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Home » IDEA Answers » Exercise for osteoarthritis of the hip and osteoporosis
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Question asked by Arlene Cherry-Medicoff 121 days ago

Exercise for osteoarthritis of the hip and osteoporosis

She is an active 68 year old ,

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Answered by Paul Daniels 120 days ago
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I'd have to disagree with the previous advice. I specialize in working with patients with osteoporosis and have physicians send osteoporotic patients to my facility regularly.

The first thing that you need to assess is the severity of each condition. Second, you want to find out what exercises exacerbate these conditions and avoid those. Spinal compression and high impact exercises are indicated for osteoporosis, as long as the osteoporosis is not too severe (close to 2 standard deviations from the norm). Heavy resistance training and impact exercises, such as jumps and box drops, stress the bone in a positive way that increases osteoblast activity.

If you are unsure where to begin ask the client's physician for some guidance. But most physicians recommend too low of an intensity.
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Answered by NatalieSmith NAPS 2 B Fit 121 days ago
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Hello Arlene Cherry-Medicoff,
You will want to steer clear of side lunges and whatever else hurts. Make sure to pay close attention to listening to the body when choosing exercises. Avoid: spinal compression/twisting/bending, high impact and high intensity.
Work up to doing moderate resistance exercise and moderate cardio intensity.
The bottom line is exercise in a comfortable state that is pain free.
Thank you,
Natalie~
Personal Trainer~NAPS 2 B Fit...
naps2bfit.com
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Answered by NatalieSmith NAPS 2 B Fit 120 days ago
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Hello Arlene Cherry-Medicoff,
You also want to be sure to add balance training for fall prevention and maybe even lessons on how to fall properly to prevent injury. Keep the client safe and enjoy your times together.
Thank you,
Natalie~
Personal Trainer~NAPS 2 B Fit...
https://naps2bfit.com
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Answered by Martin Petrofes 67 days ago
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I would want more information. How active? How advanced is the arthritis and osteoporosis? Is the client over weight? What is the status of the major joints? (Knees? Ankles? Wrists? Shoulders? Are the hips just arthritic or is that that site of bone loss? You say active, how active? Vigorously exercises or moderately or lightly? Do you have clearnace for exercise? If not, get it. And get recommendations on how heavy for weight bearing exercises and let the physician know what you have in mind from your screenings and interview with the client. IF the client is not used to exercise. I recommend starting low intensity and low weight bearing. Improve overall fitness first. LIke cardio and mobiility/stability. Aquatic exercise isn't great for osteoporosis, but it is awesome for arthritis. Especially in a warm water pool/therapy pool (85 -90 degrees). Is the client on medication for either issue? What are the possible interactions with exercise? I would definitely want clearance for any type of plyometrics. No matter how low intensity. Walking is usually pretty helpful. And progressing to weighted walking can be very effective in stimulating bone density. But progress carefully. And of course, with physician clearance. How are the clients feet? A lot of clients in that age range have foot issues from wearing stylish but unkind footwear for years. So, make sure her shoes are high quality for the exercise you choose. These are things I would start off figuring out.
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Answered by Danielle Vindez 31 days ago
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Both osteo are not limiting conditions Arlene. Get a physician's release and work with them as you would with anyone else, safe, strong and well.
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