This article might have answers (I do not have access to full length paper) as to why and how exercise benefits a patient.

The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease

Michael Gleeson, Nicolette C. Bishop, David J. Stensel, Martin R. Lindley, Sarabjit S. Mastana & Myra A. Nimmo
Abstract
Regular exercise reduces the risk of chronic metabolic and cardiorespiratory diseases, in part because exercise exerts anti-inflammatory effects. However, these effects are also likely to be responsible for the suppressed immunity that makes elite athletes more susceptible to infections. The anti-inflammatory effects of regular exercise may be mediated via both a reduction in visceral fat mass (with a subsequent decreased release of adipokines) and the induction of an anti-inflammatory environment with each bout of exercise. In this Review, we focus on the known mechanisms by which exercise — both acute and chronic — exerts its anti-inflammatory effects, and we discuss the implications of these effects for the prevention and treatment of disease.