Showing posts with label Treatment. Show all posts
Showing posts with label Treatment. Show all posts

Sunday

Study Finds Eating Fresh Fish May Ease Rheumatoid Arthritis Symptoms

Could relief for rheumatoid arthritis (RA) symptoms be as close as the nearest seafood restaurant? Possibly, say researchers from Harvard.

Eating Fresh Fish May Ease Rheumatoid Arthritis Symptoms

Rheumatoid arthritis (RA) is a chronic autoimmune condition that causes painful inflammation in the joints, often leading to swelling, stiffness, and reduced mobility. While medications remain the cornerstone of treatment, researchers have increasingly explored how lifestyle factors—especially diet—might influence disease severity. 

A new study led by Sara Tedeschi, MD, a rheumatologist at Brigham and Women’s Hospital in Boston, sheds light on one such dietary component: fish consumption. 

Dr. Tedeschi and her team assessed 76 patients with moderate RA who were part of a larger heart disease study. Participants completed a detailed questionnaire about their diets over the past year, including how frequently they consumed fish. The goal was to determine whether regular fish intake correlated with improvements in RA symptoms.

A questionnaire looked at their diets over the past year and asked how frequently they ate fish.

Much like fish oil supplements, fresh fish is rich in omega-3 fatty acids, which are known for their anti-inflammatory properties. These compounds may help reduce the immune system’s overactive response that drives RA symptoms. “We found people with RA who ate fish at least twice a week reported less joint swelling and tenderness than those who rarely or never consumed fish,” Dr. Tedeschi explained.

Why It Matters

The findings suggest that incorporating fish into the diet could be a simple, natural way to help manage RA symptoms alongside conventional treatments. While the study doesn’t prove causation, it adds to a growing body of evidence that supports the role of anti-inflammatory foods in chronic disease management.

Conclusion

For individuals living with RA, dietary choices may offer more than just general health benefits—they could directly impact day-to-day comfort and mobility. While more research is needed to confirm these findings and explore long-term effects, adding fish to the menu a couple of times a week might be a tasty and therapeutic step toward better joint health.



Eating Fresh Fish May Ease Rheumatoid Arthritis Symptoms

Thursday

Biotherapy and oral complications in Rheumatoid Arthritis

Biotherapy drugs can inhibit key factors that cause inflammation in Rheumatoid Arthritis (RA) and other autoimmune conditions. 
These drugs include Rituximab, one of the first biotherapies to be approved for RA, Infliximab, Etanercept and Abatacept.

Studies have shown that people being treated with biotherapies can have oral complications. These side effects obviously vary greatly depending on the dosage amount, the type of product and the way they are administered. If dentists are aware of these biotherapy agents and the possible side effects then they can be very helpful in arresting and preventing further damage and educating the patient.

The treatment of rheumatoid arthritis focuses on the suppression of immune system with the help of biotherapy agents. The oral complications caused by these agents include oral thrush, metallic taste, soreness and burning sensation of tongue, difficulty swallowing, cold sores on lips, xerostomia, ulcers, gingival bleeding, oral pain, white spots or patches, itching of lips and tongue, halitosis, burning of lips, pain in the jaw, and swelling in glands. Sharoot Malik and Sumaiya Kasbati, Dentistry iQ

SOURCES:
Dentistry iQ
American Nurse Today 
NCBI US National Library of Medicine

Tuesday

Refined Sugars and Rheumatoid Arthritis


Excessive consumption of refined sugars, including white sugar, brown sugar and corn syrup, may increase the acidity of the body. Some natural health practitioners have recommended that refined sugar be avoided in cases of inflammatory disease such as rheumatoid arthritis. Substitution with natural sugar alternatives such as stevia, agave nectar, fruit juice concentrates and honey may help to reduce inflammatory processes. An overall reduction of any type of sugar can also be recommended to avoid rapid increases in blood sugar, which may interfere with inflammatory processes.

Many people feel that their pain is reduced if they cut out sugar altogether. Have you experimented with this? I found it difficult to do at first but well worth the reduction in pain especially in my fingers, wrists and ankles. I recommend the following program which gives you online support...


                                                  The 21-Day Sugar Detox

Wednesday

Pacing and chronic pain

Pacing is learning to find the right balance between spending time on an activity without pushing yourself so that it significantly worsens your pain. 

Pacing is the opposite to just pushing through and finishing an activity and then being in so much pain the next day that you cannot cope with anything at all. 

It is about breaking activities up into small increments. 

It is about definitely stopping when you start to feel pain or increased pain, depending on your situation. 

Pacing can help prevent flare ups and keep you mobile. 

Some people who are trying to pace themselves find it useful to set a time limit and also a rest time or a change of activity.

Pacing Guide for Chronic Pain & Arthritis

What Is Pacing?

Pacing means balancing activity and rest to avoid flare-ups and fatigue. It’s about doing what you can—without overdoing it.

๐Ÿ•’ Daily Rhythm: The Pacing Cycle

Time of DaySuggested ActivityPacing Tip

Morning

Light tasks (e.g., breakfast, gentle stretches)Start slow. Warm up joints gradually.
Midday

Moderate activity (e.g., errands, chores)Break tasks into chunks. Rest between.
Afternoon

Rest or switch to low-energy tasksLie down flat for 10–15 minutes.
EveningWind down (e.g., reading, TV)Avoid pushing through pain.

 

The Pacing Loop

  1. Start an activity

  2. Notice pain or fatigue

  3. Pause or switch tasks

  4. Rest (short and frequent)

  5. Resume if able—or leave it for later

 “Rest before you need it, not after you crash.”

Pacing Strategies

  • ✅ Use timers: Work for 20 minutes, rest for 10

  • ✅ Alternate physical and mental tasks

  • ✅ Sit or lie down between chores

  • ✅ Break big tasks into mini-steps

  • ✅ Celebrate what you did, not what’s left

Real-Life Examples

  • ๐Ÿงบ Laundry: Fold 5 items, rest, repeat later

  • ๐Ÿฝ️ Cooking: Prep veggies seated, cook in stages

  • ๐Ÿงผ Cleaning: One room per day, not the whole house

  • ๐Ÿ’ป Typing: Use voice-to-text or take wrist breaks


Here is a site that has helpful worksheets that can help you with pacing: PSYCHOLOGY TODAY

Pacing: Balancing activity and rest PDF Download from Medschoolforyou.com
Pacing instructions with worked examples PDF Download from Cambridge Univeristy Hospital
Pain management diary PDF Download from livingcbt.com
The Pain Toolkit -  for people who live with persistent pain PDF Download from paintoolkit.org


You Can Feel Better!




Arthritis can damage your joints, internal organs, and skin.
There are things you can do to keep the damage from getting worse. They might also make you feel better:
  • Try to keep your weight down. Too much weight can make your knees and hips hurt.
  • Exercise. Moving all of your joints will help you. The doctor or nurse can show you how to move more easily. Going for a walk every day will help, too.
  • Take your medicines when and how you are supposed to. They can help reduce pain and stiffness.
  • Try taking a warm shower in the morning.
  • See your doctor regularly.



  • Seek information that can help you.

Friday

Diet for Rheumatoid Arthritis? My Journey with Food and Rheumatoid Arthritis

Diet for Rheumatoid Arthritis?

As someone who’s always been curious about how my diet impacts my health, I was fascinated to learn that eating more fruits and vegetables could lower my risk of rheumatoid arthritis (RA), a chronic autoimmune condition that causes joint inflammation and pain. After diving into the research, I discovered that the foods I choose every day—colorful produce, fatty fish, and even olive oil—might play a big role in keeping RA at bay or easing its symptoms. Here’s what I’ve learned about how these foods work their magic and how I’m incorporating them into my life.

Nutrient Powerhouses: Fruits and Vegetables

I’ve always loved a good salad, but I didn’t realize just how powerful fruits and vegetables are until I explored their role in fighting inflammation. These foods are loaded with vitamins, minerals, and antioxidants like vitamin C (think oranges and bell peppers), vitamin E (found in spinach and avocados), and selenium (in mushrooms and Brazil nuts). These nutrients neutralize free radicals—those pesky molecules that can damage cells and fuel inflammation. By eating more of these foods, I’m giving my body a better shot at keeping RA at bay.

Then there are bioflavonoids, compounds in plants that have serious anti-inflammatory powers. I’ve started adding foods like apples, berries, and onions (rich in quercetin) and cherries (packed with anthocyanins) to my meals. Research shows these compounds can dial down the production of inflammatory molecules called cytokines, which are a big deal in RA because they drive the immune system to attack joint tissues. Since I started tossing more colorful produce into my diet, I’ve noticed I feel more energized, and I like to think I’m doing my joints a favor too.

Omega-3 Fatty Acids: Anti-Inflammatory Allies

Another game-changer for me has been learning about omega-3 fatty acids. Found in fatty fish like salmon, mackerel, and sardines, as well as plant-based sources like flaxseeds and walnuts, omega-3s are like a soothing balm for inflammation. They contain compounds called EPA and DHA, which help reduce the production of inflammatory molecules in the body. Studies suggest that a diet high in omega-3s can ease symptoms like joint stiffness and pain for those already diagnosed.

I’ve started incorporating more omega-3-rich foods into my weekly meals—grilled salmon for dinner or a handful of walnuts as a snack and a tablespoon in oatmeal on days I do not have other omega-3s. Clinical trials have shown that omega-3s can reduce joint tenderness and even cut down on the need for pain meds like NSAIDs. The trick, I’ve learned, is balancing omega-3s with omega-6s, which are found in processed foods and can promote inflammation if I eat too much of them. By choosing whole foods over processed snacks, I’m tipping the scales toward less inflammation.

The Mediterranean Diet: A Blueprint I’m Following

One dietary pattern that’s really caught my attention is the Mediterranean diet, common in places like Greece and Italy. This way of eating emphasizes fruits, vegetables, whole grains, olive oil, nuts, seeds, and fish, with just a little red meat or processed stuff. Studies show that people following this diet have a lower risk of RA, and I can see why. It’s packed with anti-inflammatory foods that align perfectly with the research on RA prevention.

Olive oil, a staple of the Mediterranean diet, is a standout for me. It’s rich in monounsaturated fats and contains oleocanthal, a compound that acts like a natural anti-inflammatory, kind of like ibuprofen. I’ve swapped out butter for olive oil in my cooking, and I love drizzling a small amount over salads. The diet also includes plenty of omega-3-rich fish and antioxidant-packed produce, which keeps inflammation in check. A 2018 study in Arthritis Research & Therapy found that people on this diet had lower levels of inflammatory markers like C-reactive protein (CRP), which makes me feel good about adopting some of these habits.

Putting It Into Practice

Inspired by all this research, I’ve been making small but meaningful changes to my diet. I aim to fill half my plate with colorful fruits and veggies—think spinach, tomatoes, and berries—at every meal. I’ve also been experimenting with recipes like grilled mackerel with a side of roasted veggies or smoothies with flaxseeds and blueberries. These choices are not only delicious but also make me feel like I’m taking control of my health. If you’re dealing with RA or worried about your risk, I’d recommend talking to a dietitian to tailor these ideas to your needs, especially if you’re on medication.

Why This Matters Beyond My Plate

What I love about this approach is that it’s not just about me—it could have a bigger impact. Eating this way, especially with a Mediterranean twist, is kinder to the planet since it focuses on plant-based foods and cuts down on resource-heavy meat production. It feels like a win-win.

Wrapping It Up

Learning about the link between diet and rheumatoid arthritis has been eye-opening for me. By filling my plate with fruits, vegetables, and omega-3-rich foods like fish and nuts, I’m not just enjoying my meals—I’m potentially protecting my joints and overall health. The Mediterranean diet has become my go-to guide, offering a delicious and sustainable way to eat for RA prevention. Whether you’re at risk for RA, have it already or just want to feel your best, I’ve found that these simple food choices can make a big difference. Here’s to eating well and living better!

Useful Resources


You might also be interested in my other food related articles:
  

Below is a list of sources that informed the content of this article on the relationship between diet and rheumatoid arthritis risk. These sources include peer-reviewed studies, reputable health organizations, and scientific reviews that provide evidence for the claims made in the article. Since the article draws on general scientific consensus and well-established research, I’ve included a mix of specific studies and authoritative resources that align with the information presented.

  1. Johansson, K., et al. (2018). "Mediterranean diet and risk of rheumatoid arthritis: A population-based case-control study." Arthritis Research & Therapy, 20(1), 175.
    • This study found that adherence to a Mediterranean diet was associated with a lower risk of rheumatoid arthritis, particularly in men, and linked it to reduced levels of inflammatory markers like C-reactive protein (CRP). It supports the article’s discussion of the Mediterranean diet’s protective effects.
  2. Calder, P. C. (2017). "Omega-3 fatty acids and inflammatory processes: From molecules to man." Biochemical Society Transactions, 45(5), 1105-1115.
    • This review explains the anti-inflammatory mechanisms of omega-3 fatty acids (EPA and DHA), including their role in reducing pro-inflammatory cytokines and prostaglandins, which is relevant to RA symptom management and prevention.
  3. Hu, Y., et al. (2015). "Antioxidant intake and risk of rheumatoid arthritis: Results from the Swedish EIRA study." Annals of the Rheumatic Diseases, 74(6), 903-908.
    • This study highlights the role of antioxidants like vitamin C, vitamin E, and selenium in reducing RA risk, supporting the article’s emphasis on fruits and vegetables as sources of these nutrients.
  4. Di Giuseppe, D., et al. (2014). "Long-term intake of dietary antioxidants and risk of rheumatoid arthritis in women." American Journal of Clinical Nutrition, 100(1), 157-162.
    • This research links higher consumption of antioxidant-rich foods (e.g., fruits and vegetables) with a lower risk of RA, providing evidence for the role of bioflavonoids and other plant compounds.
  5. Proudman, S. M., et al. (2013). "Fish oil in recent onset rheumatoid arthritis: A randomised, double-blind controlled trial within algorithm-based drug use." Annals of the Rheumatic Diseases, 72(7), 1141-1146.
    • This clinical trial demonstrates that omega-3 supplementation can reduce RA symptoms, such as joint tenderness and morning stiffness, supporting the article’s claims about omega-3 benefits.
  6. Minihane, A. M., et al. (2016). "Consumption of fish and fish oils: Impact on inflammatory and cardiometabolic health." Nutrition Research Reviews, 29(1), 82-94.
    • This review discusses the anti-inflammatory effects of omega-3s from fish and their competition with omega-6 fatty acids, which aligns with the article’s explanation of dietary balance.
  7. Bustamante, M. F., et al. (2020). "Dietary flavonoids and the risk of rheumatoid arthritis: A systematic review and meta-analysis." Nutrients, 12(8), 2245.
    • This meta-analysis supports the role of bioflavonoids (e.g., quercetin and anthocyanins) in reducing inflammation and potentially lowering RA risk, as mentioned in the article.
  8. Harvard T.H. Chan School of Public Health. (2023). "The Nutrition Source: The Mediterranean Diet."
  9. Arthritis Foundation. (2023). "Anti-Inflammatory Diet for Rheumatoid Arthritis."
  10. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS). (2022). "Rheumatoid Arthritis: Causes, Symptoms, Treatments."

Notes on Source Selection

  • The sources were chosen for their relevance, credibility, and alignment with the article’s claims about fruits, vegetables, omega-3s, and the Mediterranean diet.
  • Peer-reviewed studies were prioritized to ensure scientific rigor, while reputable health organizations like the Arthritis Foundation and Harvard were included for practical and accessible information.
  • All sources are recent (within the last 10-12 years) to reflect current scientific understanding, though the principles discussed (e.g., anti-inflammatory effects of omega-3s and antioxidants) are well-established in nutrition science.

RESOURCES FOR THIS ARTICLE: 


Food and Rheumatoid Arthritis

Yes, I am an Amazon affiliate and 3 cookbook links on this page take you to Amazon. You do not have to buy anything but if you do I receive a small percentage of the profits at no extra coat to you. 

Monday

Can Omega-3 Fatty Acids Help Rheumatoid Arthritis?

Omega-3 fatty acids are the talk of the town as they seem to  have an anti-inflammatory effect in the body. They contain EPA and DHA which are thought to decrease inflammation. Some studies show a positive anti-inflammatory effect of omega-3 fatty acids with rheumatoid arthritis.

Foods that have Omega-3 fatty acids are cold-water fish such as salmon, tuna, and trout. Some plant foods are also sources of omega-3 such as walnuts, tofu and flaxseed.


The American College of Rheumatology, says some people with rheumatoid arthritis have improvement in pain when taking marine omega-3 fatty acid supplements. Relief is achieved after taking the supplements for weeks, not straight away. Studies conclude that some people have such decreased symptoms that they take less anti-inflammatory drugs.


Saturday

What If I Still Hurt? with Rheumatoid Arthritis

Sometimes you might still have pain after using your medicine. Here are some things to try:
  • Take a warm shower.
  • Do some gentle stretching exercises.
  • Use an ice pack on the sore area.
  • Rest the sore joint.


If you still hurt after using your medicine correctly and doing one or more of these things, call your doctor. Another kind of medicine might work better for you. Some people can also benefit from surgery, such as joint replacement.

Tuesday

How Should I Use Arthritis Medicine?



Managing arthritis often means using a mix of medications—pills, creams, injections, or supplements. But knowing how to use them safely and effectively is just as important as having them in the first place.



Ask Questions Before You Leave the Doctor’s Office

Before you walk out with a prescription, take a moment to ask your doctor or pharmacist:

  • When and how should I take this medicine? Some medications work best when taken with food or milk to protect your stomach. Others might need to be taken on an empty stomach or at specific times of day.

  • Are there any side effects I should watch for? Common ones include nausea, dizziness, or skin reactions. Knowing what’s normal—and what’s not—can help you act quickly if something feels off.

  • Can I take this with my other medications or supplements? Drug interactions are real. Always mention everything you’re taking, even vitamins or herbal remedies.

Using Creams and Topical Treatments

If your doctor recommends a cream or gel for sore joints:

  • Apply only to the areas that hurt, and follow the instructions carefully.

  • Wash your hands after applying, unless the cream is meant for your hands.

  • Watch for skin reactions like burning, redness, or rashes. If your skin reacts badly, stop using it and call your doctor.

Stick to a Routine

  • Set reminders or use a pill organizer to help you stay on track.

  • Don’t skip doses or double up if you forget—ask your doctor what to do in that case.

  • If you’re unsure whether a medicine is helping, don’t stop it on your own. Talk to your doctor first.

When to Call Your Doctor

Reach out if:

  • You experience side effects that worry you

  • You’re unsure how to take or apply your medicine

  • You think the medicine isn’t working

  • You want to try something new or stop a current treatment