An inexpensive and easy way to treat arthritis-related aches and pains is by applying heat or cold to the affected joints. However, people are often confused about when to use heat therapy and when to use cold therapy.

How to Make a Gel Ice PackMaking your own gel ice pack at home is an inexpensive way to treat arthritis aches and pains.
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Heat can relax muscles and help lubricate joints. Heat therapy may be used to relieve muscle and joint stiffness, help warm up joints before activity, or ease a muscle spasm.

Cold can reduce inflammation, swelling, and pain related to arthritis and activity. (It is also recommended to treat many acute injuries.)

Alternating heat and cold. Some people alternate between heat and cold therapy. For example:

  • A patient may be encouraged to use heat therapy to warm up a joint(s) before physical therapy exercise and to use cold therapy after exercise.
  • A person can use heat therapy in the morning to loosen up an osteoarthritic knee and use cold therapy to reduce swelling a few hours later. This process can be repeated throughout the day.
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Cold therapy is recommended for certain types of arthritis that cause painful inflammation flares, such as gout and pseudogout. People with other types of arthritis—including but not limited to osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis—may benefit from both heat and cold therapy.

There are no universally accepted guidelines for when to use heat or cold therapy on osteoarthritic joints, and recommendations are mixed. People with osteoarthritis are advised to experiment with both heat and cold therapy to find what works best for them. 7

Likewise, evidence shows that heat and cold therapies do not affect rheumatoid arthritis disease activity but can make some RA patients more comfortable.8,9

References

  1. Oosterveid FG, Rasker JJ. Treating arthritis with locally applied heat or cold. Semin Arthritis Rheum. 1994;24(2):82–90. [PubMed]
  2. Brosseau L, Yonge KA, Robinson V, et al. Thermotherapy for treatment of osteoarthritis. Cochrane Database Syst Rev. 2003;(4):CDO04522. [PubMed]
  3. Porcheret M, Jordan K, Jinks C, Croft P. Primary care treatment of knee pain: a survey in older adults. Rheumatology. 2007;46:1694–1700. [PubMed ]

Complete Listing of References

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