Strengthen your knees to help manage osteoarthritis pain.

Make a Splash with Water Workouts

Looking for a way to liven up your exercise routine? Try leaving dry land. A warm pool is the ideal environment for soothing stiff knee joints aching from osteoarthritis. The buoyancy of the water helps support your joints, making it easier to move them freely. Water also offers resistance for muscles to work against, helping them get stronger and providing great knee support. Meanwhile, the warmth of the water causes blood vessels to dilate, increasing circulation.

Everybody into the pool

Water exercise has long been a favorite of people with arthritis and osteoarthritis. A study by British researchers bears out the benefits of taking your workouts waterborne (Health Technology Assessment, August 2005). The study included 312 adults with knee or hip osteoarthritis, about half of whom were randomly selected to take part in a water exercise program.

The water exercise classes were held twice a week for a year. Each hour-long class started with a warm-up, followed by exercises and/or swimming to improve strength, range of motion, flexibility, cardiovascular fitness, balance and coordination. The result: Water exercise over the course of a year resulted in a modest reduction in osteoarthritis pain and improved physical function.

After the study ended, people could continue the classes at their own cost, but fewer than one in five kept it up for the next six months. The improvements in pain generally disappeared during this period. This highlights the importance of continuing to exercise in order to maintain the benefits.

Come on in, the water’s fine

Water exercise is best done in water that is comfortably warm, not hot. The Arthritis Foundation® recommends a water temperature of 83° to 88° F. When you first get into the pool, take a few minutes to savor the soothing effect of the water. Once your muscles and joints feel more relaxed and comfortable, you’re ready to begin your workout.

Almost anyone can take part in water exercise. You might do something as simple as walking in waist-high or deeper water while swinging your arms. Or you might perform various strength moves using special equipment, such as webbed gloves, foam barbells, kickboards and water noodles. In addition, you may do some flexibility moves, made easier by the warmth and buoyancy of the water.

To learn how to exercise safely and effectively in the water, consider signing up for a class. In addition to getting expert instruction, you’ll enjoy the camaraderie of the group. Exercising in a group provides emotional support and helps relieve the feelings of depression and isolation that some people with arthritis experience. Just make sure your instructor is familiar with the special needs that go along with having osteoarthritis.

The bottom line

Water exercise is a low-impact activity that takes the weight off your joints, bones and muscles while you work them out. One good bet for finding a knowledgeable instructor is the Arthritis Foundation Aquatic Program, offered at many community and YMCA pools across the United States. In addition to teaching the basics of water exercise, some facilities also offer advanced-level courses. To find out what’s available in your area, visit www.arthritis.org.

PLEASE NOTE: This article is presented for informational purposes only and is not meant to take the place of the advice of your doctor. By providing you with this information, Genzyme Corporation is not endorsing its content. You should consult with your doctor before starting any new health regimen.

Adapted from Arthritis Today®, the health magazine published by the Arthritis Foundation®. The views presented herein are solely those of Arthritis Today and their publisher the Arthritis Foundation. Genzyme Corporation does not have any input in, or editorial control over Arthritis Today and is not responsible for its content. Arthritis Today is a registered trademark of the Arthritis Foundation.

References

“Water Exercise.” Arthritis Foundation. Available at: http://www.arthritis.org/water-exercise.php. Accessed September 6, 2011.

“Randomized Controlled Trial of the Cost-Effectiveness of Water-Based Therapy for Lower Limb Osteoarthritis.” T. Cochrane et al. Health Technology Assessment. August 2005, vol. 9, no. 31, Executive Summary.

“Slide show: Aquatic exercise how to’s.” Mayo Clinic. Available at: http://www.mayoclinic.com/health/aquatic-exercise/SM00055. Accessed September 6, 2011.

“Arthritis Foundation Aquatic Program.” Arthritis Foundation. Available at: http://www.arthritis.org/aquatic-program.php. Accessed September 6, 2011.

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Knee Exercise Videos

Watch these simple exercises, designed specifically for knees with osteoarthritis, and add them to your daily routine.

Watch knee exercise videos

Indication

Synvisc-One® (hylan G-F 20) and SYNVISC® (hylan G-F 20) are indicated for the treatment of pain in osteoarthritis (OA) of the knee in patients who have failed to respond adequately to conservative non-pharmacologic therapy and simple analgesics, e.g., acetaminophen.

Important Safety Information

Before trying Synvisc-One or SYNVISC, tell your doctor if you are allergic to products from birds — such as feathers, eggs or poultry — or if your leg is swollen or infected. Synvisc-One and SYNVISC are only for injection into the knee, performed by a doctor or other qualified health care professional. Synvisc-One and SYNVISC have not been tested to show pain relief in joints other than the knee. Talk to your doctor before resuming strenuous weight-bearing activities after treatment. Synvisc-One and SYNVISC have not been tested in children, pregnant women or women who are nursing. You should tell your doctor if you think you are pregnant or if you are nursing a child. The side effects most commonly seen when Synvisc-One or SYNVISC is injected into the knee were pain, swelling and/or fluid buildup in or around the knee. Cases where the swelling is extensive or painful should be discussed with your doctor. Allergic reactions such as rash and hives have been reported rarely.

View the Complete Prescribing Information for Synvisc-One (PDF)
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