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🏥 Gotokuji Orthopedic Clinic / Patient Guide

Strength Training as Medicine

"Try strength training before reaching for a pill" — exercise as the most underused prescription

Strength training does much more than build muscle — it rewires your metabolism.
Hormone-like proteins released by working muscles, called myokines, are linked to lower risk of type 2 diabetes, obesity, and atherosclerosis, and to maintaining cognitive function.
That's the idea behind: "Alongside your treatment, try adding training."

1
Muscle is loaded and stimulated

Resistance produces tiny repairable injuries that prompt growth

2
Myokines are released

Active muscle secretes signaling proteins that improve metabolism

3
Basal metabolism is raised

More muscle means more energy used at rest

4
You become more disease-resistant

Better blood sugar, lipids, blood pressure, and brain health

💻 Mostly desk-bound 📺 Long sitting hours 🍰 Weight creeping up 📉 Losing muscle mass 👴 Worried about frailty
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Type 2 diabetes / blood sugar control
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Obesity and visceral fat
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Atherosclerosis and high blood pressure
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Reduced depressive symptoms and support for cognitive function
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Osteoporosis, sarcopenia, and locomotive syndrome prevention
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Squats
The classic lower-body exercise. Sit-to-stand counts too
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Single-Leg Stand
1 minute × 3 each side improves hip and balance
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Slow Training
Slow tempo loads muscle without stressing joints
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2–3× per Week
Daily isn't required — rest days help muscles grow
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Mind Your Form
Don't round your back; align knees over toes
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Add Protein
Enough protein across the whole day is what matters most
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Felt within weeks; visible in months

Within 2–4 weeks most people notice "the stairs got easier" or "less afternoon slump." After 3 months, body composition and lab values often show real change. Choose an intensity and frequency you can actually keep — that beats anything more ambitious.

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Before "training first", check this.
If pain or numbness has been going on, there may be a cause that exercise will not solve — get it checked before you start. Joint pain, back pain, or new numbness also means form, load, or programming need adjusting. Patients with knee, back, or shoulder issues, or with cardiac or hypertensive history, should consult an orthopedic specialist before starting an intense routine.

💡 4 Things to Remember

  • Light and 2–3× per week beats hard and erratic
  • If pain comes, stop and review form and load
  • Protein and sleep are part of the program
  • Strength training is one of the most useful habits you can add for yourself — moving more, alongside your prescribed care