'I suffer from arthritis, especially in the small joints of my hands. The cold weather often makes the pain in my hands a lot worse and limits what I can do with them. I am keen to stay as active as possible, is there anything you can suggest I can do to limit this pain and keep me active?'

This is a common concern for a lot of people I see with osteoarthritis in the joints of their hands. Although there is no scientific evidence that confirms cold weather has a consistent link to increased pain in the joints it is something that is symptomatically present with many patients. The National Institute of Clinical Excellence (NICE), who advises the NHS and the government on the effectiveness of treatments for many conditions, highlights core areas that must be considered when treating the pain of arthritis as well as some additional treatments that vary in their effectiveness.

Minimising the pain

Essentially, to minimise this pain it is important to fully understand the condition of osteoarthritis in order to know what to do to avoid flaring it up. Useful information can be found on www.versusarthritis.org.

The NICE guidelines provides some insight into some commonly used pain killers and topical agents that have good levels of evidence in helping ease these pains. For short term flare up relief, a physiotherapist or GP may also issue a splint depending on how you present at the time of your appointment. This is typically used when your symptoms are more severe. The use of heat or cold pack doesn’t have much clinical evidence but is found to be useful by many patients.

Strengthening the muscles

It is also advised to strengthen the local muscles in the hands and wrists as well as maintaining a good level of physical fitness as good circulation is really important.

For individually tailored advice on the best management of your specific arthritis, it is always advised to speak with your GP or a recommended Physiotherapist.

Physiotherapy Service

Horder Healthcare offers a specialist musculoskeletal physiotherapy service to NHS, self pay and privately insured patients from The Horder Centre and our clinics in Seaford and Eastbourne.

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Page last reviewed on 19/04/2020

We are a leading physiotherapy provider

  • Horder Healthcare offers physiotherapy services from The Horder Centre and several clinics located in the South East. We provide expert service and treatment affordably priced at just £50 for the initial consultation and £35 for follow up appointments. If you would like an appointment with one of our physiotherapists, please complete the form or call us on 01892 601466.


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  • Due to the massive increase in the number of people contracting COVID-19 and the resultant national lockdown, we have taken the difficult decision to manage the majority of our physiotherapy patients using telephone consultations.


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  • In addition to joint replacement surgery, we have created a list of common conditions and how a variety of physiotherapy techniques can help achieve an optimum result for every patient.


  • Due to COVID-19, there are currently no classes running at The Horder Centre and Horder Healthcare Seaford.

    We offer a range of health and wellbeing classes led by our physiotherapists and fitness experts, and you can now join our brand new live-streamed online classes using from the comfort of your home.

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  • All of our Physiotherapists are Members of the Chartered Society of Physiotherapy (MCSP) and registered with the Health Professions Council (HPC) and attend regular training and development activities to ensure current evidence-based practice.


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