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The most commonly observed vitamin and mineral deficiencies in patients with RA, are folic acid, vitamin C, vitamin D, vitamin B6, vitamin B12, vitamin E, folic acid, calcium, magnesium, zinc and selenium. stomach ulcer pain, pain in the rib cage, pediatric arthritis, cmc arthritis, roll a joint, left ovary pain, arthritis support forum, arthritis coping techniques, dovetail joints, referred pain Bacterial arthritis. (ref 4) Although, food is always the preferred source for vitamins and minerals, it may be essential to use supplementation to assist in counterbalancing the outlined deficiencies and improving nutritional status for patients with RA. Increased intake of antioxidants such as selenium and vitamin E may decrease free-radical damage to joint linings, which diminish swelling and pain. However, to date, there have been no human clinical trials that convincingly prove or disprove the efficacy of antioxidant use. stomach ulcer pain, pain in the rib cage, pediatric arthritis, cmc arthritis, roll a joint, left ovary pain, arthritis support forum, arthritis coping techniques, dovetail joints, referred pain Leg burning pain. Supplementation of calcium and vitamin D is also recommended to decrease the risk of osteoporosis that results from nutritional loss of these supplements, from menopause and from concurrent steroid therapy. (top of page) Food Hypersensitivities and Their Link to RA In some patients, specific foods have been shown to exacerbate the symptoms of RA. (ref 5) Avoiding these foods or food groups has been shown to have limited, short term benefits but no benefits long term. stomach ulcer pain, pain in the rib cage, pediatric arthritis, cmc arthritis, roll a joint, left ovary pain, arthritis support forum, arthritis coping techniques, dovetail joints, referred pain Pediatric arthritis. Even though different forms of dietary modification have reportedly improved symptoms in some patients, people with RA may have spontaneous temporary remissions. Therefore, it is important to perform double-blind, placebo controlled trials to differentiate diet effect from spontaneous remission. Diet elimination therapy is a method of determining food hypersensitivities with patients. Elimination diets avoid a specific food or group of foods such as milk, meat or processed foods that are known to be prime allergy suspects. These foods are eliminated from the diet for a specific period of time. Foods are then gradually reintroduced one at a time, to determine whether any of them causes a reaction. Panush and colleagues, demonstrated temporary improvement in the signs and symptoms of RA with diet elimination and modification in a controlled study where the symptoms associated with food sensitivities were studied. (ref 5) During this study when the patient was fasting or on a severely restricted diet, the patients symptoms improved significantly. However, when the patient had milk reintroduced into the diet, episodes of pain, swollen and tender joints and stiffness were experienced. Similarly, Kjeldsen-Kragh and colleagues(ref 6) noted that fasting may be effective in reducing the symptoms of rheumatoid arthritis, however most patients relapsed as new foods were reintroduced into the diet. Pain and discomfort frequently returned once a patient reverted to a normal diet. These studies are few in number and should be interpreted and extrapolated to real life only with careful thought and caution. (top of page) Is Fasting Effective for Treating symptoms of RA? Fasting is a very high risk, short term treatment and is currently not an accepted modality for the treatment of RA.
Stomach ulcer pain, pain in the rib cage, pediatric arthritis, cmc arthritis, roll a joint, left ovary pain, arthritis support forum, arthritis coping techniques, dovetail joints, referred pain
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