How to Manage Your Arthritis this Winter
Grace Weatherby
/ Categories: WELLNESS, 2023

How to Manage Your Arthritis this Winter

For many of the 54.4 million U.S. adults living with arthritis, winter can be no fun.

Thanks to plunging temperatures, the synovial fluid that normally helps joints move freely, tends to thicken. The result is joints that feel stiff and sensitive. Again, no fun.

Fortunately, there are things you can do relieve some of the pain and stiffness of arthritis in winter. Here’s where to start:

Keep warm: Heat works to ‘thin’ the fluid in your joints so that movement comes easier and loosens the surrounding muscles and tissues, which also helps with movement. If you’re heading outside, be sure to bundle up all over. When you warm your core, you also warm your blood. That warm, circulating blood helps keep arthritic joints pain-free. If you’re chilled inside, use blankets or heating pads to warm affected joints and your core.

Stay active: Even though your joints maybe telling you to sit still, the truth is this: the single best thing you can do to prevent arthritis pain at any time of year is keep moving. Exercise, indoors or out, will work to warm your joints and lessen discomfort. Again, if you’re headed outside, dress accordingly.

Stretch often: While it’s tempting to stay tucked under a blanket all day, be sure to stretch and move all the parts of your body throughout the day to keep from getting stiff. If you’re a television-watcher, let commercial breaks serve as your cue to stand up and stretch. From wrist and ankle rolls to toe touches and side bends, regularly gentle stretching will keep your joints loose and comfortable.

Enjoy an ‘arthritis diet’:  Research shows that a Mediterranean-style diet can help fight inflammation and improve joint pain and other symptoms. If you’re diet doesn’t already include these foods, consider adding them: Fish, Nuts & seeds, Olive oil, Beans, Whole grains, Turmeric and Fruits & vegetable, especially blueberries, cherries, spinach, kale, and broccoli. 

Maintain a healthy weight: Whether it’s 10 pounds or 50, carrying extra weight increases the burden and pressure on your joints. Maintaining a healthy weight works to decrease pain and improve joint function. While weight loss is a tough endeavor, it provides many positive effects on your overall health—including relief from the pain of arthritis, a reduced risk of heart disease and diabetes and more.

Medicate as needed: Over-the-counter pain medications, like acetaminophen (such as Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs, such as Advil or Motrin), can provide short-term relief from symptoms of arthritis. However, it’s important to discuss your options with your doctor, especially if you’re taking other drugs for arthritis or other conditions.

If you’re still struggling with pain after implementing these changes, contact your doctor to discuss other treatment strategies.

 

Michaela M. Schneiderbauer, MD, MBA, is an orthopedic surgeon with SVMC Orthopedics and Dartmouth-Hitchcock Putnam Physicians.

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Emergency Department: Open, Ready, Safe. 

The last 3 months have been a uniquely challenging experience in the SVMC Emergency Department (ED) and emergency departments and hospitals all over the country and the world. I am very proud of all our staff has done and continues to do to ensure safe care for patients during this era of COVID-19. We are grateful that cases of COVID-19 in our area have been the lowest in the U.S. and have decreased even further over the past several weeks. We are also heartened to see that patients who had been avoiding the ED are now confident to return to get the care they need.

It may be surprising to hear that over the past few months, the sickest patients we have seen in the ER have not had COVID-19. Many people have refrained from seeking care for serious medical problems due to the fear of being exposed to the virus, assuming that the hospital was not a safe place to be and not recognizing the seriousness of their symptoms. The most challenging moments of the past several months have involved critically ill patients who tried to stay away for far too long due to fear of being exposed to COVID-19. We have had many sad moments trying to care for those who waited until it was too late for us to help with conditions that could have been easily treated if presented sooner.

One might expect that the greatest challenges related to the pandemic were those needed to adapt our facilities and procedures and the work of caring for sick COVID-19 patients. SVMC is fortunate to have built a strong foundation of safety and infection-prevention methods over many years, which made this transition much easier. Still, when it became apparent that we were going to see COVID-19 cases coming through our doors, we implemented many COVID-specific changes very quickly.

From day one our staff have all been fully trained to use protective equipment effectively, to focus on cleaning and disinfecting, and to move patients safely through the new areas created to keep them safe. We also spaced the waiting room chairs to allow for plenty of distance and initiated drive-by testing to keep potentially contagious people outside and away from other patients.

We immediately increased our standard of protective equipment we use. For example, all staff who relate with patients now wear both a mask and protective shield, which is a proven and effective strategy to prevent transmission. Those staff who work with patients with respiratory or other contagious symptoms also wear a gown and advanced respirators developed in cooperation with Mack Molding in Arlington. They look strange, but they help us deliver care safely.

We also quickly built special spaces and units in the hospital to treat and segregate patients with respiratory symptoms who might be contagious from those with other routine medical problems. Outpatients with symptoms that could be related to COVID-19 are directed to a spacious area called the Respiratory Evaluation Center. There they can be taken to a safe treatment space called a negative-pressure room without encountering any patients who are using the ED for other reasons or any staff who are not fully equipped with protective gear. There are similar, safe, negative-pressure units for those who require treatment in the ED or hospital.

Our hard work paid off. We have treated a number of COVID-19 patients in our ED and, as far as we know, not a single staff member was sickened in relation to their work here, and no patients have contracted COVID-19 while under our care. With our current procedures and drastically declining COVID numbers, we are confident that we can continue that trend. Furthermore, SVMC recently received a perfect score on a rigorous survey specifically designed to judge our ability to prevent transmission of COVID-19. At this time our ED is safer than just about any other public place you could go.

My goal in writing today is to communicate that SVMC’s Emergency Department is open, ready, and safe. If you need emergency care, we are here and we can care for you safely. Please do not defer emergency care until it is too late for us to help. While many symptoms can represent a serious medical problem, the most concerning are chest pain, difficulty breathing, fast heart rate, confusion, high fever, intense headache, drooping face, dehydration, or weakness. Of course, with any other symptom you feel indicates a serious problem, come in right away or call 9-1-1.

For us, spending time with patients and connecting on a personal level is the best part of our jobs. We take pride in our life-saving role in our communities and the work we have been able to do during the pandemic, but we cannot help if you do not come in. Please don’t hesitate to get the care you need when you need it.

Adam Cohen, MD, is a board-certified emergency medicine physician at Southwestern Vermont Medical Center. He also serves as the chair of the Department of Emergency Medicine and the medical director of SVMC’s Emergency Department.

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