Fitness
Health and Wellness: Five reasons to ditch the pills and embrace exercise as medicine
Our bodies are built for movement, yet modern life has us sitting far more than we should. Compared to our ancestors, we’re moving less and sitting more – sometimes for over half the day. While fitness trackers and smartwatches encourage us to stand and get more steps in, it still doesn’t seem to be enough to counteract the effects of a sedentary lifestyle.
Physical inactivity has now become a major health issue, and the consequences are clear: less movement leads to more musculoskeletal issues and chronic pain (among other things). And the unfortunate reality is that most folks turn to pain medication for relief, despite research increasingly pointing to regular exercise being just as effective and far healthier.
Here are five reasons to ditch the pills – and embrace exercise instead – as a powerful form of medicine to manage musculoskeletal pain naturally.
Exercise mediates pain
The way we perceive pain is complex. Many assume it’s a direct response to physical damage or injury – but it’s not that simple. The perception of pain involves numerous physiological and psychological factors that the brain must interpret. Depending on your general health, past experiences, and mental health condition, this can vary quite drastically from person to person. In other words – it’s your brain that decides how much or how little pain you experience.
Because of this complexity, external factors like exercise (and also pain medication) can alter how we perceive these signals. When we exercise, our bodies exhibit an increased tolerance towards pain, and a lower perception of pain intensity. This phenomenon is called “exercise-induced hypoalgesia” – and it works by closing down the gateways that allow pain signals to enter the brain. Certain medications can do this too, but when you exercise, you’re doing it naturally.
Exercise helps inflammation
Inflammation is a normal part of your body’s healing process, and it occurs when inflammatory cells travel to a place of injury. However, if inflammatory cells stick around too long, it can result in chronic pain and irritation. This is where exercise can really help.
When you exercise, your body experiences minor physiological stress, which triggers your body’s natural inflammatory reaction. During the inflammatory process, certain proteins called anti-inflammatory cytokines are produced. These protein chemicals help to modulate the body’s inflammatory response – ultimately reducing the level of inflammation associated with your pain. Inflammation can be both good and bad. When you exercise, you are creating “good” inflammation, which will naturally help to ease your pain.
Exercise stimulates endorphins
Ever wonder why a quick walk outside or a strenuous gym workout magically makes you feel better? It’s not your imagination. It’s something called endorphins – neurotransmitters released by your brain to alleviate pain and promote pleasure.
Endorphins are considered your body’s natural “opioids” because they interact with the same pain-inhibiting receptors in your brain that drugs like morphine do. But unlike morphine, endorphins are triggered naturally and don’t come with harmful side effects like addiction, drowsiness, or mental fog. Exercise stimulates the production of endorphins, boosting your mood, reducing stress, and giving you access to your very own stash of natural, healthy painkillers.
Exercise improves your mental health
Exercise and mental health share a powerful connection. It’s virtually impossible to influence one without the other.
Regular exercise stimulates the production of various mood-boosting chemicals, including endorphins (that we just spoke about) along with serotonin and norepinephrine. Aside from helping to control pain, endorphins are also considered a “feel-good hormone”.
They trigger feelings of positivity that, once again, are similar to morphine. Serotonin and norepinephrine are instrumental in alleviating symptoms of depression and anxiety. Therefore – when you exercise – it’s virtually impossible not to feel better. And since we know that pain is controlled by your brian – anything that improves mental health is going to contribute positively to your relationship with pain.
Exercise as a prescription
OK – so we’ve discussed the multitude of positive effects that exercise has on pain perception, inflammation, and mental health. But what if you’re currently suffering from an injury? Is it possible to still use exercise as a pain reliever? The short answer is yes. But it’s challenging to do on your own. You can’t just google “best exercises for back pain” and expect good results.
When it comes to using movement or exercise to rehab an already existing injury – it needs to be carefully prescribed.
For all the reasons already discussed, physical activity will still help you modulate pain – but you must consider the role exercise is going to have on any potential tissue damage. With weakened or damaged tissue, exercise is still an effective pain reliever, but it has to be prescribed or you risk worsening your injury.
For these reasons, I always recommend working with a movement expert who truly understands the nature of musculoskeletal pain and tissue healing. If you start a general exercise routine because you want to feel better – I applaud you – just make sure you’re getting your desired result.
But if you start exercising to help with pain and don’t experience any noticeable improvement – or you catch yourself modifying to work around your pain – then it’s time to enlist the help of an expert. Otherwise, you risk ending up on pain pills, which is exactly what we want to avoid.
Dr. Carrie Jose, Physical Therapist and Mechanical Pain Expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch – or to request a free Discovery Visit to explore a solution for your pain or injury with a mechanical pain expert – visit www.cjphysicaltherapy.com or call 603-380-7902.
Fitness
Study finds 5 more minutes of exercise could reduce your risk of death by 10%
The universal quest for immortality continues, and new research has hinted at a small lifestyle change that could reduce overall death rates in countries if we start taking our movement more seriously.
Conducted by a global research team, the study named ‘Deaths potentially averted by small changes in physical activity and sedentary time: an individual participant data meta-analysis of prospective cohort studies’ was published in The Lancet and suggested that adding five more minutes of physical exercise a day to your life could reduce death rates by 6 per cent.
Conducted on cohorts wearing on-person devices from Norway, Sweden and the USA, scientists analysed activity and sedentary levels to deduce what was causing higher death rates and found that a little change could go a long way.
With the help of the study’s author and additional experts from the field, we delved into the details and uncovered exactly what we need to do to make sure we are maximising our health before it’s too late.
A little change makes all the difference
We already know that we should all be getting out and exercising to ensure everything in our bodies is running smoothly, but just how important is that daily movement and could it be contributing to national mortality rates?
Professor Ulf Ekelund works in the Physical Activity and Health department at the Norwegian School of Sport Sciences and was one of the authors of the study. He broke down the data for HELLO!.
The professor explained: “We estimated the number of deaths potentially prevented by five and ten-minute increases in moderate intensity physical activity if all individuals in the population adhered to this increase.
“We analysed the data using two different approaches:
- ‘High-risk approach’ comprising the least active 20 per cent of the population
- ‘Population approach’ comprising 80 per cent of the population (excluding the most active 20 per cent).
He continued: “We found that six per cent and ten per cent of all deaths might be prevented in the two different scenarios, respectively, if all individuals made these changes.
“If an individual is completely inactive, every little move counts. For example, the least active 20 per cent in our study sample were only active for an average of about two minutes per day of moderate intensity. If all these individuals increased their activity by five minutes per day, it might reduce the number of deaths by six per cent annually.”
Dr Darren Player, a professor in Musculoskeletal Bioengineering at University College London, who was not involved in the study, shared his interpretation of the data with us and added: “The key finding was that an increase in Moderate-to-Vigorous Physical Activity (MVPA) by only five minutes per day for the least active individuals prevented 6 per cent of all deaths. This effect could extend to as much as 10 per cent in all individuals, except for those who are already very active.”
Exercise versus moderate intensity
In terms of how to achieve the correct level of activity and movement, we have to understand the difference between physical activity and moderately intense movement. They are different and will yield different results.
Professor Ulf explained: “There is a clear distinction between moderate intensity activity and exercise. Brisk walking is an excellent type of moderate intensity, whereas exercise is defined as something people do with the purpose to enhance fitness and/or health. It is structured and repetitive. Exercise is only a small proportion of all the physical activity people do.
“Physical activity [PA] is any bodily movement that increases energy expenditure above resting levels. It can be conducted with different intensities from very low to very strenuous. Exercise is a subset of PA which is planned, structured and done with a specific purpose.”
Could any of this add years onto our lives?
While this study was specifically about reducing death rates through exercise and movement, it made us wonder how it would affect the number of years we could all expect to live. Would incorporating an extra five minutes of movement add any time to the general life expectancy?
Dr Darren referred to data from the UK Biobank to share his estimations. He said: “This is quite a difficult question to answer, but there is some evidence. The following paper suggests that there could be an increase in life expectancy of 0.9 years for inactive women and up to 1.4 years for inactive men.
“The increases are dependent on the nature of physical activity, with higher intensity and greater volume (total amount of exercise) being the key factors. This is a large UK Biobank study, which does have some strengths for the analyses.”
He continued: “However, the factors that contribute to life expectancy and mortality are complex and varied, with further studies required to understand the picture fully. Particularly, the effect of resistance training combined with other forms of physical activity is likely to have a greater effect than one type of activity alone. Further research is required in this area to provide suitable evidence.”
What type of exercises can I do during my five extra minutes a day?
According to the NHS, there are a variety of movements that you can incorporate into your routine to make sure you are hitting the target of five extra minutes of exercise per day to increase your longevity.
These range from simple activities like making a cup of tea to pushing a lawnmower and dancing around your living room for fitness, depending on the intensity you are able for. While the study suggested five minutes of moderate intensity exercise, the health service broke down its recommendations into sections based on vigour:
Light activity:
- Getting up to make a cup of tea
- Moving around your home
- Walking at a slow pace
- Cleaning and dusting
- Vacuuming
Moderate activity:
- Walking for health
- Water aerobics
- Riding a bike
- Dance for fitness
- Pushing a lawnmower
- Hiking
Intense activity:
- Running
- Swimming
- Football
- Hiking uphill
- Martial arts
It also suggested some easy-to-do strength exercises that involve using a kitchen chair or filled bottles of water as props:
- Sit-to-stand
- Mini squats
- Calf raises
- Standing sideways leg lift
- Standing leg extension
- Wall press-up
- Bicep curls
Fitness
Fitness Class Volume Tied to Exercise Intensity Perception
About The Study: In this comparative effectiveness study, reducing music volume in group fitness classes did not lead to meaningful reductions in perceived exertion and may reduce the risk of noise-induced hearing loss. These findings support implementing safer sound practices in fitness environments and underscore the need for increased awareness and education on hearing protection.
Fitness
Reward yourself by exercising regularly at One to One Fitness | CWRU Newsroom | Case Western Reserve University
Now is the time to recommit to your health in time to feel your best for all your summer activities! One to One Fitness Center offers several ways to save in March.
Members of the Case Western Reserve University community can take advantage of sign-up specials designed to reward themselves for creating healthy habits.
Individuals can get 50% off the initiation fee (regularly $50 plus tax) and earn back what they do pay by exercising eight or more days in both April and May. Learn more online about this deal on initiation fees.
Students also can get additional savings:
- Graduate students who are enrolled for the spring semester receive summer membership free.
- With Spartan Shape Up memberships, affiliate students pay just $40 per month for membership from now through May, and no initiation fee or security deposit is required.
- Students also can pay $44 plus tax per month with a month-to-month, ongoing plan. No initiation fee or security deposit required.
One to One Fitness Center, owned and operated by CWRU, is known for offering personal, professional, friendly and clean services. Memberships include full access to the 28,000-square-foot fitness center, group exercise classes, validated parking in Lot 53, towel and locker service, and member discounts on programs and services.
Members also can add their spouse or partner to their account for $30 plus tax per month. The center also offers personal training, Pilates Reformer, massage therapy and sound bath therapy, swim lessons, and more.
Visit the One to One Fitness Center website, email onetoone@case.edu or call 216.368.1121 for more information.
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