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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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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