Dr. Rajeev Kumar – Arthritis and morning stiffness

It is often characterized by morning stiffness, for many an uncomfortable start to the day

This is a common condition suffered by people suffering from arthritis

What causes morning stiffness?

Morning stiffness in arthritis occurs for a variety of reasons, depending on the type of arthritis.

• Inflammation leads to swelling, and the joint remains immobile overnightsurrounding muscles and tissues tighten, causing pain and stiffness.

• In osteoarthritis Limited joint movement at night results in insufficient lubrication, leading to stiffness. When the patient gets up and begins to move, the joint receives the necessary lubrication, which usually relieves stiffness within 30 minutes or less.

• In contrast, types of inflammatory arthritis such as rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis cause morning stiffness due to a build-up of inflammation in the joi overnightnts, ​​peaking in the morning.

• Additionally, in arthritis, the immune system attacks the lining of the joint, causing it to become inflamed and swollenN. At night, lack of exercise allows inflammatory materials to build up, causing synovial fluid to build up in and around the joint, which further increases swelling and leads to the pain and stiffness felt in the morning.

Treatment in case of recurrence of arthritis:

• Arthritis is often associated with periods of severe symptoms, called flare-ups.

• Particularly disturbing are episodes of morning stiffness, which can make starting the day a painful ordeal.

However, several strategies can help reduce inflammation and minimize these episodes, allowing you to manage your symptoms more effectively.

Optimizing your sleep environment for warmth – Make sure your sleep environment is cozy and warm to help relieve morning stiffness. Set your thermostat to a comfortable temperature and use heating pads or electric blankets for extra warmth. Additionally, consider using heated gloves, such as microwaveable heated pad gloves, to quickly warm your hands and relieve stiffness.

Stretching and warm-up – When you wake up feeling stiff, take some time to gently stretch. You can do this while still in bed or after waking up. Methodically stretch any stiff joints, moving them through their full range of motion, until you feel relaxed and your muscles warm up.

Take advantage of heat therapy – Heating stiff muscles and joints stimulates blood flow, helping them relax and loosen up. You can take a warm shower or bath, apply heating masks, immerse your hands in warm water or use heating compresses. Be careful not to get too hot, especially if you have arthritis.

Engage in gentle exercise – When you’re moving, gentle exercise such as yoga, tai chi, swimming or a short walk can be very beneficial. These activities will help you relax your body and mind, preparing you for the day ahead.

Go for a massage – Massage by you, a partner or a professional can also help relax stiff muscles. Massages can provide significant relief and improve mobility.

Use assistive gadgets – If stiffness persists, consider using gadgets that reduce stress on your joints and make everyday tasks easier. Items such as jar openers, zipper pulls, thick-grip pens, walking aids, and swivel seats may be useful.

Consider medications – Taking medication before bed can also reduce morning stiffness. Always consult your doctor or pharmacist before starting new medications or changing your treatment regimen.

Apply local treatment – Warming ointments, gels, sprays and creams applied directly to the skin can provide warmth and relief to stiff joints.

By following these strategies, you can better manage morning stiffness and improve your comfort and mobility as you start your day.

Published in public interest by Dr.Reddy’s Laboratories LTD