Managing exercise with RA affecting the spine, bulging discs, bone spurs, and severe osteoporosis is genuinely complex — and getting personalized guidance from a physical therapist (ideally one familiar with RA) is especially important in your situation. Your rheumatologist can provide a referral, and sessions may be Show Full Answer
Managing exercise with RA affecting the spine, bulging discs, bone spurs, and severe osteoporosis is genuinely complex — and getting personalized guidance from a physical therapist (ideally one familiar with RA) is especially important in your situation. Your rheumatologist can provide a referral, and sessions may be partially or fully covered by insurance.
Given the severity of your spinal involvement and osteoporosis, the gentlest, lowest-impact options are generally the safest starting point:
- Water therapy or pool walking — the buoyancy of water removes stress from joints and the spine while still providing cardiovascular and muscle benefits
- Chair exercises — seated movements that avoid spinal loading or jarring
- Gentle stretching — helps maintain range of motion without stressing the spine
- Stationary cycling with moderate resistance — low impact on joints, including the spine With osteoporosis in the picture, it's especially important to avoid high-impact or twisting movements that could increase fracture risk. The hard popping in the neck and spine is also a strong reason to avoid any exercise that loads or compresses the spine until a physical therapist has assessed your specific situation.
A few important cautions:
- Avoid exercise during flares — rest until symptoms settle
- Never push through sharp or new pain, especially in the spine
- Always clear any new exercise with your rheumatologist first, given the combination of conditions you're managing
A myRAteam member shared a helpful perspective: *"Have you discussed having hand therapy, occupational therapy, and physical therapy with your rheumatologist? They really helped me to be able to do everyday things."*
You're navigating a lot — be kind to yourself in the process.
July 6
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