Can exercises help manage RA in a 64-year-old?

Question

Hello doctor,

I am a 64-year-old female who has been living with rheumatoid arthritis for several years. While I have been managing my symptoms reasonably well, I still experience some joint pain and fatigue. I want to ensure I am doing everything I can to stay active and healthy. I am not under any medication but I focus on lifestyle changes rather than medication, but I am uncertain about what that entails. What specific types of physical activities are recommended for someone with my condition, and how can I incorporate them safely into my routine?

Additionally, are there any dietary changes that might help reduce inflammation and support my joints? I am eager to learn more about natural ways to manage my arthritis and improve my overall well-being. Also, when should I consider revisiting my doctor about medication if my symptoms persist?

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

It is admirable that you manage your rheumatoid arthritis (RA) through lifestyle changes and staying active. Regular physical activity and dietary adjustments can be highly effective in reducing inflammation, improving joint health, and managing symptoms.

Activities like swimming, walking, and cycling are gentle on the joints while helping to maintain mobility and improve cardiovascular health.
Strength training using light weights or resistance bands can help build muscle around your joints, reducing stress on them.
Yoga is great for enhancing flexibility, reducing stiffness, and promoting relaxation.
Be mindful of any pain or discomfort during exercise, and always start with a warm-up to prepare your joints. It is crucial to pace yourself and avoid overexertion, which could lead to flare-ups.
In terms of diet, an anti-inflammatory eating plan can be beneficial.
Include omega-3 fatty acids from fatty fish (salmon, mackerel), walnuts, and flax seeds, as they help reduce joint inflammation. Fruits and vegetables rich in antioxidants, such as berries, leafy greens, and citrus fruits, can also lower inflammation.
Whole grains, lean proteins, and healthy fats like olive oil should form the basis of your meals. Avoid processed foods, sugary snacks, and excessive red meat, as these can trigger inflammation.

Since RA is episodic, you need to test for RA factor, ASO (antistreptolysin O) titer, CRP (C-reactive protein), and ESR (erythrocyte sedimentation rate), based on results you may need to restart medicines. Discussing medication options or adjustments to your lifestyle plan could help you maintain a good quality of life.

I hope this information will help you.

Thanks.