• Dr. Cirelli

How to Approach Arthritis Naturally




If you’ve ever suffered from joint pain, you know how much of a pain it is. All the aches and pains of arthritis make moving your joints unnecessarily difficult, and the prospect of your symptoms worsening over time is daunting, to say the least.


What if I told you there are therapies available that are both natural and effective? But first, let’s take a look at what arthritis is.

What is Arthritis?

There are a number of reasons arthritis can develop: from autoimmunity to gout, infectious bacteria, and even Lyme disease... the list goes on, and there are as many varying symptoms as there are causes.


In this article, we’ll focus on the two main categories of arthritic pain:

● Autoimmune

● Degenerative



Autoimmune Arthritis


Autoimmune arthritis is what we see in Rheumatoid Arthritis, Psoriatic Arthritis, and Lupus.


These conditions are systemic — meaning the entire body is affected. Inflammation courses throughout the body and disturbs the delicate joint cavity. Often, the body’s own immune system malfunctions and directs excessive inflammation to the joints.


Antibodies Attack Your Own Tissues


In rheumatoid arthritis, an autoantibody (called rheumatoid factor) is created which mistakenly attacks one of the body’s natural antibodies: IgG. Only a portion of IgG is targeted, but it leads to a larger problem: cross-reactivity - an antibody attack on your own tissues.


Once this auto-antibody attack has occurred in the body once, rheumatoid factor can no longer distinguish between IgG and the synovial membrane of the joint. As a result, the joint itself will be slowly destroyed.


How Autoimmune Arthritis Progresses


Autoimmune types of arthritis often affect joints symmetrically (meaning both sides of the body are equally affected). This chronic disease leads to pain, stiffness, swelling, and limited range-of-motion in multiple joints. But it may start slowly with just a few small joints - stiffness in the hands is a typical early symptom.


If you have autoimmune arthritis, it’s important to work closely with your healthcare team to obtain a diagnosis and develop an ongoing maintenance and prevention plan. Some arthritic conditions, such as systemic lupus erythematosus (SLE), can be life-threatening.


Degenerative Arthritis (aka Osteoarthritis)


Degenerative joint disease — or osteoarthritis — is the most common disorder of the joints, occurring in about 10% of people over the age of 60.


Why Do Some People Develop Osteoarthritis?

Previous Joint Issues

Often considered an “inevitable” part of aging, osteoarthritis is a bit of a misnomer. While there is inflammation (hence the “-itis”), the inflammation occurs after joint damage or in a naturally malformed joint.


Metabolic Conditions

Most people suffering from osteoarthritis typically have no precuring conditions. It can, however, develop as a result of metabolic disorders (such as diabetes).


How Does OA Attack the Joints?

The wear and tear seen in degenerative joint disease targets the “hyaline cartilage”, which is there to ensure friction-free movement and proper dispersal of weight across the bone.


Protective chondrocytes

For years, this damage is mitigated by chondrocytes. These helpful little cells replace the worn-out cartilage with fresh, strong hyaline cartilage. As we age, however, it’s hard for them to keep up.


Conventional Treatments for Osteoarthritis Increase Degeneration

It’s common for doctors to prescribe NSAIDs (non-steroidal anti-inflammatory drugs) for arthritic pain. Unfortunately, these NSAIDS prevent chondrocyte formation — this only exacerbates the loss of cartilage.


So, what other natural therapies are there to treat arthritis?


Supporting Arthritis with Functional Medicine


While conventional treatment options for your arthritis may differ depending on whether it’s autoimmune or degenerative, some natural therapies prove helpful regardless of the type of arthritis causing the pain.


Arthritis is different for everybody, and everybody is unique, so make sure you get the proper diagnosis to determine which options are best for you.


Herbal Support for Arthritis


Anti-inflammatory Herbs


We can’t emphasize the impact inflammation has on arthritis enough. So how do we prevent further joint degeneration by inflammation? One of the most well-researched anti-inflammatory herbs is Turmeric!


Turmeric

Turmeric, or Curcuma longa, has a well-established track record for fighting inflammation in the body. But the bioavailability of turmeric (how much enters the circulation and thus affects the body) is often poor.


Fortunately, recent research indicates how to get the biggest bang for your buck. You’ll want to take a nano-particle turmeric supplement. At Total Body Health, we can help you find the right version.



Analgesic Herbs


Analgesic medications relieve pain. The same is true of botanical analgesics which come in all shapes and sizes.


Cayenne Pepper

Topical analgesics can be extremely helpful for your arthritic pain. One prominent botanical is cayenne pepper. Often delivered as a salve, cayenne pepper can be rubbed onto the skin over sore joints.


Essential Oils

Wintergreen, camphor, and eucalyptus also make excellent topical analgesics. The volatile oils in these herbs absorb easily through the skin and have been researched for their effectiveness in reducing pain.


CBD

One increasingly popular analgesic botanical is cannabidiol (or CBD). This non-psychoactive compound is a close cousin of THC. Found in cannabis and hemp, CBD is particularly effective as a topical analgesic for joint pain (especially in rheumatoid arthritis).



While pain relief doesn’t address the underlying cause of your arthritis, it can help you get back on your feet and into the world you love.



Lifestyle Factors That Can Support Arthritis


More than ever before, researchers are uncovering direct links between auto-immune conditions and gut health.


Gut Health


Recent studies on rheumatoid arthritis reveal changes in the gut microbiome (the diverse bacteria in our GI tract). Two species in particular show specific alterations in RA. The Haemophilus species are depleted, while the lactobacillus salivarius species are over-represented.


What do these changes mean?


In cases of auto-immune arthritis, it means that the gut microbiome may be involved in the development of the condition. This can translate into actionable therapeutic options in light of other recent studies.


Probiotics & the Microbiome

The use of probiotics to alter the gut microbiome, for example, is a hot topic in the health community.


Probiotics have shown therapeutic benefits for rheumatoid arthritis. Comprised of tiny exogenous bacteria, probiotics have immune-modulating effects (helping the immune system function appropriately) and can help decrease inflammation.



Reducing Arthritis Triggers With an Elimination Diet


If you have autoimmune conditions, your food sensitivities can affect the overall reactivity of your immune system. The idea is that by identifying and removing food triggers, your immune reaction (read: inflammation) may decrease.


You can start an elimination diet with the help of your medicine practitioner. Your doctor can give you a list of foods that are potential triggers. You’ll stop eating these for a while, and then (one by one) re-introduce each food. Any sensitivity or reaction is noted and addressed.



Final Takeaway


As you can see, there are many natural ways to support your body when suffering from arthritis. You have options! Functional Medicine solutions and lifestyle therapies have been shown to offer significant, medication-free relief for those dealing with arthritis. Use caution when starting a new regimen even with natural therapies, it’s always best to work with a professional for guidance specific to your unique body and health issues.


At Total Body Health, we can help you find solutions for your arthritis. Diet, exercise, stress reduction and other lifestyle changes may all play a role in your individualized treatment plan. Reach out for more details today!



References:


Daily JW, Yang M, Park S. Efficacy of Turmeric Extracts and Curcumin for Alleviating the Symptoms of Joint Arthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Med Food. 2016;19(8):717-729. doi:10.1089/jmf.2016.3705


Mohammed AT, Khattab M, Ahmed AM, Turk T, Sakr N, M Khalil A, Abdelhalim M, Sawaf B, Hirayama K, Huy NT. The therapeutic effect of probiotics on rheumatoid arthritis: a systematic review and meta-analysis of randomized control trials. Clin Rheumatol. 2017 Dec;36(12):2697-2707. doi: 10.1007/s10067-017-3814-3. Epub 2017 Sep 15. PMID: 28914373.


Wang L, Gao C, Zhu D, Chen LH. [Effect of functional exercises on patients with rheumatoid arthritis: a meta-analysis]. Beijing Da Xue Xue Bao Yi Xue Ban. 2018 Dec 18;50(6):991-997. Chinese. PMID: 30562770.


Zhang X, Zhang D, Jia H, Feng Q, Wang D, Liang D, Wu X, Li J, Tang L, Li Y, Lan Z, Chen B, Li Y, Zhong H, Xie H, Jie Z, Chen W, Tang S, Xu X, Wang X, Cai X, Liu S, Xia Y, Li J, Qiao X, Al-Aama JY, Chen H, Wang L, Wu QJ, Zhang F, Zheng W, Li Y, Zhang M, Luo G, Xue W, Xiao L, Li J, Chen W, Xu X, Yin Y, Yang H, Wang J, Kristiansen K, Liu L, Li T, Huang Q, Li Y, Wang J. The oral and gut microbiomes are perturbed in rheumatoid arthritis and partly normalized after treatment. Nat Med. 2015 Aug;21(8):895-905. doi: 10.1038/nm.3914. Epub 2015 Jul 27. PMID: 26214836.

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