Arthritis Living With How to Slow Down Arthritis Progression Avoiding Arthritis May Not be Possible for All, but You Can Slow Its Progression By Jonathan Cluett, MD Jonathan Cluett, MD LinkedIn Twitter Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. Learn about our editorial process Updated on June 01, 2022 Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Riteesha G. Reddy, MD Medically reviewed by Riteesha G. Reddy, MD Riteesha G. Reddy, MD, is a board-certified rheumatologist and internist at a private practice in Dallas, Texas. Learn about our Medical Expert Board Print Osteoarthritis, commonly referred to as wear-and-tear arthritis, is the most common form of arthritis, affecting over 30 million Americans. Persons diagnosed with osteoarthritis often worry about the progressive nature of the disease and wonder if they will one day end up needing joint replacement surgery. By making changes in your life, however, you may be able to avoid this outcome and potentially slow or stop arthritis from progressing. Here are four fixes that can help. Rick Gomez / Getty Images Lose Weight Obesity is one of the most significant contributing factors to arthritis progression. The cause is relatively simple: the more stress you place on already damaged joints, the greater the inflammation will be. Over time, this can further deteriorate the structural integrity of the joint, increasing pain and interfering with a person's mobility and range of motion. By losing just five to 10% of their body weight, people will often experience dramatic relief of their arthritis symptoms. While exercising with painful joints can be difficult, there are a number of fitness routines that are well suited for people with arthritis. These focus on three exercise components: Range-of-motion exercises done dailyStrengthening exercises performed every other dayEndurance exercises done for 20 to 30 minutes three times weekly In addition, weight loss will likely involve changes in your diet, including plenty of produce and a variety of protein sources and the avoidance of excess sugar, salt, and alcohol. A dietitian may be able to help tailor a sustainable, well-balanced diet plan to trim those extra pounds and promote better overall health. Eat a Healthy Diet Studies suggest that individuals who follow a Mediterranean diet have lower biomarkers of inflammation and those with osteoarthritis have a better quality of life. A Mediterranean diet is high in vegetables, fruits, legumes, nuts, seeds, fish, and seafood. It also includes moderate mounts of olive oil, dairy, poultry, and eggs. In addition, in surveys of those with rheumatoid arthritis, an autoimmune disorder in which the body attacks its own tissues and joints, the foods most often reported to reduce arthritis symptoms were: Berries, such as blueberries and strawberriesSpinachFatty fish, such as salmon Each of these foods can be part of a Mediterranean diet. The foods and drinks most often reported to worsen arthritis symptoms in the survey were sodas and desserts. Omega-3 Fatty Acids Preliminary research suggest that omega-3 fatty acids, which are found in fatty fish, may help reduce inflammation involved in osteoarthritis and may even help prevent arthritis. More research is needed, however, it's already recommended to eat at least two servings a week of fatty fish, such as salmon and mackerel, as part of a heart healthy diet. Modify Your Activities The rule is simple: if you feel pain when doing an activity, it is not good. While you can often strengthen certain muscles to help bolster painful joints, you shouldn't push yourself excessively. In the end, you may do more damage than good. There may be times when you will need to modify your routine activities to preserve the mobility that you have. For example, impact sports may be something you enjoy, but the damage they can cause may help accelerate the progression of arthritis. If faced with this reality, try to focus on finding low-impact activities you enjoy, such as cycling, swimming, kayaking, cross-country skiing, rowing, rollerblading, Pilates, and yoga. Trading in the running shoes for a NordicTrack may be tough, but will allow you to build up a healthy sweat without needless stress on your ankles, knees, and hips. If, on the other hand, you live a more sedentary lifestyle, you may want to start by meeting with a physical therapist. A therapist can teach you how to safely stretch and strengthen vulnerable joints and provide you with a structured program to gradually move you into routine exercise. How to Exercise Safely When You Have Arthritis Use Anti-Inflammatory Medications Arthritis is defined as the inflammation of the joints. Therefore, it makes sense to do whatever you can to reduce the inflammation that will accelerate joint damage. If your healthcare provider has already prescribed medications to treat chronic joint pain, take them as directed. If not, and the pain is affecting your mobility or keeping you up at night, speak with your practitioner about prescription and non-prescription options. Among them: Analgesics are used for pain relief and include Tylenol (acetaminophen), prescription opioids, and an atypical opioid called Ultram (tramadol).Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to ease both inflammation and pain and include aspirin, Advil (ibuprofen), Aleve (naproxen), and Celebrex (celecoxib).Corticosteroids are powerful anti-inflammatory drugs injected directly into the inflamed joint.Hyaluronic acid occurs naturally in the body and can be injected into a joint as a shock absorber and lubricant. Effective Treatments for Osteoarthritis Use a Supportive Device People with arthritis will often avoid walking aids, which may make them feel old and frail. But the fact is that people who do so often walk less because they are either unsteady on their feet or afraid to place weight on a swollen joint. As such, avoiding these devices can make your condition worse. Supportive devices are no longer limited to canes and walkers. People with knee arthritis can sometimes turn to a device known as an unloader brace, which selectively relieves pressure on the most damaged side of a joint. There are even rolling walkers (rollators) that allow you to move more freely without the fits and starts of a standard walker. While these newer devices won't work for everyone, it may be worth speaking to your healthcare provider to see if they are the appropriate choice for you. Mobility Aids for People With Arthritis A Word From Verywell Having arthritis may mean that you need to take some steps to prevent pain or manage stiffness, but it doesn't necessarily mean you have to have surgery or other invasive treatments. Many people take steps to manage their condition and prevent arthritis from worsening. Often, with some simple treatment and prevention steps, people with arthritis can learn to manage symptoms so that they can remain in control. Was this page helpful? Thanks for your feedback! Dealing with chronic inflammation? An anti-inflammatory diet can help. Our free recipe guide shows you the best foods to fight inflammation. Get yours today! Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 13 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Centers for Disease Control and Prevention. Osteoarthritis (OA). Bliddal H, Leeds AR, Christensen R. Osteoarthritis, obesity and weight loss: evidence, hypotheses and horizons - a scoping review. Obes Rev. 2014;15(7):578-586. doi:10.1111/obr.12173 Arthritis Foundation. Benefits of Exercise for Osteoarthritis. Centers for Disease Control and Prevention. Healthy Eating for a Healthy Weight. Morales-Ivorra I, Romera-Baures M, Roman-Viñas B, Serra-Majem L. Osteoarthritis and the mediterranean diet: a systematic review. Nutrients. 2018;10(8):1030. doi:10.3390/nu10081030 Tedeschi SK, Frits M, Cui J, et al. Diet and rheumatoid arthritis symptoms: survey results from a rheumatoid arthritis registry. Arthritis Care Res. 2017;69(12):1920-1925. doi:10.1002/acr.23225 Lopez HL. Nutritional interventions to prevent and treat osteoarthritis. Part i: focus on fatty acids and macronutrients. PM&R. 2012;4:S145-S154. doi:10.1016/j.pmrj.2012.02.022 American Heart Association. Fish and omega-3 fatty acids. Centers for Disease Control and Prevention. Physical Activity for Arthritis. Arthritis Foundation. Analgesics. Arthritis Foundation. Picking the Right NSAID for OA Pain. Arthritis Foundation. Use of Corticosteroids in Osteoarthritis. Bowman S, Awad ME, Hamrick MW, Hunter M, Fulzele S. Recent advances in hyaluronic acid based therapy for osteoarthritis. 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