Is it advisable to do exercise when affected by Chronic Recurrent Multifocal Osteomyelitis? Which activities would you suggest and how intense should they be?

Chronic Recurrent Multifocal Osteomyelitis (CRMO) is a rare autoinflammatory bone disorder that primarily affects children and adolescents. It is characterized by recurrent episodes of inflammation in multiple bones, leading to pain, swelling, and limited mobility. While exercise is generally beneficial for overall health and well-being, it is important to approach it cautiously when affected by CRMO.

Consulting with a healthcare professional is crucial before starting any exercise regimen. They can provide personalized guidance based on the severity of the condition, individual limitations, and specific needs. They may also recommend working with a physical therapist who can design a tailored exercise program.

Low-impact exercises are generally recommended for individuals with CRMO. These activities put less stress on the joints and bones, reducing the risk of exacerbating inflammation or causing injury. Some suitable exercises include:

• Swimming or water aerobics: Water provides buoyancy, supporting the body and reducing impact on the bones. Swimming and water aerobics can help improve cardiovascular fitness, strength, and flexibility without putting excessive strain on the affected areas.


• Cycling: Riding a stationary bike or cycling outdoors can be a gentle way to engage in cardiovascular exercise and strengthen the lower body muscles. It is important to adjust the intensity and duration based on individual capabilities and comfort levels.


• Yoga or Pilates: These low-impact activities focus on flexibility, balance, and core strength. They can help improve posture, joint mobility, and overall body awareness. However, certain poses or movements may need to be modified or avoided to prevent discomfort or injury.


• Resistance training: Using light weights or resistance bands under the guidance of a professional can help strengthen muscles without putting excessive strain on the bones. It is important to focus on proper form and avoid exercises that may aggravate the affected areas.

Regardless of the chosen activities, it is crucial to start slowly and gradually increase intensity over time. This allows the body to adapt and reduces the risk of overexertion or flare-ups. Listening to the body and taking breaks when needed is essential to prevent excessive strain or injury.

Monitoring symptoms is vital during exercise. If pain, swelling, or discomfort worsens during or after physical activity, it is important to modify or discontinue the exercise and consult with a healthcare professional. They can provide further guidance and adjustments to the exercise program.

In conclusion, exercise can be beneficial for individuals with Chronic Recurrent Multifocal Osteomyelitis, but it should be approached cautiously and under professional guidance. Low-impact activities such as swimming, cycling, yoga, and resistance training can help improve cardiovascular fitness, strength, flexibility, and overall well-being. Starting slowly, gradually increasing intensity, and monitoring symptoms are key to ensuring a safe and effective exercise routine.