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MOVING THROUGH CHRONIC PAIN How Exercise Can Heal What Hurts
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by Julie Peterson
hen our body keeps hurting, especially if it’s been that way for a long time, it’s natural to want to snuggle into pillows with a good movie and move as little as possible. And for many years, that’s the kind of rest that doctors recommended for the 20 percent of American adults suffering from chronic pain. But with a plethora of studies showing that exercise can reduce pain severity, enable better physical functioning and boost morale with virtually no adverse side effects, that advice is fast changing. “Exercise helps to release endorphins, which are the body’s natural painkiller chemicals,” explains Rumki Banerjee, M.D., medical director of Apex MD, in Glen Allen, Virginia. For those suffering from conditions like rheumatoid arthritis, fibromyalgia and low back pain, the thought of mov-
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ing may be uncomfortable, and even the sight of stairs may trigger pain signals. But walking up just one step can give the brain new information. “If it’s possible to do a movement one time without pain, the brain starts to change, the door to movement reopens and we begin to end the chronic pain cycle,” says Annie Forest, a fitness trainer who specializes in the neurology of pain at Forest Coaching Studios, in Madison, Wisconsin. A good first step is to consult an expert. “If your doctor approves, take advantage of the knowledge and expertise of a movement expert. Physical therapists, occupational therapists, Pilates trainers and yoga teachers are trained to help others move safely and more effectively,” says Peter Abaci, M.D., medical director of the Bay Area Pain and Wellness Center, in Los Gatos, California,
