Natural & Dietary
Recommendations for Arthritis
Arthritis is a name most people recognize, however, there are several different types of arthritis. In the natural health field they are all treated in a very similar way but I want to detail the different types of arthritis so you can understand them individually and I will also explain some scientific research on different types of arthritis as well.
Osteoarthritis- This is the most common type of arthritis, the medical community associates it with aging. It is not an inevitable part of aging, however, it is common with our rich, Western diet. It is a degenerative joint disease that involves the breaking down of the cartilage in the joints.
Rheumatoid Arthritis- This is an inflammatory arthritis caused by an autoimmune reaction. The immune system attacks the soft tissue and joints, a common symptom is stiffness upon waking but the joints loosen up with movement. This type of arthritis commonly affects the neck, hands and feet, elbows and shoulders.
Interestingly, modern medicine views this as the immune system gone haywire, which is in reality, not entirely the case. The immune system is functioning exactly as it should, the problem is foreign proteins that have the same amino acid sequence as those in our own body cause the immune system to attack the body. This is known as molecular mimicry. In Rheumatoid arthritis molecular mimicry has been identified with cows milk proteins. Clin Chim Acta 203:153, 1991
A study published in the American Journal of Clinical Nutrition in 1999 found significant improvement of patients who were put on a regimen of 7-10 days fasting followed by a vegetarian diet as compared to controls who followed a typical Western diet.
American Journal of Clinical Nutrition, Vol. 70, No. 3, 594S-600S, September 1999 Rheumatoid Arthritits treated with a vegetarian diet.
Gout- gout is a condition the occurs because of an accumulation of urate crystals in the joints.
Conclusion of a recent study: "Higher levels of meat and seafood consumption are associated with an increased risk of gout." N Engl J Med. 2004 Mar 11;350(11):1093-103. Purine-rich foods, dairy and protein intake, and the risk of gout in men.
A case Controlled study in Taiwan published in the American Journal of Clinical Nutrition found, "Food sources rich in dietary fiber, folate, and vitamin C, such as fruit and vegetables, protect against gout." Am J Clin Nutr. 2003 Oct;78(4):690-701. A case-control study of the association of diet and obesity with gout in Taiwan.
Dr. McDougall has had significant success with arthritic patients with osteoarthritis, gout, rheumatoid arthritis and even ankylosing spondilitis. He explains the correlations between intestinal permeability or more commonly known as 'leaky gut syndrome' and the passage of dietary and bacterial antigens that lead to inflammation, immune responses and increases in arthritic conditions.
It is important to understand the mechanisms that lead to arthritis and remove those factors from our diet and lifestyle so we can get to the cause of the problem, rather than simply try to stop the inflammation through the use of medications.
The body is highly intelligent and when inflammation arises it is a healthy response to damage or foreign bodies that need to be destroyed or tissue that needs to be repaired, it is not a response to suppress but one to work with. Using medication to suppress the immune response or inflammation is like having an abrasive patch rub on your arm causing tissue damage and inflammation and rather than REMOVE the abrasive patch you just take anti-inflammatory drugs and steroids to suppress the immune response.
The best approach to arthritic conditions is to remove whatever is causing the immune system to react and the condition will improve on its own. For a more in depth explanation of this process please visit:
If you have questions about why I make these recommendations to avoid certain foods, please refer to Dr. McDougall's article on arthritis [link provided above]. The scientific literature is very clear about the correlations between diet and arthritis in all its forms.
Another doctor that I highly respect for his dietary approach and success with arthritis is Dr. Fuhrman. He has seen tremendous success with patients who have serious health conditions from arthritis, heart disease to lupus.
http://www.drfuhrman.com/disease/default.aspx
Another doctor that I highly respect for his dietary approach and success with arthritis is Dr. Fuhrman. He has seen tremendous success with patients who have serious health conditions from arthritis, heart disease to lupus.
http://www.drfuhrman.com/disease/default.aspx
Arthritis recommendations
The main foods to avoid, are eggs, bread, milk, meat, salt, sugar, nightshades. These foods suppress immune function, increase inflammation, some are a source of excess purines in the diet and dramatically affect the progression of arthritis.
Drinking hard water that contains more than 12 grains hardness will aggravate an arthritic situation, it is best to consume either soft water, distilled or reverse osmosis only.
Apple Cider Vinegar: Make a fomentation by soaking gauze or a light fabric towel in hot tea made from 1 Tb. Dr. Christophers complete tissue and bone and 1 Tb. apple cider vinegar to 8 oz. water. Place the towel on the arthritic area as hot as you can stand it, wrap the towel with plastic wrap and cover with a hot water bottle or heating pad and leave on for an hour or so, do it while you watch t.v. or a movie in the evening.
Juicing is an excellent way to get optimal nutrition and cleanse the body. The best juices for arthritis are: apple, carrot, cucumber and celery, the combination of all these juices is delicious!
In 1989 a survey was conducted on over one thousand arthritis patients, this survey identified foods that worsened arthritic conditions. The foods identified as the worst offenders were: Red meat, Sugar, Fat, Salt, Caffeine and Nightshades [potatoes, eggplant, tomatoes]
Once the offending food is eliminated completely, improvement usually comes within a few weeks. Dairy foods are one of the principle offenders, and the problem is the dairy protein, rather than the fat, so skim products are as much a problem as whole milk.
Sobel D. Arthritis: What Works. New York, St. Martin's Press, 1989.
4. Skoldstam L, Larsson L, Lindstrom FD. Effects of fasting and lactovegetarian diet on rheumatoid arthritis. Scand J Rheumatol 1979;8:249-55.
4. Skoldstam L, Larsson L, Lindstrom FD. Effects of fasting and lactovegetarian diet on rheumatoid arthritis. Scand J Rheumatol 1979;8:249-55.
One 2002 study looked at the influence of a very low-fat vegan diet on subjects with moderate-to-severe RA. After only four weeks on the diet, almost all measures of Rheumatoid Arthritis symptoms decreased significantly.
McDougall J, Bruce B, Spiller G, Westerdahl J, McDougall M. Effects of a very low-fat, vegan diet in subjects with rheumatoid arthritis. J Altern Complement Med. 2002 Feb;8(1):71-5
A study published in The Journal of Rheumatology found that a gluten free, vegan diet improved the symptoms and markers of Rheumatoid Arthritis significantly. 1
In Toxicology Nov. 2000 a study found that a fresh foods, vegan diet rich in antioxidants and fiber decreased joint stiffness and pain in patients with rheumatoid arthritis. 2
In the Scandinavian Journal of Rheumatology researchers found significant improvements on patients during a fast, followed by a vegetarian diet. The lacto-vegetarian diet still allows one very potent dietary component as seen earlier in research the contributes to the disease, dairy products, but the improvements were still notable. 3
1. Hafstrom I, Ringertz B, Spangberg A, von Zweigbergk L, Brannemark S, Nylander I, Ronnelid J, Laasonen L, Klareskog L. A vegan diet free of gluten improves the signs and symptoms of rheumatoid arthritis: the effects on arthritis correlate with a reduction in antibodies to food antigens. Rheumatology (Oxford). 2001 Oct;40(10):1175-9.
2. Hanninen, Kaartinen K, Rauma AL, Nenonen M, Torronen R, Hakkinen AS, Adlercreutz H, Laakso J. Antioxidants in vegan diet and rheumatic disorders. Toxicology. 2000 Nov 30;155(1-3):45-53.
3. Muller H, de Toledo FW, Resch KL. Fasting followed by vegetarian diet in patients with rheumatoid arthritis: a systematic review. Scand J Rheumatol. 2001;30(1):1-10.
2. Hanninen, Kaartinen K, Rauma AL, Nenonen M, Torronen R, Hakkinen AS, Adlercreutz H, Laakso J. Antioxidants in vegan diet and rheumatic disorders. Toxicology. 2000 Nov 30;155(1-3):45-53.
3. Muller H, de Toledo FW, Resch KL. Fasting followed by vegetarian diet in patients with rheumatoid arthritis: a systematic review. Scand J Rheumatol. 2001;30(1):1-10.
Dietary Guidelines:
4 c. of green leafy vegetables daily
Unlimited consumption of vegetables
4-5 servings of fruit
1-2 c. legumes
1-2 c. whole grains or starches
1-2 oz. nuts or seeds
Consumption of animal based foods is not recommended with arthritis but for those who do not wish to follow this recommendation these foods should not constitute more than 12% of your calories. Meaning either 1 oz. of cheese on one day, milk in a recipe another day and 3oz. of meat on another. Three days per week and the rest should be as recommended.
Herbs:
Dr. Christophers Complete Tissue and Bone - This is a wonderful combination of herbs that have anti-inflammatory and healing properties. I would recommend using the ointment and capsules as well. Rub the ointment are arthritic areas and take 2 caps 3 times per day.
White willow bark- contains salicin, a chemical similar to asprin, it has anti-inflammatory and pain relieving properties without the gasterointestinal risks of aspirin or NSAIDS. Salicin was actually used in the development of aspirin. According to several studies white willow bark has significant pain relieving effect over placebo.
Chrubasik JE, Roufogalis BD, Chrubasik S. Evidence of effectiveness of herbal anti-inflammatory drugs in the treatment of painful osteoarthritis and chronic low back pain. Phytother Res. 2007 Jul;21(7):675-83. Reviewtudies
Cayenne- Internally cayenne is used as an anti-inflammatory and balances circulation. The capsacin in cayenne reduces inflammation in the body and is very useful in cases of arthritis. Externally it can be used as a liniment, the heat brings blood to the tissues to increase circulation and promote healing.
Omega 3 fatty acids-
Omega 3 fatty acids are precursors to anti-inflammatory prostaglandins that inhibit excess inflammation in the body. One mechanism by which meat, dairy and eggs contribute to arthritic inflammation is through omega 6 fatty acids and saturated fats that contribute to inflammatory cytokeines and prostglandins that cause excess inflammation. It is important to consume green leafy vegetables, flax, walnuts, chia seeds to ensure adequate omega 3 fatty acid consumption.












