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Exercise Therapy "Wears Down" My Knee Joint: Myth or Reality?
The Journal of Orthopaedic and Sports Physical Therapy
|June 19, 2025
Summary
Exercise therapy is safe for knee cartilage in individuals with knee osteoarthritis. This approach does not harm cartilage structure or quality, contrary to common misconceptions among patients and clinicians.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- Exercise therapy is a primary treatment for osteoarthritis.
- A common concern is that exercise may damage knee cartilage in patients with knee osteoarthritis.
Purpose of the Study:
- To investigate whether exercise therapy causes damage to knee joint cartilage.
- To address concerns regarding exercise and knee cartilage health in osteoarthritis.
Main Methods:
- Systematic reviews were conducted to analyze existing research.
- Evidence was evaluated to determine the effect of exercise on knee cartilage.
Main Results:
- Systematic reviews indicate that exercise therapy does not appear to harm knee cartilage structure.
- Exercise therapy does not negatively impact the quality of knee cartilage.
Conclusions:
- Exercise therapy is safe for knee cartilage in individuals at risk of, or with, knee osteoarthritis.
- Clinicians should educate patients to counter the misconception that exercise therapy damages knee cartilage.
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