From everydayhealth.com
For people with rheumatoid arthritis (RA), warmer summer weather can be a welcome change that soothes swollen joints or it can bring greater inflammation and fatigue.
Here’s what you can do to help control joint pain and protect your overall health in the summertime.
1. Stay Cool
Keeping yourself cool when it’s hot and humid outside may help limit joint swelling and pain in RA.
“Humidity impacts pressure, so it can alter the pressure in your joints, and you can feel that,” says Micaela Bayard, MD, a rheumatologist at Mount Sinai in New York City. What’s more, “Going from one temperature to another can cause a sudden shift in that pressure in your joints,” she says.
Some steps that can help you stay cool include:
- Use air-conditioning. Consider staying inside an air-conditioned space when it’s hot outside.
- Use cooling aids. If you go outside in the heat, a cooling vest, cold packs, or even a damp cloth on the back of your neck can help you cool down.
- Stay hydrated. Getting enough fluids ensures that your body can cool off by sweating, while avoiding dangerous symptoms of dehydration.
“There’s two parts to hydration,” says Dr. Bayard. “It’s fluid intake and also making sure you’re not taking in too much sodium or salt so that the fluid doesn’t get stuck” and fail to reach areas of your body where it’s needed.
2. Be Aware of Sun Sensitivity and Medications
Certain medications for rheumatoid arthritis — including methotrexate, sulfasalazine, and hydroxychloroquine — can cause sun sensitivity (photosensitivity), increasing your risk for sunburn or skin irritation when you’re outdoors.
“Photosensitivity can lead to more severe sunburn than expected,” says Ambreesh Chawla, MD, a rheumatologist at Cleveland Clinic in Ohio. For anyone taking medications for RA, “It’s a good idea to review potential sun-related side effects with their rheumatologist or pharmacist,” he says.
The following steps are important if you’re taking a medication that can increase sun sensitivity, according to Dr. Chawla:
- Avoid prolonged sun exposure when possible.
- Use broad-spectrum sunscreen with SPF 30 or higher.
- Wear sun-protective clothing, including an appropriate hat.
- Wear UV-blocking sunglasses.
Chawla says that certain biologic drugs for RA may not increase sun sensitivity but are linked to a higher risk for skin cancer — making it even more important to reduce that risk by protecting your skin from the sun.
3. Practice Smart Summer Movement
Staying active is important for joint health in people with rheumatoid arthritis, but outdoor activity in hot weather can increase the risk for dehydration and fatigue.
When it’s especially hot and sunny, “Consider moving your activity indoors, or you can do your outdoor activity once the sun has gone down or somewhere that’s shaded,” Bayard says.
“It’s important to always pace yourself, stay well hydrated, and take frequent breaks,” Chawla say. “Always carry a water bottle and listen to your body, watching for signs of overheating,” such as unusual fatigue or dizziness.
Here are some activity tips for hot summer weather:
- Do low-impact exercise. A stationary bicycle, an elliptical machine, or water-based exercises can all provide a workout with less stress on your joints.
- Stay cool in the pool. Swimming and other aquatic exercises have the added benefit of helping your body stay cool.
- Footwear matters. For scheduled exercise or just walking around, choose breathable, supportive shoes instead of casual shoes or sandals.
4. Keep Medications Safe on the Road
For some people, it wouldn’t be summer without hitting the road on a trip. If you have rheumatoid arthritis, packing your medications may require some extra attention.
“Talk with your pharmacist about which medications need refrigeration,” says Bayard. “A lot of the injectables can be out of the refrigerator, but then they have to be used within a certain time period.”
For medications that require constant refrigeration, Chawla recommends using a dedicated travel cooler — separate from any larger cooler with food items — to ensure a consistent temperature. “Once you arrive at your destination, immediately transfer any temperature-sensitive medications to a refrigerator,” he says.
Both Bayard and Chawla recommend packing more of your medication than you think you’ll need for your trip, in case of any unexpected events or delays.
If you’re travelling by plane, Bayard and Chawla say you should:
- Pack all medications in your carry-on bag or a separate cooler.
- Keep all medications in their original labelled containers.
- Carry a note from your doctor explaining your health conditions and medications, including refrigeration needs.
Don’t pack your medication in a checked bag — your bag could get lost, and luggage in airplanes can undergo wide variations in temperature.
Some general suggestions for traveling include:
- Pack lightly. Don’t take heavy or bulky bags or backpacks that could put strain on your joints.
- Don’t overschedule. You may need time to rest or catch up on sleep, since rheumatoid arthritis can cause fatigue.
- Keep moving on travel days. Make frequent stops or get up from your seat to move your body and stretch.
- Pay attention to your diet “With travel, people tend to let loose on their diet. Be really conscious of salt and alcohol intake, especially in the heat — it just dehydrates you so quickly,” says Bayard.

