About This Column
Here you'll find advice on how to take a more comprehensive approach toward managing your rheumatoid arthritis (RA). Keep in mind, this column is intended to advise you on how to complement your treatment, not replace it. Please consult your doctor to determine what advice may be right for you.
Featured Article
Heating Packs vs Frozen Peas
Jun 18, 2008
Both heat and cold treatment can help reduce the pain and symptoms of RA. Some people respond better to heat, some to cold, and for others, it depends on the symptom. So what works best for you?
Your rheumatologist is your best source of information on this subject, but frankly, it's difficult to tell without trying each type of treatment. Still, you should consult your rheumatologist first. He or she knows your health best and may provide you with specific guidelines based on your situation. Generally speaking though, cold can numb sore areas and help reduce inflammation and swelling, while heat tends to relax muscles and stimulate blood circulation.
You can use a variety of different items to apply heat and cold. Some you can buy from the drugstore (eg, reusable heat or cold packs), and others you can probably find in your home (eg, a warm washcloth or a bag of frozen food). If you prefer the homemade approach, you may also want to try the following:
Put on dishwashing gloves and place your hands in running hot or cold water
Take a warm or cool shower or bath
Warm your clothes in the dryer before getting dressed
Tips for Applying Heat and Cold
Lie or sit down in a comfortable position and relax
Be sure your skin is dry and free from cuts and sores
If you're using a heat or cold pack, or a bag of frozen food, wrap it in a towel or washcloth
Place the heat or cold on the affected area
After removing the heat or cold, move the joint gently through its full range of motion. This step will help maximize the effect of your heat or cold treatment
Carefully dry the area and check for purplish-red skin or hives, which may indicate that the treatment was too hot, too cold, or too long. It is normal for your skin to appear pink
Allow your skin to return to normal temperature and color before using heat or cold again
Note the results in a journal and discuss them with your rheumatologist at your next appointment
Heat and cold can be valuable additions to your treatment plan. But remember, they cannot replace your medication. Talk with your rheumatologist to determine how to use heat and cold to help manage your RA.
Managing Pain and Stress
