical therapy, lifestyle modifications, dietary changes, and possibly alternative therapies. Additionally, some patients benefit from newer medications or injections that can help alleviate pain and improve joint function.

It's also worth noting that maintaining a healthy weight is crucial for managing arthritis. Excess weight can place additional stress on weight-bearing joints, such as the knees and hips, potentially worsening symptoms. Your BMI of 23.66 is within the normal range, which is beneficial for joint health. However, if you notice any weight fluctuations, it may be worth addressing them proactively.

In summary, while exercise is vital for maintaining joint health, the type and intensity of the activity should be carefully considered, especially for those with arthritis. Regular consultations with healthcare professionals, including rheumatologists and physical therapists, can help you develop a comprehensive plan that addresses your joint health concerns while allowing you to stay active. By taking a proactive approach to managing your arthritis, you can potentially reduce the risk of further joint damage and improve your overall quality of life.

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