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Published on: Apr 04, 2020
1 minute read
By: Dr Vibhash Mishra

Corona Virus (COVID-19) Being Responsible

The world is in a state of panic with fear of Corona and perhaps rightly so. Official, semi-official and unofficial guidances are pouring in from all possible sources. Social media has been promoting the use of masks only for sufferers of Corona infection and those who are having symptoms of cough and fever. Some experts have gone to the extent of suggesting that the use of mask for members of the general public may even be harmful. It may promote a sense of complacency among people, a false sense of safety leading to negligence of other precautions. Masks may be so ill-fitting that the user has to touch it frequently to adjust it, which may lead to transmission of infection. The virus is supposed to be transmitted by droplets coughed out by the sufferers. The purpose of the mask used by these people is to stop passing on the droplets to others. While this notion seems to make sense, it may not be entirely true and the use of masks by people at large may still have some protective value. There may be people who are infected and not aware of it. Avoiding relatively close contact with such people at public places may not be easy in populous countries which are not locked down completely yet. Use of mask in that situation may provide some protection at least. After all the infected droplets need to be inhaled to cause further infection and a mask over the mouth and nostrils will prevent the inhalation to some extent. It seems, therefore, that discouraging people from using masks may be an irresponsible act. What should be emphasized instead is that using a mask is not the end of your responsibility towards protecting yourself and others. Other precautions are equally important. Following are a few examples:
1. If you have cough and/or fever, confine yourself indoors and avoid coming in contact with people, specially children, elderly and those with chronic illnesses.
2. Wash your hands well with soap and water frequently and certainly after touching anyone or anything.
3. Avoid touching your face and eyes unnecessarily.
4. Do not cough in the open or on your hands. Use a tissue or your sleeve instead. Bin the tissue immediately.
5. Avoid unnecessary travels.
6. Avoid public gatherings.
7. If you suspect you may be infected with Corona, do not use antibiotics, they will not be effective.
8. When interacting with strangers or those with cough/fever, stand at least three steps away.

Dr Vibhash Mishra, London, UK, Chief Medical Officer, Second Medic

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How Poor Hydration Affects Joint Health: Why Water Matters for Mobility

Water is essential for nearly every function in the human body, yet many people underestimate its importance for joint health. While hydration is commonly associated with digestion and skin health, it also plays a crucial role in maintaining smooth and pain-free joint movement.

Understanding how poor hydration affects joint health can help prevent stiffness, discomfort and long-term mobility issues.

The Role of Water in Joint Function

Joints are where two bones meet, allowing movement and flexibility. Healthy joints rely on:

Cartilage
Synovial fluid
Ligaments
Tendons

Cartilage, which cushions bones, contains a high percentage of water. Synovial fluid acts as a lubricant, reducing friction during movement.

Proper hydration ensures these components function effectively.

What Happens When You Are Dehydrated?

When the body lacks sufficient water:

Synovial fluid production may decrease
Cartilage may lose elasticity
Joint cushioning becomes less effective

This can result in stiffness and discomfort.

1. Reduced Joint Lubrication

Synovial fluid requires adequate hydration to maintain volume and viscosity.

Without enough water:

Friction between bones increases
Movement becomes less smooth
Risk of wear and tear rises

2. Increased Joint Stiffness

Dehydration may cause joints to feel tight, especially:

In the morning
After prolonged sitting
During physical activity

Stiffness may limit flexibility.

3. Higher Risk of Injury

Poorly lubricated joints may be more prone to:

Sprains
Strains
Cartilage damage

Hydration supports tissue resilience.

4. Worsening of Existing Joint Conditions

Individuals with conditions such as osteoarthritis may experience increased discomfort if hydration is inadequate.

While water does not cure arthritis, it supports overall joint function.

5. Reduced Nutrient Delivery

Water helps transport nutrients to joint tissues.

Dehydration may impair circulation and nutrient exchange, slowing tissue repair.

Signs of Dehydration That May Affect Joints

Dry mouth
Dark urine
Fatigue
Headaches
Muscle cramps
Joint stiffness

Recognizing early dehydration signs prevents complications.

How Much Water Do You Need?

Hydration needs vary depending on:

Body weight
Climate
Physical activity level
Health conditions

On average, adults may require 2–3 liters of water daily.

In hot climates such as India, higher intake may be necessary due to increased sweating.

Tips to Maintain Proper Hydration

1. Drink Water Regularly

Do not wait until you feel thirsty.

2. Eat Water-Rich Foods

Include:

Cucumbers
Watermelon
Oranges
Tomatoes

3. Limit Excessive Caffeine and Alcohol

These may contribute to fluid loss.

4. Carry a Water Bottle

Keeping water accessible encourages consistent intake.

5. Hydrate Before and After Exercise

Physical activity increases fluid loss through sweat.

Hydration and Joint Health in India

In India’s hot and humid climate, dehydration is common, especially during summer months.

Outdoor workers, athletes and elderly individuals are particularly vulnerable.

Maintaining adequate hydration supports not only joint health but overall wellbeing.

When to Consult a Doctor

Seek medical advice if you experience:

Persistent joint pain
Swelling
Limited range of motion
Redness or warmth around joints

These may indicate underlying joint disorders requiring evaluation.

Conclusion

Poor hydration can negatively affect joint health by reducing lubrication, increasing stiffness and raising injury risk. Since cartilage and synovial fluid depend heavily on water, maintaining adequate hydration is essential for smooth movement and long-term mobility.

Drinking sufficient water daily is a simple yet powerful step toward protecting joint health. Combined with regular exercise and balanced nutrition, proper hydration supports active and pain-free living.

Small daily hydration habits can make a significant difference in how your joints feel and function.

References

Indian Council of Medical Research – Hydration Guidelines
World Health Organization – Water and Health Resources
Indian Journal of Orthopaedics – Joint Health Studies
National Institute of Nutrition India – Fluid Intake Recommendations
Journal of Sports Medicine – Hydration and Musculoskeletal Health Research

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