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Arthritis

With osteoarthritis, your joints gradually lose their cartilage-the smooth, gel-like, shock-absorbing material that prevents adjacent bones from touching. Most commonly affected are the fingers, knees, hips, neck, and spine. As cartilage loss continues, the friction of bone rubbing against bone can cause pain and joint instability.

Osteoarthritis may be the result of decades of joint wear and tear, though genetic factors, excess weight, and impairments in the body's ability to repair cartilage may also play a role. Some cases are linked to a specific cause, such as a previous injury to a joint; the overuse of a joint occupationally or athletically; or a congenital defect in joint structure. If you suspect you have arthritis, consult a doctor for proper advice.

Supplements and herbs

There is no sure cure for osteoarthritis, but glucosamine, a cartilage building sugar compound may help relieve arthritis pain. It appears to slow joint damage over time, though whether it can actually reverse the disease is unknown. To enhance its effectiveness, try glucosamine along with one other supplement listed below. Allow at least three months to judge results; then, if necessary, substitute another supplement to use with glucosamine to see if it works better for you. These supplements can be used long term, as well as with conventional pain relievers, such as aspirin and acetaminophen. Diabetics should be aware that glucosamine can raise blood glucose levels significantly.

Several large studies are assessing the impact of glucosamine when it's combined with another cartilage-building compound, chondroitin (some experts believe this compound is poorly absorbed and of limited effectiveness). Other supplements that can be taken with glucosamine include niacinamide, which may be particularly effective in relieving knee pain; boswellia, a gummy tree resin that may inhibit inflammation and build cartilage; and sea cucumber, Chinese remedy that may, through unknown mechanisms, reduce pain and stiffness and boost grip strength. One form of the amino acid methionine called SAMe (S-adenosyl methionine) has anti-inflammatory effects similar to ibuprofen and has been shown to rebuild cartilage. Gelatin, containing the amino acids glycine and proline and other joint-building nutrients, may also be worth trying if other measures fail; little is known about its effectiveness.

Any of these therapies can be used along with topically applied cayenne cream for pain relief. The capsaicin in cayenne inhibits production of substance P, a chemical involved in sending pain messages to the brain. Initial applications, however, may cause a burning sensation.

Homeopathy

In the more acute phases, the remedies can be repeated as symptoms dictate: hourly, every two hours, or less often.

In advanced arthritis, low potencies usually work best, taken over a long period of time. In some instances these can be alternated. For example, Calc fluor can be used in a 3x or 6x potency, twice per day, for several months. Though not listed here. Several cycles of the remedies will usually be needed to really affect the damaged joints.

    Arthritis - acute

  • Apis
    Stinging, burning, wandering pains. Affinity to the knees, shoulders.
    Great swelling around joints. Rosy red or waxy, transparent looking.
    Awkward, drops things. Busy, restless, nervous. Jealous and irritable.
    Worse: heat, touch, pressure. Better: cold applications, sitting upright.
  • Belladonna
    Sudden, intense onset: red, hot, throbbing, swollen, tender joint area.
    Accompanied by headaches, eye inflammation, fever, throbbing pulse.
    Pains may be burning, with cramps and spasms. Anxious, restless.
    Worse: motion, touch, jarring, night, after getting chilled. Better: rest.
  • Bryonia
    Stitching pain. Joints hot, red, swollen, or may be pale red and shiny.
    Irritable, seeks solitude. Worries about business, finances, future.
    Pain worse from the slightest motion; stretching, walking, turning, etc.
    Worse: morning, touch, jarring. Better: rest, localized heat, pressure.
  • Dulcamara
    Ailments caused or strongly affected by cold and damp conditions, wet weather, cellars, air conditioning, warm turning cold or dry to damp.
    Stiffness, pain and rheumatism, more in the muscles. Hives, eczema.
    Worse: cold, damp weather, rest, night. Better: motion, pressure, warmth.
  • Pulsatilla
    Changeable pain and location of inflammation. Pains appear suddenly, leave gradually or with a sudden snap. Large joints affected (hip, etc.).
    Worse: first motion, heat, evening. Better: gentle motion, cold compresses, open air. Mild, shy, emotional, sensitive. Depressed and weepy.
  • Rhus tox
    Rheumatism after exposure to damp climates, many strains, overexertion, getting chilled when overheated. Inflamed, red, hot, cracking joints.
    Stiffness and pain after resting, better from limbering and getting warm.
    Tearing, drawing, burning pains, heavy limbs, weakness. Restlessness.
    Worse: cold, damp, midnight. Better: stretching, wrapping up, rubbing.

    Arthritis - chronic

  • Calc carb
    Rheumatism from recurrent strains, damp, wear and tear, old injuries.
    Stiffness; weak or lame joints, contractions. Painful nodes in joints.
    Weak; no stamina; flabby muscles and lax ligaments. Sensitive to damp.
    Chilliness, sour perspiration. Responsible, insecure, many anxieties.
    Worse: motion, exertion, cold, damp. Better: warmth, rubbing, lying.
  • Calc fluor
    Chronic arthritis with hard nodules, bony overgrowth, at sites of sprains.
    Stiffness, restlessness. Weak, overstretched ligaments and joints.
    Cracking, creaking joints. Fear of poverty. Unstable, makes mistakes.
    Worse: 1st motion, cold, damp, rest. Better: limbering, warmth, rubbing.
  • Causticum
    Stiffness, contraction, deformity; partially fused joints. Need to stretch.
    Restlessness. Weak, atrophied muscles. Numbness, cramps, twitches.
    Chilly. Effects of burns, scars. Chronic suffering. Sensitive to injustice.
    Worse: cold dry wind, lying, motion, night. Better: warmth, damp weather.
  • Ledum
    Arthritis, gout, rheumatism that travels upwards, joint to joint. Small joints, elbows, hips, knees, ankles, feet, heels. Upper left and lower right.
    Bony nodules, cracking. Stiff, swollen, hot or swollen, cold, pale joints.
    Heat in limbs, yet worse from hot bed. Gout of large toe. Avoids people.
    Worse: touch, motion, warmth, pressure, night. Better: cold compresses.
  • Phytolacca
    Sore allover. Shooting, shock-like electric pains. Exhausted. Restless.
    Changeable area and pains. Swollen, hot, red, joints. Stiffness everywhere. Restless, yet worse from motion. Indifference, loss of shame.
    Worse: motion, damp, cold, night, pressure. Better: warmth, dry, rest.

What else you can do

  • Engage in moderate low-impact exercise such as walking or swimming to strengthen muscles and improve overall joint condition.
  • Apply heat or ice to joints for 20 minutes three times a day to ease pain.

Usual dosage

Glucosamine
500 mg glucosamine sulfate 3 times a day.
Take with food. Not appropriate for diabetics.
Chondroitin
400 mg chondroitin sulfate 3 times a day.
Often sold in combination with glucosamine.
Niacinamide
1,000 mg 3 times a day.
High doses can cause liver damage and other serious side effects; physician monitoring is necessary during treatment.
Cayenne cream
Apply topical cream to affected joints several times a day.
Standardized to contain 0.025%-0.075% capsaicin.
Boswellia
1 pill 3 times a day,
Each pill standardized to have 150 mg boswellic acid.
Sea cucumber
1,000 mg a day.
Also known as bêche-de-mer.
SAM
400 mg twice a day for 2 weeks, then 200 mg twice a day as a maintenance dose.
May have mild gastrointestinal side effects. Should not be taken by people with manic-depressive illness.

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