The Arthritis–Breathing Connection

   Aug 25 , 2016

   Michael White

The Arthritis–Breathing Connection

Joint pain. Morning stiffness. Swelling that lingers. If you’re living with arthritis, you know how difficult it can be, not just physically, but mentally and emotionally too. 

But what if I told you that your breath can help you manage arthritis? 

Yes, how you breathe can affect how much pain you feel, how much inflammation you carry, and even how stressed or calm you are. 

In this blog post, let’s analyze the connection between arthritis and breathing, and how breathing the right way can help you with arthritis management.

What is Arthritis?

In simple words, arthritis is defined as an acute or chronic inflammation in your joints. Arthritis isn’t just one condition; it’s an umbrella term for over 100 diseases that involve joint pain, swelling, stiffness, and reduced mobility in joints. Here’s a breakdown of the most common types of arthritis and the associated symptoms.

Type of Arthritis What is it? Causes/Risk Factors Common Symptoms
Osteoarthritis (OA)
  • Degenerative joint disease due to aging or wear and tear.

  • Most common type of arthritis

  • May affect hips, knees, fingers, or feet

  • OA is chronic and often progressive.

Risk Factors

  • Age (over 50)

  • Joint injury

  • Pre-existing joint diseases (RA or Gout)

  • Specific metabolic diseases

  • Overuse of joints

  • Obesity

  • Weak muscles

  • Genetics

  • Gender (more common among women)

  • Environmental factors

  • Joint pain and stiffness

  • Limited range of motion

  • Clicking sound while bending a joint

  • Swelling

  • Muscle weakness around the joint

Rheumatoid Arthritis (RA)
  • An autoimmune condition that happens when your immune system attacks synovium (the lining of your joints)

  • Commonly affects hands, knees, or ankles.

  • May also affect the eyes, heart, or lungs

Causes: Not clear

Risk Factors:

  • Age

  • Gender (more common among women)

  • Family history and genetics

  • Smoking

  • Obesity

  • Gum disease

  • Lung diseases

  • Pain, swelling, tenderness, or stiffness in the joint (that lasts for 6 weeks or longer)

  • Morning stiffness > 30 minutes

  • Symmetrical joint pain

  • Small joints are affected first.

  • Fatigue

  • Occasional low-grade fever

  • Loss of appetite

Psoriatic Arthritis (PsA)
  • Inflammatory arthritis linked to Psoriasis (skin condition)

  • Can affect anyone.

  • The typical onset age is between 30 and 50

Causes: Not clear

Risk Factors:

  • Smoking

  • Pre-existing arthritis (RA or Gout)

  • Alcohol consumption

  • Anemia

  • Inflammatory bowel disease

  • Itchy, painful red patches on knees, elbows, and scalp

  • Cracking and pitting of nails

  • Pain, tenderness, swelling, and warmth in the right hand and left knee.

  • Fatigue

Gout 
  • Inflammatory arthritis caused by excess uric acid in the blood

  • Generally affects the big toe, but can also occur in the ankles, knees, wrists, and fingers.

Cause: Build-up of urate in joints

Risk Factors:

  • High urate levels

  • Family history

  • Gender (more common among males)

  • Menopause

  • Age

  • Alcohol consumption

  • Consumption of sugar-sweetened beverages

  • Following an unhealthy diet

  • Obesity

  • Metabolic syndrome

  • Chronic kidney disease

  • Hypertension

  • Psoriasis or some cancers

  • Some medications

  • Joint pain

  • Swelling, redness, and warmth in the affected joint

But What Does Breathing Have to Do With Inflammation?

Now that you know, regardless of the type of arthritis, inflammation is the common thread. But did you know that your breath can fight or feed that inflammation? Yes, you read it right!

When you’re in pain, your body automatically enters a stress state. Your breathing becomes shallow and rapid, your muscles tense, and your heart races. This shallow breathing pattern, especially from the chest, makes your body stay in fight or flight mode, which results in:

  • Increased levels of adrenaline and cortisol
  • Increased inflammation
  • Tensed muscles and reduced circulation

Over time, this creates a state of low-grade, chronic inflammation. This can worsen joint swelling, morning stiffness, fatigue, and brain fog. 

|| Poor breathing patterns = low oxygen delivery = more inflammation + more pain ||

Now, let’s talk about stress associated with arthritis. When you’re stressed, your body releases stress hormones, which increase inflammation. Muscles around your joints tense up, and your perception of pain intensifies. 

It becomes a vicious cycle: Pain → Stress → Shallow breathing → More inflammation → More pain → More stress

Arthritis Pain - A Viscious Circle

What can you do to break this cycle?

Just Breathe the Right Way

Are you breathing right?

Let’s do a quick check. Put one hand on your chest and one on your belly. Take a deep breath. Did your chest rise more than your belly? If yes, you’re likely chest breathing, and it could be feeding your stress and inflammation.

How to Breathe Right?

You’ve probably never been taught how to breathe, because it just happens, right?

But as mentioned above, if you’re dealing with arthritis, shallow or incorrect breathing can keep your body stuck in a state of stress and inflammation.

Let’s change that.

Many of us tend to breathe rapidly from the chest, and often through the mouth. This breathing pattern keeps your nervous system in fight-or-flight mode, which can increase your pain sensitivity and stress levels. 

Diaphragmatic breathing, also known as belly breathing, is the optimal way to breathe. When you engage your diaphragm and take deep breaths, you:

  • Send calming signals to your nervous system
  • Activate your parasympathetic nervous system (the rest-and-digest system)
  • Relax tension in your muscles
  • Deactivate the stress receptors
  • Reduce pain sensitivity
  • Help shift your focus away from discomfort or distress

Here’s how to breathe optimally:

  1. Find a comfortable position. You can either sit upright on a chair with your back straight or lie down on your back with your knees bent. 
  2. Place one hand on your chest and the other hand on your belly. This helps you feel where your breath is going.
  3. Inhale slowly through your nose. As you breathe in, let your belly expand under your hand. Your chest should stay as still as possible.
  4. Exhale gently and completely. As you exhale, tighten your stomach muscles and feel your belly fall. The hand on your chest should remain still.
  5. Repeat for 2-5 minutes. Stay relaxed. Do not force it.

What’s Happening Inside Your Body When You Breathe Optimally?

Look at the image: You’ll notice three things: pear, cone, and wave (diaphragm) shown as a red curved line. These work together every time you breathe.

Breathing optimally

When you inhale:

  • Your diaphragm moves down and flattens.
  • This gives your lungs more room to fill with air.
  • At the same time, your rib cage opens up.

When you exhale;

  • Your diaphragm relaxes and goes back to its natural dome shape.
  • This helps push air out of your lungs.
  • Your rib cage moves inward, helping you breathe out fully.

When you breathe deeply using your diaphragm, you’re not just getting more oxygen; you’re also helping your body relax, reduce inflammation, and manage stress.

You don’t need much time to practice diaphragmatic breathing; just a few minutes a day can make a big difference.

  • First thing in the morning: Helps reduce morning stiffness and calms you down
  • During a flare-up: Calms your nervous system and reduces pain signals
  • Before sleep: Reduces stress hormones and helps you sleep better

You can easily get the hang of it with a few days of practice. Still confused where to start? You can try the Optimal Breathing Self-Mastery Kit, a comprehensive breathing development program that can help you unlearn and relearn the right way to breathe. 

And if you’re someone who likes to move or wants to start moving again, you can try Exercise with Oxygen Therapy (EWOT). The combination of gentle exercise and high oxygen levels can help you with arthritis management.

Final Thoughts

Yes, living with arthritis can feel like a constant battle. The stiffness, the flare-ups, the fatigue and whatnot! It wears on you, both physically and emotionally. And if you’ve ever felt anxious, stressed, or even hopeless, you’re not alone. But you have a powerful tool right under your nose that can make a real difference: your breath. When you breathe optimally, you’re not just calming down; you’re actually helping your body manage arthritis symptoms. 

You don’t need to fix everything overnight. Just start with your breath. Let’s face arthritis together.