I've just been diagnosed with early stages of osteoarthritis. Mostly my left hip bothers me. I saw a report that moderate exercise is best for this condition. How is that possible when movement is what makes it hurt?

With osteoarthritis, most patients feel the best when they get up in the morning or after prolonged rest. Once they've been up on the joints for hours, then pain and stiffness gradually increase.

Yet studies have confirmed that moderate exercise and physical activity actually help stimulate cartilage growth and repair. It's likely the answer is multifactorial. In part, staying hydrated with fluids on a consistent basis will help keep the joints lubricated.

In part, motion is lotion. Movement helps distribute the synovial fluid evenly throughout the joint. Good nutrition and adequate calcium and vitamin D are also needed to help strengthen the bone that is just underneath the joint.

And finally, moderate activity and exercise is usually defined as 20 to 30 minutes four to five times a week. Walking or biking (including treadmill or stationary bike) are acceptable ways to improve exercise without overdoing it. Good shoes and a good walking surface can also help.

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