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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5 Questions with the Chair of the Department of Surgery

Malcolm Paine, MD, of SVMC OB/GYN, serves as the chair of the Department of Surgery. We asked him five questions about COVID-19 and how it feels to deliver care right now.

SVMC: What would you like to share with patients at this time?
MP: First, on behalf of the Department of Surgery, I would like to acknowledge how tough it has been for our community members who have been affected by this pandemic. We see such tremendous strength in those who have been ill or lost loved ones to illness and in those who are working hard to get by without a job or while homeschooling their children. We are proud to be part of this community, whose careful social distancing efforts have prevented an unmanageable surge.

We are grateful, too, that as restrictions loosen, we can get back to seeing patients and providing care in a timely way. On the surface, the care may look or feel a little different—everyone will be wearing masks, for instance—but once we get accustomed to the changes, we hope that you will recognize the same level of personalized care we all enjoyed before COVID-19.

SVMC: What are the potential risks associated with postponing care?
MP: There are many types of surgery that can be delayed for a short time, often without any negative repercussions . However, surgery is often for situations that cause pain, and delaying the procedure can result in that pain getting worse or not getting better. Sometimes, there are situations where a minor surgery, if delayed, can turn into a more major or emergency surgery, and the patient can become very sick.

SVMC: In general, what additional precautions have been put in place to ensure that care is safe?
MP:
We are absolutely committed to the safety of our patients, staff, and the community. We know how important it is for patients to be able to know and trust that we have their safety in mind at all times. We always want to use the best science and advice from the State to guide our practices. We have put several new measures in place.

We screen all patients and advocates who come to the hospital to make sure they do not have a fever or possible symptoms of COVID-19. All staff also undergo daily screening for fever and symptoms to make sure those looking after patients are healthy. We are also testing all patients with planned surgical procedures for COVID-19. This is performed as an outpatient test at no cost to the patient and increases our confidence that we are not putting patients or staff at increased risk. Patients with a scheduled surgery are encouraged to call ahead if they are feeling unwell, and after surgery, patients will be asked to check for fever for 14 days to make sure they stay healthy.

SVMC: How would patients be notified if COVID risk increased rapidly?
MP:
There is always the chance that there may be a new "surge." In that case, a directive to stop elective procedures would likely come from the State. We may also decide, as a hospital, to stop these procedures in order to keep everyone safe. In that case, we would call the patients to let them know that their scheduled case is delayed until the risk decreases.

SVMC: How would you estimate the risk of contracting COVID-19 at the hospital right now?
MP:
We are tracking these numbers on a daily basis. With all of these safety measures in place and due to the very low numbers of cases we are seeing in this area at the present time, we estimate this risk is extremely low.

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