Skip to Main Content

Cold Weather and Peripheral Neuropathy

Why Are My Peripheral Neuropathy Symptoms Worse in The Winter?


As a neuro-acupuncturist, I help people every day who are dealing with challenges caused by peripheral neuropathy—a condition affecting approximately 5% of people over the age of 45. Peripheral neuropathy can arise from various causes, such as diabetes, chemotherapy treatments, genetic factors, or for unknown reasons.

I often hear from patients that their peripheral neuropathy symptoms worsen during the winter months. This phenomenon is quite common, and there are several reasons why cold weather can exacerbate neuropathy pain.

1. Reduced Blood Flow

Our bodies produce a vast number of chemical reactions every moment of our lives in order to maintain proper function. These reactions have evolved to occur within a narrow temperature range of 36.5-37.5 degrees.

In cold weather, our bodies naturally restrict blood flow to the extremities to conserve heat and maintain core body temperature. This reduced blood flow means that the delicate nerves in our hands and feet don’t get as much oxygen and nutrients, making it harder for the nerves to function properly. This can increase nerve pain and discomfort for those with peripheral neuropathy.

2. Barometric Pressure Changes

Winter months bring more extreme changes in barometric pressure, which can significantly impact peripheral neuropathy symptoms. When barometric pressure increases, tissues contract, leading to decreased circulation and tight muscles and connective tissues. On the other hand, lower barometric pressure can cause excess fluid retention in tissues, resulting in congestion and swelling.

These fluctuations in atmospheric pressure can make it hard for your body to adapt it’s internal environment and lead to the worsening of uncomfortable symptoms from peripheral neuropathy.

3. Decreased Nerve Conduction

It is well-documented that nerve conduction, or the speed at which nerves can transmit a signal, slows in lower temperatures. This slowing effect can exacerbate symptoms for individuals with peripheral neuropathy, leading to increased burning, numbness, and tingling in the extremities. Reduced nerve conduction in cold weather can intensify discomfort, making daily activities more challenging for those affected by this condition.

4. Impact on Daily Activities

Some of the challenges faced by those with peripheral neuropathy include loss of sensation, muscle weakness and difficulty with balance. Winter weather, including rain, wind, ice and less daylight, can make it difficult to go outdoors and engage in physical activity. Reduced activity increases stiffness and pain, creating a vicious cycle of discomfort and inactivity.

Some of the strategies that I recommend to my patients to help manage their symptoms during the colder weather include using a warm hand or foot soak before bed when neuropathy sensations can be especially bothersome, drinking warm herbal teas with spices like ginger and cinnamon to help maintain body temperature and increase circulation, staying active indoors at our community rec centers and using neuro-acupuncture treatments to improve blood flow and nerve health.

If you are finding it challenging to deal with your symptoms, it's essential to consult with your healthcare provider to develop a comprehensive management plan tailored to your needs.

 

Jennifer Midlane is a neuro-acupuncturist practicing in Victoria, British Columbia. She focuses on providing care for those with neurological conditions by integrating the wisdom of Traditional Chinese Medicine with modern scientific research.

 

References

Castellani, J. W., & Young, A. J. (2016). Human physiological responses to cold exposure: Acute responses and acclimatization to prolonged exposure. Autonomic Neuroscience: Basic & Clinical, 196, 63–74. https://doi.org/10.1016/j.autneu.2016.02.009

Halar, E. M., DeLisa, J. A., & Brozovich, F. V. (1981). Peroneal nerve conduction velocity: The importance of temperature correction. Archives of Physical Medicine and Rehabilitation, 62(9), 439–443. PMID: 7283685

(2023). How Changes in Weather Affect Joint Pain. Cleaveland Clinic. Retrieved Jan 16, 2025 from, https://health.clevelandclinic.org/barometric-pressure-joint-pain

Kasselman, L. J., Veves, A., Gibbons, C. H., & Rutkove, S. B. (2009). Cold exposure exacerbates the development of diabetic polyneuropathy in the rat. Experimental Diabetes Research, 2009, Article 827943. https://doi.org/10.1155/2009/827943

Moses, B., Nelson, R. M., Nelson, A. J. Jr., & Cheifetz, P. (2007). The relationship between skin temperature and neuronal characteristics in the median, ulnar, and radial nerves of non-impaired individuals. Electromyography and Clinical Neurophysiology, 47(7–8), 351–360. PMID: 18051629

Nelson, R., Agro, J., Lugo, J., et al. (2004). The relationship between temperature and neuronal characteristics. Electromyography and Clinical Neurophysiology, 44(4), 209–216. PMID: 15224815

Rutkove, S. B. (2001). Effects of temperature on neuromuscular electrophysiology. Muscle & Nerve, 24(7), 867–882. https://doi.org/10.1002/mus.1084