Stationary Bike Offers Low-Impact Exercise for Arthritis Sufferers

Question: I have arthritis in my toes and sometimes my hands and elbows, too. I try to walk for exercise, but when my toes get really sore, this isn’t easy. Do you have any alternatives for exercise with arthritis?

PATRICK WILTON

Winter Park, Fla.

Answer: Your walking routine is a great low-impact exercise for someone with arthritis, but when you have a flare-up in your toes, opt for a stationary bicycle.

A recumbent bike would be most useful because the position of the pedals puts very little strain on your toes.

Additionally, be sure you have supportive shoes and that, for toe protection, the toe box isn’t too flexible.

Adapt these guidelines into your workouts to help manage your arthritis:

* Use low-intensity cardiovascular exercises during the initial portion of your exercise regimen (walking and cycling are perfect choices).

* If necessary, do a little exercise at a time, say 10 minutes, and take breaks in between.

* Always do an adequate warmup for your muscles and joints, and stretch after you exercise.

* Do some form of mild stretching daily, even on days when your disease flares and your normal vigorous activity is not an option.

* Avoid any activity that causes increased joint pain after you exercise (this includes high-impact and contact sports).

* Be prepared for some muscle and joint discomfort. This is a normal response to exercise for muscles and, maybe in your case, your joints, especially when you first begin a fitness routine. But if the pain persists or is severe, contact your physician.

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Stephanie Oakes is the fitness correspondent for Discovery Health Channel and a health/fitness consultant. Questions may be e-mailed to stephoakes@aol.com. She cannot respond to every query.