天氣變化關節炎疼痛？醫師建議先熱敷

天氣變化關節炎疼痛？醫師建議先熱敷
行政院衛生署新竹醫院骨科主任王子康今天說，不少關節炎病患提及天氣變化前會疼痛，雖然兩者並無科學上的相關性，但建議不妨先熱敷，以緩解不適。


　　王子康表示，長久以來老一輩都有一種說法，就是關節炎病患（尤其是肩關節、膝關節、髖關節）具有預知未來天氣的能力，即使在大晴天的日子，患者也會因肩膀疼痛而預知明天將會變天。


王子康說，在他的關節炎病患中，約有10-15%的人會提及他們的關節痛與天氣改變有關。不過，從許多驗證中發現「天氣致痛」的說法是沒有根據的，例如在天氣改變的前後抽取關節內積液進行化驗，結果證明抽取液的化驗並無差異且無發炎現象的改變。


　　另外，他說，有病患認為天氣氣壓的改變是致痛原因，但在高速升降電梯的實驗顯示，並無任何關節炎病患有致痛反應；再者，人是恆溫動物，氣溫對關節溫度的改變並不能成立。


　　王子康表示，雖然並無科學證據支持天氣致痛的說法，但若病患仍深信天氣與關節痛的關連性，也不妨尊重他們的想法。


　　王子康說，另有一種說法「也許是天色陰暗，病患無法出門，一直待在沙發或床上，於是造成僵硬更疼痛的關節，此時病患就認為天氣改變讓他們的關節增加疼痛」。


　　他認為，這種說法尚有一些學理上的依據，因此，他建議病患若憂慮天氣一變，關節就疼痛，不妨預先進行深度熱敷，以避免減少活動所引起的僵直不適。


　　王子康說，如果膝關節、髖關節因為嚴重關節炎而引起持續關節痛，以致「舉步為艱」，則應至骨科門診作詳細檢查。

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