Exercise is very important. But what about diet?

For a long time, doctors doubted there could be any link between diet and osteoarthritis. They saw the disease as a natural result of wear and tear on the joints, something inevitable as we age.

But new research is making them reconsider that idea.

It now appears that nutrition plays a vital role in helping to prevent or ease the effects of osteoarthritis. One key element is vitamin C.

Vitamin C is a powerful antioxidant, and may protect the joints from the damaging effects of free radicals (unstable molecules that can cause joint inflammation).

Recent research is showing that vitamin C can help prevent bone loss and cartilage inadequacies associated with aging. Specifically, when your joint has cartilage that needs to be repaired, vitamin C is needed for such repairs. It helps to keep your cartilage “young”.

According to Dr. Timothy McAlindon of the Boston University School of Medicine, “Vitamin C may also help generate collagen, which enhances the body’s ability to repair damage to the cartilage.”

When scientists at the Boston University School of Medicine studied the eating habits of people with osteoarthritis of the knee, they found that those consuming the most vitamin C- more than 200 milligrams a day- were three times less likely to suffer deterioration of their condition than those who consumed the least vitamin C (less than 120 milligrams a day).

Dr. McAlindon recommends that people consume a least 120 milligrams of vitamin C every day. “That’s the amount in a couple of oranges,” he says.

Dr. Michael F. Roizen and Dr. Mehmet C. Oz, co-authors of “You: The Owner’s Manual”, recommend even more. “Shoot for 1200 milligrams of vitamin C a day- spread between your diet and supplements throughout the day.”

Be careful not to overdo it however. Some data suggest that more than 2,500 milligrams a day can have the opposite effect and actually increase the risk of osteoarthritis.

Dr. Eve Campanelli, a holistic family practitioner in Beverly Hills, CA, recommends black cherry juice. She advises her patients to drink two glasses, twice a day, of four ounces of the juice diluted with four ounces of water.

Other fruits and vegetables rich in vitamin C include oranges, cantaloupe, broccoli, strawberries, peppers and cranberry juice.

A healthy diet, rich in fruits and vegetables, has been recommended by nutritionists for years. Now there’s another reason to pay attention- it can help your joints to stay young!

It can be purchased without a prescription, and does not irritate the stomach like other medication such as aspirin or ibuprofen. It is supplied in time release caplet form, meaning that the drug is released over an extended time period. This means that the medication need not be taken as frequently as other pain killers.

Tylenol Arthritis Pain does not appear to have any side effects, but if you have an existing condition alongside arthritis you should consult with your doctor before taking it or you are taking other medication. Tylenol should not be taken with other pain relieving medication, such as aspirin, ibuprofen, ketoprofen, prescription medication or any other product containing acetaminophen.

Many arthritis sufferers have found some pain relief from taking Tylenol Arthritis Pain, so it may be worth discussing this with your doctor or physician.

Used for arthritis sufferers as well as those who have repetitive motion problems in their joints, the arthritis pain relief gloves offer support for the muscles whilst gently warming the affected areas. The gloves are designed to cover the muscle, ligaments, tendons and metacarpal bones in a protective material. These arthritis relief gloves are usually worn at night while the sufferer sleeps. This helps prevent the stiffening of the joints that can be a nightly torture for those who have acute arthritis. The arthritic relief glove has proven itself so effective that the material is being used to create support sheaths for other parts of the body which are potentially affected by arthritis. Knee wraps are available, which can be worn during your working day and which help keep walking and other daily living activities from becoming unbearably painful.

The arthritis relief material has been fashioned into ankle and elbow braces as well. These arthritis relief gloves are much more effective than the old methods of heating rice filled pads to provide the necessary heat to affected areas for pain relief. The gloves and other pain relief wraps are long lasting and washable. They are available with velcro adjustment strips so can be made as tight or loose as you need. Usually these arthritis relief gloves will cost between $10 and $30 depending on the brand and special features offered. They are available at local pharmacies, major retailers and online directly from the manufacturers.

Hip arthritis can differ from other forms of arthritis in that it does not always follow a natural progression; sufferers report that the severity of symptoms can fluctuate month by month, and that these can be influenced by the weather and climatic conditions. This means that it can be difficult to determine the progression of hip arthritis.

Hip arthritis generally affects those over 50 years old. People who are overweight tend to be at greater risk of developing it, and excess weight can exacerbate the symptoms. Past injuries or trauma to the area, or fractures to bones around the hip joint, can be contributory factors in developing hip arthritis. There is also thought to be a genetic link.

Symptoms of hip arthritis are; pain and stiffness in the hip area, particularly on exertion, affected walking gait and a limited range of motion in the hip.

If you suspect that you may be suffering from hip arthritis, consult your doctor, who should carry out a physical examination and arrange for x-rays to be taken to determine the extent of the condition.

Treatment;
Anti-Inflammatory medication (NSAIDS) may be prescribed to reduce symptoms such as pain and inflammation. These can include prescription medications or non prescription medications such as aspirin and ibuprofen.

Corticosteroids (symptom-modifying anti-rheumatic drugs or SMARDS) may be prescribed. These can be taken orally, applied to the skin in cream or gel form or given by injection.

Lifestyle changes such as weight loss could be beneficial in reducing symptoms and pressure on the joints, and can help to prevent hip arthritis developing.

Walking aids may help mobility and reduce pressure on the joint, such as a stick or cane used in the opposite hand.

You may need to limit activities which cause pain, although certain activities may be beneficial, such as swimming, which supports the joints. There may be certain exercises you can carry out to strengthen the muscles surrounding the hip joint and improve flexibility- a physiotherapist may work with you to devise a suitable exercise program.

Surgery may be required in advanced cases of hip arthritis. The most common types of surgery preformed are;

•    Total hip replacement, involving the replacement of the ball and socket joint with a metal and plastic joint. This can be particularly useful for rheumatoid arthritis sufferers.

•    If the arthritis has only affected the lining of the joint rather than the cartilage, Synovectomy surgery may be offered (removal of part or all of the joint lining).

•    An operation to reduce bone marrow pressure and increase the flow of the blood, known as Core Decompression, may be suitable in some cases.

Symptoms can be reduced by drinking raw juices; celery, red beetroot and carrot are particularly good. Raw juices are alkaline, which helps to dissolve the deposits accumulated around the joints and joint tissues. Pineapple juice can also benefit, as the juice contains bromelain, which is an enzyme proven to reduce swelling and inflammation.

Some foods are thought to help alleviate arthritis symptoms. Bananas are a source of Vitamin B6, which can reduce pain and inflammation. Lime can also be beneficial, as it contains citric acid, which can dissolve the uric acids responsible for some forms of arthritis. The juice is best drunk diluted in water to avoid the bitter taste! Coconut milk is also thought to be beneficial for arthritis sufferers. Avoid excess caffeine and overly spicy foods, although Cinnamon is thought to have arthritis relieving properties.

Honey has also been proven to reduce symptoms of inflammation and stiffness, and Cider Vinegar is very effective at breaking down the joint deposits caused by uric acids.

A small daily amount of cod liver oil can slow the degeneration of joint cartilage and tissue; try consuming 1 or 2 teaspoons of olive oil a day. Garlic can also be effective, as it contains anti-inflammatory properties. Cooked or raw garlic is equally effective.

Castor Oil has also shown some benefits in reducing the symptoms of arthritis; ideally it should be boiled over a stove burner and taken with fresh orange juice each day.

Epsom salts also help break down uric acids in the body, and are also a source of magnesium, which aids bone growth. If the body becomes deficient in Magnesium, it is less able to use and absorb calcium. Try adding 3 cups of Epsom salts to a hot bath, and soak in it. Have the water as hot as you can stand it, and keep topping it up as required. Whilst you are in the water, gently exercise your joints.

Many people have found some relief by bathing in sea water. The natural iodine found in sea water can alleviate the pain of arthritis. Iodine can help repair tissues and regenerate the skeletal frame. It also regulates the acid- alkaline balance in the blood. If you are not able to access the sea, relaxing in a warm bath in which a cup or two of salt has been dissolved.

At the age of only 28, Margie Garrison was told that she would be in a wheelchair within five years after developing arthritis. She was told that there was no cure for arthritis so resigned herself to a lifetime of pain and discomfort.

For the next 43 years, she spent thousands on doctor’s bills and so called ‘miracle cures’- which didn’t work. Day after day the crippling pain wore her down more and more and she struggled to get out of bed most mornings- a feeling I’m sure many arthritis sufferers can identify with. Finally, she met a doctor who told her that “Arthritis is the easiest disease to cure”. Still skeptical, she followed his advice- and found an alternative arthritis treatment. She is now pain free- and has cured her arthritis!

Margie said that she has discovered that the arthritis industry don’t want you to cure your arthritis! Unbelievable but true… you see, they earn millions of dollars manufacturing expensive treatments for sufferers, so need people to buy them again and again! If people started to cure themselves of arthritis, then they wouldn’t have a market any more.

Margie feels that you must take charge of your body and your destiny, so she has made her program “I Cured My Arthritis- You Can Too” available in clear, easy to follow step- by -step directions. She has helped many people reverse the effects of arthritis, including one 80 year old who was previously bed ridden; after following the program, she started running in senior citizen marathons and even began mountain climbing!

Margie gives a very generous one year guarantee with her program- making it totally risk free! Read more of Margie’s story here.

Symptoms; You may notice increased stiffness in the spine, which can be worse in the morning or after periods of inactivity. There will also be pain, which may be exacerbated by movement and which may come and go. There may be additional pain or numbness in the neck, shoulders, arms or legs, including the Sciatic nerve.

Movement of the spine may be limited and you may find bending difficult. In extreme cases, the spine may become deformed. Often, bony growths occur which can form ‘spurs’, which can cause increased pain or restriction of movement. You may also notice a ‘crunching’ or clicking sound or sensation on moving.

If the arthritis develops in the lower spinal region, it can affect the nerves to the legs and buttocks. Arthritis in the cervical area can similarly affect the arms and shoulders.

If you think you may have spinal arthritis, consult your doctor, who may refer you for an x-ray for diagnosis and the extent of the damage.

Treatment; As with other forms of arthritis, there is currently no known cure, but a range of treatments are available to relieve symptoms.

Medications which may be prescribed include anti-inflammatory drugs, steroids or painkillers.

Losing excess weight will help to reduce pressure on the spine and soft tissue. Diet can be important; eating calcium and nutrient rich foods can help maintain bone density and strength and slow the rate of deterioration. Exercise has also proven beneficial in improving flexibility and relieving pain. A health professional or physiotherapist should be able to put together a suitable exercise or diet program for you.

Heat or ice treatment applied regularly has also proved to relieve pain and discomfort in sufferers.

Arthritis of the spine can cause the invertebral discs within the spine to deteriorate, which may then require further treatment. The joints of the spine can be affected by formation of bony growths on the spine, which may be removed by surgery.

Having spinal arthritis need not restrict you. A lot of people experience only minimal symptoms, and pain can be managed with appropriate medication and support.

Symptoms
Early symptoms of arthritis in the knee include stiffness in the knee joint, limited range of motion, swelling and tenderness and noticeable deformities of the joint, particularly if one side of the joint is damaged more than the other. These early symptoms may come and go, and vary in severity. If you suspect that you have arthritis in your knee, you should visit your GP who should undertake a thorough physical examination and take X-rays of the joint, which should not only confirm diagnosis but track the progression of the arthritis, essential in determining how best to treat it.

Treatments
As with every type of arthritis, treatment prescribed will vary on the severity of the condition. Your doctor may prescribe a range of medication to treat the condition and associated pain and swelling. You may also receive cortisone injections or physiotherapy. Some people find taking supplements beneficial, such as Glucosamine Sulphate, as this stimulates the body’s natural product of Glucosamine to maintain and repair joint cartilage. If you are overweight, reducing excess weight may help to relieve the strain on overburdened joints.

In more extreme cases, surgery may be a solution; there are several different procedures which could be tried.  A Knee Osteotomy may be suitable for those who suffer arthritis on one side of the knee joint as the bone is cut and then reorientated so that the load bearing stresses are reduced on the damaged part of the joint. This procedure is not suitable for those with rheumatoid arthritis or widespread knee arthritis.  Knee Arthroscopy is a type of keyhole surgery, used to look inside and treat the knee joint.as required but may not be suitable for more extensive work. Other corrective surgery options would be partial or total knee replacement surgery, where artificial knee parts made of metal and/ or plastic are used to replace joints worn away by arthritis. Knee replacement operations generally last for at least 10- 15 years.

Holistic medicine approaches are that diseases tend to develop from several different causes, varying from person to person. Contributory factors for disease development also include imbalances caused by environmental, mental and other physical factors.

Physicians practicing holistic medicine always try to find the root cause of any disease, and patients will usually undergo a variety of diagnostic tests, including examination of diet, digestive function, immune system, stress levels and emotional/ mental condition.The idea is to treat the body and mind as a whole- hence ‘holistic’.

Holistic medicine usually involves treatment from a range of natural or homeopathic remedies. These are also supplemented by a change of diet/ detox program, proper nutrition, a program for the reduction of stress levels if required and maybe even counseling.

Chinese herbs are often used to restore energy and balance to the body’s system- Chinese beliefs are that disease in the body is caused by obstructions which affect the flow of energy through the body to the organs. Other treatments such as massage and acupuncture may also be used.

The patient may also find meditation to be beneficial, in both reducing stress levels and pain. Various supplements, such as minerals, vitamins or herbs can provide relief from pain and swelling and tend to have very few side effects.

Holistic medicine tends to work on treating the whole body and mind, in the belief that imbalances in one area will impact upon others. Many arthritis sufferers have found considerable relief through these methods.

For natural products to relieve the symptoms of arthritis, visit Native Remedies.

Images courtesy of Free Digital Photos and Free Images.

Painkillers or Analgesics
Painkillers come in different strengths, from those that can be bought over the counter to the strongest ones which must be prescribed by a doctor. They may also contain anti-inflammatory medication.

Ibuprofen
Rheumatoid arthritis in particular causes pain from inflammation, which can be eased by taking Ibuprofen based medication or other anti-inflammatory drugs. Ibuprofen also provides some pain relief, but there is a risk of ulcers if it taken over a long period of time. Ibuprofen can also irritate the stomach, so is best taken with food.

Acetaminophen
Osteoarthritis, on the other hand, is often accompanied by very little inflammation. Acetaminophen based medications relieve the pain but not inflammation. There is less risk of irritation of the stomach which can be caused by ibuprofen, and less likelihood of long term damage. However, if you are taking blood thinning medication such as Warfarin, or have a history of liver disease, then Acetaminophen based medication should be taken with caution.
Other painkillers include Aspirin and Codeine.

Glucosamine Sulphate
Glucosamine Sulphate is the same compound produced by the body and found naturally in cartilage and connective joint tissue. Cartilage lines the joints and acts as a natural shock absorber. As the body ages, its ability to manufacture Glucosamine reduces, which can lead to joint problems and eventually arthritis. When taken as a supplement it can stimulate the natural manufacture of Glucosamino-glycans, which can improve and repair joint function, lead to greater flexibility and prevent further degeneration. It can also help to reduce joint pain caused by arthritis. There are few side effects associated with Glucosamine.

Prescription Medication

Prescription Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
NSAIDs help to reduce swelling in the joints and inflammation and also provide pain relief. These include ibuprofen and aspirin based medication prescribed to reduce pain and inflammation. More NSAID’s include Naproxen, Diclofenac, Piroxicam, and Nabumetone. Newer types of NSAIDS have recently been developed, such as Celebrex, Rofecoxib and Bextra. These are classed as COX-2 inhibitors and are designed to lessen the risk of stomach irritation. Side effects can include the risk of cardiovascular problems, so if you have a history of heart disease or strokes, you will need to discuss this with your doctor.

Corticosteroids
Corticosteroid medication are either injected directly into the arthritic joint (corticosteroids) to reduce pain from osteo and rheumatoid arthritis, or given by mouth (Prednisone) to reduce the inflammation caused by rheumatoid arthritis. However, the Corticosteroid injections, although effective at treating the condition, can cause damage to the cartilage, so are usually limited to one or two injections in a year. It is also recommended that those taking steroid medication have annual flu and pneumonia vaccinations.

Anti- TNF & Biological Response Modifiers
These drugs work by blocking the reaction of a chemical known as tumur necrosis factor (TNF). TNF is thought to exacerbating the inflammation and degeneration prevalent in inflammatory arthritis. They include Enbrel, etanercept, infliximab and adalimumab, usually administered by injection or infusion.

There are some associated side effects, and they won’t be suitable for everybody. However, people with psoriatic arthritis and very severe rheumatoid arthritis may find these drugs beneficial. They are often taken in conjunction with Methotrexate.

Disease modifying anti-rheumatic drugs (DMARDs) These are often used to treat forms of inflammatory arthritis such as rheumatoid arthritis and lupus.
They  include immunosuppressants which slow down the activity of the immune system. This can therefore slow the progress of the disease and can be instrumental in reducing the amount of damage it does. They are often used very soon after the condition has been diagnosed. These include leflunomide, sulphasalazin, ciclosporin and methotrexate.
However, the side effects can be severe, so use must be carefully monitored by a doctor.

Images courtesy of Free Digital Photos and Free Images.