Brief Answer:
Most patients may use the exercise machine- the severity of arthritis will determine if it is safe in your case

Detailed Answer:
Hello and welcome to "Ask a Doctor" service,

Synvisc shots contain a chemical that helps keep the knee joint lubricated and eases the movements.
Exercises are recommended for patients with knee problems (especially with osteoarthritis, which is the most likely diagnosis in your case).
The kind of exercises you may have depends on how severe osteoarthritis is in your case. Even though Synvisc may ease the movements, it is the severity of osteoarthritis that determines the exercises you need.

Most patients may use stationary bikes and elliptical machines to exercise while suffering from osteoarthritis. Rarely, in severe forms, water exercises (swimming) is the best and the most tolerated way of exercising.

On the other hand, it is best to be seen by a physiotherapist that may also advise you on specific exercises that are helpful for you and may also guide you on the machines that you may use. A physiotherapist may check the function of your muscles and if there is any muscle spasms (tightness) or any weakened muscles and may help with exercises to address these so that there is less stress on the knees when you exercise.

To conclude:
- stationary bikes and elliptical machines can be used by most of the patients with osteoarthritis. The injection with Synvisc will ease the movements in the knee and may help with the exercises
- Only in severe forms of osteoarthritis, the patient may not be able to use the machines and in this case, swimming is the best
- You may need to avoid exercises in the first couple of days after the injection
- Exercises should be started at a slow pace (less speed and less effort) and gradually increased as your pain allows you
- You will have to be sensitive to symptoms such as pain or swelling and not exercise if these develop but let the doctor know as soon as possible
- It is always safer to be followed up with a physiotherapist to determine which exercises are best in your case. Your doctor and the physiotherapist should work together and decide together when it comes to the management of knee arthritis in your case.

I hope this answers your query.
I remain at your disposal for further medical assistance.

Regards,
Dr. Antoneta Zotaj
General and Family Physician

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