How to Stay Active with Chronic Pain Using Gentle Exercises for Summer and Fall

How to Stay Active with Chronic Pain Using Gentle Exercises for Summer and Fall | PTCOA

Physical therapy specialists note that regular, low-impact activities can trigger exercise-induced hypoalgesia, a scientifically documented phenomenon where aerobic exercise increases pain threshold and tolerance in chronic musculoskeletal conditions. By utilizing this effect, you can improve daily functioning and regain confidence in movement.


Why Gentle Exercise Is Essential During Summer and Fall

Staying active with low-impact movement during the summer and fall months offers unique advantages for managing chronic pain, joint conditions, and overall physical function. With warmer muscles in summer and lower inflammation in fall, these seasons create the ideal conditions for safe, effective exercise.


Keeps Joints Flexible While Avoiding Stress

Light physical activity encourages synovial fluid production, which lubricates your joints and reduces stiffness. This is especially beneficial for individuals with arthritis or degenerative joint conditions, where immobility often worsens symptoms. Summer’s heat naturally warms up muscles and tendons, making it easier to perform flexibility routines and range-of-motion exercises without risk of injury.


Builds Muscular Support

Even minimal strength training using resistance bands, water weights, or bodyweight can strengthen the muscles that support your joints. Stronger muscles absorb more of the physical load, reducing direct stress on the joints themselves.

 

This can also help with weight management, which is important because excess body weight increases joint wear and inflammation, particularly in the knees and hips.


Improves Cardiovascular Health

Low-impact aerobic activities like brisk walking, stationary biking, or swimming enhance blood flow, which helps deliver oxygen and nutrients to tissues and remove inflammatory byproducts. Outdoor exercise in moderate temperatures allows for longer sessions without overheating, helping to build endurance while maintaining joint comfort.


Activates Neurochemical Pain Relief

Endorphins, serotonin, and norepinephrine are neurochemicals that help elevate mood and lessen pain perception. They are released when you exercise.

 

These biochemical changes don’t just offer temporary relief; they support long-term resilience by lowering the intensity and frequency of pain flare-ups. Staying active also helps regulate sleep patterns and reduce stress, both of which are key to managing chronic pain.


Understand the Source of Your Pain Before You Begin Any Exercise

Exercising without identifying the cause of your pain can lead to setbacks, injury, or worsening symptoms. Before building a fitness plan, it’s important to identify the root cause of discomfort through targeted diagnostics that guide safe, effective movement.


High-Resolution MRI and CT Scans

Advanced imaging tools like MRI and CT scans offer detailed insights into the body’s internal structures. These scans can reveal joint degeneration, disc herniations, inflammation, or soft-tissue damage that might not be obvious during a physical exam.

 

When these issues are identified early, your care provider can design exercise modifications that prevent further irritation, especially in sensitive areas like the spine or shoulders.


Nerve Assessments

If your symptoms include tingling, numbness, or unexplained weakness, electromyography (EMG) and nerve conduction studies (NCS) help determine whether nerve dysfunction is to blame. These tests measure how well nerves transmit electrical signals and can detect conditions like sciatica, peripheral neuropathy, or nerve entrapments.

 

Knowing whether the pain stems from nerve or muscle involvement allows for more precise physical activity recommendations.


Diagnostic Nerve Block

Confirming the exact source of your pain allows your care team to tailor exercises that promote healing while minimizing the risk of aggravating symptoms. Diagnostic nerve blocks are particularly helpful in this process, offering targeted, short-term relief to better understand your condition. This approach offers accurate treatment to help you move with greater confidence during your recovery.

 

  • A local anesthetic is injected near a specific nerve or joint to isolate the pain source.
  • Provides temporary relief, helping identify whether symptoms are nerve-related or structural.
  • Differentiates between overlapping pain conditions that may require different treatments.
  • Creates a short window of reduced pain, allowing for safe testing of therapeutic movements.


How to Take Advantage of the Weather

Changing your exercises and surroundings with the seasons supports your comfort and joint health. Summer’s warmth helps relax muscles and improve flexibility, making it a good time for gentle, low-impact exercise. As fall brings cooler temperatures, adjusting your routine helps keep you moving and prevents stiffness.


Aquatic Therapy

Water’s buoyancy and warmth ease pressure on your joints while boosting circulation. Activities like pool walking, leg swings with resistance bands, and gentle water aerobics build endurance and flexibility without strain.

 

The water’s gentle pressure also reduces swelling, making aquatic therapy a great choice for pain relief and injury recovery.


Gentle Cycling

Using a stationary recumbent bike lets you avoid uneven surfaces and control the temperature. Outdoor cycling on flat trails during cooler times connects you with nature. Start with short rides, ensure your bike fits well, and gradually increase your time for safe, comfortable progress.


Mind-Body Exercises

Practices like Tai Chi and restorative yoga combine slow, gentle movements with deep breathing to improve balance and flexibility and reduce stress. Doing these exercises on grass or natural paths adds sensory benefits and promotes relaxation.


Therapeutic Stretching

Cooler weather can make your joints stiff and sore. Regular stretching with gentle holds of 20 to 30 seconds on muscles like hamstrings, hips, shoulders, and back keeps your joints lubricated. Adding dynamic, flowing stretches before activity encourages smoother movement and helps prevent stiffness that worsens pain.


Safe Strength Training

As outdoor time decreases in fall, focus on indoor strength exercises using resistance bands and light dumbbells.

 

Moves like rows, curls, glute bridges, and shoulder presses build muscle without overloading painful areas. Perform 8 to 12 repetitions per set, resting between, to strengthen muscles that support your joints and reduce pain caused by imbalances.


Create a Pain-Friendly Indoor Environment

Sit with good lumbar support, keep screens at eye level to avoid neck strain, and wear supportive shoes indoors to ease joint stress. Use cushioned mats for standing or floor exercises. These simple changes improve comfort and help you move better throughout the day.


Our Targeted Pain Relief Treatment Plan

When pain prevents you from being active, medical interventions can help you regain the ability to move safely. At PTCOA, our interventional treatments are designed to reduce pain long enough for you to start or resume gentle exercise.


Nerve Blocks

Through the direct delivery of medication to particular nerves, nerve blocks can temporarily alleviate pain. This window of relief allows you to begin physical therapy or basic mobility exercises without overwhelming discomfort.


Radiofrequency Ablation

RFA uses heat to disrupt pain-signaling nerves. Its effects can last for months, giving you the opportunity to rebuild movement habits and improve function without constant interruption from pain.


Spinal Cord Stimulation

For patients with ongoing, severe nerve pain, spinal cord stimulation (SCS) offers consistent relief. This implanted device changes how pain signals travel to the brain, making it easier to stay active and engaged in daily routines.

 

Ready to feel stronger this season without aggravating your chronic pain? WE, at Pain Treatment Centers of America, offer you customized therapy programs that fit your goals, your condition, and your lifestyle. Contact us to build your summer-to-fall exercise plan—designed around your comfort, progress, and results today!

By Bob Berendsen January 15, 2026
Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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