The pain of Arthritis, the flaringof 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.
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.
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.
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. -
http://altmedicine.about.com/cs/arthritis/a/Glucosamine.htm
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 takingNSAIDS and
Glucosamine without Chondroitin, you could actually be
sabotaging your own efforts to rebuild cartilage.
We now know that COX-2 inhibitors (Vioxx,
Celebrex) carry with them their own risks
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.
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.
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!
Since many people
come to me asking whether there is any nutritional help for gout, I am
appending some suggestions here.
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.
An
overview of GOUT - http://www.spearsmacleod.com/links/g/gout/index.htm
http://www.glucosamine-arthritis.org/
At the Arthritis
& Glucosamine Information Center you'll find top quality information on
Arthritis and Glucosamine, the latest research, details on arthritis medications
and treatments, and tips for effectively managing your pain.
Problems
with Chondroitin and Prostate - http://www.malecare.com/new_page_26.htm
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