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Does Exercising When In Pain Help Me?
Posted 19 Feb

Does Exercising When In Pain Help Me?

You may have heard that if you have arthritis, even though it may feel uncomfortable and sometimes painful to get moving, it’s one of the best things you can do for your joints. And it’s true in many cases - like if you suffer from knee osteoarthritis, regular exercise can actually help relieve your painful symptoms, reduce the stiffness of your knee joint and improve its movement. 

The same is true after surgery. After many procedures (including many orthopaedic procedures that our patients are recovering from), starting to move your body and the affected area can actually help speed up your recovery and reduce the risk of post-surgical complications. 

So is the same true for injuries and when you have ongoing (chronic) pain?

Exercise During Chronic Pain

First, to define chronic pain, it is pain that has lasted beyond the body’s usual healing time or for at least three months. Unlike the ‘acute’ pain that occurs immediately in response to damage or injury (like the pain you get immediately after you roll your ankle), chronic pain can exist even when there’s no longer tissue damage in the painful area due to the complex process of how pain is created in the body’s nervous system. It’s also more common than many people realise, affecting up to one in five adults, adolescents and children., 


In the case of chronic pain, exercise can be very beneficial.

In fact, being inactive has been shown in studies to actually increase a person’s pain sensitivity pathways, which can actually worsen the pain you feel. Exercising, on the other hand, is shown to: 

  • Reduces the extent to which we feel the pain (even after completing just one exercise session) 
  • Raise a person’s pain threshold and pain tolerance
  • Reduce the number of regular pain flares experienced by those with chronic pain 
  • Be equally as effective as therapies like massage in helping reduce pain (according to some studies), with the bonus of being able to be performed at any time that works for you.

To answer how and why this all occurs, exercise is thought to alleviate pain in part by releasing endorphins, which are our body’s natural chemicals for making us feel good, and relieving pain. Exercise also supports our joint health, flexibility, and helps increase our muscle strength, all of which can reduce pain. Exercise also has a significant effect on our central nervous system (our brain and nerve pathways responsible for pain), and can even rewire the way that our brain processes pain signals.


Exercise After Injuries

When it comes to injuries, the role of exercise is not as straightforward as it is with chronic pain or arthritis. In some cases, exercising too soon after an injury can worsen the damage, while in others, the right kind of movement can help to support your recovery. It really depends on the stage of healing and the extent of tissue damage. 

For acute injuries (the kind that involve tissue damage like a sprain or muscle tear typically after an ‘incident’), resuming exercise normally does more harm than good. Immediately following an injury, your tissues are in a vulnerable state as they undergo the natural inflammatory process that’s part of initiating the healing process. If you have movement or stress that places excessive strain on the injured tissues during this time, it can worsen the damage, prolong your recovery, and even lead to further complications. That’s why it’s important to rest and protect the injured area in these early stages.

After the healing process has progressed somewhat and the initial inflammation subsides, it’s at this point that carefully prescribed exercise often becomes one of the most valuable tools for recovery. Here, movement can help improve blood flow to the injured area, delivering essential nutrients and oxygen to promote healing. Exercise can also prevent stiffness, support the repair of tissues, and maintain strength in the surrounding muscles.

Don’t try and guess when it’s safe to start exercise - this is something that your podiatrist should thoroughly explain to you, so you know exactly what to expect and how to help prevent making your injury worse. Here at Perform Podiatry, our podiatrists design tailored exercise programs that support your recovery without placing undue stress on the injured tissues. This might include gentle stretches or low-impact activities that gradually restore strength, flexibility, and function to the affected area.


Rules For Exercising When You Have Discomfort

While we’ve been able to provide some general guidelines, information and recommendations here, the reality is that every person is different and so is the nature and severity of their injury. We recommend:

  • Always getting clearance from a qualified professional to start exercising. Whether you have an injury, arthritis or other circumstances, we highly recommend getting professionally ‘cleared’ to exercise, ideally together with a treatment and exercise plan - or at least a thorough discussion about the best ways to keep your body safe.
  • Try to have a varied exercise routine. Doing the same thing over and over again without any variety may work against you when you’re trying to prevent injury, and generally improve overall body strength and function. Try to add more variety in your routine that will work and engage different areas and muscle groups.
  • Don’t forget the basics like stretching. Stretching at least once a day can help increase your flexibility, loosen tight or stiff muscles, and improve your range of motion, to make everyday movements easier. It’s also a big part of injury prevention.
  • Make your goal safe, sustainable exercise, not going hard and fast. Take it slow, keep your exercise manageable, and avoid prolonged periods of inactivity. If your exercise routine no longer excites you, try something different or talk to your podiatrist about what could help.


Finally, always listen to your body.
Stop any activity that notably increases your pain levels - this is a sign that something may be going wrong, like an injury that is getting worse.



If you’re experiencing pain or discomfort or want to get back into exercise safely, our podiatry team in Remuera are here to help. Book your appointment online here or call us on 09 523 2333.

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