Are osteoarthritis winter worries a knee-jerk reaction?

A retiree worries her knee pain, which ‘always gets worse with colder weather’, will prevent her from exercising during the cooler months

Alma is a 62-year-old recently retired business manager with a background of knee osteoarthritis who presents seeking advice about pain and weight management for the coming cooler months.

Her knee pain “always gets worse with colder weather”.

Alma has hypertension, diabetes and is overweight. Her blood pressure is well controlled on an ACEI.

Her glycaemic control has been historically suboptimal with lifestyle management and metformin therapy, and a trial of GLP-1 receptor agonist was being considered.