Archive for August 10, 2019

Health and the Season

Posted in Biographical, Cardiff, Maynooth, Mental Health with tags , , on August 10, 2019 by telescoper

After I came out as having arthritis a few months ago, I’m sure all both my readers are agog to hear news about the state of my knees. There’s only good news to report, actually. The warmer weather seems to have brought considerable respite. I have not taken any anti-inflammatory medicine for a couple of months now, and have largely dispensed with the walking stick too (at least for the time being). I still get the odd twinge, but nothing compared to what things were like during the winter.

I ended my earlier post about this with this paragraph:

One other thing worth mentioning is that this condition does seem to be highly temperature-dependent. This last week the weather suddenly turned a lot colder and the arthritis definitely got worse. Perhaps in future I could learn to use the colour of my knees as some kind of forecasting method?

Talk to anyone who suffers from arthritis and they will tell you a similar story – it gets worse in cold and/or damp weather. Talk to any medical expert, however, and they will tell you that there’s very little hard evidence about this and what evidence there is suggests that the effect is very weak. See, for example, this paper, which has the following abstract:

It is a common observation that pain and stiffness in patients known to have arthritis get worse in cold and damp weather conditions. The objective of this article is to review the available literature on this subject and to put forward an explanation for this common clinical finding. Literature search revealed twelve relevant articles including laboratory experiments and prospective questionnaire-based human studies. Various investigators have tried to study the effect of cold weather on arthritic symptoms and have suggested different theories. The effect of temperature changes localized to the joints has shown to increase stiffness at lower temperatures and decrease stiffness at higher temperatures. The effect of these changes has been found more pronounced in elderly population with arthritis and patients with advanced disease. The evidence to support this common observation is weak; however some studies have reported a trend towards worsening of pain and stiffness with falling temperature and barometric pressure in arthritic patients.

Among the problems associated with studying such effects is the issue of how to measure `pain’ in a reliable way. It may be in the winter people are generally less upbeat about their health which may affect the way they self-report the state of their arthritis. And even if one could measure the level of pain objectively, there are obvious confounding factors: people are generally more active during the summer months, for example, which may help ease joint pain. And what aspect of the weather really matters: temperature, humidity or atmospheric pressure? These tend to be correlated in complicated ways.

All I can say is that the last couple of months have been far better for me. Whether that is because of some direct causative influence of the weather or not I can’t say.

While I am on about health and the time of year, I’ll comment on another personal matter. Seven years ago I was suffering some serious mental health problems, which resulted in me being for some time on an acute ward in a psychiatric institution. That happened in July 2012. I’ve dreaded the arrival of July every year since because it reminds me of that very bad period in my life and I worry that might bring on something similar again. This year, though, has been much better. I can’t attribute this entirely to my move here to Ireland, but the change of scene has undoubtedly contributed.

As a final comment I’ll just say that 31st July was the third anniversary of my leaving Sussex (in 2016) to return to Cardiff on a three-year part-time contract back. I was planning to take early retirement when that expired, but things seem to have turned out rather differently. Things have a habit of doing that. Then again, if life were predictable it would be very dull. Anyway, it was very nice to meet up with quite a few former colleagues from Cardiff during recent week off, including at their summer barbecue at Llandaff. It seems quite a few will be spending the next week or so marking repeat resit examinations, so let me take this opportunity to wish them all the very best!