Cold hands

HEALTH JUNE 4, 2026

Cold Hands, Stiff Joints — Is This Perimenopause or Something Else?

If you’re trying to work out whether this is hormones, early arthritis, or just a cold snap — here’s how to actually tell the difference.

For about a year, I blamed the weather. My hands would go cold and stiff, I’d rub them together, put the heating on a bit higher, and think nothing more of it.

Except it kept happening in June.

Hand pressed to one specific spot at the base of the thumb

Sign 1. It’s Not Your Whole Hand — It’s One Specific Spot

Cold from the weather tends to affect your whole hand fairly evenly. What I was feeling wasn’t that — it was concentrated at the base of my thumb, in one particular spot, every time. If you can point to almost the exact same joint each time it flares, that’s a meaningfully different pattern than general cold-related numbness.

Hands cupped around a warm mug, cool-toned indoor light

Sign 2. Warming Up Helps — But It Doesn’t Fully Go Away

Ordinary cold hands warm up properly once you’re indoors. Mine eased, a bit, but never all the way — there was always a duller ache sitting underneath, even once my hands were properly warm. If the stiffness only ever partly lifts no matter how warm you get, that’s worth paying attention to.

Simple chart or visual suggesting non-weather pattern

Sign 3. It’s Worse Some Weeks Than Others — Regardless of the Weather

Weather-related stiffness tracks predictably with temperature. What I noticed was a pattern that didn’t line up with the weather at all. Some entirely mild weeks were awful. Some proper cold snaps barely registered. That kind of unpredictability, disconnected from the actual temperature outside, points somewhere else entirely.

Outdoors in warm light, hand still showing discomfort

Sign 4. Summer Doesn’t Make It Disappear — Just Quieter

If it really were just the cold, warm weather should solve it completely. Mine went quiet in summer. It didn’t go away. At the base of your thumb is a joint called the CMC — where your thumb meets your wrist. That joint is held in place by ligaments, and ligaments respond to oestrogen. As oestrogen drops through perimenopause, those ligaments lose collagen and get looser, and the joint that used to stay perfectly put starts to shift slightly under ordinary grip. One shift you’d never feel. But it happens constantly, all day, and a loose joint has nowhere to settle.


So What Can You Actually Do About It?

  • Support the one joint that’s actually unstable, rather than keeping your whole hand generally warm
  • Do it without locking the thumb, so you’re not trading one problem for another
  • Be comfortable enough to wear through the parts of the day when it flares most

So a hand therapist who specialises in midlife joint changes set out to build one.

FlexHold: Support for the Joint That Was Never Just About the Weather

FlexHold on a hand in a cool-toned setting
  • A contoured pad supports the CMC joint at the base of your thumb, the exact one other braces miss
  • Your thumb and all four fingers stay completely free, so you keep full use of your hand
  • Soft, lightweight and breathable — comfortable enough to wear for hours, not just twenty minutes at a stretch
Check Availability

I left the link above if you want to have a look.

I still reach for a jumper when it’s cold. I just don’t need my hand to recover from it any more.

— Diane

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16 comments

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DC
Daphne Collier
I spent eighteen months convinced it was Raynaud’s. Two different GPs agreed with me. Then my rheumatologist mentioned perimenopause joint laxity almost as an afterthought and it suddenly all made sense. The summer thing is what finally gave it away for me too.
LikeReply1d👍24
CB
Celia Booth
Daphne identical situation. Was treated for Raynaud’s for over a year. Then my hand therapist asked about my cycle history and the whole picture changed.
LikeReply1d👍11
HS
Harriet Stone
The ‘warm up helps but doesn’t fully go away’ is so specific and so accurate. I’d describe it as a 70% improvement with warmth and it just stops there. Always that underlying ache.
LikeReply2d👍17
MT
Mabel Turner
I thought it was early arthritis for two years. My mum had it so I assumed that’s what it was. The hormone connection was never mentioned by anyone.
LikeReply3d👍21
CH
Clara Hewitt
Mabel same. Family history of arthritis so I assumed the same. Turns out the sudden onset at 49 should have been a clue it was something hormonal. My joints were fine until perimenopause.
LikeReply3d👍9
BL
Beatrice Lang
Mine is definitely worse in cold and damp but the key thing is it never fully goes in the summer either. That’s what separates it from just being cold hands.
LikeReply4d👍13
LW
Lillian Webb
Does this help if it’s more of an aching cold feeling rather than sharp pain? Mine never really gets sharp, just a deep cold ache.
LikeReply5d👍5
IN
Iris Norwood
Lillian that’s exactly how mine felt. Deep cold ache, not sharp. The brace helped with both — I think it’s all the same joint regardless of how it presents.
LikeReply5d👍7
EB
Edith Barker
The unpredictability is the worst. Good week, terrible week, no obvious reason. At least now I have an explanation for why it doesn’t track with the temperature.
LikeReply1w👍15