Living With Arthritis
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Should I use a heat pad or ice pack for arthritis?

Use heat for stiff, aching joints (typical morning OA symptoms, general muscle tension) — it relaxes tissue and boosts blood flow. Use cold for acutely inflamed, swollen joints (gout attacks, RA flares, after over-doing exercise) — it reduces swelling and dulls pain. Both are safe, cheap and evidence-supported. Apply for 15-20 minutes with a cloth barrier.

Last updated 2026-07-04. This is general information, not a substitute for personalised medical advice.

Frequently asked questions

When would you pick Heat (heat pad, warm bath, wheat bag)?

Morning stiffness; ongoing dull ache; before exercise; muscle tension around a joint.

When would you pick Cold (ice pack, frozen peas in a cloth)?

Acute flare or gout attack; visibly swollen joint; after over-exertion.

What should I be careful about?

Never apply either directly to skin — always use a cloth or towel barrier.

Sources and references

  1. NHS: Arthritis overview
  2. NICE: Osteoarthritis in over 16s (NG226)
  3. NICE: Rheumatoid arthritis in adults (NG100)

Sources and further reading