It used to be thought that the pain, stiffness and diminished function of joints due to arthritis were just an unavoidable part of the aging process. Advice on the topic was (for some time) limited to, “Slow down.” We know now, though, that exercise is essential to managing the disease. Though chiropractors may be best known for working on the spine, particularly keeping its vertebrae, or individual bones, in line, they are trained in the operation of all the body’s joints and in the various therapies available to keep those joints working smoothly.

Depending on the type of arthritis you have, the condition can periodically flare and then subside. While manipulation may bring relief in some cases, particularly when there is no inflammation, the chiropractor can also use ultrasound, trigger-point therapy, which is applying gentle pressure to a specific area, or what’s called “cold laser,” a non-heat-producing light that penetrates deep into the tissue and can reduce inflammation.

Finally, the chiropractor can develop a therapeutic program of exercise and strength training. It might include stretching and dance moves that improve range of motion in arthritic joints; strengthening exercises, including weight lifting, which can increase the ability of muscles to support troublesome joints; and aerobic, or endurance, exercises to improve your cardiovascular system, tone muscles and help with weight control.

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