Many patients come to physical therapy asking ‘why’ – why they have increased pain when it rains, snows, or just when the weather gets cold. This question has been researched minimally and considering the amount of patients that report these findings, one would think there would be more research on this topic.
The main theories are as follows:
1. Change in Barometric Pressure – This theory is based on a study of a balloon in a Barometric Chamber. The Barometric pressure is decreased and the balloon increases in size. Therefore, the drop in pressure can similarly cause tissues around the joints to swell. Because a drop in barometric pressure precedes a storm, patients can ‘predict’ when a stormfront is approaching. Typically, patients with arthritis or a previous joint injury are the patients that report these weather-related findings.
2. Psychological – Another theory mentions that people tend to feel pain in their joints during bad weather, rather than preceding bad weather. The theory claims that people are less likely to feel the pain on warm, sunny days. This concept could be due to the increased release of endorphins, with increased sun light and people mentally feel better when it is nicer outside.
3. Humidity – This is my personal theory. I believe patient’s joints have increased lubrication when there is more humidity in the air. Just like a hinge requiring lubrication to move in a fluid motion, our joints require constant lubrication to move without restriction and pain. Therefore, when the humidity decreases, there is a decrease in lubrication of our joints, which in turn causes pain. This is why most people with arthritis like to move down south to enjoy year-round warmer weather.
In summary, there is no definitive reason why people report increased pain at their joints when the weather changes. It is suprising how little research is done on this topic. I believe there is validity for people feeling the change in weather in their joints; however, there does not seem to be a clear reason why it is experienced. Thoughts?
My arthritis gets worse in the heat/humidity. I feel better in the colder weather…why do I react the opposite?
It is more common to have increased joint pain in the cold weather. The literature is unclear why their is a correlation between joint pain and weather. However, most of our patients have this complaint. It is unclear why you react the opposite to the majority of people since nobody is clear on why their is a connection. However, I believe a drastic change in weather, no matter if it is hot or cold, will cause joint pain.
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