Why do I experience otalgia during physical activity in cold temperatures?

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From the Research

Physiological Responses to Cold Exposure

  • Cold weather exercise physiology is reviewed, and medical conditions that may impact performance at cold temperatures are briefly examined 1
  • Cold exposure facilitates body heat loss, which can reduce body temperature, unless mitigated by enhanced heat conservation or increased heat production 2
  • Exercise and shivering increase metabolic heat production, which helps offset body heat losses in the cold, but exercise also increases peripheral blood flow, facilitating heat loss 2

Effects of Cold Exposure on Physical Performance

  • Aerobic performance is degraded in cold environments, with potential physiological mechanisms including decreases in deep body and muscle temperature, cardiovascular, and metabolism 3
  • Strength and power are also degraded during cold exposure, primarily through a decline in muscle temperature 3
  • Thermoregulatory fatigue, a reduction in the thermal effector responses of shivering and vasoconstriction, can occur as a result of multistressor factors, including exhaustive exercise 3

Otalgia and Cold Exposure

  • There is no direct evidence in the provided studies to explain why otalgia (ear pain) occurs during physical activity in cold temperatures
  • However, it is possible that the physiological responses to cold exposure, such as vasoconstriction and changes in blood flow, may contribute to the development of otalgia in some individuals 2, 4

Sympathetic Nervous System Responses to Cold Stress

  • Muscle sympathetic nerve activity (MSNA) increases during cold stress in older adults, but not in young adults 5
  • The sympathetic response to cold stress alone and in combination with isometric exercise is unknown, but it is possible that the sympathetic nervous system plays a role in the development of otalgia during physical activity in cold temperatures 5

References

Research

Exertion-induced fatigue and thermoregulation in the cold.

Comparative biochemistry and physiology. Part A, Molecular & integrative physiology, 2001

Research

Physiology of exercise in the cold.

Sports medicine (Auckland, N.Z.), 1991

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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