Exersize with RA?

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sjkly
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   Posted 11/2/2008 9:31 PM (GMT -7)   
turn   turn turn I know that some of you can't do much in the way of exersize.  Until very recently I couldn't. But now that I feel better I want to do something. Unfortunately everytime I try to increase my walking or ride my recumbent bike my knee protests loudly.  Would love to swim but they just closed the pool and its getting really cold here-no inside pool.
Anyway (as some of you know) I have lost a lot of weight since starting plaquenil and I would like to keep losing weight (just slowly) and exersizing-on the days I can do it- increases my appitite so I can eat a bit better.
Anyway the real point-what do yo do for exersize that doesn't bother your joints?
Thank you for any suggestions.
tongue   tongue Sj tongue tongue

Ducky
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   Posted 11/3/2008 4:37 AM (GMT -7)   
Hey Sj.. I do Yoga and Pilates.. the stretching feels really good to me, and there is no impact on my hips and knees.. Have you tried it before?
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ


sjkly
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Date Joined Dec 2007
Total Posts : 2113
   Posted 11/3/2008 5:44 AM (GMT -7)   
Ducky, that may be a really good idea. I haven't tried it but the muscle strengthening and stretching should be perfect. Thank you.
Sj

Ducky
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   Posted 11/3/2008 5:57 AM (GMT -7)   
Good luck to you! I know it helps me immensely! I feel so much better after I'm done.. the stretching and breathing is key! :)
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ


momto3
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Date Joined Nov 2006
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   Posted 11/3/2008 10:02 AM (GMT -7)   
Sj..weigth training is great and have you tried the treadmill..I have noticed that my knees sometimes  hurt but they don't swell and the pain usually subsides after a few moments of walking.  I don't run or ride the bike that is just too much stress on the joints.

Ducky
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Date Joined Mar 2005
Total Posts : 3199
   Posted 11/3/2008 11:38 AM (GMT -7)   
If you go to the gym (have one available) the elliptical is also very good.. very low stress on your joints.. but my fav, is Yoga and pilates!!! :)
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ


momto3
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Date Joined Nov 2006
Total Posts : 1331
   Posted 11/3/2008 6:12 PM (GMT -7)   
Actually the elliptical is pretty hard on the knees!!! If the bike doesn't work, that won't either it is the repetition of movement (of the knees) that gets ya with the elliptical! I tried this along with my son since we do weight training a few days a week, and he kicked my behind smilewinkgrin My knees couldn't take the repetitive movement of the machine. Just be careful with it!

sjkly
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Date Joined Dec 2007
Total Posts : 2113
   Posted 11/3/2008 7:50 PM (GMT -7)   
Momto3, Ducky,
Thank you so much for your advice. Currently the walking is the thing hardest on my knees and the longer I walk the more it hurts (My knee gets more swollen the more I walk although most of that is gone a few hours later so its not synoval fluid just bogg). The recumbent bike (I got one specifically for this) has a great range of motion for me-at the extention my knee extends to like 90% of it fullest open and then I never have to bend it far. I use just enough tension to keep the motion smooth and controlled and not enough that I actually have to push on the peddles. Three times a week would probably not bother me-its the everyday thing that does it.
The walking is tougher.
I am not doing weight training right now largely because I don't know what lifting I could do with out straining the knee or the shoulder. I am doing a bit of resistence training with my upper body using a yoga band and some exersizes that came with the band. Even then I have to be careful or my shoulder swells and that hurts.

I think my rhuemy may be right-as much as I hate to admit it-and I may just have to not push so hard. Or rotate things a bit. I love the yoga idea maybe, if I can find a class I can do that a few days a week, do the bike a few days.... If I'm not trying to string together so many days on the bike I may be okay. Not much I can do about the walking I have a 70 lb beast that needs the exersize.
Anyway thanks for listening to me whine and for the great suggestions.
Sj

Ducky
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Date Joined Mar 2005
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   Posted 11/4/2008 4:28 AM (GMT -7)   
It all depends on what you can take/tolerate.. I worked with several trainers and exercise physiologists to try and find out which machines I could/couldn't work with and for me, the elliptical was the only one.. because there was no impact (like walking/running) on my knees, and no severe bends (like riding a bike) it was all fluid movement..

I couldn't tolerate weight training, as I can't grasp the barbells/dumbbells most days.. I don't have the strength to hold them tight enough to go through the sets.. :(

What kind of dog do you have Sj?
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ


leeloo67
Regular Member


Date Joined Aug 2006
Total Posts : 81
   Posted 11/4/2008 2:07 PM (GMT -7)   
When my knees were at their worst, the elliptical put a big strain on them.

For cardio I got a recumbent exercise bike, which has worked out pretty good.

That still irritates the knees a little, so I moved to the upper body a bit for cardio. This impact might not be a good idea for some, but because of my really bad knee problems I got a speedbag to move some cardio to the arms. I use gel-padded gloves (striking with bare hands is NOT a good idea).

I know - it probably doesn't sound like a very smart thing - being arthritic and running out and buying an impact-based piece of exercise equipment! But I am not using this thing like a pro or using bare hands. The key to avoiding injury is to start VERY slow and careful, no matter what you are doing. It is much better to err on the side of non-injury than to do too much and set yourself waaay back.

I'm actually currently in the third week of P90X right now, and I just modify some of the moves to reduce knee impact and strain. I tried P90X about a year ago and had to HEAVILY modify almost everything because my left knee was swollen pretty bad at that time. It was really hard, I couldn't do a lot of the exercises, many I had to modify, and I couldn't be anywhere near as intense as a "healthy" person could in doing this program, but I still shed a lot of fat and lost about 30 pounds total.

Again, trying something like P90X probably sounds really stupid, but I actually bought the program just because of the wealth of knowledge it contains on body weight and hand weight exercises that you can not only do at home, but anywhere pretty much. I didn't want to commit to a gym membership and then be in too much pain or have too much swelling to actually use the membership - I went through that a few years ago - even tried to get a refund with a doctor note and such, but that is a story for another thread...

The funnest thing P90X contains is a really good cardio workout called Kenpo X. Not a lot of impact, but a lot of arm movement (punches and blocks and such). I was even able to do it when I had the really swollen left knee. And depending on how much pain you are experiencing, it is easy to reduce or increase the "intensity" of the workout.
Arthritis (poss. RA) - Doc scripts: Enbrel 50 autoinjector, Methotrexate 5 pills/week, Folic acid. 


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 11/4/2008 7:12 PM (GMT -7)   
Leeloo-I like my recumbent bike a lot-I could not tolerate the regular stationary bike at all but the recumbernt one is great. For noe at least boxing would not work even with gell gloves because I am bruising from my meds and my finger is swollen.

Ducky I have a labrador retriever-he adopted me from an animal rescue when he was a year old-unlike typical labes he doesn't like most people. He adores me and seems to think he needs to be where ever I am. When visitors come he goes into his crate and refuses to come out until they are gone-wont even come out if they offer him treats.

I hope everyone enjoys their evening.
Sj

Ducky
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Date Joined Mar 2005
Total Posts : 3199
   Posted 11/6/2008 5:34 AM (GMT -7)   
I have a yellow lab.. she will be 2 on the 8th.. :) She likes people, as long as you throw the ball for her! :) :) :) then she will be your new best friend!!!
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR/Methotrexate
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots/HCTZ


leeloo67
Regular Member


Date Joined Aug 2006
Total Posts : 81
   Posted 11/26/2008 9:55 AM (GMT -7)   
Here is a good motivator for some of you:  on the P90X "Plyometrics" workout DVD, one of the guys has a prosthetic leg!  Plyo is very high impact but one of the persons on the DVD demonstrates how to take the impact out of many of the moves and exercises.  Me, I'm taking it easy and even skipping some of the stuff where there is too much jumping around or other stress on the knees...
Arthritis (poss. RA) - Doc scripts: Enbrel 50 autoinjector, Methotrexate 5 pills/week, Folic acid. 


Snickerdoodle
Regular Member


Date Joined Aug 2006
Total Posts : 142
   Posted 12/4/2008 2:15 PM (GMT -7)   
I think swimming is great for anyone with joint issues! Its the only thing I can do besides a 30 min walk that I dont regret the next day. Our local high school has free lap swim every day. If you dont mind being starred at by a bunch of teenagers in gym class. The YMCA charges $5/day but that adds up quick. Isnt there a Y by you? Maybe they have a month long membership for the winter months? I like stretching (cant call it yoga/pilates I lack any coordination!) I know swimming doesnt cause extra joint stress because there is no impact like running. The eliptical is very hard on knees. The bike is sometimes too. I wish I lost wt with the plaq! Im glad that you a getting some benefits with it.
Melissa
Dx: UCTD vs autoimmune spondyloarthropathy vs psoriatic arthritis (ie Limbo x5 yrs) Raynaud's, proteinuria
Rx: Plaquenil 400mg, Ultram PRN, Sulfasalazine 2 gram


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 12/4/2008 7:30 PM (GMT -7)   
Well, typical me I just went to my rhuemy on Monday-told her about my boggy knees but that otherwise I was doing great. So she told me I was wrong-not doing as great as I thought and tentitively gave me permission to attempt to take NSAIDs again. She also cut me down to one plaq-but since she is nice she scripted it for two so if I need to go back I can just call and leave a message for my chart and start taking two again.
The day after the appointment the hand (third knuckle) I told her wasn't bothering me was swollen enough to push my fingers out of position.
So, still no boxing. I am walking four days then off one riding the bike about 5 days a week and putting up with the boggy knees. I am a bit afraid to take the NSAIDs even though she said I could becasue of what happened when I first started the MTX-oops this was not supposed to turn into a whine fest. (A wine fest maybe).

leeloo67
Regular Member


Date Joined Aug 2006
Total Posts : 81
   Posted 12/12/2008 7:31 AM (GMT -7)   

What are the opinions of all your doctors about excercise?  Mine always looks very worried when I tell her about exercise I've been doing.  I get the feeling she would rather me do less than more.  She definitely doesn't encourage it at all.

I've relaxed my exercising habits over the last few weeks.  After a particularly rigorous shoulder/back workout my back kind of hurt for a few days, so I'm ready to calm down now.  Don't think it was arthritis related, just a minor injury.  I think I'm just so happy I can move again that I was on the verge of over-doing it. 


Arthritis (poss. RA) - Doc scripts: Enbrel 50 autoinjector, Methotrexate 5 pills/week, Folic acid. 

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