Exercise Can Reduce Joint Pain
Exercise can help reduce stiffness and pain, and it can also help you lose weight, which takes pressure off aching joints. Losing as few as 11 pounds can cut the risk of developing knee osteoarthritis by 50% for some women. Although OA typically affects the knees, your hips, hands, lower back, and neck may also be affected. Always ask your doctor before doing any exercise for pain. Depending on the cause and intensity of your pain, some exercises may not be recommended and can be harmful.
Warming Up Is Critical
Warming up with gentle stretching can help get your body ready for your workout. Gentle stretches such as side bends, shoulder shrugs, arm circles, overhead stretches, and bending to reach (but not touch) your toes are all good warm-up exercises. Do three to five repetitions of each. If you are swimming or walking, you can also warm up with a slower swim or walk.
Joint-Friendly Aerobic Exercises
If you have OA in your knees or hips, you want to avoid any jolting exercise like jogging that causes your feet to pound the ground. Lower-impact aerobic activities such as walking, swimming, bicycling, and water aerobics are easier on your joints. They can also help you slim down. Aim for 30 minutes of low-impact aerobic activity on most days of the week -- work up to that total if you need to start slow.
Tai Chi and Yoga for OA
Tai chi, an ancient Chinese exercise, incorporates slow, gentle movements. It may help with joint pain and flexibility and your balance. Yoga typically involves deep breathing, stretching, and poses that tone, strengthen, and align the body. Both of these low-impact exercises are easy on the joints and can improve flexibility and muscle strength. Look for classes in your community.
Lat Stretch
The latissimus dorsi is the broadest muscle in your back. Stand with your back straight and feet shoulder-width apart. Hold your arms above your head, and hold one hand with the other. Pull upward while leaning straight over toward your right side. Keep your lower body straight. You should feel the pull along your left side. Hold for 15 to 30 seconds, then switch sides. Do this 2 to 4 times on each side.
Tricep Stretch
Your tricep runs along the back of your upper arm. To stretch it, stand with your back straight and your feet shoulder-width apart. To stretch your left tricep, bend your left arm and bring your elbow straight up so that it points to the ceiling. Grab your elbow with your right hand, and pull your elbow toward your head. You should feel the stretch along the back of your bent arm. Hold 15 to 30 seconds, then switch elbows. Repeat 2 to 4 times on each arm.
Calf Stretch
Place your hands on a wall, back of a chair, countertop, or tree. Now step back with your left leg. Keep it straight, and press your left heel into the floor. Push your hips forward and bend your right leg slightly. You should feel the stretch in your left calf. Hold for 15 to 30 seconds. Repeat 2 to 4 times for each leg.
Quadriceps Stretch
You'll feel this stretch in your quad muscles along the front of your thigh. If it causes knee pain, stop. First, balance on your left foot. Bend your right knee, raising your ankle to your hand. Grab hold of your ankle, pulling your foot towards your butt to deepen the stretch. Hold 15 to 30 seconds. Repeat 2 to 4 times for each leg. Can’t reach your foot? Loop a towel around your ankle to extend your reach.
Groin Stretch
Stretch your groin, or inner thigh muscles, by sitting on the floor with the soles of your feet pressed together. Grab your ankles and gently pull your legs toward you. Go only as far as you can. Use your elbows to press your knees toward the floor. You should feel the stretch in your inner thighs. Hold your groin stretch for 15 to 30 seconds, and repeat it 2 to 4 times.
Hamstring Stretch
Your hamstring muscles run down the back of your thigh. Stretch them by sitting up straight in a chair with one foot on the floor. Slowly raise the other leg, while keeping your knee straight. Support your leg with both of your hands. Hold this for 15 to 30 seconds, and repeat 2 to 4 times on each leg.
Weight Training
Strengthening exercises such as weight training help you build the muscles that support your joints. This can be done using hand weights or even a 1-liter water bottle. Start with weights that you can lift 12 to 15 times without slouching or poor form. Talk to a physical therapist or trainer to help design the best strengthening program for you.
Exercise and OA: Develop Your Plan
Mix up your exercise to keep your joints in tip-top shape and your workout routine fresh and fun. Do low-impact aerobic exercises such as walking. Add in gentle stretches with yoga or tai chi, plus range of motion exercises. Weight training can round out your routine. A well-rounded conditioning program can help improve your ability to move, stay limber, and increase muscle strength.
Reviewed by David Zelman, MD on September 19, 2012
This tool does not provide medical advice. See additional information: 
© 2010 WebMD, LLC. All rights reserved.
Osteoarthritis Poll
Important Safety Information About Cymbalta®
The most important information you should know about Cymbalta:
Antidepressants can increase suicidal thoughts and behaviors in children, teens, and young adults. Suicide is a known risk of depression and some other psychiatric disorders. Call your doctor right away or seek emergency help if you have new or worsening depression symptoms; unusual changes in behavior, such as agitation, irritability, impulsivity, or restlessness; or thoughts of suicide. Be especially observant within the first few months of treatment or after a change in dose. Approved only for adults 18 and over.
Cymbalta may be associated with serious side effects. Call your healthcare provider right away or seek emergency help if you experience any of the following:
- Itching, right upper-belly pain, dark urine, yellow skin/eyes, or unexplained flu-like symptoms, which may be signs of life-threatening liver problems. Severe liver problems, some fatal, have been reported
- High fever, confusion, stiff muscles, muscle twitching, or racing heart rate, which may be signs of serotonin syndrome, a potentially life-threatening condition
- Abnormal bleeding, especially if Cymbalta is taken with aspirin, NSAID pain relievers (like ibuprofen or naproxen), or blood thinners
- Serious, possibly life-threatening skin reactions, which may include skin blisters, peeling rash, mouth sores, hives, or other allergic reactions
- Abnormal mood (mania), which may include greatly increased energy, severe trouble sleeping, racing thoughts, talking more or faster than usual, and reckless behavior
- Seizures or convulsions
- Decreased blood pressure upon standing, which can cause dizziness or fainting, mostly when first starting or increasing the dose. Cymbalta can also increase blood pressure. Your healthcare provider should check your blood pressure prior to and while taking Cymbalta
- Headache, weakness or feeling unsteady, confusion, problems concentrating, or memory problems, which may be signs of low sodium levels in the blood. Elderly people may be at greater risk
- Problems with urination, including decreased flow or inability to pass any urine
- Changes in appetite or weight. Children and adolescents should have height and weight monitored
Do not stop Cymbalta or change your dose without talking to your healthcare provider, as you could have side effects.
Cymbalta is not for everyone. Do not take Cymbalta if you:
- Are taking or have recently taken a monoamine oxidase inhibitor (MAOI), including the antibiotic linezolid, or Mellaril® (thioridazine). Taking Cymbalta close in time to these medicines can cause serious or even life-threatening side effects
- Have uncontrolled narrow-angle glaucoma (eye pain due to increased eye pressure)
Before taking Cymbalta, talk with your healthcare provider:
- About all your medical conditions, including
- kidney or liver problems, heart problems, or high blood pressure
- glaucoma or diabetes (Cymbalta may worsen diabetes or a type of glaucoma)
- seizures/convulsions, mania, or if you have bipolar disorder
- if you have ever had or been told you have bleeding problems, low sodium levels in your blood, or delayed stomach emptying
- About all prescription and over-the-counter medicines and supplements you take or plan to take, including
- antibiotics or medicines for migraine, mood, or psychotic disorders, to avoid a potentially life-threatening condition when taken with Cymbalta
- aspirin, NSAID pain relievers, or blood thinners, because they may increase risk for bleeding
- About your alcohol use (you should not take Cymbalta if you drink heavily)
- If you are pregnant or plan to become pregnant during therapy or are breast-feeding
Most common side effects of Cymbalta (this is not a complete list):
Nausea, dry mouth, sleepiness, fatigue, constipation, decreased appetite, increased sweating, dizziness. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Other safety information about Cymbalta:
- Cymbalta may cause sleepiness and dizziness. Until you know how Cymbalta affects you, you shouldn't drive a car or operate hazardous machinery
- People age 65 and older who took Cymbalta reported more falls, some resulting in serious injuries
How to take Cymbalta
Take Cymbalta exactly as directed by your healthcare provider. Do not open, break, or chew capsule; swallow it whole. Cymbalta is available by prescription only.
See Prescribing Information, including Boxed Warning about antidepressants and risk of suicide, and Medication Guide.
DD CON ISI 02OCT2012
©Lilly USA, LLC 2012. All rights reserved.
Cymbalta is a registered trademark of Eli Lilly and Company.
DD80746 11/2012
From Our Sponsor
Content under this heading is from or created on behalf of the named sponsor. This content is not subject to the WebMD Editorial Policy and is not reviewed by the WebMD Editorial department for accuracy, objectivity or balance.
