
QUESTION: Will using fitness machines that isolate muscle groups, along with cycling, wear out my knee joints? —Stan P. (Yup, that’s me. Today I’m answering my own question!)
RBR’S STAN PURDUM REPLIES: Here’s how my question came about: Nine months ago, I had a total replacement of my right knee. While in therapy to recover, I got acquainted with the fitness center adjoining the therapy unit. And since my health insurance has a program called “Silver Sneakers” that will pay the cost of using the fitness center, I signed up. The center has resistance training machines that isolate various muscle groups and provide a weightlifting workout for those muscles. If you use all the machines regularly, gradually increasing the amount of weight you are lifting, pulling or pushing, you exercise just about every muscle group you have. And I have been exercising there regularly.
I’ve also been back to cycling since about six weeks after the knee surgery, and doing well, but a couple of weeks ago, I noticed some symptoms in my left knee — the one that still has a natural joint — that suggested I may be starting down a path to where I’ll eventually need to have that one replaced as well. That caused me to wonder if the fitness exercises that involve my knees, along with my ongoing cycling, were causing my knees to wear out faster. So, when visiting the orthopedic surgeon who did my knee replacement to discuss my other knee, I asked him the question above.
He answered, “Everything wears your knees out.”
But he went on to say, “Nonetheless, you shouldn’t stop cycling or using the machines, because the strength you gain makes a big difference in your life. It’s what will keep you out of a nursing home.” (I’m 79, so that was good to hear.) “There are studies that show that the people who are strong tend to survive longer. Even with people who have stage 4 metastasized cancer, the ones who survive the treatment are the ones who are strong to begin with,” he said.
My doctor, who appears to be in his mid-40s, is trim and fit, and he went on to tell me about his own strength training routine, which involves weights and chains. The chains help to minimize the stress on the joints.
I was impressed.
Before I left his office, he gave me a cortisone shot in my left knee, so that I can get some more mileage out of that joint before I have to get a new one.
Good thing, because I’m signed up for a week-long cycling trip around Lake Champlain next month.
Stan Purdum has ridden several long-distance bike trips, including an across-America ride recounted in his book Roll Around Heaven All Day, and a trek on U.S. 62, from Niagara Falls, New York, to El Paso, Texas, the subject of his book Playing in Traffic. Stan, a freelance writer and editor, lives in Ohio. See more at www.StanPurdum.com.
Hi Stan, I enjoyed your article. Good luck with your replaced knee. I had my own right knee fully replaced nearly 24 years ago. My annual goal is 10,000 miles which I have managed to hit 14 of the past 15 years. Just wanted to share this experience and wish you all the best with your’s. Rock on!
Thank you!
It may have simply been a convenient flippant comment or old assumptions about exercise causing knee arthritis. I dont think the overall impact of exercise is well understood, never mind issues of dose, modality, age etc. Here is a simple summary of the general current consensus: “According to Harvard Health, regular exercise is unlikely to cause knee damage or speed up knee osteoarthritis (OA).
In fact, some evidence suggests that runners may have a reduced risk of disability compared to others.
However, exercise can cause knee pain, especially if you suddenly increase the intensity or duration of your workouts.”
I agree, I’m unconvinced exercise does or does not wear out your knees. There simply must be more going on than we understand. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7792543/
Joe
Over use will cause wear and tear. Making the body work a little harder makes the body respond by getting stronger. Everyone who wants to stay active absolutely must read “Starting Strength”. This advice comes from a soon to be 68 yr old with spine fusion surgery in 2017. Good luck
As a cyclist for 40+ years and a life longer lifter, be careful with single joint exercises and particular leg extension machines which put a lot of shearing force on your knees. There are a lot of better exercises to built strength. Consult a trainer of exercise physiologist.
Well over 15 years ago I was told that a knee replacement was on the cards and only a matter of time. X-rays showed “terrible arthritis” in the words of the doctor. I went to PT and got some exercises that were supposed to help.. I’ve been doing them daily ever since and still experience no pain and no disability. As I read the literature, the failure of PT is mostly the failure of the patients to follow through. Another doctor told me that dealing with these issues is “90% the patient, 10% the treatment.” Words to live by.