{"id":510,"date":"2026-04-14T05:15:00","date_gmt":"2026-04-14T05:15:00","guid":{"rendered":"https:\/\/chuvla.com\/?p=510"},"modified":"2026-04-14T05:15:00","modified_gmt":"2026-04-14T05:15:00","slug":"exercise-is-harder-than-usual-for-them-but-its-worth-it","status":"publish","type":"post","link":"https:\/\/chuvla.com\/?p=510","title":{"rendered":"Exercise is harder than usual for them, but it&#8217;s worth it"},"content":{"rendered":"<p><\/p>\n<div>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Singapore \u2013 <!-- -->Doctors recommend exercise for rehabilitation before surgery to manage chronic health conditions and help patients return to health. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">But how to exercise when you are sick or face difficulties in physical activity?Here are three ways to deal with the situation.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">For Fatima Megara Nathan Arokianathan, a research manager at a local university, exercise used to be a way of life. She regularly swam and did high-intensity workouts such as CrossFit.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">&#8220;I had a passion for exercise,&#8221; says the 40-year-old. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">In 2022, her life changed. One day I woke up and my foot was swollen to three times its normal size. She felt a burning sensation in her lower legs and could barely get out of bed, let alone walk.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">&#8220;There was no apparent cause for this.&#8221; <!-- -->she says<!-- -->. \u201cI was a very healthy person. <!-- -->Other<!-- --> chronic disease<!-- -->\u201d<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Apart from the inflammation and pain, she also had problems with her intestines and was unable to digest solid foods. My weight decreased from 55kg to 35kg. Her height is 166cm.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Daily life has become difficult. She found it difficult to walk or climb stairs. Her legs were so stiff it was difficult to move. She also had trouble keeping her balance.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Multiple tests at the hospital failed to explain the cause of her symptoms.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Her condition is rare. Because some of her symptoms and blood test results suggested a systemic autoimmune disease, she was diagnosed with undifferentiated connective tissue disease. <!-- -->say<!-- --> Her doctor at Tan Tock Seng Hospital.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">However, Associate Professor Madeline Chan-Tzu Lee added that the results were not sufficient to define more specific connective tissue diseases such as lupus.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">&#8220;At this time, the cause of her loss of weight and muscle mass is not clear. <!-- -->teeth<!-- -->and we <!-- -->teeth<!-- --> We are still investigating this,\u201d said a senior consultant in the hospital&#8217;s rheumatology, allergy and immunology department.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Although it may seem counterintuitive, exercise is recommended for people like Nathan. Strength training can maintain muscle mass. Exercise can also help manage pain and fatigue<!-- -->.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Mr. Nathan <!-- -->I know<!-- --> So I started doing yoga to improve my flexibility.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">In 2025, she signed a contract with a gym. <!-- -->have<!-- --> Experience training people with different physical conditions.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">\u201cI knew I couldn\u2019t exercise on my own,\u201d she says.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">As expected, Dr. Chan <!-- -->Recommended<!-- --> Patients should consult a physical therapist or other health care professional to design an exercise program that may include: <!-- -->teeth<!-- --> Safe and easy to manage.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">David Hui, an exercise physiologist at UFIT Singapore, said: <!-- -->I participated<!-- --> While participating in a gym program, she felt unsteady when walking and got tired quickly.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">He and her physical therapist are working together to maintain her muscle mass without worsening her symptoms. On days when her feet are swollen or stiff, a physical therapist works on flexibility and pain-relief techniques. she can <!-- -->take a day off<!-- --> Or switch to upper body exercises.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">This approach helped her. My muscle mass was 15.9kg when I started, but now it&#8217;s 16.6kg. She can lunge, row, and walk while holding weights<!-- -->.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">&#8220;When I first started, I couldn&#8217;t even do a lunge properly,&#8221; Nathan recalls. &#8220;I got dizzy when I lifted anything over my head. Anything with weight was a problem.&#8221;<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She can now squat. <!-- -->weight<!-- --> 20kg, deadlift 30kg.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Above all she is <!-- -->can<!-- --> You can climb stairs without tripping. She can walk longer distances and do things like grocery shopping and carrying. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">\u201cAll these things <!-- -->teeth<!-- --> \u201cBefore, I could barely get out of bed,\u201d she says.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She aims to do yoga three times a week and strength train twice a week, depending on her body&#8217;s limits. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">\u201cI know that some days it\u2019s okay to not be okay,\u201d she says. &#8220;This disease has taught me when I can do things and when I can&#8217;t.&#8221;<\/p>\n<figure class=\"landscape inline-media-wrapper\" data-testid=\"inline-media-test-id\">\n<div class=\"flex flex-col items-start relative w-fit\"><picture><source media=\"(max-width: 480px)\" srcset=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/Exercise-is-harder-than-usual-for-them-but-its-worth.webp?w=480\"\/><source media=\"(min-width: 481px) and (max-width: 720px)\" srcset=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/Exercise-is-harder-than-usual-for-them-but-its-worth.webp?w=720\"\/><source media=\"(min-width: 721px)\" srcset=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/Exercise-is-harder-than-usual-for-them-but-its-worth.webp?w=900\"\/><img decoding=\"async\" src=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/Exercise-is-harder-than-usual-for-them-but-its-worth.webp\" alt=\"\" class=\"aspect-landscape flex items-start shrink-0 object-cover landscape article-landscape mobile:w-auto tablet:w-auto\" data-testid=\"image-test-id\" loading=\"lazy\"\/><\/picture><\/div><figcaption class=\"mobile:mx-16 tablet:mx-00 flex flex-col gap-08 py-16 desktop:pb-24\">\n<p class=\"font-eyebrow-baseline-regular text-secondary\" data-testid=\"inline-media-caption-test-id\">Mrs. Nancy Lim walks with surgeon Edward Chong, who removed a benign tumor in her chest.<\/p>\n<p class=\"font-eyebrow-baseline-regular text-placeholder\" data-testid=\"inline-media-credit-test-id\">ST Photo: Jasel Poe<\/p>\n<\/figcaption><\/figure>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">2024 Madam Nancy Lim<!-- --> Muiluan<!-- -->, <!-- -->housewife<!-- -->I found it difficult to breathe while singing in church. She consulted a general practitioner, who said her symptoms were part of aging and advised her to exercise more.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Thereafter, her weekly routine included at least three sessions of physical activity such as swimming and squash.<!-- -->doing Pilates<!-- --> Or a brisk walk. &#8220;During the surgery, my chest sometimes became clogged.&#8221; <!-- -->exercise<!-- -->but it went away. &#8220;I didn&#8217;t feel any pain. I thought it was stress-related,&#8221; the 56-year-old man recalled.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">In 2025, she found it unusually difficult to catch her breath while hiking in Melbourne. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">General health examinations conducted as part of the national preventive health plan include: <span class=\"font-body-baseline-regular inline\" data-testid=\"paragraph-test-id\">a healthier singapore<\/span>I saw a shadow inside her <!-- -->Chest X-ray examination<!-- -->. Further investigation identified a large leiomyoma, or benign tumor, in the esophagus. It was compressing her heart and lungs.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">of<!-- --> you<!-- -->e and rare due to tumor location, <!-- -->say<!-- --> Dr. Edward Chong removed it through keyhole surgery in December 2025.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Damage to her esophagus was minimal, but Madam Lim was using a feeding tube until her organs recovered, and saliva and gastric juices had to be removed through another tube.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Dr. Chong insisted that Mrs. Lim do aerobic exercise, such as brisk walking, before and after the surgery. \u201cPre-rehabilitation before major surgery prepares the patient physically, medically and mentally,\u201d says Senior Consultant Upper Gastrointestinal Surgeon at Pan Asia Surgery.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Before the surgery he texted <!-- -->she<!-- --> To periodically check if she walked. \u201cI had to breathe, exhale and sweat, not just enjoy a nature walk,\u201d she says.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Madam Lim worked with a yoga teacher friend to develop an exercise program that allows you to maintain or improve your fitness without getting injured.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She did some breathing exercises to calm her lungs before walking.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Her goal was to reach 50-70% of her maximum heart rate.<!-- --> based on her age<!-- -->. To avoid tension, she alternated between brisk walking and walking.<!-- --> normal walking<!-- -->. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She used the talk test while walking with friends. If she could carry on the conversation without gasping, she was walking at a reasonable pace.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She also relied on her smartwatch to track her pace and distance. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">\u201cHaving this plan in place gave us something to work on in advance.\u201d <!-- -->surgery<!-- -->. \u201cWhat I could do for my health was within my control,\u201d she says.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">After surgery, Dr. Chung <!-- -->Walking around the hospital with Madam Lim,<!-- --> I encouraged her to continue exercising.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She now swims twice a week for 30 minutes with a break in between.<!-- --> She also takes a brisk walk for an hour three times a week.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She recently tried kettlebells and almost went overboard. &#8220;It hurt too much,&#8221; she says. &#8220;My body isn&#8217;t ready yet.&#8221;<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">she also avoids <!-- -->her previous sports, <!-- -->Squash thought it would be best to follow the doctor&#8217;s instructions: &#8220;Walk, walk, walk.&#8221; <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">\u201cMy daily brisk walk strengthened my lungs, strengthened my fighting spirit and gave me the resilience to bounce back after surgery,\u201d she says. &#8220;I feel much better now.&#8221;<\/p>\n<figure class=\"landscape inline-media-wrapper\" data-testid=\"inline-media-test-id\">\n<div class=\"flex flex-col items-start relative w-fit\"><picture><source media=\"(max-width: 480px)\" srcset=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/1776201857_868_Exercise-is-harder-than-usual-for-them-but-its-worth.webp?w=480\"\/><source media=\"(min-width: 481px) and (max-width: 720px)\" srcset=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/1776201857_868_Exercise-is-harder-than-usual-for-them-but-its-worth.webp?w=720\"\/><source media=\"(min-width: 721px)\" srcset=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/1776201857_868_Exercise-is-harder-than-usual-for-them-but-its-worth.webp?w=900\"\/><img decoding=\"async\" src=\"https:\/\/chuvla.com\/wp-content\/uploads\/2026\/04\/1776201857_868_Exercise-is-harder-than-usual-for-them-but-its-worth.webp\" alt=\"\" class=\"aspect-landscape flex items-start shrink-0 object-cover landscape article-landscape mobile:w-auto tablet:w-auto\" data-testid=\"image-test-id\" loading=\"lazy\"\/><\/picture><\/div><figcaption class=\"mobile:mx-16 tablet:mx-00 flex flex-col gap-08 py-16 desktop:pb-24\">\n<p class=\"font-eyebrow-baseline-regular text-secondary\" data-testid=\"inline-media-caption-test-id\">Weightlifter Chua Jing-Ling uses hearing aids to help her follow her coach&#8217;s instructions.<\/p>\n<p class=\"font-eyebrow-baseline-regular text-placeholder\" data-testid=\"inline-media-credit-test-id\">ST Photo: Azmi Atoni<\/p>\n<\/figcaption><\/figure>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Chua Jinglin, 27, a national weightlifter, has been wearing in-ear hearing aids since childhood.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She lost about 60 percent of her hearing by her first year of primary school due to a bout with Bell&#8217;s palsy from the age of two.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\"><span class=\"font-body-baseline-regular inline\" data-testid=\"paragraph-test-id\">bell&#8217;s palsy<\/span> It causes paralysis of the facial nerve and occurs in about 0.02% of the population, according to the national digital health platform HealthHub.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Her family only became aware of her hearing loss when she made mistakes such as hearing the name &#8220;Clement&#8221; as &#8220;Lemon&#8221;.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">Chua started using a more discreet in-the-ear hearing aid. Her parents were worried that she would be treated differently or kept answering questions if her hearing aids were visible.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">&#8220;Without hearing aids, I can hear sounds, but I can&#8217;t hear them clearly,&#8221; Chua says. &#8220;If you take it off when you sleep, no one will disturb you.&#8221;<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She works as a revenue management analyst and trains three days a week after work, usually at the Singapore Weightlifting Federation&#8217;s space in Bedok.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She wears a hearing aid during training <!-- -->and<!-- --> Working with her coach. &#8220;You have to listen to the coach teach you technique and specific movements, so you have to listen to them explain it,&#8221; she says. <\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She also wears hearing aids. <!-- -->run<!-- --> Outdoors, for safety. &#8220;Sound is important. Sound is how we get information,&#8221; she says.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">She says that using in-the-ear hearing aids has given her the confidence to try new sports and activities. She danced, swam, and competed in dragon boat races.<\/p>\n<p class=\"font-body-baseline-regular text-primary\" data-testid=\"article-paragraph-annotation-test-id\">&#8220;If I didn&#8217;t have hearing aids, I wouldn&#8217;t have had the confidence to go out and try things,&#8221; she says. \u201cIf it weren&#8217;t for hearing aids, I probably wouldn&#8217;t be where I am today.\u201d<\/p>\n<\/div>\n<p>#Exercise #harder #usual #worth<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Singapore \u2013 Doctors recommend exercise for rehabilitation before surgery to manage chronic health conditions and help patients return to health. But how to exercise when you are sick or face difficulties in physical activity?Here are three ways to deal with the situation. For Fatima Megara Nathan Arokianathan, a research manager at a local university, exercise &#8230; <a title=\"Exercise is harder than usual for them, but it&#8217;s worth it\" class=\"read-more\" href=\"https:\/\/chuvla.com\/?p=510\" aria-label=\"Read more about Exercise is harder than usual for them, but it&#8217;s worth it\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":511,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[635,708,709,710],"class_list":["post-510","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-exercise","tag-harder","tag-usual","tag-worth"],"_links":{"self":[{"href":"https:\/\/chuvla.com\/index.php?rest_route=\/wp\/v2\/posts\/510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chuvla.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/chuvla.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/chuvla.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chuvla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=510"}],"version-history":[{"count":0,"href":"https:\/\/chuvla.com\/index.php?rest_route=\/wp\/v2\/posts\/510\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/chuvla.com\/index.php?rest_route=\/wp\/v2\/media\/511"}],"wp:attachment":[{"href":"https:\/\/chuvla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=510"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/chuvla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=510"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/chuvla.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}