" Doctor! I am unable
to walk; I cannot sit on the closet!
My knees are very painful! Would you give me some
" Do you have any special medicine to reduce
Everybody says that obesity is the cause for my Arthritis!"
Universal comments from the patients.
Arthritis is more common all over the world. Arthritis
means "inflammation of a joint". There are many
types of arthritis. A form of arthritis with a known cause
is Gout that is due to the defective assimilation of food.
Osteoarthritis is supposed to be "a normal part of
ageing." Many aggressive and crippling forms, including
Rheumatoid Arthritis, Ankylosing spondylitis, psoriatic
arthritis and systemic lupus are grouped together as “Arthritis."
What is a joint?
If you take the structure of a joint, the ends of
the bones do not articulate directly with each other
but are covered by cartilage which is an extremely
smooth, gristly substance which allows very low-friction
movement. Normally, there is only a very small quantity
of fluid called synovial fluid present in the joint.
When the joint has been traumatised or diseased, then
an excessive quantity of fluid may accumulate and
cause swelling and this is referred to as effusion.
If this is large, it may cause pain and weakness and wasting
of the nearby muscles, but usually pain results from inflammation
of the soft tissue lining of the joint, just inside the
capsule called the synovium. In osteoarthritis, it is
the joint cartilage which bears the brunt of the disease
whereas in a condition like rheumatoid arthritis, the
synovium is inflamed and this causes damage to the cartilage
as a secondary event. In Gout and other allied diseases
the synovial fluid concentration gets altered by the toxins
The characteristic symptom of arthritis is pain and swelling
of one or more joints, which can often be warmer than
other joints. Stiffness of the joints on getting up in
the morning, or after sitting still for a while is very
common and sometimes the first symptom.
What is Osteoarthritis?
Osteoarthritis is generally thought of as a
condition affecting old people and while it
is true that all elderly individuals do have
osteoarthritis somewhere, it may also occur
in relatively young persons under certain circumstances.
Osteoarthritis is often described as a 'wear
and tear' phenomenon affecting the joints so
that they are envisaged as simply wearing out.
Heredity is also known to be an important cause.
Women tend to get more after menopause where
the estrogen falls down to impair calcium metabolism.
Clinical reports are more after the surgery
of total Hysterectomy and Oophorectomy.
Obesity is the commonest cause, which makes
the weight bearing joints -- Hips, Knees and
Ankles -- to degenerate quickly. There may be
hard, bony swelling of the joints and a gritty
feeling even with noise when the joint is moved.
Practitioners describe this as Crepitus. X-ray
often brings the report of early osteophytes,
degenerative changes and reduced joint space.
is Rheumatoid arthritis?
Rheumatoid arthritis is another commonest form of
inflammatory arthritis. It is often thought of as
a crippling disease and generally responsible for
much of the disability. Rheumatoid arthritis is actually
a family of related disease, not a single entity.
The inherited “Immune Complexes” makes
the persistent inflammation of the joint causing pain,
swelling and stiffness of the joint. Any joint can
be affected, it is usually in the small peripheral
joints, such as those in the fingers or wrist, that
is first noticed. Often joints are affected symmetrically.
Blood test for Rheumatoid Arthritis Factor
is always positive. X-ray is seen with the
development of pits or erosions in the joints.
Blood study of serum creative reactive protein
(CRP) and ASO titer is also essential to rule
out the Rheumatic fever which is prevalent
among younger generation.
Sometimes the victim may feel extreme difficulty
in breathing, sweating and palpitation. Face
looks anxious and pale. People can observe
the abnormal breathing pattern; exhalation
takes more than twice as long as inhalation.
Gout is a metabolic disorder called as “Purine
Metabolism” in which the sufferers have high
uric acid blood levels. Alcoholism predisposes the
attack. The sudden onset of pain on the small joints,
mostly start from great toe jumps one to another.
The joints swell with redness. The symptoms caused
by uric acid crystals in the joint. These are irritating
the joint and cause an inflammatory reaction. The
high uric acid level often predisposes for a “Kidney
stone.” There are some patients who develop
symptoms even with borderline uric acid levels.
diagnosed by the presentation of symptoms, high uric
acid level and by the demonstration of uric acid crystals
following an aspiration from the affected joint. The
attacks are prevented by lowering the levels of uric
acid in the blood with special diets.
arthritis is suspected if the patient has psoriasis,
but sometimes the arthritis can proceed with the rash.
We should differentiate “Systemic Lupus Erythematosus”
by its skin rash, mouth ulcers and Alopecia. It can
mimic many other forms of arthritis. The reactive
arthritis starts after an infection such as gastroenteritis,
tuberculosis and a sexually transmitted disease. It
usually involves only one or two large joints such
as knees or ankles and may also involve the lower
Arthritis affects children that causes fever accompanied
by polyarthritis. Rheumatic fever licks the joints
and kicks the heart. Cardiac ailments are common as
a later complication in few patients.
have pain all over my body. I feel as if I am beaten!
Many people experience pain, which is often diffuse
and widespread and associated with tenderness, which
occurs typically at certain sites. Sleep disturbance
is a characteristic symptom and indeed may contribute
to pain. It has been shown that artificial sleep deprivation
may cause fibromalgic symptoms.
My first recommendation
is diet. Diet is aimed at Obesity, Allergic foods
and Purine foods depending upon their cause. It is
important for those who are over weight as this may
have a detrimental effect on weight-bearing joints.
The diet that supports the health of the joints and
dramatically reduces the destructive activity of inflammatory
arthritis offers no animal products and almost none
of fats and oils of any kind.
especially those from dairy sources, enter the blood
stream and combine there with specific antibodies
produced against them to form these "immune complexes".
In most people these complexes would be "eaten
up" by scavenger cells found in the liver, the
spleen and along the lining of blood vessels and would
quickly be removed from the blood stream. However,
unfortunate victims of arthritis these complexes persist
and are not removed by scavenger cells. Eventually
they are filtered out of the blood stream by the capillaries
traversing the tissues of the joints. There embedded
in the tiny blood vessels of the joint tissues, these
complexes act much like slivers of wood stuck under
the skin, causing severe inflammation of the joints.
There is some evidence that certain foodstuffs may
have a detrimental effect on the symptoms experienced
but the picture is not clear-cut. For some patients
eliminating certain highly allergic plant foods such
as wheat, corn and citrus fruits is important. Benefits
usually are seen within a few days. If such benefits
are not clearly evident within three weeks, then I
start my patients on elimination diet as in allergic
diseases such as asthma and eczema.
The sufferers of Gout
should eliminate Purine-containing foods which include
organ meats such as liver, kidney and dried legumes.
Avoid alcoholic beverages and take plenty of water.
Click here to find diet for Arthritis
"If I have arthritis can I exercise or will it
A very common doubt.
The simple answer to this is "No, it won't be
harmful." It depends to some extent on the nature
of the condition, the joints affected and the type
of exercise you are contemplating. Inflamed joints
as in rheumatoid arthritis will tend to become more
inflamed if they are strained, so rest is beneficial,
at least in the setting of a flare. For instance,
lack of exercise is not good for the skeleton generally
in that osteoporosis is more likely to be a problem
in the long term and this is a condition, which is
more likely anyway in arthritis sufferers. Therefore,
although rest is helpful in the short term if joints
are inflamed, exercise is beneficial to preserve general
fitness, the range of joint movement and also in preserving
muscle tone. Healthy strong muscles are essential
to protect joints from damage. Certain types of exercises
are preferable to others. For instance, if weight-bearing
joints are affected, non-weight-bearing exercise is
probably better. One can go for swimming and cycling!.
|What is the treatment?
Arthritis of any
form is quiet amenable to Homoeopathy treatment. I
have treated Rheumatic Arthritis, Rheumatoid Arthritis,
Gout and Oesteo Arthritis with remarkable success.
It is not an exaggeration! many have become alright
within a period of three months.
are wonderful in treating all types of arthritis.
Homoeopathy cures the incurable pains also. A well
selected constitutional remedy will correct your metabolic
activity. It has general action on degeneration, immune
complexes and purine metabolism. Moreover you will
lose your extra weight to some extent. There are no
pain-killers as they give you an instant effect on
your complaints. We focus on curative action rather