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Published in: International Orthopaedics 3/2012

01-03-2012 | Original Paper

Influence of weather variables on pain severity in end-stage osteoarthritis

Authors: Stephen A. Brennan, Thomas Harney, Joseph M. Queally, Jade O’Connor McGoona, Isobel C. Gormley, Fintan J. Shannon

Published in: International Orthopaedics | Issue 3/2012

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Abstract

Purpose

Patients often attribute increasing pain in an arthritic joint to changing weather patterns. Studies examining the impact of weather on pain severity have yielded equivocal and sometimes contradictory results. The relationship between subchondral pseudocysts and the role they play in this phenomenon has not been explored.

Methods

Fifty-three patients with end-stage osteoarthritis of the hip completed daily pain severity visual analogue scale (VAS) scores over a one month period. Radiographs were reviewed to determine the presence of pseudocysts. Data pertaining to precipitation, atmospheric pressure and temperature were collected from the nearest weather station. A generalised linear mixed model was used to explore the relationship between weather variables, cysts and pain severity.

Results

Pain levels increased as a function of absolute change in atmospheric pressure from one day to the next. Precipitation, temperature and the presence of subchondral pseudocysts were not shown to influence pain severity.

Conclusions

This data supports the belief held by many osteoarthritic patients that changing weather patterns influence their pain severity.
Literature
1.
go back to reference Von Mackensen S, Hoeppe P, Maarouf A, Tourigny P, Nowak D (2005) Prevalence of weather sensitivity in Germany and Canada. Int J Biometeorol 49(3):156–166CrossRef Von Mackensen S, Hoeppe P, Maarouf A, Tourigny P, Nowak D (2005) Prevalence of weather sensitivity in Germany and Canada. Int J Biometeorol 49(3):156–166CrossRef
2.
go back to reference Drane D, Berry G, Bieri D, McFarlane AC, Brooks P (1997) The association between external weather conditions and pain and stiffness in women with rheumatoid arthritis. J Rheumatology 24:1309–1316 Drane D, Berry G, Bieri D, McFarlane AC, Brooks P (1997) The association between external weather conditions and pain and stiffness in women with rheumatoid arthritis. J Rheumatology 24:1309–1316
3.
4.
go back to reference McAlindon T, Formica M, Schmid CH, Fletcher J (2007) Changes in Barometric Pressure and Ambient Temperature influence Osteoarthritis Pain. Am J Med 120:429–434PubMedCrossRef McAlindon T, Formica M, Schmid CH, Fletcher J (2007) Changes in Barometric Pressure and Ambient Temperature influence Osteoarthritis Pain. Am J Med 120:429–434PubMedCrossRef
5.
go back to reference Jayson MIV, Rubenstein D, Dixon AST (1970) Intra-articular pressure and rheumatoid geodes (bone “cysts”). Ann Rheum Dis 29:496–502PubMedCrossRef Jayson MIV, Rubenstein D, Dixon AST (1970) Intra-articular pressure and rheumatoid geodes (bone “cysts”). Ann Rheum Dis 29:496–502PubMedCrossRef
6.
go back to reference Magyar E, Talerman A, Feher M, Hw W (1974) The pathogenesis of subchondral pseudocysts in rheumatoid arthritis. Clin Orthop Relat Res 100:341–344PubMedCrossRef Magyar E, Talerman A, Feher M, Hw W (1974) The pathogenesis of subchondral pseudocysts in rheumatoid arthritis. Clin Orthop Relat Res 100:341–344PubMedCrossRef
7.
go back to reference Agresti, A. (2002) Categorical data analysis. Second edition. Wiley Series in Probability and Statistics. Agresti, A. (2002) Categorical data analysis. Second edition. Wiley Series in Probability and Statistics.
8.
go back to reference McCullagh P (1980) Regression models for ordinal data. Journal of the Royal Statistical Society, Series B 42:109–142 McCullagh P (1980) Regression models for ordinal data. Journal of the Royal Statistical Society, Series B 42:109–142
9.
go back to reference Burnham, K.P. and Anderson, D.R. (1998) Model selection and inference: a practical information-theoretic approach. Springer-Verlag. Burnham, K.P. and Anderson, D.R. (1998) Model selection and inference: a practical information-theoretic approach. Springer-Verlag.
10.
go back to reference Quick DC (1997) Joint pain and weather. A critical review of the literature. Minn Med 80(3):25–29PubMed Quick DC (1997) Joint pain and weather. A critical review of the literature. Minn Med 80(3):25–29PubMed
11.
12.
go back to reference Hollander JL, Yeostros SJ (1963) The effect of simultaneous variations of humidity and barometric pressure on arthritis. Bull Am Meteorol Soc 44:489–494 Hollander JL, Yeostros SJ (1963) The effect of simultaneous variations of humidity and barometric pressure on arthritis. Bull Am Meteorol Soc 44:489–494
13.
go back to reference Resnick D, Niwayama G, Coutts RD (1977) Subchonral cysts (Geodes) in Arthritic Disorders: Pathologic and Radiographic Appearance of the Hip Joint. Am J Roentgenol 128:799–906 Resnick D, Niwayama G, Coutts RD (1977) Subchonral cysts (Geodes) in Arthritic Disorders: Pathologic and Radiographic Appearance of the Hip Joint. Am J Roentgenol 128:799–906
14.
go back to reference Landellis JW (1953) The bone cysts of osteoarthritis. J Bone Joint Surg (Br) 35:643–649 Landellis JW (1953) The bone cysts of osteoarthritis. J Bone Joint Surg (Br) 35:643–649
15.
go back to reference Rhaney K, Lamb DW (1955) The cysts of osteoarthritis of the Hip. A radiological and pathological study. J Bone Joint Surg (Br) 37:663–675 Rhaney K, Lamb DW (1955) The cysts of osteoarthritis of the Hip. A radiological and pathological study. J Bone Joint Surg (Br) 37:663–675
16.
go back to reference Wingstrand H, Wingstrand A, Krantz P (1990) Intracapsular and atmospheric pressure in the dynamics and stability of the hip: A biomechanical study. Acta Orthop Scand 61(3):231–235PubMedCrossRef Wingstrand H, Wingstrand A, Krantz P (1990) Intracapsular and atmospheric pressure in the dynamics and stability of the hip: A biomechanical study. Acta Orthop Scand 61(3):231–235PubMedCrossRef
17.
go back to reference Strusberg I, Mendelberg RC, Serra HA, Strusberg AM (2002) Influence of weather conditions on rheumatic pain. J Rheum 29:335–338PubMed Strusberg I, Mendelberg RC, Serra HA, Strusberg AM (2002) Influence of weather conditions on rheumatic pain. J Rheum 29:335–338PubMed
Metadata
Title
Influence of weather variables on pain severity in end-stage osteoarthritis
Authors
Stephen A. Brennan
Thomas Harney
Joseph M. Queally
Jade O’Connor McGoona
Isobel C. Gormley
Fintan J. Shannon
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1304-9

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