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National Heart Month: A Physiotherapist's Guide to Heart Health Through Exercise

  • SMARTPHYSIO
  • Feb 3
  • 2 min read

Updated: Feb 8

Older couple exercising in park

February marks National Heart Month, and as a physiotherapist, I've witnessed first hand how the right exercise programme can transform cardiovascular health. Your heart is essentially a muscle, and like any muscle in your body, it needs regular training to stay strong and efficient.


Why Exercise Matters for Your Heart

After years of working with patients recovering from cardiac events and those looking to prevent them, I can tell you that exercise is genuinely one of the most powerful tools we have. When you move your body regularly, you're not just burning calories, you're training your heart to pump blood more efficiently, lowering your blood pressure, and reducing harmful cholesterol levels. It's honestly incredible what 150 minutes of moderate activity per week can achieve.


Getting Started Safely

Here's what I always tell my patients: start where you are, not where you think you should be. If you've been sedentary for a while, even a 10 minute walk around your neighbourhood counts. I've seen people completely change their cardiac health markers by starting with short, manageable sessions and gradually building up.

Before beginning any new exercise programme, particularly if you're over 40 or have existing health conditions, please chat with your GP. It's not about being overcautious, it's about being smart and sustainable with your health journey.


The Best Exercises for Heart Health


Aerobic activities are your heart's best friend. Brisk walking, cycling, swimming, or dancing—these get your heart rate up and strengthen your cardiovascular system. I often recommend swimming to my patients with joint issues because it's brilliant for your heart whilst being gentle on your knees and hips.


Strength training might surprise you, but it's equally important. Lifting weights or using resistance bands twice weekly helps maintain healthy blood pressure and supports your metabolism. You don't need a fancy gym membership—bodyweight exercises work wonderfully.


Flexibility and balance work, such as yoga or Pilates, complement your routine beautifully. They reduce stress, improve circulation, and help prevent falls as we age.


Making It Stick

The key to maintaining a healthy heart through exercise isn't finding the "perfect" workout, it's finding activities you genuinely enjoy. I've watched patients abandon treadmills only to thrive in dance classes or walking groups. Your heart doesn't care whether you're in a gym or gardening; it cares that you're moving consistently.


Set realistic goals, track your progress, and celebrate small victories. Perhaps this February, during National Heart Month, you commit to walking an extra 10 minutes daily or joining that local exercise class you've been considering. Your future self, and your heart, will thank you.


Remember, it's never too late to start caring for your heart. Every step, every movement, every choice to prioritise your cardiovascular health matters. Let's make 2026 the year we all move more and stress less.


How Physiotherapy Can Help


If you need support getting back into exercise, we provide expert support through sports physiotherapy, general physiotherapy, and treatment for neurological conditions, either in-clinic or via home visit physiotherapy where appropriate. If you would like an assessment or personalised programme, contact the team today to arrange your appointment.

About Our Expert

Sammy Margo, Chartered Physiotherapist and Founder of SmartPhysio

Sammy Margo

​Founder and Director of Physiotherapy Services
Chartered Physiotherapist
MSc, MMACP, AACP, MCSP, HCPC

 

Sammy Margo is a Chartered Physiotherapist with over 30 years’ clinical experience. She has worked across the NHS, professional sport, and private practice, and was England’s first female physiotherapist to work in professional football.

Her areas of clinical expertise include:

  • Senior care and complex rehabilitation

  • Home visit and community-based physiotherapy

  • Sleep, recovery, and performance

  • Musculoskeletal and neurological rehabilitation


Sammy is a recognised sleep expert, a former spokesperson for the Chartered Society of Physiotherapy, and a regular contributor to national media including The Telegraph, The Guardian, Daily Mail, and Stylist. She is the author of The Good Sleep Guide.

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