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Health and Wellness: Five reasons to ditch the pills and embrace exercise as medicine

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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.

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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.

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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.

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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.

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Forget the gym — you just need 20 minutes and 2 dumbbells to strengthen your whole body with this workout

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Forget the gym — you just need 20 minutes and 2 dumbbells to strengthen your whole body with this workout

One of the harder parts of committing to a training routine is knowing where to start, and that’s true of those who have never trained regularly before as well as more experienced people coming back after a break.

This 20-minute workout from fitness trainer Lindsey Bomgren, founder of Nourish Move Love on YouTube, is perfect for easing your way into a training routine, especially if you’re coming back from a break because of illness or any other reason.

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Ditch sit-ups and crunches — this 5-move standing abs workout will help you build a stronger and more sculpted core

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Ditch sit-ups and crunches — this 5-move standing abs workout will help you build a stronger and more sculpted core

The beauty of a standing abs workout is that you do not need a mat, much space, or to get down on the ground for any of the exercises. That makes it easy to fit into a busy day, whether you are working out at home, short on space, or prefer to stay off the floor altogether.

None of that means it is easier or delivers fewer results. Pilates instructor and Balance Body Educator Portia Page built this five-move, all-standing core workout to show that you can still challenge your abs effectively without a mat or traditional floor exercises.

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The future of fitness: How AI coaches are changing the way we exercise

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The future of fitness: How AI coaches are changing the way we exercise

Fitness and health apps have been promising “smart coaches” and “personalised training plans” for years. But, to date, most programmes have been like online shopping recommendations, with exercises broadly matching your demographic profile and performance level.

However, the rapid advances in real-time image recognition, generative AI and natural language processing are bringing an AI coach worthy of the name within our grasp. And not just for high-tech gyms like Lumin, but also for people working out at home or in the park. Peloton, for example, films how you exercise and provides feedback in real time. Google has also announced AI-powered personalised fitness and health advice for its Fitbit range.

HYROX pro athlete Jake Dearden putting in the work on an indoor bike

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Market analysts think the AI fitness market could be worth close to $35b USD by 2030. But how close are we to that future? Which company is training up the supertrainer? And how will that change the way we exercise, sweat and track our progress? And what do we need to know about this new world?

Harnessing AI’s potential to make personalised training available to all

Lucy Charles-Barclay prepares for training in London, England, on July 14, 2021.

Most fitness apps give generic exercise suggestions

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Confidence Udegbue has the perfect CV for designing an AI coach. The Vice President of Product at fitness app Freeletics studied electrical and computer engineering and teaches fitness classes in his free time. His broad shoulders, muscular biceps and infectious spirit are a dead giveaway: this guy knows what he’s talking about.

“In the gym, I can see immediately when someone I’m teaching is making a mistake,” says Udegbue. “But that expertise is hard to scale.” Freeletics is trying to solve that problem with AI. The app has been using a predictive algorithm since 2019 to suggest workouts based on demographic data and self-assessed fitness levels. This means that a 39-year-old man who has been training for two years and is at level 63 in the app won’t receive the same instructions as a 25-year-old beginner.

Freeletics uses AI-based motion analysis powered by models like those from Google’s MediaPipe framework, which includes BlazePose – the successor to the earlier PoseNet model. The models provide a skeletal muscle database that can replicate all types of exercises, for which Freeletics sports scientists then define the movements. That way, the system can assess whether that squat you just did went low enough.

Can an AI coach give useful real-time workout feedback?

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One of the most revered sabre fencers in the world, Olga Kharlan, checks her phone during training

World-class sabre fencer Olga Kharlan checks her phone

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In 2024, Freeletics introduced the Coach+ feature – an AI-powered chatbot with Freeletics expertise and access to anonymised data from over 59m user journeys. Users can ask the virtual coach questions like, “How can I build muscle mass?” or “I feel weak – how can I motivate myself?”

Freeletics is currently testing a version that will allow the app to see you work out. As of April, users have been able to record themselves exercising on their smartphones. “AI counts the reps and gives direct feedback,” Udegbue says. That is particularly helpful because even experienced athletes do not always perform pistol squats or burpees correctly.

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Democratising the personal coach experience

Max Verstappen of Oracle Red Bull Racing stretches before a F1 Grand Prix

Max Verstappen warming up before a F1 race

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A personal coach was long the preserve of Hollywood actors, top models and CEOs – a highly competent service provider, always available whenever a slot opened up in their client’s busy schedule. They know their clients’ allergies, preferences and weak spots. They always know how to set the pace. Sometimes they’re pushy, sometimes they go easy. They are a mix of therapist, personal assistant and best friend – open 24/7, all major credit cards accepted.

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In the soccer world, the manager is often called “boss” – a figure of respect who takes care of the players both on and off the field. A good coach can tell when something is off in a movement – when the person’s mind is elsewhere, or they’re lacking energy. Anyone who has had that person in their life knows that a good coach is worth their weight in gold, which is why there are coaches for everything – careers, relationships, nutrition – and why the idea of a personalised fitness coach is so appealing.

AI has no body or talent. It doesn’t know what it feels like for sweat to run down the skin or for muscles to cramp or for adrenaline to rush through the veins. But it does recognise patterns and make predictions that we humans can use increasingly often and, in the best-case scenario, find out more about ourselves in the process.

How AI will allow us to ‘chat with our body’

Mutaz Barshim powers through a workout in the gym

High-jump star Mutaz Barshim lifting heavy

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Mirrors show you how you see yourself. But the Magic AI Mirror promises that you will like what you see if you follow the exercises and tips on the reflective screen. Behind the glass surface is an AI coach who steers your workouts in real time.

Growl goes even deeper into movement detection. The start-up has developed an exercise boxing bag that captures every movement with 3D cameras and Lidar (light detection and ranging) technology. AI corrects your posture or encourages you when your energy decreases.

Whoop’s fitness trackers combine biometric data with generative AI. If you’re wondering when you got your best sleep, you’ll get a precise answer: “On July 14, because the allergy season was over and you didn’t drink alcohol.” You can chat with your body.

Freeletics is also banking on predictive AI. “Soon the system will recognise that user X has had an increased resting heart rate for days, so I won’t suggest high-intensity exercises,” says Udegbue.

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The vision all companies are working on is a multimodal coach: AI that unlocks information – biometrics, genetics, video, training history – and conveys it intuitively to the user. But a perfect coach is more than just an algorithm. Researchers are working on reinforcement learning systems that set individual step goals that are challenging but achievable, and adapt whenever progress has been made.

The power of human and AI combined

Adriano de Souza in seen during the video recording of Se Prepara series in Florianopolis, Brazil, on April 30, 2019.

Training is possible anywhere

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“We will not be able to deliver on the promise of absolute personalisation for the mass market,” Eskofier says. But before you lose hope, you should know what he means by personalisation.

His laboratory supports, among other people, Sebastian Steudtner, the big wave surfer and world record holder. To do this, they measured his body in an MRI scanner, carried out psychological assessments, calculated strength curves and even fitted his surfboard and wetsuit with sensors.

Eskofier’s team created Steudtner’s digital twin. By the time the project concluded in May 2025, their AI system could already discuss with a real coach what angle Steudtner should surf a 100-foot wave at, and whether he’d be strong enough to do it.

The one thing AI will never change in fitness training

Constantin Popovici of Romania stretches at the athletes' area during the training day of the final stop of the Red Bull Cliff Diving World Series in Boston, USA, on September 18, 2025.

No equipment, no excuses – embrace the simplicity of pure movement

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“We can’t offer that service to millions of people,” Eskofier says. “But these systems can still create real added value.” He believes AI coaches are a good base: “AI can take over data processing and routine personalisation, while real coaches can focus on mentoring.”

AI coaches are getting smarter all the time, too, which is why it’s important to know what they can and can’t do. Limited data sets can lead to bias if too few women or people of below-average height are represented in the data.

“No matter how good the technology gets, one thing will never change,” says Udegbue. “A coach can only make you better if you want to be better yourself, too.” It’s all in your hands.

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