Blog

CLASSIC LIST

28/Jun/2014

Knee injury while at rest.  Seemingly contradictory.   It has long been suspected that an active life and daily movement represent good ways to reduce your likelihood of getting arthritis. Now some researchers have finally looked at the numbers to see if this popular notion withstood statistical scrutiny. Their conclusion?

When they analyzed the step data from the pedometers, they found a strong link between participants’ activity level and knee health. Their results suggest 6,000 steps marks an important threshold: 70% of participants who developed knee impairments walked less than this amount while 70% of those who remained healthy walked more.

Using nothing more advanced than off-the-shelf fitness trackers, these researchers were able to study and control for a variety of factors in a population of about 2,000 people. Sure enough, the more active participants seemed considerably less likely to develop knee pain and other symptoms associated with this progressive disorder.  From a scientific standpoint, this makes sense.  Cartilage and the locomotion machine (i.e., body) function better when the ‘engine’ is kept warm.  Not turned off and allowed to collect dust; and not when the engine is ‘revved’ too high, wherein the parts fall into disrepair.  For example, the fascinating thing about cartilage is that cartilage requires, as a part of its normal maintenance, it’s use (such as with walking) to deliver the nutrients from the joint fluid into the cartilage structure.  It’s use actually prolongs it’s longevity!

Of course a cohort study like this cannot officially separate causation from correlation; it is possible, for instance, that people who walk fewer steps do so because they already have bad knees. Yet this study remains a tantalizing clue in support of the idea that sedentary lives can be injurious lives, and that we would all do better to move around more during our active years.


21/Apr/2014

The debate has been raging for some time: is walking or running better than an elliptical machine? And what does “better” mean, anyway?

As it happens, some talented physicians, technicians and orthopedic specialists have looked at the respective motions and benefits of both forms of exercise, and a few clear answers have emerged.

First things first: the calorie question seems to be a wash. That is to say that it takes roughly the same energy to propel your body forward no matter how you’re moving.  My advice is “Just move!”  and do what you like (by that, I mean exercise the way you enjoy to exercise).  Some feel better on a treadmill.  Some feel better in a spin class.  Some feel better running on the open road.  At the end of the day, the more you move the more calories you burn.  So, obviously you must walk longer or farther to make up for the slower pace, when compared to jogging.

 

But the larger questions surrounding musculoskeletal health get a bit trickier. Yes, ellipticals offer a more robust workout for your thighs and buttocks, while running offers a better workout for your calves. But for orthopedic surgeons such as myself, the real question is about joint pain. And here, the winner is clear:

According to a study published this month in The British Journal of Sports Medicine, walking causes 112 percent of someone’s body weight to strike the ground with every step, while only 73 percent does in elliptical training. This slighter jarring is an advantage for people with sore joints, but less so for those who hope that exercise will improve bone health.

In summary, while elliptical training is less ‘traumatic’ to joints, it does less to prevent osteoporosis (bone thinning).

And there it is. Sore joints such as knees and ankles are more likely to worsen by running on concrete, whereas joints are less likely to become inflamed on the comparatively smooth trajectory of an elliptical machine.  But I would recommend you do what you like, because that is what is gonna get you out to do it again.  And that is the best form of exercise.

 

Do you want to learn more about how you can prevent joint pain and head off the need for knee surgery? Please contact my San Diego orthopedic surgery offices to set up an appointment today.


© 2023 Dr. Robert Afra – San Diego Orthopedic Surgery Shoulder – Knee – Elbow