- Is there a connection between weather and arthritis symptoms?
- Why is the effect of weather changes on arthritis symptoms true for some but not for others?
- Where is the best place to live, in terms of climate, if you have arthritis?
Weather and Arthritis Symptoms
It is not uncommon for patients with arthritis to notice an increase in symptoms with certain weather conditions. For example, some of my patients can predict when it will soon rain based on their symptoms. Others feel terrific in places that have increased barometric pressure, but hurt more in locations where the pressure is lower.
In fact, a patient of mine felt so well when he vacationed in Destin, Florida that he developed a small chamber that would raise the barometric pressure to a level that replicated Destin. He would sit in the chamber for 30 minutes twice a day and was able to discontinue his medications. Due to his relief, I conducted a very small study that exposed patients to 30 minutes in a placebo chamber and 12 hours later in the "Rejuvenator" (the chamber that was developed to have an increase in barometric pressure), as well as another study that included one 30 minute placebo session and two 30 minute "Rejuvenator" treatments over 3 days. The majority of the patients had clinical improvement using the chamber with the increased barometric pressure. Side effects included self-limited symptoms of ear pressure, sinus pressure and "windburn". Based on the results of this preliminary study, more testing was recommended to further study the potential benefits and risks of this therapy.
Further support for an effect on atmospheric pressure in arthritis was published in the Proceedings of the Western Pharmacology Society in 2004. In this prospective, double blind study, 92 patients with osteoarthritis and rheumatoid arthritis were compared to a control group of 42 subjects. The authors concluded that the osteoarthritis patients experienced increased joint pain with a low atmospheric pressure while low temperature increased the risk of joint pain in the rheumatoid group. Another study published in the Journal of Rheumatology in 2004 demonstrated that high humidity was unfavorable for arthritis patients. Based on these particular studies, it would seem that a location that tends to have a higher barometric pressure and lower humidity would represent a favorable environment for arthritis patients.
Best Place to Live?
For those patients who ask me where the best place for them to live in terms of climate, I suggest live where you will be happiest and certainly if you decide to move somewhere based on arthritis, make sure you try it out by spending plenty of time there during different seasons before making any move.
Answers provided by Scott J. Zashin, M.D., clinical assistant professor at University of Texas Southwestern Medical School, Division of Rheumatology, in Dallas, Texas. Dr. Zashin is also an attending physician at Presbyterian Hospitals of Dallas and Plano. He is a fellow of the American College of Physicians and the American College of Rheumatology and a member of the American Medical Association. Dr. Zashin is author of Arthritis Without Pain - The Miracle of TNF Blockers. The book is useful for anyone on one of the biologic drugs (Enbrel, Remicade, Humira) or considering the biologic drugs. Read my review of the book.