{"id":603,"date":"2010-04-27T04:56:36","date_gmt":"2010-04-27T11:56:36","guid":{"rendered":"https:\/\/blog.brianschiff.com\/?p=603"},"modified":"2010-04-27T04:56:36","modified_gmt":"2010-04-27T11:56:36","slug":"exercise-reducing-hip-knee-arthritis","status":"publish","type":"post","link":"https:\/\/blog.brianschiff.com\/?p=603","title":{"rendered":"Exercise & Reducing Hip & Knee Arthritis"},"content":{"rendered":"

It is no secret that Americans are trying to stay more active well into their baby boomer years and beyond.\u00a0 The million dollar\u00a0question is how will what\u00a0you do today affect\u00a0your joints down the road.\u00a0<\/p>\n

Scholars, scientists and medical experts do not seem to agree 100% on what is too much, but most tend to agree that excessive running, obesity, irregular or unusually intense activity (think weekend warriors here), muscular weakness and even decreased flexibility may all contribute to arthritis.<\/p>\n

The New York Times recently ran a story about the cost of total joint replacement and suggestions on how people can be proactive to reduce the risk and debilitating effects of arthritis.\u00a0 Click here\u00a0to read the article<\/strong><\/a>.<\/p>\n

I think one of the most amusing yet ironic things about science is that it often contradicts itself.\u00a0 Obviously, we know being overweight increases stress on the load bearing joints.\u00a0 Most people would also knowingly acknowledge that improved strength and flexibility would make for healthier knees and hips.\u00a0<\/p>\n

The big question mark for me is impact loading, or simply the argument of whether to run or not to run.\u00a0 Some docs say no way.\u00a0 Others say yes.\u00a0 Yet others offer more ambiguous words on the subject.\u00a0 So, what do I think?<\/p>\n

I honestly believe there may be no absolute answer.\u00a0 I am not convinced running on a treadmill is all that much better for you as some would suggest either.\u00a0 My body tells me blacktop surfaces are better than cement sidewalks, while the soft earth is better yet still.\u00a0 I use the treadmill in the winter and for speed work but if you run events too much treadmill work will let you down on race day as the body is ill prepared.\u00a0<\/p>\n

Much like exercise prescription, I think joint loading and tolerance is a very individual matter indeed.\u00a0 Biomechanics, posture, training history, medical history, repetitive movements, footwear, nutrition, body type, recovery, etc are just a few of the variables one must consider when passing judgment on exercise prescription and limits.<\/p>\n

Beyond that, the best indication to reduce or remove an activity for a short bit or long term is obviously pain.\u00a0 But before doing so, one must correctly identify the source of the pain.\u00a0 At times, the pain may seem like a joint issue when in fact it could simply stem from poor muscle recruitment, lack of mobility or faulty movement patterns thereby subjecting joints to undue stress.<\/p>\n

I say all this to say we must be careful in saying\u00a0one should not do something definitively.\u00a0 Some folks run well into their 80’s without issues.\u00a0 Others break down after one endurance event.\u00a0 In the end, we must face facts.\u00a0 The human body is complex and no two people are exactly alike.\u00a0 I had left hip pain years ago that felt like arthritis.\u00a0 My orthopd\u00a0told me the x-ray showed a few mild bone spurs and mild hip dysplasia.\u00a0<\/p>\n

His advice?\u00a0 Quit running.\u00a0 I did for 6 months and the pain did not subside.\u00a0 So, I began a progressive running program and changed up my strength training to more single leg based work.\u00a0 Guess what?\u00a0 My pain went away 100%.\u00a0 This tells me the impact itself was not likely the cause of my pain, but more likely a muscle imbalance that I overcame through more efficient strength training.<\/p>\n

We must look at science, anecdotal findings and clinical experience to pull out general patterns and thoughts all the while continuing to use assessment, feedback and results to lead us to the best conclusion for each client, patient or athlete.\u00a0 You must use all this information to make the best decision for your situation as well.<\/p>\n","protected":false},"excerpt":{"rendered":"

It is no secret that Americans are trying to stay more active well into their baby boomer years and beyond.\u00a0 The million dollar\u00a0question is how will what\u00a0you do today affect\u00a0your joints down the road.\u00a0 Scholars, scientists and medical experts do not seem to agree 100% on what is too much, but most tend to agree […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,3,43,31,12],"tags":[88,84,87,85,86],"class_list":["post-603","post","type-post","status-publish","format-standard","hentry","category-arthritis","category-fitness","category-hip","category-knee","category-running","tag-arthritis-exercise","tag-hip-arthritis","tag-joint-pain","tag-knee-arthritis","tag-total-joint-replacement"],"yoast_head":"\nExercise & Reducing Hip & Knee Arthritis - Brian Schiff's Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blog.brianschiff.com\/?p=603\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Exercise & Reducing Hip & Knee Arthritis - 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