Does Exercise Worsen Rheumatoid Arthritis? Orthopaedic Surgeon Debunk Myths

Rheumatoid arthritis (RA) is more than just joint pain—it’s a chronic autoimmune disease that affects millions of people worldwide. However, misconceptions about the condition often delay diagnosis and proper care. Dr Abhishek Bansal, Senior Orthopaedic Surgeon at Pristyn Care, helps us bust some of the most common myths about RA.

Myth 1: Rheumatoid arthritis only affects older people.Fact: While osteoarthritis is typically age-related, rheumatoid arthritis can develop at any age. “RA is most commonly diagnosed between ages 30 to 50, but even children can develop a form of it known as juvenile rheumatoid arthritis,” says Dr Bansal. If you’re experiencing joint pain, don’t dismiss it as an “old-age problem.”

Myth 2: Rheumatoid arthritis is just joint pain.

Fact: RA is a systemic autoimmune disease, meaning it can affect other organs too. “It’s not just about sore joints,” Dr Bansal explains. “RA can impact the lungs, heart, and eyes, and even lead to conditions like lung disease and cardiovascular complications.” Fatigue, weakness, and fever are also common, making it much more than just a joint issue.

Myth 3: Exercise makes rheumatoid arthritis worse.

Fact: Movement is actually beneficial for people with RA. “Low-impact exercises like swimming, walking, and yoga help reduce stiffness and strengthen muscles around the joints,” Dr Bansal advises. However, it’s crucial to consult a doctor before starting any exercise plan to avoid unnecessary strain on the joints.

Myth 4: Diet has no role in managing rheumatoid arthritis.

Fact: While diet won’t cure RA, it can help manage symptoms. “Foods rich in omega-3 fatty acids, like fatty fish and walnuts, have anti-inflammatory properties,” says Dr Bansal. “On the other hand, processed and sugary foods can worsen inflammation.” A well-balanced diet supports overall health and can help ease RA symptoms.

Myth 5: Rheumatoid arthritis is caused by poor lifestyle choices.Fact: RA is an autoimmune disorder, meaning the body’s immune system mistakenly attacks its own tissues. “While lifestyle factors like smoking can increase the risk, RA is primarily driven by genetics and immune dysfunction,” Dr Bansal explains. It’s not something you develop just because of a bad diet or lack of exercise.

Fact: “Osteoarthritis and RA are completely different conditions,” says Dr Bansal. “OA is caused by wear and tear, while RA is an immune system disorder.” Treatment for RA includes disease-modifying antirheumatic drugs (DMARDs) and biologics to suppress immune activity, while OA treatment focuses on pain management and, in severe cases, joint replacement surgery.

Understanding RA and its management is key to improving quality of life. If you or a loved one is experiencing persistent joint pain, stiffness, or swelling, don’t wait—consult a specialist. With timely intervention, people with RA can lead active and fulfilling lives.

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