Grand Strand Medical Center - December 07, 2017

Winter wind can chill you to the bone, aggravating pain from chronic conditions and causing old injuries to flare up again. To learn how to ease cold weather aches and pains, we spoke with rheumatologist Stephen Gelfand, MD. Here are six ways to avoid winter injuries and stay pain-free when the temperature drops.

Sign up for warm water aerobics

Water aerobics offers more of a workout than you might think: Just being in the water means that you’re moving against twelve-times the resistance you have on land. That combination of cardio and resistance training forces you to work harder and allows you to burn more calories.

On top of those benefits, water aerobics is an important aspect of treatment for people with chronic pain conditions like fibromyalgia and arthritis, says Dr. Gelfand. “You have the advantage of buoyancy, which allows you to move your joints without the impact you would normally feel on land,” he explains. That movement, plus the warm water eases pain and stiffness.

Drop the snow shovel

Shoveling sends more than 11,000 Americans to the emergency room each winter. The intense physical activity, combined with the frigid air and slippery ground is a recipe for:

  • Heart attacks
  • Deadly falls
  • Back, shoulder and chest pain due to strained muscles

Think about it like this: If you feel aches and pains after a steady, controlled gym session, you’re bound to feel pretty awful after moving piles of heavy snow with poor posture—about two thousand pounds per 15 minutes with a standard shovel. If you have a heart condition or chronic pain, put the shovel down or talk to your HCP. If you’re a healthy adult, follow these safety tips, wear water-resistant boots and dress in layers.

Leave the flask at home

Normally, when you step into the cold, blood rushes away from the surface of your body, towards your internal organs. Warm, oxygen-rich blood keeps your heart, brain and lungs working their best until you can find shelter.

But alcohol makes your body do just the opposite—it causes blood to rush towards your skin, lowering your core temperature. It also keeps your body from shivering, which is a key part of how you stay warm.

Plus, alcohol lowers your inhibitions, says Gelfand. That puts you at risk for painful falls and injuries that could leave you hurting all winter.

Reach for water instead

This winter, fill your thermos with water instead of alcohol, which makes you urinate more often. If you eliminate fluids faster than you take them in, you can become dehydrated. And in the winter, you’re losing more fluids to begin with: To humidify the cold, dry air, your lungs need to release more moisture as you breathe.

If you’re dehydrated, your body will send the fluids you do have to essential organs like your heart and brain, instead of your fingers and toes. For people with poor circulation from conditions like diabetes and Raynaud’s disease, that lack of blood flow can worsen hand and foot pain, warns Gelfand.

Keep your vitamin D levels up

Vitamin D is created when sunlight reaches your skin. If you’re staying indoors and bundling up from head-to-toe when you go outside, your vitamin D stores can plummet during the winter.

But you need vitamin D to absorb calcium, which supports strong, healthy bones. If you have deep bone and muscle aches in the winter, get your vitamin D level checked. A low level can cause:

  • Bone pain, fractures
  • Exhaustion
  • Muscle aches

In fact, one study found that people who were taking opioids needed almost twice the amount of pain meds to feel comfortable if their vitamin D levels were low. Add these vitamin D rich foods to your diet; talk to your doctor before using supplements.

Try heat therapy

Heat therapy, which includes saunas, wraps and heating pads can ease a variety of winter pains. The warmth relaxes tight muscles and encourages blood flow to injuries, which speeds up the healing process.

People with Raynaud’s disease—who have worse pain in their hands during the winter due to poor circulation—should carry hand warmers in their pockets. Also, avoid handling ice and don’t place your hands in the refrigerator for more than a few seconds, says Gelfand.

For winter back pain, relaxing in a sauna or steam room can work wonders. Just be aware that the dry heat in saunas is dehydrating, so drink plenty of water to replace your fluids.

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