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What else to do about Arthritis                                 January 2006 

                                                                             
 

WHAT ELSE TO DO ABOUT ARTHRITIS

Helen Franks looks at alternatives to prescription drugs

Taking prescription pain killers regularly for arthritis can bring problems. 
 

First, the NSAIDs (non-steroidal, anti-inflammatory drugs) such as aspirin or ibuprofen, were found to cause gastro-intestinal side effects. Now the COX-2s, which replaced them, have also been found to cause side effects such as such as gastrointestinal, kidney and liver problems and blood clots when taken regularly. Steroids are used only on a short-term basis as they interfere with the immune system.

 
What to take instead to relieve the pain? There are many complementary remedies….

Conventional medics recognize only one of the following complementary remedies for arthritis. It is glucosamine, though the most recent research suggests that it is not very effective. However, some people suffering from osteoarthritis swear by the glucosamine/ chondroitin/MSM combination described immediately below. And there are various trials on most of the following remedies, plus many personal testimonials.

GLUCOSAMINE, CHRONDROITIN SULPHATE and MSM


Glucosamine. There have been some trials that suggest it is effective not only in relieving pain, but also mending cartilage. How does it work? Here’s how the theory goes.

 
Healthy cartilage needs three things: water for lubrication, proteoglycans to attract and hold the water, and collagen to keep the proteoglycans in place. Joint cartilage has no blood supply, so nourishment and lubrication come from the fluid that ebbs and flows as pressure is applied and released to the joint. Without this fluid, cartilage becomes drier, thinner and more fragile.


Proteoglycans are like a rope that threads
itself through the collagen and hold many times their own weight of water.. If the cartilage is damaged, the thread of rope becomes weak and ‘leaks’ out. When this happens, mainly through wear and tear, the cartilage may wear out.


The theory behind glucosamine is that it builds up water and acts as a stimulus to the cells that produce proteoglycans. Glucosamine is also said to speed up production of collagen, to create more cartilage metabolism and help keep cartilage from breaking down.


Chrondroitin sulphate. This substance is said to act like ‘liquid magnets, attracting fluid into the proteoglycan molecules. Chrondoitin sulphate is a long chain molecule that creates spaces between each proteoglycan, and this is where the fluid flows.


MSM (methylsulfonylmethane). MSM is a naturally occurring nutrient and sulfur compound. Sulfur is a component of bones, teeth and collagen, and helps maintain a healthy inflammatory response in joint tissue. The mineral sulfur is needed for the manufacture of many proteins, including those forming hair, muscles and skin.


How much should you take? The trials with best results suggest: glucosamine 1500mg, chondroitin 1200 mg and MSM 250 mg.


How long before you see any benefits?
Some studies show that long-term usage of glucosamine/chondroitin/MSM is beneficial. Most patients see benefits within 3 to 6 months of regular usage.


What to take? Nature’s Plus offers a glucosamine, chondroitin and MSM product containing full potency, with 3 tablets needed per day. This costs ?39.99 for 90 tablets, ?66.95 for 180 tablets. To order call 0800 587 2290 or visit www.nutricentre.com.

Patches providing 24 hour absorption into the blood stream are the latest product from the US are patches containing the full potency. These are absorbed into the blood stream over a period of 24 hours. One patch lasts 24 hours. Try getting them on the internet from BIOVEA, a company that ships them to the UK.


There are also glucosamine gels available from supermarkets,
chemists, health food stores. These ease pain locally when applied to the skin.


GREEN-LIPPED MUSSEL EXTRACT


Green Lipped Mussel Extract is under trial in Australia,
and there is some evidence that it may help as an anti-arthritic agent. ACCMER, a partnership between the University of Queensland and Southern Cross University, is carrying out the trials. You can buy green-lipped mussel extract from health food shops. Seatone (marketed as Biolane in Australia) is the brand undergoing the trials.


KRILL OIL


Krill is a Norwegian word that mean "whale’s food".
The krill is a small shrimp-like crustacean, containing omega 3, 6 and 9 fish oils. Krill oil is said to provide more fish oil per capsule than any other product on the market. These oils claim to lower harmful cholesterol levels and bring relief for joint pain and stiffness.
Eating oily fish such as herring, sardines, kippers, mackerel, pilchards and tuna twice a week may help reduce arthritic pain.

CELADRIN


Celadrin?, say its producers, is a natural anti-inflammatory which can help to alleviate arthritis, injuries to muscles, tendons and aching joints. It is a patented complex and works in a similar way to EPA and DHA in fish oils, “but more dramatically to decrease inflammatory responses, lubricate cell membranes and restore fluids that cushion bones and joints. It also assists in reducing cartilage breakdown and can be highly effective when taken in combination with glucosamine”.


Celadrin? has been the subject of several clinical studies.
Results for oral and topical applications were published in the Journal of Rheumatology and the Journal of Strength and Conditioning Research.


Celadrin? in capsule form was studied using a double-blind, multi-centre, placebo-controlled trial. Sixty-four participants between the ages of 37 to 77 were given Celadrin? capsules and were evaluated at the beginning of the trial, at 30 days and at the end of the 68 day study. Compared to those on a placebo, those given Celadrin? had more flexibility, fewer aches, less pain and were able to walk further distances than the placebo group.


A study from University of Connecticut using the cream, found 100% of patients received statistically significant benefit. Forty-two patients with osteoarthritis of the knee experienced a dramatic improvement after only 30 minutes of applying the cream, with cumulative benefits occurring after 30 days.


Celadrin Forte is available in capsules
priced ?27.95 for 90 and also as a topical cream Celadrin Forte Balm priced ?17.95 for 50ml. To order Celadrin? call the Nutri Centre order line 0800 587 2290 or shop online at www.nutricentre.com.


ARTROSILIUM


Artrosilium is a gel containing organic silica, currant and Queen of the Meadow. The makers claim that it relieves the pain of arthritis and provide many enthusiastic testimonials in their literature. Further information can be found on the http://www.artrosilium.co.uk. Artrosilium costs ?24.50 per tube for a month’s supply.

 

MAGNETIC THERAPY

Magnetic bracelets were the subject of a report in the British Medical Journal in 2004. A trial in 5 rural practices, involved 194 men and women aged 45-80 years with osteoarthritis of the hip or knee. They were asked to wear a standard strength magnetic bracelet, a weak magnetic bracelet, or a non-magnetic (dummy) bracelet for 12 weeks.
 

Though the researchers questioned the placebo effect even in the standard-strength bracelets, more people achieved high levels of improvement in the standard magnet group. The effective bracelets were made by Bioflow (website:www.ecomagnets.com).
 

Small magnetic plasters, available in some supermarkets and chemists, are also reported as effective in giving pain relief. You apply them directly to the painful area.

We advise that you talk to your doctor before trying any of the above products and do not discontinue current medication


Organisations


Arthritis Research Campaign (ARC): www.arc.org.uk  Has comprehensive list of leaflets


Arthritis Care: www.arthritiscare.org.uk . Helplines: 020 7380 6555 and freephone: 0808 800 4050. Has wide range of leaflets


British Acupuncture Council: www.acupuncture.org.uk


A few facts about arthritis

  • It is a degenerative joint disease that causes pain, inflammation and eventually limited joint movement

  • There are over 200 types of arthritis

  • Over eight million people in the UK suffer from arthritis and the condition affects people of all ages

  • Arthritis is so common that most of us will suffer at least one type of it in our lifetime

  • The longer you live the more likely you are to suffer from it

  • The most common form of arthritis is osteoarthritis, where the cartilage in the joint has degenerated. Cartilage is the cushioning between the joints. Bone begins to rub against bone, causing pain and inflammation and, in due course, lack of mobility.

  • The knees are the body's primary weight-bearing joints and for this reason are among the joints most commonly affected by osteoarthritis.
     


   

laterlife interest

The above article is part of the features section of laterlife.com called laterlife interest. laterlife interest contains a variety of articles of interest for visitors to laterlife.com written by a number of experienced and new journalists.

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