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How Strength Training Reduces Joint Pain: What the Science Says

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Joint pain is one of the most common reasons people reduce or stop exercising, especially as they age. 

Yet high-quality research consistently shows that strength training is one of the most effective ways to reduce joint pain, improve mobility, and support long-term function. 

Below are three of the strongest, well-designed studies demonstrating these benefits.


1. Tufts University Strength Training Trial — Knee Osteoarthritis

Sawyer et al., JAMA, 1997
 🔗 https://jamanetwork.com/journals/jama/article-abstract/411153

This landmark study followed older adults with knee osteoarthritis who completed a supervised strength program. Researchers found:

  • 43% reduction in knee pain
  • Improved walking speed
  • Stronger quadriceps leading to better joint stability

This remains one of the most influential trials showing how targeted strength training can significantly reduce pain and disability.


2. IDEA Randomised Trial — Exercise for Knee Osteoarthritis

Messier et al., JAMA 2013
 🔗 https://jamanetwork.com/journals/jama/fullarticle/1719735

Following 454 adults with knee osteoarthritis, the study showed that progressive strength training led to:

  • Reduced inflammation
  • Better joint function
  • Improved mobility
  • Stronger muscles supporting smoother and more controlled movement

The findings highlight how even low-intensity strength work can meaningfully reduce joint pain.


3. Shoulder Strengthening vs Surgery Trial

Holmgren et al., BMJ 2012
 🔗 https://www.bmj.com/content/344/bmj.e787

Participants with shoulder impingement were assigned either heavy strength training or standard care. The strengthening group experienced:

  • Significant reductions in pain
  • Better functional outcomes
  • Far fewer progressing to surgery (20% vs 63%)

This trial shows how strengthening stabilising muscles can reduce pain and prevent invasive interventions.


4. Collagen + Exercise: A Systematic Review on Joint Pain & Recovery

Khatri et al., Amino Acids, 2021
 🔗 https://pubmed.ncbi.nlm.nih.gov/34491424/

A 2021 systematic review analysed 15 randomised controlled trials on collagen peptide supplementation combined with exercise. Key findings:

  • Hydrolyzed collagen peptides + exercise was most effective for improving joint functionality
  • Multiple studies showed reductions in joint pain, especially in degenerative conditions
  • Some improvements in body composition, strength, and recovery were observed
  • Collagen increased collagen synthesis (particularly at 15 g/day)

Although mechanisms are still being studied, this review confirms that joint-focused exercise programs may be enhanced with targeted collagen supplementation, especially for individuals managing chronic joint pain.

For those wanting a combined approach, complete joint care products may support joint health alongside structured exercise.


Learn More About Strength Training for Joint Pain

For a deeper breakdown of how strength training reduces joint pain, this article provides further insight:

 👉 Strength Training for Joint Pain in Samford

If you’re considering a personalised program, an accredited exercise physiologist can assess your movement, joint health, and exercise history:

 👉 Exercise Physiologist — Propel Fit

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