Weight-bearing exercises, such as walking, can help prevent a loss of bone density (osteoporosis), which can result from rheumatoid arthritis. Studies indicate that exercise will not worsen rheumatoid arthritis symptoms.
The World Health Organization (WHO) recommends adults get 150 minutes of moderate exercise each week, and this includes those suffering with rheumatoid arthritis.
At this point, any form of exercise no longer produces relief, and the disease has progressed to a point where the cartilage has completely worn away, and bone is rubbing against bone. So, walking and any attempt to become physically active may cause great difficulty and worsening of pain.
With RA, the ligaments that support the midfoot become weakened and the arch collapses. With loss of the arch, the foot commonly collapses and the front of the foot points outward. RA also damages the cartilage, causing arthritic pain that is present with or without shoes.
Walking is recommended for people with arthritis as it's low impact, helps to keep the joints flexible, helps bone health and reduces the risk of osteoporosis. If you do experience pain or you're very stiff afterwards try doing a bit less, factor in more rest and check in with your GP, if you need to.
The difficult nature of rheumatoid arthritis can mean some people develop depression or feelings of stress and anxiety. Sometimes these feelings can be related to poorly controlled pain or fatigue. Living with a long-term condition makes you more likely to have emotions such as frustration, fear, anger and resentment.
“If you are experiencing flares more frequently, usually manifesting as increased pain, stiffness, and swelling, your RA could be getting worse,” adds Dr. Ghosh. Stiffness that accompanies RA is most prominent after long periods of inactivity, such as in the morning after waking up, explains Dr. Ghosh.
When you're in pain and feel fatigued, being physically active may be the last thing on your mind. But research shows that exercise helps to relieve rheumatoid arthritis (RA) symptoms and improve day-to-day functioning.
At the height of your flare, you may need complete bed rest. Your body may not give you any choice. But try not to stay in bed for more than a day or two. Spending too much time lying on the bed or sofa will make you stiff and increase your pain.
Exercise helps ease arthritis pain and stiffness
Everyone needs exercise, but it's especially important for people with arthritis. Exercise increases strength and makes moving easier. Exercise reduces joint pain and helps fight tiredness.
It is not uncommon to feel 'wobbly' or unsteady on your feet after sitting for a long period. It can be due to reduced blood flow, tight muscles and ligaments, fluid pooled in the body's lower extremities, or pins and needles sensations in the feet.
Pushing through pain is not the thing to do. If your joints are hot or swollen, exercise can increase the damage and cause more pain. Remember, arthritis pain and pain from a strenuous workout are not the same. A little soreness a day or two after a workout is OK.
And even if you're not flaring, you may not manage your pain as well if you're not sleeping. “When you sleep, you make all those brain chemicals that you need to feel better. If you're not rested, you don't have all of these good hormones. So it may be more difficult to handle your pain.”
Give it a rest.
However, when you are experiencing a flare, sometimes the best thing you can do for your arthritis is rest and allow your body to recharge. Finding balance between activity and rest is especially important during a flare.
How long do RA flares last? The length of time an RA flare lasts can vary widely, from a few hours to several days or weeks. If a flare does not improve after 7 days, it may be a good idea to contact a physician. The doctor may suggest adjusting the person's medication.
Joint stiffness caused by rheumatoid arthritis may be relieved by gentle stretching that gets blood flowing and joint fluids moving. Many health care practitioners recommend doing gentle stretches each day to ease the joint stiffness. These stretches may also help maintain or even improve the joints' range of motion.
There are good reasons for people with rheumatoid arthritis to stay physically active: Exercise and sports improve physical fitness and strength, and they can also help reduce disease-related exhaustion. A number of different sports are easy on the joints and suitable for people with rheumatoid arthritis.
Visibly swollen and tender joints can be a common sign. “It is a good idea to monitor which of your joints are affected by pain, stiffness, and/or swelling, as these may change from day to day and may increase over time, especially if your disease is undertreated,” said Dr.
Overexertion, poor sleep, stress or an infection like the flu can all set off RA symptoms. With a predictable flare you'll temporarily feel worse, but your symptoms will resolve in time. Unpredictable flares have more uncertainty associated with them.
Rheumatoid arthritis signs and symptoms may vary in severity and may even come and go. Periods of increased disease activity, called flares, alternate with periods of relative remission — when the swelling and pain fade or disappear.
The joint pain associated with rheumatoid arthritis is usually a throbbing and aching pain. It is often worse in the mornings and after a period of inactivity.
The flare prevalence was 4–11 % per visit; 67 % of the patients experienced ≥1 flare during 9 years of treatment (median 0 per patient per year).