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Posted by Gramps on April 11, 2000 at 11:31:38:

In Reply to: Re: Running with Arthritis - I agree with your response... posted by Chris on April 10, 2000 at 08:35:10:

Thanks Chris, for the info. There were some answers to questions that I had often wondered about. It's obvious she has done her homework.

We should both be very thankful that we can even consider running, as this desease can be so disabling to so many and it is so hard to tell if we are strengthing our selves or causing irreversable harm.

I did too much yesterday and am hurting now and during my gym session this morning but I do the water workout on Tuesday and Thursday nights and that always seems to help. [interesting survey on the swimmers wasn't it?]

I use a heartrate monitor while doing most of my excersizing and have not been able to raise my heartrate to the zones like I was just 6 weeks ago. It may be due to my insomnia, but it takes all my willpower to push it to 75%.

This Sunday in DC there is a charity race for the Children's Brain Tumor Research, that we did last year [my wife and three of our grandaughters] and we would like to do it again. I know I can do the 5K distance at a nice easy pace but am afraid I'll get competitive against the girls and try to hold them off for one more year, and then end up hurting for six weeks.

Mark Rypian, the former Quarter back of the Washington Redskins is the Host, [he lost his son to a brain tumor] and maybe I should run like Mark did last year. He ran about 1/2 mile down the course and stopped to sign autographs untill runners started coming back and he just came back with them. That'll work...Gramps

Thanks for sharing your info. My ortho said I could run a marathon, but that the price
: would likely be very dear. I think running is a good thing if done in conjunction with stretching
: and other Range of Motion excercises (in moderation). My pain has continued to lessen over the weeks from
: an all time low in November. I'm hoping to start running (maybe start with a mile) after I have
: done say stairmaster for 20 minutes and I am really warm.


: Q: Is arthritis worsened by running:

: Depends on what studies you want to look at.
: 1982 Study on Rabbits - they gave them osteoarthritis by immobilizing a
: limb, then studied the progression of the osteoarthritis in relation to near
: maximal running versus no running. There was no acceleration of the OA in
: relation to near maximal running.

: 1990 study (this time on rats) - they gave running and non running rats
: injections of hydrogen peroxide into the joints. The non running rats did
: not develop OA, but the running rats did.

: 1975 study (this time looking at humans) - radiographs of 74 former Finnish
: Championship runners with average age of 55 who began running between ages
: 12 and 25. (Runner's mileages weren't reported). These radiographs were
: compared with 115 controls and revealed an incidence of 4% of radiologic
: changes in the runners versus 8.7% in the controls. You can't necessarily
: imply that running protects joints from this study, but it was intriguing
: nonetheless. It could be that the genetics of those 74 runners was such
: that they would have been spared OA even if they hadn't run - hard to
: compare world class athletes and "normals" and not control for the genetic
: factors that predisposes one to athletic greatness.

: 1985 study of former college varsity athletes - 504 cross country runners
: compared with 287 swimmers. Age range of 23-77 years. Study was looking at
: incidence of hip and knee pain. 15.5% of runners and 19.5% of swimmers had
: mild or severe pain. 2.1% of runners and .8% of swimmers had had surgery for
: relief of joint pain. There was no differences in average mileage between
: those who complained of pain and those who did not. No significant
: difference in years of running between those who did and didn't complain of
: pain.

: 1986 study on long distance runners aged 50-72. Male and female runners had
: 40% more bone mineral density when compared with matched controls. No
: differences were noted between the groups in joint space narrowing,
: crepitation, joint stability or symptomatic osteoarthritis. A later
: follow-up on this same group of runners showed no differences in radiologic
: progression of osteoarthritis in runners and controls.

: 1989 study of 27 former elite long distance runners compared to 9 former
: bob-sled riders and 23 controls - found in retrospective analysis that there
: was a significantly higher incidence of OA of the hip in the runners than
: the controls. Average mileage per week in 1973 was 97 Km (60 miles) per
: week. They found that pace rather than mileage was more of a predictor of
: OA.

: Main differences in the human studies - most found that there was not a
: correlation between running per-se and OA, but found instead that pace and
: mileage per week did seem to influence the study results.

: Now, with all that said... you DO NOT appear to have full blown OA. That
: is diagnosed by a combination of radiographic findings (which are negative
: on you) and symptoms (which are gradually resolving). I truly feel that if
: you can moderate your running to a level that does not bring on symptoms,
: and if you're consistent with maintaining optimum strength and flexibility,
: and if you're willing to cross train - YOU CAN RUN safely and not risk
: excessive progression of joint deterioration. There is some evidence to
: support the hypothesis that exercise within certain parameters may indeed
: forestall the inevitable joint decline that comes with age.
: Hope this helps allay some of your anxiety. Returning to a moderate amount
: of running should be OK, but if pace and mileage increase too much you do
: run some risk.
: Janet
: Janet Hamilton, MA CSCS Team Oregon Rehab Coach
: Running STRONG
: Personalized coaching for rehabilitation and injury prevention

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