Physical Therapy Arthritis Exercises to Relieve Pain: Safe Movement for Lasting Joint Health

Physical Therapy Exercises to Relieve Arthritis Pain: Safe Movement for Lasting Joint Health

2025-06-10

Exercise may seem counterintuitive when you’re in pain — but for people with arthritis, movement is medicine.

Regular, well-guided physical activity can reduce inflammation, strengthen joint-supporting muscles, improve flexibility, and even delay disease progression. In fact, the American College of Rheumatology and the Indian Orthopaedic Association both recommend tailored physical therapy as a first-line intervention for osteoarthritis, rheumatoid arthritis, and other chronic joint conditions.

At L&B Clinic, physical therapy is a core part of our integrative arthritis treatment program in delhi. Our team combines clinical diagnostics with personalized movement prescriptions — ensuring that every patient gets exercises that are safe, effective, and suited to their condition.

How Exercise Helps Arthritis

According to a 2020 study in The Lancet Rheumatology, structured movement therapy was shown to:

  • Reduce joint pain by 23–40%

  • Improve mobility and range of motion

  • Lower systemic inflammation (via IL-6 and CRP reduction)

  • Delay the need for joint replacement in osteoarthritis patients

Mechanically, exercise helps:

  • Lubricate joints by stimulating synovial fluid

  • Preserve cartilage through nutrient delivery

  • Stabilize joints by strengthening surrounding muscles

  • Prevent stiffness through improved blood flow and flexibility

Exercise Guidelines for Arthritis Patients

L&B Clinic follows international and Indian rehabilitation protocols to ensure low-risk, high-benefit exercise therapy.

General Guidelines:

  • Start slow and warm up gently

  • Use pain as a guide (never force movement)

  • Focus on low-impact, joint-safe exercises

  • Consistency > intensity

  • Include breathing and mindfulness for pain regulation

Note: All exercises should be customized based on diagnosis (e.g., OA vs RA) and current inflammation status.

Top Arthritis-Friendly Exercises by Category

1. Joint Mobility & Range of Motion

These exercises help maintain joint flexibility and reduce stiffness.

Exercise

Description

Wrist circles

Rotate wrists slowly 10x in each direction

Ankle pumps

Flex and point toes repeatedly while seated

Shoulder rolls

Roll shoulders forward/backward in circular motion

Knee extensions

Straighten knee from seated position, hold for 5 seconds

🕒 Frequency: Daily, 5–10 mins per joint group
✔ Safe for: Osteoarthritis, early-stage RA, gout remission phase

2. Low-Impact Aerobic Workouts

These improve endurance and cardiovascular health without stressing joints.

Activity

Benefits

Walking (flat surface)

Improves mobility, reduces stiffness

Stationary cycling

Enhances leg strength with minimal load

Water aerobics

Full-body joint-safe conditioning

Elliptical machine

Controlled motion, low impact on knees/hips

🕒 Frequency: 3–5 days/week, 20–30 minutes
✔ Safe for: Knee/hip OA, RA, PsA, metabolic-linked arthritis

3. Stretching & Flexibility Routines

Stretching prevents contractures and reduces muscle tightness.

Stretch

Focus Area

Calf stretch

Ankle/knee mobility

Quadriceps stretch

Knee joint support

Neck stretch

Cervical spine tension relief

Wrist flexor/extensor stretch

Hand and finger arthritis

🕒 Frequency: After warm-up or daily before bed
✔ Safe for: All arthritis types (when inflammation is controlled)

4. Strength Training for Joint Stability

Building strength supports joints and improves balance.

Exercise

Equipment

Muscles Targeted

Chair squats

None

Glutes, quads

Resistance band rows

Band

Back, shoulders

Wall push-ups

Wall

Upper body, wrists

Step-ups (low platform)

Step box

Hips, legs

🕒 Frequency: 2–3 times/week
✔ Safe for: OA, early RA, post-flare PsA, AS (with professional supervision)

5. Yoga & Mindful Movement

Yoga improves flexibility, posture, and mental resilience — all crucial for chronic pain management.

Pose

Benefits

Cat-Cow Stretch

Spinal mobility

Bridge Pose

Glute and back strength

Warrior 2

Hip and ankle endurance

Seated Forward Bend

Hamstring flexibility and relaxation

🕒 Frequency: 2–3 sessions/week
✔ Safe for: RA, AS, OA, stress-related joint pain

Always practice under guidance to avoid hyperextension.

L&B Clinic’s Stepwise Physical Therapy Plan for Arthritis

Phase

Focus

Approach

Assessment

Identify pain points, limitations, and risks

Joint screening, mobility tests, history taking

Acute Phase Care

Minimize pain, avoid flare triggers

Gentle mobility exercises, compression, rest guidance

Stabilization

Rebuild muscle tone and joint control

Resistance bands, Pilates-based therapy

Maintenance

Prevent regression and improve QOL

Personalized daily activity plan, yoga integration

Each program is co-designed by L&B’s physiotherapy and integrative care team, with modifications based on lab markers, age, inflammation stage, and comorbidities.

Expert View: Dr. Deepika Krishna

“Arthritis recovery doesn’t begin in the gym — it begins with listening to the body. We use movement as medicine, designed not to push limits, but to gently rebuild trust in the joints. Every protocol is personalized, and progress is measured not just in steps, but in ease of living.”

FAQs On Arthritis Exercises To Relieve Pain

1. Can exercise make arthritis worse?

Not when prescribed correctly. Movement reduces stiffness and supports cartilage health. Avoid high-impact or unsupervised routines.

2. What exercises should I avoid with arthritis?

Deep squats, high-impact jumping, or twisting under load should be avoided without professional clearance.

3. Is walking good for arthritis?

Yes, it’s one of the safest and most effective aerobic exercises for arthritis — especially when done with cushioned footwear and even terrain.

4. How soon can I expect results?

Improvements in stiffness and joint function are often noticed within 2–4 weeks of consistent practice.

5. Can I do these exercises during flare-ups?

During active flares, rest is prioritized. Gentle range-of-motion activities may be included under supervision.

Conclusion

Physical therapy is not optional in arthritis care — it’s essential. When done right, it improves mobility, reduces dependency on medication, and empowers patients to regain confidence in their bodies.

At L&B Clinic, our movement programs are medically supervised, customized, and integrated with nutrition and lifestyle guidance to support long-term joint health.

Book a consultation today to start your arthritis-safe exercise journey with clinical precision and compassionate care.


Medically Reviewed by: Dr. Deepika Krishna, Founder, L&B Clinic


References

  1. Hochberg, M. et al. (2016). American College of Rheumatology Guidelines on Non-Pharmacologic Arthritis Management

  2. Indian Orthopaedic Association. (2022). Position Statement on Osteoarthritis and Rehabilitation

  3. Fransen, M. et al. (2020). Exercise for Osteoarthritis of the Knee. Cochrane Database

  4. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). (2023)

The Lancet Rheumatology (2020). Physical Activity and Inflammatory Arthritis Outcomes

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