Staying Strong with Physical Therapy & Health in Extreme Temperatures, Part 2: Navigating PT in the Cold

Physical Therapy
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Cold Fronts and Sore Joints – Navigating PT in the Cold

Winter months bring a different set of challenges. Stiff joints, poor circulation, and increased risk of falls are common. Cold weather can make movement more difficult—yet avoiding activity entirely can lead to further deterioration. Physical therapy can help you stay active, mobile, and safe, even when the thermometer drops.

1. Cold Weather & the Human Body

In cold temperatures:

  • Muscles contract and tighten
  • Blood flow is directed toward vital organs, reducing limb circulation
  • Joint fluid thickens, causing stiffness

These changes can increase pain in people with arthritis, old injuries, or muscular imbalances.

2. Warm-Ups Are Not Optional

A 5- to 10-minute warm-up is essential in the cold. Your physical therapist may recommend:

  • Dynamic stretches (arm circles, leg swings)
  • Light aerobic activity (walking in place, stepping)
  • Using heating pads pre-session to loosen joints

Home Tip: Use a hot water bottle or warm shower before your session to prep muscles.

3. Cold Weather Injuries & How PT Helps

Common winter injuries:

  • Slips and falls (hip fractures, wrist injuries)
  • Muscle strains from shoveling or icy surfaces
  • Knee pain due to limited mobility

Physical therapy aids in:

  • Improving balance and proprioception
  • Strengthening stabilizer muscles
  • Teaching safe movement strategies (e.g., how to fall safely)

4. Adaptive Equipment and Clothing

  • Footwear with traction
  • Knee and ankle braces for added support
  • Compression gloves for arthritis
  • Layered clothing to regulate body heat

Mobility aids like canes with ice-grip tips can be life-changing in icy conditions.

5. Indoor Exercise Options

Therapists can tailor indoor-friendly PT programs:

  • Resistance bands
  • Chair-based routines
  • Balance drills with household items (e.g., standing on a pillow for proprioception)

If you live in a snow-prone area, talk to your therapist about a winter mobility plan.

Winter may slow things down, but it doesn’t need to stop you. At Lifestyle Physical Therapy, we can help customize your specific physical therapy plan to overcome stiffness, prevent falls, and maintain strength—keeping you on your feet all season long. Give us a call at (212) 577-9313 or contact us today with any questions!

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