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<p><a class="leftNavOff" href="exercise_pract.asp">Practitioner Statement</a></p>
<p><a class="leftNavOff" href="exercise_history.asp">History & Philosophy</a></p>
<p><a class="leftNavOff" href="exercise_treatment.asp">Treatment Approaches</a></p>
<p><a class="leftNavOff" href="exercise_how.asp">How it works & when to use it</a></p>
<p><a class="leftNavOn" href="exercise_what.asp">What you need to know about treatment</a></p>
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<p class="headline"><br>
Exercise — What you need to know about treatment</p>
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<p><span class='head2'>Description of a session</span><br />
Begin an exercise program slowly, perhaps 10 minutes a day of light exercise and gradually build from there. It is recommended that some type of aerobic exercise be done at least 3 to 4 times a week, 20-30 minutes a session (this can be three 10 minute sessions rather than one 30 minute session). Exercise experts now believe that vigorous exercise is not necessary – moderate activity on most days of the week can provide a great many health benefits. </p>
<p>If you have a chronic health problem such as obesity, diabetes, heart disease, or high blood pressure, it is advisable to talk with your health care provider about the type and amount of physical activity that is appropriate for you. </p>
<p>Whatever your health status, it is important to always listen to your body. Stop exercising and consult your health care provider if you experience chest discomfort or pain, dizziness, severe headache, or other unusual symptoms while exercising. If you are feeling tired, sick or are just recovering from an illness, it is advisable to take time off from your exercise routine to let your body rest, and start up your program slowly when you are feeling better. </p>
<p>If beginning strength training, start with a light exercise program such as one to three sets of 8 to 12 repetitions per muscle group two to three times a week. Exercise slowly with good posture, regular breathing and full range of motion. Change your workout routines periodically so that the muscles don’t adapt to the workload and decrease the benefit. </p>
<p>Flexibility programs should stretch all the major joints at least 3 times a week. The best time to stretch is after warm-ups and during or after workouts.</p>
<p><span class='head2'>Course of Treatment</span><br />
Exercise may be part of a lifelong approach to wellness and disease management. Or in specific acute conditions it may be part of a physical rehabilitation plan aimed at specific therapeutic goals.</p>
<p><span class='head2'>Side Effects</span><br />
While a little soreness in the beginning of a new exercise program can be expected, pain is not a normal consequence of exercise. If you feel pain or a tight feeling in the chest, arms or jaw, severe shortness of breath, a rapid throbbing or fluttering of your heart, or dizziness, faintness or nausea stop exercising and get immediate medical help. </p>
<p><span class='head2'>Safety issues</span><br />
The risks associated with physical activity must also be considered. The most common health problem associated with physical activity is musculoskeletal injury. This can occur with excessive amounts of activity or with suddenly beginning an activity for which the body is not conditioned. Much more serious associated health problems such as myocardial infarction or sudden death are much rarer, occurring primarily among sedentary people with advanced coronary artery disease who engage in strenuous activity for which they are unprepared. Sedentary people, especially those with preexisting health conditions, who want to increase their physical activity should gradually build up to the desired level of activity. </p>
<p><span class='head2'>Other modalities that work well with exercise</span><br />
Exercise is considered part of an overall comprehensive approach to health and wellness. It is a key component along with nutrition and stress reduction in maintaining optimal wellness and disease prevention. Exercise recommendations are often combined with nutritional, herbal, mind/body and other approaches that support a well-balanced body and provide a means for stress reduction in daily life. It is often part of a rehabilitative approach for many acute and chronic diseases.</p>
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<p class="timestamp">Content last modified on Sep 19, 2003</p>
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