Hiking despite joint problems?
With spring comes the desire to go hiking again. Osteoarthritis is no reason to give it up. PD Dr Oberholzer, orthopaedic surgeon in Zurich, explains what is important.
Interview with PD Dr Andreas L. Oberholzer in the Zolliker Zumiker Bote and Küsnachter from April 2025.
Dr Oberholzer, what symptoms occur when hiking?
People who suffer from osteoarthritis typically have pain when starting out and on exertion. During long hikes, the pain also increases when walking. Some feel stiffness or are restricted in their mobility. Others have problems with stability. The knees and hips are particularly affected.
Is walking useful with osteoarthritis?
Exercise is important and good for you. It strengthens the muscles, promotes blood circulation and can slow down the progression of osteoarthritis. Hiking is also an activity that is easy on the joints and is therefore ideal for people with joint problems.
Are there any special tips for pain-free hiking?
Yes, good preparation is the be-all and end-all. The route should be known in advance. You shouldn't overdo it. Flat or slightly hilly routes are ideal, steep descents less so as they put strain on the joints.
Breaks should also be planned so that you can recover. I also recommend warming up or stretching your muscles before and after the hike to prevent injuries.
What equipment do you recommend?
Good hiking boots and trekking poles take the strain off your joints. A lightweight rucksack minimises the strain. Supports can help with knee instability and compression socks prevent swelling caused by osteoarthritis, but should only be worn occasionally.
When should you see a doctor?
If the symptoms worsen, you should see a specialist before going on any more hikes. We will then clarify the condition of the knee or hip and whether additional therapies could be helpful.
Is surgery the only solution?
No, we always try conservative treatment first. I have had good experiences with cellular matrix therapy, in which hyaluronic acid is injected into the knee joint with the patient's own blood. It relieves pain and supports the cartilage. If none of this brings any improvement, an operation may be considered.
Book a consultation appointment
PD Dr Andreas L. Oberholzer is a recognised expert in osteoarthritis complaints.
We guarantee rapid, expert clarification and advice as well as treatment using the most modern methods.
Book your appointment directly online here or call us on +41 44 388 16 16. You are also welcome to come to us for a second opinion.
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PD Dr Andreas L. Oberholzer
FMH specialist in orthopaedics and trauma surgery. Areas of specialisation: Knee, hip and foot surgery.