Wednesday, October 19, 2011

Cold & Winter increasing joint aches and pains?

Cold & Winter increasing joint aches and pains?


Is started getting cold again how are your joints feeling sore?


Doctors who specialize in the treatment of patients with arthritis) generally agree that many patients experience a worsening of joint symptoms with changes in the weather. Moreover, folklore holds that the weather can affect arthritis as emphasized by sayings like "feeling under the weather." We know, for example, that weather clearly influences many health conditions. Examples of this relationship include altitude and ears popping, pollens in the air and asthma or sinus infection, sun rays and skin burning or skin cancer, cold weather and heart attacks, and gloomy, dark weather and depression. We also know that heat packs or hot showers can relax the muscles around the joints and relieve stiffness and pain for some. Conversely, ice packs can ease the inflammation in the joints themselves.


First, there hasn't been much real research science. In 1961, a famous arthritis specialist, J. Hollander M.D., conducted a study in which he built a climate chamber and demonstrated that high humidity combined with low barometric pressure were associated with increased joint pain and stiffness. Neither weather factor by itself seemed to influence joint symptoms. The study has been criticized because of the limited number of patient’s evaluated (12 patients). The theory of the study is that inflamed joints swell as the barometric pressure drops. This swelling irritates the nerves around the joints that sense pain and causes more stiffness.


The answer is no. Relocating to a different climatic environment does not seem to make a difference in the long run. Scientific studies have shown that no matter where people live their bodies seem to establish a new equilibrium to the local climate. As a result, changes in the weather affect the arthritis symptoms in the same manner regardless of the actual overall average weather. Moving is not likely to be beneficial long term. (To emphasize a point, I can tell you that there are plenty of busy rheumatologists in Arizona!)


It appears that there is some evidence that the symptoms of certain persons with arthritis are influenced by CHANGES in the weather. This is not true for all people with arthritis, nor is it predictable what type of weather alterations will bother people. For example, in one room I may have a patient that complains that last week just before it rained, her joints began aching and now that it is warm, clear weather she feels better. Simultaneously, in the next room, a patient tells me that her joints are far worse today after it rained last week! What do I do with this information? Well, each patient must be evaluated (and evaluate themselves) uniquely. The bottom line is that while the exact cause(s) of the activation of arthritis symptoms may not yet be scientifically understood, each patient must make lifestyle and/or medication adjustments according to the particular weather conditions that they note influence their symptoms.


Dr Patrick Ryder (MChiro)

Doctor of Chiropractic

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