Starting Exercising: Nausea and Knees?

Starting next week, I'm going to be starting up an exercise program (resistance band workout MWF, and aerobic stepping, M-F). I've tried working out in the past and two big things have contributed to me not following through and I wanted advice on it before I start up again. Please remember that I'm fairly new to this, so if I'm making a n00b mistake, please leave constructive criticism so that I can do better.

#1) Nausea: When I work out, occasionally I wind up feeling INCREDIBLY nauseous. If I make sure that I wait several hours after eating a meal, sometimes it helps. On the other hand, I've found exercising when I'm hungry, or having a bit too much water does the same. What do you guys suggest for keeping the nausea down long enough for me to finish my workout? Any tips at all are welcome.

#2) Knees: I'm fat... I've come to grips with that. For the last several years, I've had aches in my right knee (probably from mild arthritis, it runs in the family). As I've been getting heavier, it hurts if I walk around for long periods of time. Would Aerobic Stepping be considered low impact enough that it won't aggravate my knee until I lose enough weight that it won't be as much of a problem?

Also, I figured that since the pain coincided with me hitting 230+, I figured I should try and lose weight first before consulting a doctor about the pain, since it only happens when I do long periods of higher impact exercises and isn't constant. On the other hand, I know that joint pain isn't something that you screw around with since I don't want to cause permanent damage. If there are any physical therapists on the forum, I would appreciate any advice that you have.

Replies

  • LadyMustard
    LadyMustard Posts: 104 Member
    bump
  • _JamieB_
    _JamieB_ Posts: 417 Member
    I think the nausea is a good thing, means you're pushing yourself, but it does get better as time goes by. As far as the knees, that too will get better the more weight you lose :) Just gotta stick with it!!!!
  • toaster6
    toaster6 Posts: 703 Member
    The nausea goes away in my experience. Perhaps you just need to build up your stamina. As for the knees, I'd suggest swimming. It's easy on the joints and still a good cardio work out. Yoga can be good too.
  • crazybookworm
    crazybookworm Posts: 779 Member
    When I first started exercising, I was 252 lbs. To say I had nausea and knee pain would be an under statement! But after about a week, the nausea lightened up, and after about 2 weeks, I was no longer feeling it at all, and didn't have intense knee pain anymore either. It's just your body getting used to it. You are making your body do things that it has never done before. Just stick with it, and the pain will lessen and eventually disappear!

    Good luck!
  • blueimp
    blueimp Posts: 230 Member
    Sometimes I've had nausea if I so a lot of bending over and/or lying flat sorts of things -- crunches are especially bad. I found out that it is not uncommon with GERD and esophageal erosion, both of which I've had. I can do almost everything upright or on an up incline.
  • Woomytron
    Woomytron Posts: 253 Member
    For the nausea it does get better, trust me on that. Try and take small sips of water while working out instead of chugging or anything. Try not to eat anything to heavy before hand either.

    The knee pain I'm not to sure what to do about. Try ice and be careful. I had lower back pain for awhile the more I worked out the better it was.

    I'm sorry I couldn't be more help. Good luck in your journey.
  • mreeves261
    mreeves261 Posts: 728 Member
    I am 3 weeks into the Insanity workout and I have the nausea issue sometimes too. I find it best not to workout on a full stomach, waiting 4 hours after a meal, and usually an hour before having an apple or banana or some grapes. It comes and goes depending on how hard I work so i don't know that it is necessarily a bad thing.

    As far as your knee(s) go i would suggest seeing a doctor first! Just in case there is an injury there you aren't causing any more damage that could keep you from your goals for a longer period of time. One thing to keep in mind, particularly when exercising, your knee SHOULD NOT go past your toes!!! For example, squats, your butt should go back and if you look down at your knees you can still see your toes. Knees going out over the toe can cause some pretty bad injuries!
  • spirit05
    spirit05 Posts: 204 Member
    I found stepping only worsened the pain in my knees. I use walking with Leslie Sansome, it is low to no impact and not as easy as it sounds.
  • cmriverside
    cmriverside Posts: 34,416 Member
    If it hurts, try something low impact, like biking/stationary bike, water aerobics, body weight exercises like planks, sit ups, pushups, dips, etc.

    You don't have to exercise vigorously to lose weight. Walking is fine, resistance bands are good. So is regular weight-lifing if you belong to a gym.

    Weight loss is about food. Get that under control first and foremost.
  • medaglia_06
    medaglia_06 Posts: 282 Member
    I am by no means an expert and this is just my opinion.

    Both will get better as you go.

    Do you watch the Biggest Loser? If you have ever seen the season premier you see people vomiting all over the place. You are pushing your body to make a change so the nausea is a good thing (as long as it gets better over the weeks).

    As for your knees, same deal, they will get better as well. Don't push too much on them as you don't want to cause a permanent injury. Other than a trained personal trainer, no one can tell you what exercises you can and can't do. Listen to your body, it can usually tell you what is too much and what you can do. I try and work just passed my comfort zone and increase often.

    Hope that helps!
  • ktsmom430
    ktsmom430 Posts: 1,100 Member
    I also have (had) really bad knees. I was very apprehensive about beginning an exercise program. After about 6 months, and a loss of near -100 pounds, I began walking last October. In November I began using an elliptical machine for 1/2 hr M-F and walking on weekends. I have added 1/2 hour on the treadmill M-F to the 1/2 hour on the elliptical in the past week, so 1 hour (well 65 minutes; 5 minute cool down) 5 days + walking on weekends. I basically exercise on an empty stomach, very early in the morning. It works best for me, but get advice from your doctor.
    BTW, my knees are 90% improved from 1 year ago. I can run up and down steps now, a year ago, I was taking each step one at a time. I got a fitbit early in February, and I absolutely love it. It challenges me and that is why I am increasing my exercise.
    Best of luck to you!
  • mariposa224
    mariposa224 Posts: 1,241 Member
    I really don't have much in the way of advice, but I'll give it a shot.

    Nausea: I'm not sure what type of workouts you were doing when you experienced the nausea, or how long, how intense, etc. Any of those can factor in. I work out in the morning, in a "fasted" state, meaning before I eat, obviously. My workouts are generally 30-45 minutes and I do ok with that without nausea or feeling light-headed. Sometimes I *do* hear liquid sloshing around in my stomach, but other than that, I do ok. If you cannot work out in a fasted state, I really would suggest waiting for at least an hour after eating before working out, if you're eating a full meal, that is. I know a lot of people will have something small, such as a piece of fruit, granola bar, etc prior to working out. Maybe that would be something that might help you?

    Knee pain: This depends on the severity of the pain, or at least it would if it were me. If the pain is acute, definitely consult a doctor. Honestly, you may want to try getting in some "walking" type workouts prior to trying other things... See how it holds up with that. If it becomes aggravated by just doing extra walking, again, probably should consult a doctor. I was actually discussing arthritic-type knee & hip pain with a doctor yesterday and she told me that she has it too and that she does a modified step workout. So it may be something you could do, but it may be something to consult a doctor on if you have a lot of pain.

    I hope that was helpful for you. Best wishes to you for much success!
  • On the nausea, I think your body will adjust but like others said I recommend having neither a full or empty stomach - I usually work out in between meals but have a small snack like an apple or banana or protein bar beforehand if it's been a while.

    As far as knees go, aerobic stepping would not be considered a low impact exercise and could aggravate them the same way that walking does. I would recommend either that you switch to elliptical, bike, swimming, water aerobics etc for low impact OR if you really think you want to stick with the stepping, use ice on the knee in an elavated position for 15 minutes afterwards.

    Either way stick with it! It's great that you made a commitment to make a positive change to your health :)
  • I used to have nausea doing certain intense exercises. It got better. I don't think I would do step aerobics if I had knee issues, or maybe use a really low step. You can also buy one of those knee braces. I know they sell them at my Walmart. I started jogging at 245. It made me so sick at first, but now I am loving it.
  • ember673
    ember673 Posts: 19 Member
    My knees hurt and make popping sounds. I'm about the same size as you and my Dr suggested rowing, walking, or biking. Hope that helps some.
  • stutba
    stutba Posts: 152 Member
    If you are pushing yourself tooooo hard, naseau will occur.(this happened to me also) You may need to start slow and build up your resistance. If you can only do 5 or 10 minutes... its more than what you did before you started. Every day or so add a minute or two. Before you know it you will be able to work out 30 minutes with no naseau.

    I find when running, half banana before I run gives me fuel without getting any GI issues. If I eat a meal, I will need to wait 3 hours before running. Have a glass of water at least 15 minutes before working out. If you are working out for more than 30 minutes, you might need a little water. Usually I can run for 60 minutes before I need any, but everyone is a little different.

    Keep at it, your resistance will build. When I started running, I couldnt run 200 feet. Within 3 months I was upto 3 miles and a year later training for a half marathon.

    I dont know about the knees, but if you have extra weight, I would think that taking off wait should help.

    Keep us posted on your progress!!!
  • SoDamnHungry
    SoDamnHungry Posts: 6,998 Member
    If you're getting nauseous, try going a little easier on yourself and work up to a higher level of difficulty. I actually get really nauseous afterwards, from what I believe is exercise-induced hypoglycemia. As soon as I'm done I eat something sugary, like jelly beans.
  • as for the nausea, are you stopping abruptly after your workout? because if you don't cool down that could make you feel sick, also over hydration can cause nausea, make sure your're not drinking too much water before, during or after exercise it reduces your electrolyte levels. try sipping a gatorade after you workout
  • lgoewey36
    lgoewey36 Posts: 19
    I agree I love walking with Leslie Sampson. She is great and it is not easy. I do her three mile walk on days my knees need a rest.
  • blink1021
    blink1021 Posts: 1,115 Member
    nausea for me is just part of working out it happens all the time and I just push through it to the end. Not so sure about just starting stepping if you have knee issues. I would just make sure you where good shoes and if you have pain to stop and try something lower impact until you lose some of the weight. I personally would wait before going to a doctor about it he would most likely suggest you lose weight. I would try exercises that are joint friendly and keep in mind while exercising that for every lb you lose you are taking 4lbs of pressure off of your knees.
  • elliott82
    elliott82 Posts: 156 Member
    i always get nauseated when i bend over during my workout (doing burpees, ball slams, etc). i would see if any of it comes with that and maybe you can try other things until you build up stamina.

    as for your knees, i am missing most of the cartilage in my knees and already have some arthritis. try things like a stationary bike or the elliptical which keeps the impact on your knees as low as possible. but the best thing you can do for them is to lose weight because it will just take more pressure off them. best of luck!
  • allisonrozsa
    allisonrozsa Posts: 178 Member
    In an answer to both questions, listen to your body and don't go too hard on yourself in the beginning. I'm like you where I can't eat anywhere close to the time I exercise because it just doesn't feel good. As for the knee issue, you could have specific health issues, but also, when you aren't moving your body the cartilage in your joints slowly, over time begins to harden (called ossification) and makes it harder to move. This will relieve itself over time and it won't be as hard. If you have an history of arthritis, than that is another issue to take into account, but the more you get your body moving, the sooner it will become easier to do so. Good luck.
  • lizziebeth1028
    lizziebeth1028 Posts: 3,602 Member
    Starting next week, I'm going to be starting up an exercise program (resistance band workout MWF, and aerobic stepping, M-F). I've tried working out in the past and two big things have contributed to me not following through and I wanted advice on it before I start up again. Please remember that I'm fairly new to this, so if I'm making a n00b mistake, please leave constructive criticism so that I can do better.

    #1) Nausea: When I work out, occasionally I wind up feeling INCREDIBLY nauseous. If I make sure that I wait several hours after eating a meal, sometimes it helps. On the other hand, I've found exercising when I'm hungry, or having a bit too much water does the same. What do you guys suggest for keeping the nausea down long enough for me to finish my workout? Any tips at all are welcome.

    #2) Knees: I'm fat... I've come to grips with that. For the last several years, I've had aches in my right knee (probably from mild arthritis, it runs in the family). As I've been getting heavier, it hurts if I walk around for long periods of time. Would Aerobic Stepping be considered low impact enough that it won't aggravate my knee until I lose enough weight that it won't be as much of a problem?

    Also, I figured that since the pain coincided with me hitting 230+, I figured I should try and lose weight first before consulting a doctor about the pain, since it only happens when I do long periods of higher impact exercises and isn't constant. On the other hand, I know that joint pain isn't something that you screw around with since I don't want to cause permanent damage. If there are any physical therapists on the forum, I would appreciate any advice that you have.

    If you're not used to working out you need to build up your fitness level. A good walking program is the best way to start out. Step aerobics maybe too intense but it's always worth a try. Listen to the modification instructions and modify if you need to.
  • SanteMulberry
    SanteMulberry Posts: 3,202 Member
    Like everyone else has said, the nausea will go away as you get into better conditioning.

    On the knees: Water exercise is the only cardio I do (two days a week) because I started with very bad knees. They are much better now because of the weight loss but I still have to baby them (they still get sore and sound like rice krispies). One day, when/if they are improved to the point where I have no pain, I will probably still keep the water exercise but change it out for walking or step sometimes. There are some very helpful supplements that I use. The best for me have been turmeric (the yellow spice that they use in curries) and bromelain (an extract from the pineapple plant). In addition, I use a combination product of MSM/glucosamine/chondroitin and lately I have found egg shell membrane extract to be even more effective than the glucosamine product. But you probably don't need all of these supplements because you don't have that much damage so far. If it is pain that keeps you awake at night (the kind I had), it needs some preventive supplementation. The turmeric is an anti-inflammatory and the bromelain helps to break down fibrotic lesions that have come about because of chronic inflammation. The MSM/glucosamine/chondroitin does not work for everyone but when it does, it can actually help rebuild damaged cartilage--the same for egg shell membrane. Also, you should make sure that you get adequate calcium/magnesium in your diet and also, if you take Vitamin D3 you need to make sure that you are also getting Vitamin K2. Whatever you do, you probably won't want to go the route of NSAIDs as they have been shown to be counter-productive in the long run as they do not prevent damage or restore damaged cartilage--they only eliminate pain from it.
  • Goal_Line
    Goal_Line Posts: 474 Member
    Start slow and increase the intensity as you get stronger. Don't over do it too soon. if I were you I'd start with walking. Walk 30 mins a day. Then walk twice a day for 30 min each. Then walk for 60 mins. Then move to something more intense. A gym will have non-impact cardio machines which will help your knees. Once the weight comes off, you'll probably be able to wean yourself of the machines and run.
  • Lupercalia
    Lupercalia Posts: 1,857 Member
    I started out at 235 last summer--I used to have knee issues, also plantar fasciitis and tendon problems (TFL syndrome). Those issues cleared up when I stopped eating foods I was allergic to. Sounds stupid or weird, perhaps, but that's how I solved it.

    I started out by just walking daily and really worked hard on changing my diet. I did great and felt amazing--had no trouble with my joints or tendons, and was wanting to try new stuff, so about a month later, I got my first kettlebell and learned how to use it. I still do kettlebell workouts. After a few months of kettlebell and walking, I added barbell/dumbbell strength training. I still do all three and have not had knee issues or ongoing issues with nausea, though there have certainly been days here and there when I felt ill. It was usually when I'd eaten a meal too close to my workout. I think at least once it was due to me being stupid and taking vitamins on an empty stomach. Once I just worked out too hard, but after I got my heart rate down I felt ok.
  • LadyMustard
    LadyMustard Posts: 104 Member
    Going over what everyone said, I think what was causing the nausea was because I didn't take my water in sips. I'll keep that in mind when I start up.

    As for walking, we live in an area that walking outdoors wouldn't be a good idea and going to the gym is a bit too expensive right now. We do however have a wii fit board, as well as EA Sports Active, and the Wii Fit game. I was thinking 30 minutes of stepping with the Wii board, which is only an inch off the floor. As I get used to it, I can always add height to it. If the stepping is too much, I really liked Wii Boxing, since it focused more on the upper body but gets your blood pumping a bit.

    Thank you all so much for your responses!! Hearing from the folks that were heavier that found the pain got better after losing the weight is really encouraging. Keep the suggestions coming!
  • Hi- I have most of your same problems ! I am at 333 lbs and I walk a lot all day-I am a nurse and 12 hour shifts so I know the knee pain !! I went to my Dr who also is a sports injury guy- he started me on meloxicam(Celebrex). I also started some OTC joint supplements for the knee. I have found after a month and a loss of 12 lbs (I started this at 345 lbs that the knee pain is down to minimal instead of high pain-limping. You may want to try that after talking to your DR. My knee still pops and sometimes hurts after I sit for awhile until I walk a few steps then its eases up. As for the nausea-dont excercise after drinking water-I do sips during excercise-or i throw up too. I try to run my routine in the am after i have been up for a few minutes-if i wait until after work i can forget it-too tired still-but i walk the dog every day and do Wii Fit ! Its fun and it helps burn some calories. i hope this helps some-hang in there- it will come off !!!! My plan is the Digest Diet from Readers Digest-it has 21 days of normal food and a exercise plan you can adapt for you with suggestions-working for me so far !! Hope some of this helps you out !
  • Please people be careful on diagnosing sore knees over a forum.

    It is not always weight related. Yes, if can may the issue worse but its not always the cause.
    Posterior Cruciate ligaments are incredibly easy to break and very had to diagnose without exploratory surgery.
    Cartilage can be torn
    Other ligaments can be damaged and so can tendons.
    The difference is ligaments are non blood bearing and may not swell they may show as pain and/or instability.

    I am very sensitive on this subject,
    Once upon a time I weighed 50 kg and I broke my back, kneecap and shoulder in a sporting accident. A year later I was 70kg and still had an unstable knee, the specialist blamed the chronic pain and instability on my weight. Twenty years later and I happened to have a spontaneous dislocation at a party, fortunately my doctor was at the same party and was watching me walk towards him, he saw my knee dislocate. After witnessing this he realised it was not weight related as knee and joint pain is often diagnosed as but a real isse.
    I have had a reconstruction and now for the first time in over 20 years I am stable when I walk. It still aches constantly from the resulting long term damage but nowhere near what it was. I will never get back what I lost and I will suffer from it every day, it affected my back, my ankles and my neck,shoulders and overall muscles, these are slowly realigning.

    The ongoing injury which was constantly diagnosed as weight related was an actual injury that affected my entire body. Please dont advise people that their joint pain is weight related unless you actually know what you are talking about, have carried out tests and they are your patient.

    Your ignorance can and will cause irrepairable damage.