For millions of people, chronic pain can make even simple tasks difficult. Not only can it reduce physical, mental, and emotional well-being, but over time, it can cause people to reduce or eliminate physical activity. While it sounds counterintuitive, one of the best ways to reclaim one’s quality of life is to move more. Physical activity reduces chronic pain by building muscular strength and flexibility, reducing fatigue and improving sleep, reducing pain sensitivity, and reducing inflammation.

Building strength

Central to managing chronic pain is the development of muscular strength and flexibility. Weak muscles can exacerbate pain conditions, particularly affecting the joints and musculoskeletal system. Incorporating weight-bearing exercises, whether through weights, body resistance, or stretch bands, can prevent muscle atrophy and build resilience against chronic pain.

Having good flexibility can help bring alignment to joints in your shoulders, hips, knees, and ankles. This alignment helps increase mobility and reduce joint inflammation.

Reducing fatigue

Contrary to common belief, physical activity can significantly reduce fatigue, a frequent companion of chronic pain. Engaging in regular exercise revitalizes the body, promoting better circulation and energy levels. Additionally, physical activity is instrumental in improving sleep quality. High-quality sleep is essential for the body’s recovery and pain management, allowing individuals to reset and face each day with renewed vigor.

Altering pain sensitivity

Research indicates that regular physical activity can modify how the brain perceives pain. Exercise triggers the release of endorphins and serotonin, natural painkillers that can lessen pain sensitivity. This biochemical change helps manage existing pain, and also increases the tolerance for future discomfort.

Reducing inflammation

Muscles can release chemicals that prevent pain signals from going to your brain, and prompt the immune system to increase anti-inflammatory cytokines that promote tissue healing.

Activity vs. exercise

Strength training, swimming, water aerobics, tai chi, yoga, and Pilates are all excellent exercises for people with pain or mobility issues. But you don’t have to sweat it out at the gym to experience pain-reduction benefits. Many everyday tasks count as activity, too, such as sweeping, vacuuming, and dusting, and picking up items around the house.

The key is to find an activity that you enjoy and stick with it. From gardening and dancing to horseback riding, the goal is to find joy in movement, making physical activity a sustainable and enjoyable part of managing chronic pain.

Listen to your body

The cornerstone of using physical activity to manage chronic pain is listening to your body. If an activity causes discomfort or exacerbates pain, it may not be suitable. Studies show that people who experience chronic pain have different responses to a variety of exercises. For example, some find yoga helpful; others find that it increases pain. Listen to your body, but don’t give up if the first thing you try isn’t a good fit.

If you experience worsening pain, stop the activity and rest. Ignoring pain can exacerbate pain conditions and possibly lead to inflammation. Importantly, even on good days, sticking to a consistent exercise regimen without overdoing it is crucial to avoid triggering pain flare-ups.

Get started

If you’re not sure how to start or what exercises to engage in, consult a health-care provider or a certified personal trainer. Specialized trainers, particularly those experienced in working with chronic pain conditions or older adults, can tailor exercise programs to individual needs, ensuring safety and efficacy. Certifying bodies like ACE and NASM offer resources to find qualified professionals or validate their credentials.

If you haven’t been active before, or are becoming active again after a long break, consider these tips as you make a plan:

  • Personalize guidelines. Although the general physical activity recommendation for adults is at least 30 minutes per day, five days per week (totaling 150 minutes), studies show that breaking up exercise sessions into 10-minute chunks has similar health benefits. Research shows that moderate activity just two to three times a week reduces pain and depression.
  • Experiment. Try new activities and exercises to see what you enjoy and what makes you feel good. To boost strength, you can use traditional weights, exercise bands, or your own body weight with exercises like pushups and squats. Flexibility can be improved from such activities as stretching, foam rolling, and yoga.
  • Dedicate time to make activity part of the day. Consider it an appointment, just like a doctor’s appointment.
  • Try different times of day. Exercising in the morning may help you get the day off to a good start. Morning activities can be particularly beneficial, helping to alleviate stiffness and joint pain as you prepare for the day. But if you prefer (and will stick with) exercising later in the day, do what works best for you. Just try not to exercise two to three hours before bedtime to avoid disrupting the natural wind-down process.
  • Look for things you enjoy. Consider activities, locations, and times that are enjoyable and motivating.
  • Engage your family and friends. You can motivate each other and have important socialization time.
  • Start slowly and work up to more challenging activities. Rushing into an activity can lead to soreness, fatigue, injury, and loss of motivation to continue.
  • Modify classes to meet your needs. Ask to join exercise classes during the warm-up or cool-down periods only if whole sessions are too strenuous.
  • Take breaks. Rest when you need it. When working on strength building, don’t work on the same muscles two days in a row.
  • Break up bouts of sitting. Interrupt sitting with activities to improve glucose levels, insulin response, resting blood pressure, fatigue, and musculoskeletal discomfort. Try standing and doing activities, such as marching during TV commercials, walking around the office, and walking up and down stairs.

Saving money

If you choose to explore fitness classes, a personal trainer, or a gym membership, examine any potential costs, and choose options within your budget.

  • Take advantage of free trial periods. Visit multiple facilities, noting equipment quality, safety, trained staff, hours, busy times, etc.
  • Be a savvy shopper. Watch out for fees and promotional periods that may be incorporated into membership plans, and negotiate for better terms.
  • Use free sessions with a personal trainer offered with gym or facility memberships, and ask additional questions to learn about the equipment and the trainer to determine if the relationship is a good fit.
  • Use alternate resources. Find physical activity routines on the internet, TV, and other online resources.

How Pain Limits Activity

People who experience chronic pain report difficulty or the inability to do many common tasks, including:

  • Carrying groceries
  • Climbing stairs
  • Standing up straight
  • Maintaining energy by the end of the day
  • Continuing activities or continuing without rest breaks
  • Upholding schedules
  • Sustaining sociability

Sample Activities

  • To build endurance: walks in your community; low-impact activities like swimming or bike riding; tasks around the house like sweeping, vacuuming, and dusting.
  • To build strength: lifting items found around the house, seated strength-training exercises, exercise bands.
  • To build flexibility: stretching, tai chi, yoga.

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