Everyone with chronic pain can safely start the Anti-inflammatory diet – no sugar, alcohol, gluten, dairy, preservatives, & chemicals. The minimum supplements I recommend you should be taking are high amounts of EPA/DHA (EPA-DHA 720, three softgels up to three times daily with food), Vitamin D3 (IsoD3 5,000 i.u. daily) and digestive enzymes (Metazyme, one tablet during each meal). Order from Metagenics 800-692-9400.
Additional Supplements for chronic pain:
Quercetin (Resveratin Plus 12 capsules daily). Order from XYMOGEN 1-800-647-6100
UltraInflamX Plus 360 medical food is a shake that contains Turmeric, Ginger, Rosemary extract, as well as other vitamins and minerals plus 15 grams of protein. Two scoops in water or juice 1 – 2 times daily. Order from Metagenics 800-692-9400
Kaprex is for joint relief and contains hops, iso-alpha acids, Olive Leaf extract and Rosemary Leaf extract. Dose is two softgels three times daily. Order from Metagenics 800-692-9400.
Chronic pain depletes serotonin, GABA and dopamine and other catecholamines (which in turn amplify pain perception); so nutrients that address serotonin (such as Tryptophan, 5HTP, and vitamin D) and dopamine and catecholamines are useful. Trancor and Symphora (4 each per day). Order from Metagenics 800-692-9400
Acute Trauma: Traumeel tablets – take 1 tablet every 15 minutes for 3 hours then cut back to 1 every hour for day 1; 1 every 2 hours on day 2 and 1 3 per day until you come in for a visit. This is easily purchased in health food stores.
Peripheral neuropathy, including diabetic neuropathy:
Take Insinase which contains Alpha Lipoic Acid 540 mg BID and Acetyl-L-Carnitine HCL 400 mg BID. Order from Metagenics 800-692-9400.
Osteoarthrits & RA:
Combinations of Magnesium, Calcium, Valerian root and Hops are essential. See my list for chronic pain and include UltraInflamX 360.
Capsaicin (Capsicum frutescens) cream:
Capsaicin is the main component in hot chili peppers (also known as cayenne). Applied to the surface of the skin, it is believed to deplete stores of a substance that contributes to inflammation and pain in arthritis. Several studies have shown that capsaicin cream provided much better pain relief than a placebo but no improvement in joint swelling, grip strength, or function for people with OA. Pain reduction generally begins 3 to 7 days after applying the capsaicin cream to the skin. Apply the cream 4 times daily.
This is another topical pain reliever used in pain management. This is especially good for sore or strained muscles; shoulderand arm pain; neck, hip, and leg pain; back pain; arthritis pain; painful joints; diabetic neuropathy; tendonitis; and bursitis. Biofreeze needs to be applied 4 times daily.
KinesioTaping procedures are an invaluable aide in everything from chronic edema (swelling) reduction to reduction of muscle tension/pain.
My two favorite modalities for chronic pain continue to be the Deep Muscle Stimulator (DMS) and warm laser.
Diets high in processed foods, sweets, sugars, baked breads, chips, cookies and pastries all promote inflammation which promotes arthritis. A menu too high in omega-6 fatty acids (soy, safflower, sunflower, corn oils), and trans-fats (hydrogenated and partially hydrogenated fats) also promote inflammation. Furthermore, diets like the above tend to be too high in calories, upset blood sugar balance and lead to weight gain. Being overweight greatly increases the stress on the low back, hip and knee joints.
Conversely, diets high in relatively unprocessed, low-temperature-cooked (even raw) foods rich in omega-3 fatty acids (chia and flaxseed, walnuts, fatty fish, grass fed meats) and high antioxidant foods (fruits, vegetables, beans, herbs, spices and tea) are anti-inflammatory.
There are other nutrients that may promote joint health. Glucosamine and chondroitin are well-known. Gelatin, MSM (a naturally occurring sulfur compound in our diets), vitamin D, folic acid and B12 may play a role as well.
My favorite medical food shake for joint inflammation is UltraInflamX 360 by Metagenics.
I have a lot of Type 2 diabetic patients who are looking for ways to control it better. I have seen consistently good results with low-carb Paleo diets.
I hear lots of stories from patients who have total cholesterol around 200 – 250. There GP doctors want them to go on cholesterol lowering meds. I am not in favor of this because from what I read, higher cholesterol is associated with increased longevity (lowest all-cause mortality and not just on cardiovascular mortality) especially in women.
People need to understand that cholesterol doesn’t cause heart disease; inflammation does and this is how statins, when they work, work. When I get clients on an anti-inflammatory diet (no sugar, grains, legumes, and the right oils) and using UltraInflamX or UltraMeal by Metagenics it simply allows the body to go back to its natural, non-inflammatory state.
There are some pretty powerful statements made about this topic such as the ASCOT study, the largest randomized clinical study of statin effectiveness in women, found that the women who took Lipitor, developed more heart attacks than women in the group given placebo. In this ASCOT study, 2,000 women were included among 10,000 patients having elevated blood pressure and at least three other cardiovascular risk factors.
Statins have only been shown statistically beneficial to men who have had a previous coronary event (statins reduce the rate of subsequent events). This is why I’m still a believer in using UltraInflamX or UltraMeal along with diet recommendations.
The FDA has approved duloxetine hydrochloride (Cymbalta, manufactured by Eli Lilly) an antidepressant, to treat chronic back pain and osteoarthritis pain. The FDA granted the new indication based on results of four double-blind, placebo-controlled, randomized clinical trails in which patients randomized to duloxetine reported a greater reduction compared with the placebo group.
In addition to its use for treatment of depression, duloxetine is approved for treatment of diabetic peripheral neuropathy, generalized anxiety disorder, and fibromyalgia.
Are you ready for this?: The most common side effects reported in the back pain and osteoarthritis trials were nausea, dry mouth, insomnia, drowsiness, constipation, fatigue, and dizziness. Other serious side effects, which occurred in less than 1% of patients, included liver damage, allergic reactions such as hives, rashes and/or swelling of the face, pneumonia, depressed mood, suicide, and suicidal thoughts and behavior. I have patients who come in with insomnia, drowsiness, constipation, fatigue, and dizziness as there chief complaints – who needs additional side effects.
Here’s my thoughts – try the anti-inflammatory diet, UltraInflamX 360, and fish oils for 12 weeks and feel the improvement without the side effects.
I love helping clients lose weight. I get that it’s difficult, it can cost money to lose weight, but it can sure cost in health dollars to stay overweight. If I could get you to do one thing to start your weight loss journey – it would be cut out the gluten. Gluten intolerance and over-consumption of gluten is a common cause of weight issues.
I’m not saying everyone has Celiac Disease (CD), which is a digestive disease that damages the small intestine and interferes with nutritional absorption, and it can result in unexplained weight gain. These people cannot tolerate gluten, period.
Gluten is a binding protein found in wheat, rye, and barley. Most commonly, gluten is found in food products, but Gluten may also be found in everyday products such as medicines, vitamins, and cosmetic products. It’s best to avoid gluten altogether if you have sensitivity of any sort, but fortunately, there are digestive enzymes devoted to helping people digest gluten and therefore, suffer fewer consequences from ingestion.
What I have seen in 28 years of practice is that many people are sensitive to Gluten. This sensitivity to gluten can vary from subclinical-mild in severity to overwhelming-devastating. In its’ severest form, it is known as Celiac Sprue, Celiac Disease (CD), non-tropical Sprue, and less commonly as Gee-Herter Disease, Gee-Thaysen Disease or Heubner-Herter Disease.
Misdiagnosed as ‘irritable bowel disease,’ CD is a life-long complaint. Here’s what you might notice if gluten is a problem for you…diarrhea, cramping, bloating, precipitated by pizza, spaghetti, bread, or difficulty losing weight. Some patients present with skin rash, red shin, eczema-like symptoms.
Other Signs and Symptoms Include:
unexplained iron-deficiency anemia
fatigue, depression, anhedonia, anxiety
arthritic bone or joint pain
bone loss, osteopenia, or osteoporosis
tingling numbness in the extremities
seizures, depression, bipolar disorder
canker sores in the mouth
The most common complaints are dyspepsia, bloating and abdominal uneasiness.
I like to see clients try to eliminate gluten fron there diet for at least a 3 week period.
To find out if you really have a gluten problem, you can get blood tested – serum anti-body tests for IgG, IgA, IgE and tTG IgA and tTG IgE are useful (but the derived information is sometimes confusing). The blood needs to be drawn early in the morning.
Avoid Gluten in the diet for 3 weeks. This means avoidance of most processed foods, and nearly all grains.
Gluten is widely used as a binder in medicines, supplements and in many cosmetic products.
It takes a good bit of research to identify sources of Gluten in the ingestible environment, and it takes but a single slip to cause a patient to go into a gastrointestinal crisis.
1. CLA- Conjugated Linoleic Acid. When taken 1,000 mg two or three times daily, CLA will act as a topical anti-inflammatory for the GI tract. Taking a week or two, symptomatic relief can be dramatic
2. Ultra-InflamX 360 – This medical food shake is useful to settle an inflamed GI tract. Take 2 scoops in water, juice or almond or rice milk once or twice daily; the bloating symptoms often abate within a week. It should be taken for several weeks, consistently, then periodically as symptoms dictate.
3. LactoFlamX – One or two capsules taken daily helps support healthy intestinal mucosal barrier integrity and function.
These supplements are an inexpensive way to control the difficult weight loss problem.
Other general supplementation should include:
Mineral chelate (organic mineral salts)
Essential Fatty Acids & Oils
Amino Acid/protein supplementation
Vitamin B Complex, Vitamin C, Vitamin E
Vitamin D-3 (dosage dictated by age and condition)
These supplements are sold on my website by linking to Metagenics.
I know Metagenics costs a little more but it’s important to consider the quality of your supplements, as well as the foods you eat.
A deficiency in magnesium makes you twice as likely to die, according to findings published in The Journal of Intensive Care Medicine. Unfortunately 80 percent of Americans are deficient in magnesium.
Medical experts agree that magnesium is essential to a long and healthy life. A lack of this important nutrient can cause irregular heartbeat, and in pregnant women it can cause seizures. Magnesium triggers over 300 enzyme reactions and is present in all bodily tissues. It’s critical to bones and muscle. Your cells use it to make energy and stabilize membranes. It helps improve depression, fatigue, and even kidney disease.
Magnesium deficiency has been linked to migraines, inflammation, and high CRP levels. Most of my clients are deficient in magnesium. One recent study concluded…It is regrettable that deficiency of such an inexpensive, low-toxicity nutrient results in diseases that cause incalculable suffering throughout the world.
We just don’t get enough magnesium in our diets. Carb-rich foods like white flour and pasta have no magnesium at all. Neither does dairy. Certain foods reduce our magnesium levels – alcohol, salt, cola, and coffee all reduce magnesium. And our modern lifestyle does the same: stress, antibiotics, and diuretics decrease our levels too.
Magnesium is hard to absorb. That’s why it’s important to supplement our magnesium intake.
Good dietary sources of magnesium include:
- Green drinks
- Leafy green vegetables
I do suggests taking a supplement. While the recommended daily amount is about 300 mg a day, I find most clients could benefit from as much as 400 – 1,000 mg a day.
Taking a hot bath in Espom salts (magnesium sulfate) helps reduce stress and allows easy absorption of magnesium.
Magnesium citrate, glycinate taurate, and aspartate are the most easy to absorb.
Even though you are taking UltraInflamX Plus 360 which contains 330 mg per serving, you will still need to take an additional amount. I suggest Metagenics Mag Citrate 200 mg/2 tabs – take 2 am & 2 PM. Order @ www.DrJeffreyTucker.meta-ehealth.com
June 30, 2010 — Cardiorespiratory aerobic exercise may be safe and modestly beneficial in patients with rheumatoid arthritis (RA), according to the results of a meta-analysis of randomized controlled trials (RCTs) reported in the July issue of Arthritis Care & Research.
“Several lines of evidence have emphasized an improvement in aerobic capacity and muscle strength after physical exercise programs in …RA patients,” write Athan Baillet, MS, from University of Grenoble Medical School in Grenoble, France, and colleagues.
Benefits associated with the exercise intervention included improved postintervention quality of life, better HAQ score, lower pain VAS scores and less radiologic damage.
“Cardiorespiratory aerobic conditioning in stable RA appears to be safe and improves some of the most important outcome measures,” the review authors write.
“Besides the positive effect of the intervention on patients’ psychological well-being, aerobic exercise should be considered as a safe therapy, the efficacy of which has been underestimated,” the review authors conclude.
Arthritis Care Res. 2010;62:984-992.
Dr. Tucker’s comment: In my experience in working with RA patients, the key to successful exercise therapy is training patients in low load body weight exercises – these are gentle repetitive movements. Proper training avoids overloading the joints and does not hurt. UltraInFlamX medical food shakes are part of the program when I work with RA patients.
I’ve been taking glucosamine and chondroitin for a year and I don’t see any changes in my knee, back & hip pain. Do you recommend any other supplements for my joint pain?
If you have been taking at least 1500 mg per day of those supplements, it’s time for a change. I’ve had good results with clients using UltraInflamX Plus 360 by Metagenics. They use 2 scoops twice daily in a shake. I also use EPA-DHA 720 by Metagenics. I dose them high, often at 3-6 grams daily. In addition, I see good results with Kaprex by Metagenics. The dose is usually 2 gel caps in the morning and 2 at night.
Order at www.DrJeffreyTucker.meta-ehealth.com
Most people don’t know they have Celiac Disease or gluten intolerance. Most practitioners overlook this disorder that causes damage to the small intestine when gluten, a protein found in wheat, barley and rye, is eaten.
On top of infertility, other gynecological and obstetrical problems may also be more common, including miscarriages and preterm births. For men, problems can include abnormal sperm — such as lower sperm numbers, altered shape, and reduced function. Men with untreated celiac disease may also have lower testosterone levels.
The good news is that with proper treatment with a gluten-free diet and correction of nutritional deficiencies, the prognosis for future pregnancies is much improved.
What is Celiac Disease?
A daily dose of ginger can relieve the aches from sport, or even gardening and heavy housework, by as much as a quarter.
For centuries, ginger root has been used as a folk remedy for a variety of ailments, such as colds and upset stomachs.
Ginger is particularly good for staving off muscle pain because it has been shown to have an anti-inflammatory effect. It is known to contain chemicals that work in a similar way to non-steroidal anti-inflammatory drugs, such as ibuprofen and aspirin. Studies have shown it can be effective in relieving the pain of arthritis.
Product recommendation: Metagenics makes a powder to use as a shake called UltraInflamX 360. Be consistent for at least 3 weeks consecutive days. Otherwise you can take two grams of ginger daily (cooked or uncooked).
Daily ginger intake reduces exercise-induced pain by 25 per cent. Heating the ginger had no effect.
Read more: http://www.dailymail.co.uk/health/article-1280005/A-pinch-ginger-help-reduce-muscle-pain-heavy-exercise.html?ito=feeds-newsxml#ixzz0qqrbo5ft