Which exercise consideration is advised for patients with multiple myeloma?

Which exercise consideration is advised for patients with multiple myeloma?

• A. Focus on high-impact activities
• B. Avoid high-impact, twisting, or heavy axial loading
• C. Do resistance training daily
• D. Avoid all physical activity

Answer: (B)

In multiple myeloma, bones are often weakened by lesions, so the key idea is protecting the skeleton from forces that could cause fractures. Exercises should avoid loading the spine and other bones with high stress. High-impact activities, twisting movements, and heavy axial loading put excessive strain on fragile bones and raise the risk of pathological fractures or vertebral compression injuries. Therefore, the safest and most appropriate guidance is to steer away from these high-load, high-stress movements and opt for gentler, safer activities that support fitness without overloading the bones. Safe alternatives include low-impact cardio, gentle resistance with light loads under supervision, balance and flexibility work, and aquatic or walking programs that keep joints and bones protected. This is preferable to the extremes of either loading the skeleton too much or avoiding activity altogether. While resistance training can be part of a program, it should be appropriately scaled and supervised rather than assumed to be safe at any intensity, and complete avoidance of activity is not advised for overall health.

In multiple myeloma, bones are often weakened by lesions, so the key idea is protecting the skeleton from forces that could cause fractures. Exercises should avoid loading the spine and other bones with high stress. High-impact activities, twisting movements, and heavy axial loading put excessive strain on fragile bones and raise the risk of pathological fractures or vertebral compression injuries. Therefore, the safest and most appropriate guidance is to steer away from these high-load, high-stress movements and opt for gentler, safer activities that support fitness without overloading the bones.

Safe alternatives include low-impact cardio, gentle resistance with light loads under supervision, balance and flexibility work, and aquatic or walking programs that keep joints and bones protected. This is preferable to the extremes of either loading the skeleton too much or avoiding activity altogether. While resistance training can be part of a program, it should be appropriately scaled and supervised rather than assumed to be safe at any intensity, and complete avoidance of activity is not advised for overall health.