Exercise Guidelines for Patients with Parathyroid Disorders

Safe Physical Activity Recommendations for Hyper- and Hypoparathyroidism

Endocrinology

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Last updated: Mar 24, 2025

Safety Considerations

Before Starting Exercise

  • Consult with your endocrinologist
  • Check recent calcium levels
  • Ensure proper medication timing
  • Have emergency contact information ready

Recommended Activities

Low-Impact Exercises

  1. Walking

    • Start with 10-15 minutes
    • Gradually increase to 30 minutes
    • Maintain comfortable pace
  2. Swimming

    • Excellent for joint protection
    • Monitor body temperature
    • Stay hydrated
  3. Gentle Yoga

    • Focus on balance poses
    • Avoid extreme neck positions
    • Practice with qualified instructor

Weight-Bearing Exercises

For Bone Health

  • Light resistance training
  • Body weight exercises
  • Use of resistance bands

Warning Signs

Stop Exercise If You Experience:

  • Muscle cramps or spasms
  • Tingling in fingers or toes
  • Unusual fatigue
  • Dizziness

Hydration Guidelines

During Exercise

  • Drink water before, during, and after
  • Avoid excessive sweating
  • Monitor electrolyte balance

Exercise Progression

Weekly Schedule

  1. Week 1-2: 10-15 minutes, 3x/week
  2. Week 3-4: 20 minutes, 3x/week
  3. Week 5+: 30 minutes, 4-5x/week

Special Precautions

For Hyperparathyroidism

  • Exercise during cooler times
  • Monitor bone pain
  • Avoid high-impact activities

For Hypoparathyroidism

  • Carry calcium supplements
  • Exercise with partner when possible
  • Watch for signs of low calcium

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