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The pain of Arthritis, the
flaring of
inflamed joints, can drive a person crazy - never any relief, making
even sleep a chore, every moment a misery. Perhaps this is why the field
of alternative medicine offers more remedies for arthritis than for all
other problems combined, and not a day goes by but someone comes to me
asking for one of them. They have heard that burdock works, or alfalfa,
or devil's root, fish liver oil, shark cartilage, yucca, glucosamine
sulfate.... the list goes on and on.
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This is where I explain
that addressing arthritis isn't as simple as taking one particular pill,
or any one single substance. |
I explain that what works for one
person doesn't necessarily work for another, natural remedies
do not act like drugs, by addressing a symptom, nor is that what a
holistic health professional works to achieve. The aim of natural
medicine is to make progress towards an improved quality of life, and a
rise in the sufferer's overall level of health. Moreover, each person may
owe their arthritis problems to a different basic cause, such as allergies,
trauma, nutritional deficiencies, or possibly even a virus or bacterium.
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A Canadian study
found that women using synthetic hormones (whether HRT or birth
control ) for 5 years or longer were twice as likely to develop
osteoarthritis. A separate study examining synthetic
estrogen replacement therapy found a 96% increased risk among
those using it 4 to 10 years.
Sahyoun et al Prev Med May 1999; 28(5):
458-464
Wilkins Health Rep Fall 1000; 11(2): 48-57 |
In osteo-arthritis, damage is done to the
cartilage, a special tissue which cushions the membrane-lined
space filled with synovial fluid (the joint lubricant) and
protects it from the ends of the bones. In rheumatoid
arthritis, it appears that the body's own immune system triggers
abnormal tissue growth (called Pannus) which covers the cartilage
causing inflammation and deformity.. While osteo-arthritis can be
addressed successfully with the following suggestions, rheumatoid
arthritis additionally requires more complex work with the immune
system.
The journey towards better joint health involves
three basic steps.
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Step One
is
detoxifying . The reason is simple - a life-time of randomly putting
stuff into the body and not completely clearing it out, means that the
elimination process is clogged, right down to the most basic level of
our cells. When our cells are unable to rid themselves of toxins, a
process of deep inflammation starts and very often the areas that become
inflamed are areas where we have weaknesses, such as an old injury, or
joints and muscles that we stress disproportionately in our daily life.
Equally, as long as the cells are clogged by undischarged toxins, they are not able to accept
and use the nutrients needed to rebuild and restore proper function.
Step Two
is
adjustment of the diet. In arthritis, very often allergies
play a role. When a person has allergies, this means, put simply, that
certain substances in the food have escaped the proper digestive process
and been assimilated whole into our blood stream. There, the body
perceives them as enemies, and an inflammatory cascade is set in action.
Dr. M. Werbach M.D. says that approximately 10 to 20% of people with
arthritis suffer from insufficient production of
Hydrochloric Acid, one of the functions of which is to digest
proteins. "When the digestion of food proteins is inadequate, the gut
lining absorbs more partially broken down products .... while amino
acids, the fully broken down products of protein digestion, are
invisible to the immune system, partially broken down protein products
alert the immune system to the presence of perceived foreign invaders".
The immune response that follows might well be the cause of a flare-up.
I can personally attest to the fact that problems with my back almost
always accompany a temporary problem with digestive inflammation.
Certain people with arthritis respond to eliminating the "nightshade"
family of foods from their diet. These are tomatoes, peppers, (to
include chili, paprika but not black pepper) potatoes,
nicotine and eggplants. With
rheumatoid arthritis, wheat and dairy are often culprits.
Interestingly, new research is suggesting a link
between carbohydrates and rheumatoid arthritis: Harvard
researcher Dr. Julia Wang and her colleagues injected mice with GAGs.
(Lynn: these are complex carbohydrates). GAG-binding cells accumulated
in the animals' joints, and the mice developed chronic RA-like symptoms,
including synovitis, tenosynovitis and dermatitis. Some animals
developed bone erosion. Since then, they have found GAG binding cells in
human tissue, and they theorize that this may be an immune response to
bacteria carrying GAG-like molecules on their surface. Up until now,
carbohydrates have been considered rare triggers of the immune system,
but patients with Rheumatoid Arthritis are found to have higher than normal levels of the
GAG hyaluronic acid. LIMIT YOUR SUGAR INTAKE!
The other aspect of diet is that food choices
low in certain nutrients can fail to support the systems in our body
that repair and nourish joints and bone tissue. Equally, a diet high in
the wrong nutrients can overburden the digestion, and a diet that is too
rich and indulgent can contribute to the formation of free radicals,
which also attack the body at the cellular level. Ours is a complicated
organism!
A factor that is currently little regarded, but which
I have found to be key to the control of arthritis ( as well as many
other chronic disease problems) is balancing the acid/alkaline, or
pH, factor in the body. This is particularly true where calcium
deposits are a part of the problem, since calcium cannot be absorbed
properly in an acid pH (as opposed to needing acid in the stomach to be
absorbed). Most Americans tend to be
highly acidic:
nearly all proteins contribute to an acid pH, while green vegetables are
mostly alkaline. You can buy pH papers at some pharmacies to check your
own situation. You can also order them directly from us. Adding Super
Green Foods in a powder or a tablet can be very beneficial for
controlling this imbalance. Also, some of the hype about Coral
Calcium does have a basis: it modifies pH, a balancing process
which enables the body to defend itself better against chronic problems.
Step Three
is the proper selection of the nutrients needed to
help the body to rebuild, repair, and fight the inflammation that is
causing the problem. Sometimes this may even include burdock, or yucca,
or fish oil: though one of the most promising substances to come to the
fore in helping osteoarthritis is Glucosamine Sulfate, and some
find Glucosamine HCL even more helpful.
This natural remedy is described dramatically by Dr. Julian Whitaker; he
says Glucosamine is to connective tissue what wheat is to bread! It's
main action in the body is to stimulate the formation of connective
tissue, an ability which some people seem to lose as they age. Thus,
while NSAIDS and other anti-arthritic drugs address only the symptoms of
the disease (and some of them in the long run actually increase
destruction of bone - you can find more details about this here at
www.mercola.com
**) the nutrient Glucosamine sulfate addresses the cause.
If you have blood sugar problems that worsen when you are using
Glucosamine, be aware that some people experience this effect.
It does not have its effect
over-night; many nutritionally oriented doctors wean their patients off
the drugs they are using slowly, at the same time introducing the
Glucosamine: the dosage recommended by Dr. Whitaker is 500 mgs, three
times daily. In most cases, improvement can be noted by the end of 30
days. These holistic Doctors also point out what I said previously, that
a complete nutritional program needs to be followed for optimum
success: and there are formulas available that pair the Glucosamine with
important companion factors which improve its effectiveness.
Chief among
these is Chondroitin Sulfate, also known as mucopolysaccharides,
glycosaminoglycans and proteoglycans. I say this not to show that I can
handle long names, but because the names indicate that CS is formed from
Glucosamine sulfate or Glutamine (an amino acid in protein) on its way
to repair and regenerate cartilage: NSAIDS are known to inhibit the
synthesis of CS, therefore, if you are taking NSAIDS and
Glucosamine without Chondroitin, you could actually be sabotaging
your own efforts to rebuild cartilage.
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We now know that COX-2 inhibitors
(Vioxx, Celebrex) carry with them their own risks
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There are many effective natural
COX-2 inhibitors, among them
Curcumin, Ginger, and Boswellia. There are some very
effective formulae available that combine a number of these valuable
herbs.
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The action of these herbs is
anti-inflammatory in nature. Inflammation can be defined as a
situation where cells are being destroyed faster than they can be
replaced. The destruction takes place either because the cells
are damaged by toxins, or the body lacks either the hormones or
the nutrients it requires for repair , or the situation is being
aggravated by pro-inflammatory fatty acids. Inflammation is implicated
in most chronic diseases such as cardiovascular problems, asthma,
diabetes, and all itis" states - colitis, arthritis, etc.
Inflammation is addressed by
determining the under-lying cause: avoiding,
expelling or neutralizing toxins, maximizing one's intake of
antioxidants, balancing with the correct omega 3 fatty acids,
providing the nutrients needed for cellular health and selecting from
the natural anti-inflammatories such as those listed in the previous
paragraph.
Be wary of NSAIDS also:
prolonged use inhibits cartilage repair, and actually contributes to a
worsening of the osteoarthritic condition.
Glucosamine Sulfate
There are numerous
double blind studies that have been done, showing not only that it is effective, but also that it is totally non-toxic. I have the results I get with
my own clients to
tell me that, combined with the other life-style and diet changes,
Glucosamine can make a difference in the fight against this
crippling disease. Adding Chondroitin Sulfate to the Glucosamine
enhances the latter's ability to repair cartilage. There are formulas
available combining the two, or take higher potencies of GS and CS
separately.
Latest on the scene is an amino acid called SAM-e
which has been the subject of about 75 studies in Europe dating back
to the 1980s, but only became available in the U.S a few years ago.
Not only do experts claim that (by a process of methylation which
detoxifies compounds damaging to the nervous system) SAM-e returns the
pleasure to everyday living, it also appears to have the ability to
repair and desensitize damaged joints.
Interestingly, people with severe
liver problems, such as cirrhosis, tend to be deficient in SAM-e,
because of problems metabolizing Methionine. It is a leap, I know, but
perhaps cleansing the liver, or taking liver-supportive herbs might be
helpful, particularly for women taking hormones and suffering from joint
problems. Remember, hormones are deconjugated in the liver, which places
a tremendous burden on it. On a practical note - when buying SAM-e, make
sure the tablet is enteric coated, otherwise it will break down too soon
and not be absorbed at the proper site: it will simply be digested and
used as Methionine. It is possible now to find SAM-e and Glucosamine
together - see RESOURCES at right.
The most difficult to treat types of
arthritic pain, accompanied by extreme inflammation, often are helped by
the use of proteolytic enzymes taken not with, but between meals.
Rheumatoid arthritis and systemic lupus erythematosus have also
responded well in many cases to this approach. Studies have shown a considerable reduction in
circulating immune complexes, and a reduction in flare-ups. This enzyme
treatment also helps through another method - control of inflammation. Enzymedica
makes an excellent systemic enyzme called Repair.
Rheumatoid arthritis being partly a
problem with an overstimulated immune system, I looked for many years to
find a supplement that would balance rather than stimulate the immune
system, and about 5 years ago I found the now well-known Moducare.
There can be no doubt that this should be the product of choice for RA
sufferers, since I have seen too many good results to think otherwise.
I highly recommend it.
However, I feel that if an entire 3
Step program is not instituted, we are not addressing the problem
holistically, we're really only putting a Band-Aid on it. We are
ignoring the possibility that infection and inflammation may be setting in underneath,
attacking our health at a deeper and more deadly level. Arthritis is in
most cases a chronic disease state, and it is a melancholy fact that
when one aspect of our health breaks down, if we do not dramatically alter
our life style, other problems will follow. An approach of a total and
healing nature which addresses and hopefully corrects whatever
underlying imbalance caused the original problem to surface, gives more
lasting benefit than a single Magic Bullet!
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Since many people come to me asking
whether there is any nutritional help for gout, I am appending some
suggestions here.
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Gout is caused by uric acid crystallizing in
the joints, and causing excruciating agony. This can be because of an
overproduction of uric acid, or a problem eliminating it. Either way,
diet certainly plays a part, and the first thing I recommend is eating a
diet high in vegetables and fruits, particularly cherries and celery,
while avoiding meats and alcohol. This is because maintaining a
non-acidic pH is of the utmost importance.
Legumes, including peanuts, can pose a problem, and
recently some research has suggested that high intake of fructose ,
which is universally present these days in soft drinks and other
processed foods, can also contribute to the condition. Drink plenty of
pure water, and NOTHING ELSE! (Except green tea, which is positively
helpful, or other herbal teas with the plants mentioned below.)
Obesity may contribute to gout - some
medications also are involved, specifically salicyclates, diuretics,
cyclosporine, pyrazinimide and some chemotherapeutic drugs.
Nutrients that may be helpful for gout
sufferers are Fish Oils (Omega 3) and Folic Acid. Herbs that have
been shown to help are Skullcap, Chamomile, Celery Seed and Yarrow.
Eating cherries and blueberries helps, as does taking supplements
containing these cyanidins.
A herb from South Africa called Devil's Claw shows
some promise for controlling the inflammation and pain. I also suggest a
digestive enzyme, which one depends on your blood type and the type of
digestive problems you are experiencing. Frequently a liver balancing
formula is also of help.
Quercetin is showing promise as an
anti-inflammatory with specific reference to gout.
** As if that weren't enough, some
studies have found a higher incidence of necrotising fasciitis among
chickenpox patients treated with ibuprofen.The drugs are sold under
brand-names including Motrin™, Nuprin™, Advil™ and others. It is
in the group known as non-steroidal anti-inflammatories all of which
have been linked to the disease.
Independently, three New Zealand
doctors have published a study in the latest New Zealand Medical Journal
on necrotising fasciitis.
Of the 13 people treated for the
disease at the hospital's intensive care unit in 1998 and 1999, 5 had
been taking the drug Voltaren or other drugs in the same group.
2 of the 5- and one of the patients
not taking those drugs - died.
A study of seven cases of the disease
had found that five patients had been taking non-steroidal
anti-inflammatory drugs (NSAIDs). The mechanism by which NSAIDs increase
the risk of necrotising fasciitis may be by impairment of the immune
response, or by masking of the symptoms of secondary infection,
leading to delayed diagnosis and treatment.
New Zealand National News February
1, 2001.
I am indebted to Dr Mercola
(http://www.mercola.com) for this information. His
newsletter is always full of interesting facts - check it out!
Subscription is free.
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