I’m a 28 year old guy, no signs of arthritis yet. But both my parents have quite debilitating and different forms of arthritis.

My dad (54 years old) thought he tore something in his knee getting out of his car on some ice recently. It wasn’t healing. MRI revealed that he just has terrible arthritis. He’s about 200lbs and 6 feet tall and fairly active still. But for years his knees have made it hard for him to hike or mountain bike. He still goes, but complains constantly. He can not do a squat, can’t sit cross-leg, and has trouble getting down onto the ground or back up (for like 10 years straight).

My mom used to cut hair, now she has really bad arthritis in her fingers, and some in her back. She’s far more mobile than my dad. Also a healthy weight. I’m a software engineer so my fingers are quite important to me.

Neither of them smoke or drink alcohol - at all.

I’m super active. I ran track in college. I mountain bike, freedive, backpack, pretty much anything outdoors. Exercise fairly regularly (2 times a week). My hope is that staying healthy and active is enough. But seeing them struggle to keep up has me worried. They haven’t aged much, but it’s like they feel pain moving.

My maternal grandpa was backpacking and biking into his early 70s pain-free. I’d see that as an absolute win compared to my parents. The research I did this morning had some basic suggestions, but also a lot of “we don’t really know.”

I’ve had a few sports injuries, but nothing that has bothered me after it healed. Some were serious enough to required physical therapy. Mostly ankle and wrist sprains, plus regular stress fractures in my feet from indoor track.


Correct me if I’m wrong: but right now one of the things I want to incorporate more of is mobility work. I like yoga so that’s probably what I’ll try to add more of. Once a week was what I was planning on. I do a lot of active things that I don’t consider exercise, like biking to work, walking the dog, etc.

Also, I don’t run a ton anymore, but it’s never bothered me and I love going on a run every now and again. The research here seems to be super conflicting. My interpretation is that you can run unless you have arthritis and it bothers you. But running doesn’t seem to cause arthritis or knee pain (even though a lot of personal anecdotal stories blame running on knee issues). In general, the lower impact the activity though, the better it is for people with arthritis.

So if anyone has resources to link to, or long-term lifestyle suggestions, I’m all ears. My ultimate goal would be to just feel as healthy as I do right now, for as long as possible.


And so; what lifestyle practices combat/prevent arthritis?

  • jet@hackertalks.com
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    24 days ago

    The easy thing to monitor for your healthy insulin sensitivity is your TG/HDL ratio. https://hackertalks.com/post/5922188 You want it to be less then 1.

    You get these figures on any standard lipid test, so you should have annual numbers already. If you keep this less then 1, then your going to stay low insulin, sensitive, and avoid AGEs.

    When you finish your notes, I’d love to read them, I want to avoid arthritis too!

    • UnPassive@lemmy.worldOP
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      3 days ago

      Sorry to take so long to add my notes, but I kept thinking I’d work on them more to make them more definitive and organized… Just gonna give you what I have so far…

      There is a lot of great info in the other responses that go into more detail - I’ve tried to make my notes to the point, and easy to review. I also didn’t note things that I didn’t feel weren’t applicable to my life. I also added some context to these notes that aren’t in my actual notes.

      • Things to avoid:
        • Regular long periods of sedentary-ness
          • Get up and move every hour with some squats, push ups, planks, walking, etc
          • Your joints need motion to stay healthy. Cartilage isn’t vascular. Applying and removing pressure moves synovial fluid through cartilage, keeping it hydrated and flexible.
        • Injuries - especially regular injuries (like a repeated sprained ankle). Take care not to crash often while mountain biking…
        • Bad sleep
        • Bad diet
        • High stress
        • Putting on excess weight - even a 5% change in body weight can have a significant impact on arthritis.
        • Repetitive motions
      • Things to do more of:
        • Exercise. Shoot for daily exercise, plus hourly movements. Try to get your heart rate up multiple times a day
          • “Motion is lotion” when it comes to arthritis
          • I set up an hourly notification during work hours where I get a random exercise to do - and I don’t clear the notification until I’ve done the exercise. The app:
          • Low impact exercise may be best (yoga, swimming, biking, elliptical, rowing)
          • I bought a rebounder (mini trampoline) and I’m convinced it’s a great long-term investment in avoiding arthritis.
            • I keep it by my couch and bounce a few times during a movie, before work, after work, when listening to music. It’s actually super fun and an instant way to feel better. I haven’t had to “try” to force myself to use it, I just walk by and get on for fun.
            • Nothing super long or intense, but it’s more fun and easier than doing body weight stuff. And there’s the visual reminder of seeing it.
            • I originally bought it to help with my lymphatic system since doctors kept telling me I had inflamed lymph-nodes. That was before I started trying to move more in general. So it’s kinda a two-for-one for me.
          • I also bought an under-desk bike for my office, and a standing balance board. I enjoy and recommend both.
        • Pay attention to insulin and your diet
          • Avoid sugary treats and drinks, especially on an empty stomach.
          • Avoid ultra-processed foods entirely
          • Try to get omega-3s, and vitamin D
      • Misc notes:
        • While there are conflicting conclusions on running and arthritis, there is reason to believe that running doesn’t cause arthritis. It may not be a great activity for people with arthritis though.
        • Incorporating movement into your day reduces chances of arthritis.
          • Think bike commuting, walks, parking far away, exercise-tangent hobbies (skating, skiing, hiking, mountain biking, gardening)
          • Moving more often seemed like it’d be a big change for me, and maybe unsustainable, but I’ve been feeling so much better in general. And I’ve had zero back pain lately, which is huge for me. I used to nurse my back regularly (stretches and rolling out) to try and treat the pain and stiffness - but it’s just been gone as soon as I got that exercise reminder app.
            • I’ve always spent hours at a time at a desk. Many of my after-work hobbies are also at a desk…
            • Do not sleep on this change, the hardest part is remembering, but I always am excited to get up out of my desk to do 45 seconds of exercise.
            • I think it might even be helping with my work performance and having more energy through the day without crashes.
      • jet@hackertalks.com
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        3 days ago

        That’s a great writeup, thank you for sharing it!

        I would just emphasize the healthy diet is more then just avoid sugary treats.

        What does a good diet look like:

        • whole foods, from real sources
        • zero sugar
        • zero fructose (no juices, but eating in season fruit might be ok… This is whole foods again)

        Metrics you can use to confirm your diet is good:

        • your TG/HDL ratio is less then 1
        • your HOMA-IR is less then 1
        • your fasting insulin is less then 6 uU
        • you don’t have extra fat, muffin top, love handles, etc
        • you don’t snore

        I personally would recommend doing keto/low carb if you want to ensure you maintain long term metabolic health, but it’s not a requirement