When our joints hurt, our instinct whispers "don't move." Yet our
muscles weaken from not being used enough. When weak, they can't support our
weight. This increases pressure on the joints and causes greater pain.
"The muscles are what help to bear the stress on the joint," says
Bernard Rubin, chief of rheumatology at the University of Texas Health Sciences
Center. To break this damaging cycle, turn to strength training.
Not everyone develops all of the following symptoms of ankylosing spondylitis, arthritis of the spine. What you experience depends on the severity of the condition:
Stiffness and pain in the lower back, buttocks, and hips upon waking in the morning or after a period of inactivity
Back pain relieved by movement and exercise
Difficulty bending the spine
Pain in the hips and difficulty walking
Pain in the heels and soles of the feet
Pain in the jaw, the temperomandibular joint (...
You'll find that you can actually ease joint pain by building strong
muscles. That's not all. The more muscle mass you have, the more energy you
burn while at rest, which helps you stay at a healthy weight. Also, strength
training may reduce your risk for osteoporosis (brittle bones). "The
stronger your muscles are, the less likely you are to injure yourself" if
you take a spill, Rubin says.
Before starting to do strength training with free weights or a machine, you
should talk to your doctor to find out what kind of program is best for you,
and you may want to have an instructor supervise your workout rather than do it
on your own. Of all exercises, the risk for injury is greatest with
If you lift weights the wrong way, or try to lift too much too soon, you
could tear a muscle or get tendonitis (painful inflammation of the tendon).
What's more, if you're not working all the muscle groups equally, your posture
and balance can be thrown off. So it's a good idea to have someone teach you
how to do it properly.
There are more plusses to working with an instructor than there are minuses,
so don't scratch strength training off your list yet.
Geri Neuberger, a nursing professor at the University of Kansas Medical
Center, recently did a study on older men and women in which one group
exercised with a trainer three times a week. "They got pretty attached to
that person," she says. In addition to the bond you might develop with your
trainer, you could make new friends if you work out with a group.
"We all get sloppy and lazy," Rubin says. If you have someone to
supervise your workout, you will be less likely to cut corners and do your
exercises the wrong way. "When you're in a class you tend to do what the
other people are doing," Neuberger adds.
In general, you should do strength training exercises two or three times a
week, not every day. You need to have at least one day off between workouts so
your muscles can rest. You should work with free weights as well as with
machines because slight differences in the way your muscles are exercised lead
to better results.
Keep in mind that getting results from strength training doesn't mean you
have to end up with legs like tree trunks and biceps that tear your
shirtsleeves. If you gain enough strength to do things like climb stairs and
carry groceries with less pain, your efforts will have been worthwhile.
To get started with strength training, contact your local Arthritis
Foundation office, YMCA, YWCA or senior center. They may offer a program, or be
able to direct you to a well-regarded gym.