It's a catch-22 when you have knee pain from osteoarthritis. It hurts, so you don't want to move. But if you exercise, it can eventually make your knees feel better.
"I've gone a period of time when I haven’t moved a joint much and, when I first start, it's a little bit sore," says Denver physical therapist Eric Robertson, who has osteoarthritis. Robertson knows what it's like to be achy when he first starts moving. Your knee may hurt and ache, but it shouldn't keep you from doing your usual activities, he says.
The pain of arthritis makes it tough for many people to get a good night’s sleep. Worse yet, tossing and turning at night can actually increase the perception of pain.
“There’s a reciprocal relationship between pain and poor sleep. The poorer people sleep, the more pain they tend to be in,” says Kevin Fontaine, PhD, assistant professor of rheumatology at Johns Hopkins University. “If people with arthritis can improve the quality of their sleep, they can usually reduce their day-to-day pain.”
If you have OA, you may be a little uncomfortable when you first begin moving, because there's some inflammation in your knee, says Jemima Albayda, MD. She's a rheumatologist at Johns Hopkins University. "But when you start walking, it should feel better."
There are many ways that walking helps ease the pain of knee OA.
Rebuilds joints. When you have OA, cartilage -- the springy tissue in your joints that acts like a shock absorber for your knees -- can become damaged and worn. The result: pain, stiffness, and problems moving. Exercise can help rebuild the joint, says Robertson. "Cartilage is like a sponge, and it gets nutrients from the compression and decompression of your body weight as you walk."
Strengthens your legs. Walking builds your muscles so they can take the pressure off your joints and handle more of the weight themselves. That means less pain for your knees.
Helps you lose weight. For every pound you lose, there's four times less pressure and stress on your knees. When there's less pressure, there’s less pain. That can make a big difference to painful joints. Walking is a great low-impact way to help you lose extra weight, Albayda says.
Listen to Your Body
To stay healthy, you should get 30 minutes of exercise most days of the week. You don't have to get it all at once -- 10 minutes of walking here and there is a great idea. But don't push yourself, says Albayda.
"Some people get so excited that they overdo it and get sore the next day. I always say try a little bit one day, and see how you do."
Some warning signs that you should stop:
Sudden increase in swelling
Pain so severe you can’t stand on one leg
Feeling unstable, like you might fall down
Aches and pains, higher than a 4 or 5 on a scale of 1 to 10