Inflammatory joint disease and exercise: Why movement is key to joint health

Written in association with: Dr Julekha Wajed
Published: | Updated: 25/11/2024
Edited by: Conor Lynch

Inflammatory joint diseases, such as rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis, affect millions worldwide and cause pain, stiffness, and swelling. These conditions often lead patients to avoid physical activity due to discomfort or fear of worsening symptoms. However, exercise is increasingly recognised as a key element in managing inflammatory joint disease and maintaining joint health.

Importance of exercise for joint health

When dealing with inflammatory joint conditions, one of the primary goals of exercise is to preserve and enhance joint flexibility. Regular movement helps prevent joints from becoming stiff, which can worsen pain over time. Physical activities, particularly those that are low-impact, like swimming, cycling, or walking, keep the joints supple, improve range of motion, and help maintain joint function.

 

For those with joint inflammation, it’s beneficial to focus on exercises that avoid excessive impact on the joints while still promoting full movement. For example, water-based activities support the body’s weight and reduce the strain on inflamed joints, making it easier and less painful to exercise.

 

Exercise also strengthens the muscles surrounding the joints, which provides additional stability and reduces strain on the joint itself. Stronger muscles help to absorb the shock of everyday movements and make it easier to perform daily activities without pain. A balanced exercise regimen often includes a combination of aerobic conditioning, muscle-strengthening exercises, and flexibility routines.

 

Strengthening exercises, such as resistance training with light weights or resistance bands, build muscle around the affected joints without excessive strain. Similarly, yoga and Pilates promote gentle, controlled movements that improve both muscle strength and flexibility, enhancing support for inflamed joints.

 

Beyond physical benefits, exercise also has mental health benefits, helping to reduce stress, anxiety, and depression, which are often linked with chronic pain conditions. Endorphins released during exercise can help alleviate pain perception and improve mood.

 

Consulting a healthcare provider or physical therapist before beginning a new exercise routine is essential for those with inflammatory joint disease, as they can help tailor a program to individual needs and limitations. With a personalized, consistent exercise regimen, individuals with inflammatory joint disease can experience reduced pain, better mobility, and improved overall well-being.

By Dr Julekha Wajed
Rheumatology

Dr Julekha Wajed has been an NHS Consultant Rheumatologist for over 10 years, serving privately as a consultant Rheumatologist at Guildford Nuffield Health and Kingston private health. She specialises in inflammatory arthritis, gout, osteoarthritis, ankylosing spondylitis, polymyalgia rheumatica, osteoporosis and joint/ soft tissue injections. 

A graduate of Manchester University in 2003, Dr Wajed undertook her medical training in Hammersmith Hospital, London, followed by specialized training in Rheumatology and general internal medicine within the South Thames London. She holds an FRCP, a fellowship with the Royal College of Physicians, has passed the Rheumatology Specialty certification exam and awarded an MSc with Merit, in Rheumatology, from King’s College London.

Throughout her career, Dr Wajed has received numerous accolades, including the prestigious Barbara Ansell Prize and the Eric Bywaters runner-up prize at the Royal Society of Medicine. She was also awarded a travelling fellowship through the British Society of Rheumatology.

Dr Wajed has been involved with multiple research projects, including work on cardiovascular risk factors in SLE, modular assessment of Psoriatic arthritis and pain perception in osteoarthritis, which has led to publications in peer-reviewed journals, including Rheumatology and Annals of Rheumatic Diseases. She has been the author of several interesting case reports and has presented her work at both British and European Rheumatology conferences.

In addition to her clinical practice, Dr Wajed has held leadership positions on clinical effectiveness and audit committees, where she has spearheaded improvements in services for managing early inflammatory arthritis.

Dr Wajed’s approach to care emphasizes a patient-centred model, blending medical treatment with exercise, education and holistic initiatives, to support patients in managing their conditions most effectively.

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