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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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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