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Ask a Doc - Joint Pain

Many patients who suffer with joint pain report a worsening of symptoms when the weather turns cold or damp. While there is no definitive studies demonstrating a direct link between weather and increased pain levels, some theorize that the change in barometric pressure can affect the joints by causing tendons, muscles and the surrounding tissue to expand. Also, bad weather can affect a person’s mood which can magnify the perception of pain. Experiencing occasional aches or painful joints is not uncommon as a person ages; however, persistent swelling, redness or difficulty putting pressure on or using the joint could be signs of inflammatory arthritis.

Inflammatory arthritis describes a number of conditions that affect the joints including rheumatoid arthritis, osteoarthritis and gout. In rheumatoid arthritis, the immune system releases inflammatory chemicals that attack healthy cells causing inflammation in the affected parts of the body. The most commonly affected joints are the hands, wrists and knees. The inflammation may result in tissue damage that leads to longlasting chronic pain, unsteadiness and deformity. Osteoarthritis is the most common form of arthritis and occurs when the protective cartilage that cushions the ends of the bones wears down over time. Although osteoarthritis can damage any joint, the disorder most commonly affects joints in the hands, knees, hips and spine. Uncontrolled uric acid levels trigger crystals to form in and around the joints, causing inflammation and pain in people with gout. Medications and treatments are available for the numerous forms of arthritis; however, a period of increased disease activity or worsening symptoms – known as a flare – can occur at any time.

Cold weather has been noted as a trigger for flares in some cases of inflammatory arthritis. To avoid a flare during cold weather, it is important to continue exercising. Cold and icy conditions may provide an excuse to stay inside and forego exercise; however, regular physical activity increases strength and flexibility and keeps joints lubricated, making movement easier. It also produces endorphins, which help control pain and improves overall well-being and health. A good combination of aerobic exercises, including strength and balance training, is recommended for a total of 150 minutes per week. Walking indoors at a mall provides a safer alternative to walking outdoors when ice and snow present a fall risk. Workout apps, online content and DVDs are good resources to assist in finding a low-impact workout routine that can be completed at home. Activities such as yoga or tai chi are beneficial for balance. Musclestrengthening exercises should be performed at least two days per week.

Keeping joints warm is another important step to avoid a painful arthritis flare. Research has shown that heat enlarges blood vessels, allowing more blood, oxygen and nutrients to be delivered to injured tissue in joints and muscles. A warm shower or soaking in a tub of warm water at the start of the day reduces stiffness and increases the range of motion. Warm compresses placed on the affected area for about 20 minutes can be used throughout the day for comfort. When heading outside, be sure to dress in warm layers to protect the joints. By insulating the core of the body, warmer blood is continually sent out to the extremities. Many arthritis sufferers recommend electric blankets and other types of heating pads placed throughout the home for extra warmth.

Staying healthy also reduces the chances of joint pain. Winter is the height of flu season, so it is important to receive a flu vaccine and avoid those who may have the virus. Sleep also is vital to preserving good health. Try to maintain a regular schedule of six to eight hours of sleep each night. Finally, be sure to follow healthy eating habits to achieve or maintain a healthy weight and protect the joints. Choose fruits and vegetables in a wide range of color in order to obtain the needed nutrients, such as fiber, antioxidants and phytochemicals to battle inflammation. Studies show omega-3 fatty acids, found in cold-water fish, can reduce the pain and inflammation of stiff joints. Calcium, found in milk and some greens, assists in building strong bones which supports joint health.

Severe arthritis, particularly if it affects the hands or arms, can make it difficult to do daily tasks. Arthritis of weight-bearing joints can prevent walking comfortably or sitting up straight. In some cases, joints may become twisted and deformed. If pain, stiffness and swelling persist, talk to a primary care physician or a rheumatologist. Rheumatology is a specialty that focuses on the diagnosis and treatment of individuals with musculoskeletal conditions and rheumatologic autoimmune disease. Illnesses treated include rheumatoid arthritis, osteoarthritis (with joint injections), lupus, Sjogren’s disease, ankylosing, spondylitis, psoriatic arthritis, arthritis related to Crohn’s disease and ulcerative colitis, different types of vasculitis, giant cell arthritis, polymyalgia rheumatica, inflammatory muscle conditions, osteoporosis and Paget’s disease. Licking Memorial Rheumatology can provide a wide range of services, both hospital-based and within the office to treat musculoskeletal conditions including painful, inflamed joints. The office is located at 1272 West Main Street, Suite 201, in Newark, and is open daily from 8:00 a.m. to 4:30 p.m. Call (220) 564-7975 for an appointment.

| Posted On : 12/17/2020 9:17:26 AM