|
ARTHRITIS
Arthritis is a degenerative joint disease. The design
specifications for human joints are very complex. A thick
layer of cartilage resting on bone forms joint surfaces. This
cartilaginous material is called the articular surface. The
joint capsule is lined with a very thin structure called the
synovial membrane, which form the synovial fluid. This
synovial fluid is the nutrient-bearing fluid. Closely related
to joints are tendons and bursae. The tendon is a tough
structure that attaches muscle to bone. Bursa is a small
structure that allows skin and subcutaneous tissue to move
freely over joints.
What goes wrong in arthritis?
In the early stages of arthritis the joint loses water, and
the cartilage thickens and ultimately softens due to the loss
of fluid. As the disease progress, small clefts develop in the
cartilage that deepens till they extend fully to the bone.
Proliferation of bone and cartilage leading to bone spurs (osteophytes)
that gradually develop and cause joint deformity. Accompanying
these changes, there is some inflammation in the synovial
membrane leading to varying degrees of loss of normal range of
motion.
Since the joints are no longer able to move properly the
muscles that move the joint shrink and become weaker, leading
to even greater instability of the joint. Progressive joint
deterioration causes painful symptoms.
What causes arthritis?
| The most common forms of arthritis are: |
| 1. |
|
osteoarthritis: is a chronic inflammatory, progressive degenerative disease that affect the joints, and can cause agonizing pain, limitation of movement and in late stages it causes deformity. |
| 2. |
|
Rheumatoid arthritis: is one of the autoimmune diseases, which means the body creates antibodies against his own tissue. The disease begins in the synovial membrane where intense inflammation occurs and then spreads to the cartilage. The cartilage and bone becomes eroded and the joints become very deformed. Rheumatoid arthritis leads to serious diseases of the skin, lungs, heart, and arteries. |
| 3. |
|
Gout: is a type of arthritis caused by increased levels of uric acid in the body fluid. Uric acid crystals are deposited on the articular surface of the joints cause severe inflammatory reaction accompanied with sever agonizing pain. It involves one joint usually the base of the big toe. |
| 4. |
|
Ankylosing spondylitis: is an inflammatory disease that affects the spines causing back pain and limited body trunk movement. |
| 5. |
|
Arthritis can be one of the features of other disease e.g. rheumatic systemic lupus erythematosus, systemic sclerosis, polymyalgia rheumatica. |
Commonly Used
Medications:
Most medications are prescribed on a temporary basis, although
some medications must be taken every day for years or even a
lifetime. Conventional medications always cause side effects
if used for long period.
| 1. |
|
Non-steroid Anti-inflammatory Drugs (NSAIDs):
They are generally useful for controlling pain, swelling, and inflammation. NSAIDs are generally safe, but they should be used with caution. They can be particularly harmful to individuals with tendency for gastrointestinal or renal problems where it can boost the risk of gastrointestinal bleeding and perforation of the stomach. |
| 2. |
|
Propionic Acids: this class of medication includes Anaprox, Naprosyn and Ibuprofen. Particularly the Ibuprofen medications, has a relatively short half-life and rarely accumulates in the body. However, it can irritate the stomach and kidneys and should be used with caution, and should be avoided by patients using blood-thinning medicine. |
| 3. |
|
Analgesics: this category is most popularly represented by the over-the-counter medication called acetaminophen. Acetaminophen is a simple pain medication, although it does not have negative gastrointestinal side effects, high doses, have been known to cause liver damage. |
| 4. |
|
Muscle relaxants: drowsiness is one of the common negative side effects of muscle relaxants. In high doses it is toxic to the liver. As a result, muscle relaxant medications need to be carefully monitored. |
| 5. |
|
Cortisone injection: used sometimes in the treatment of rheumatoid arthritis, and can result in deformities due to osteoporosis (bone thinning). Other complications include diabetes, hypertension, hormonal imbalance leading to Cushing's disease and suppression of the immune system. When Cortisone is injected locally in the joints, although it temporarily relieves the pain, repeated injection of the joint cause more destruction of the articular surface. |
Alternative
Medication: Balm For Joint Mobility
Being human, we know that when people hurt from the pain of a
chronic illness, they will do virtually anything to feel
better, patients and professionals should keep an open mind
when it comes to medications, or any non-conventional therapy,
because anything that might help a patient should at least be
considered.
Fortunately, there is a new product that will help arthritis
sufferers get fast, long-term relief from pain, stiffness, and
immobility caused by inflammation, without any negative
effects one receives from the commonly prescribed drugs. It is
in the form of cream that can be applied locally to the
affected joint, permeate the outer layer of the skin to find
the way to the synovial fluid, to abolish the inflammation and
the consequent pain. This ointment is 100% natural product,
non-irritant to the skin, very rich in the valuable
biologically active ingredients that have both
anti-inflammatory and analgesic effect.
The best of the results could be obtained by combining the
cream application with the nutritional supplementation that
supply the body with daily nutritional requirement essential
for keeping strong immune system and in the same time help
tissue repair and joint lubrication. The formula of the
anti-arthritic cream is mixed with a moisturizer base that
release the active ingredients at a constant rate for long
period leading to continuous comfort feeling.
Active Ingredients of Balm For Joint
Mobility
Cetyl Myristoleate:
Cetyl Myristoleate (CM) is an exciting new-patented product
(US patent # 5,569,676) that offers relief to arthritis
sufferers.
Harry W. Deihl discovered CM in 1964 however his experiments
on CM were published in the Journal of Pharmaceutical Sciences
in March 1994. He found that CM gave virtually complete
protection against adjuvant-induced arthritis in rats.
INDICATIONS
Inflammatory conditions including osteoarthritis, rheumatoid
CM is an ester of the fatty acid Myristoleic acid. It has the
formula CH3 (CH2) 15 OCO (CH2) 7 CH=CH (CH2) 3 CH3 with the
chemical name is Cis-9-Myristoleate. It occurs in significant
amounts in nature in the oil glands of male beavers.
| PHYSIOLOGY/PHARMACOLOGY |
| |
|
Both components of CM, Cetyl alcohol and Myristoleic acid, may increase lubrication and resilience of cartilage or other tissues. |
| |
|
Cetyl Myristoleate appears to have the ability to correct the imbalance created by chronic inflammation, and serve as a mediator of prostaglandin formation and metabolism. |
| |
|
CM inhibits the lipooxygenase pathway of leukotriene production from arachidonic acid. TheC4, D4 and E4 are proinflammatory
leukotrienes. |
| |
|
It is possible to deliver CM through the skin on the affected joints, using liposome technology in a cream base. |
| |
|
CM is also indicated for support of joints prone to deterioration due to whiplash or other hyper-extension/compression injuries. |
Cetyl myristate is added to the cream base for
its moisturizing effect only but it has negligible
anti-arthritic activity in treating arthritis, gout and other
types of arthritis
TOXICITY, CAUTIONS & CONTRAINDICATIONS:
No toxicity or contraindications have been noted.
Glucosamine Sulfate:
DESCRIPTION
Is a naturally occurring substance found in large
concentrations in animal joints. It appears to help increase
cartilage components by assisting the chondrocytes, the
cartilage-making machinery of the joints, to help in the
repair process.
BIOCHEMISTRY
It is produced in the body by the combination of glucose with
glutamine to form glucosamine through the enzymatic action of
the enzyme glucosamine synthetase; the molecule is then
sulfated by the action of cellular enzymes to form glucosamine
sulfate (GS).
| PHYSIOLOGY |
| |
|
Glucosamine seems to work by serving as a building block of the proteoglycans. The proteoglycans hold the fluids inside the cartilage tissue keeping it healthy. The more glucosamine there is, the more proteoglycans will be made by the
chondrocytes. |
| |
|
Glucosamin sulfate is a component of glycoproteins, which are integral parts of cell membranes and cell surface proteins, as well as the extracelllular membranes, and interstitial tissues, which hold cells together. |
| |
|
GS plays a role in the formation of nails, tendons, skin, synovial fluid, bone and ligaments. |
Boswellia:
COMMON NAME
Boswellia, frankincense; in Ayurveda:salai guggal.
LATIN NAME
Boswellia serrata
DESCRIPTION
Boswellia is a standardized powder extract of the gum of the
Boswellia tree, containing a mixture of boswellic acids.
Boswellia tree is a balsamic tree that secretes aromatic
oleoresins, which are collected, when they dry, into a gum,
after exuding from cuts in the bark.
BIOCHEMISTRY
Four pentacyclic triterpene acids, including beta-boswellic
acid, have been identified as causing the anti-inflammatory
and anti-arthritic actions of extracts of Boswellia serrata.
Boswellic acids appear to inhibit the 5-lipoxygenase pathway
by which Arachadonic acid is converted to leukotrienes.
| FUNCTION |
| |
|
Boswellic acids are effective anti-inflamatory and anti-arthritic agents. It causes reduction in joint swelling and increased mobility. |
| |
|
Steroid sparing action (less steroids required in combined treatment), less morning stiffness, improved grip strength, and general improvement in quality of life, for both osteoarthritis and rheumatoid arthritis patients. |
| |
|
They also help control excessively high blood lipids and atherosclerosis, and protect the liver. |
| |
|
The non-acid part of the gum has pain-relieving and sedative qualities. |
INDICATIONS
Osteoarthritis and rheumatoid arthritis, soft tissue
rheumatism, low back pain.
TOXICITY, CAUTIONS AND
CONTRAINDICATIONS:
Safe for human and animal use.
Devil's Claw:
COMMON NAME:
Devil's Claw
LATIN NAME:
Harpogophytum procumbens.
ACTIVE SUBSTANCES:
Iridoid glycosides (harpogoside, harpagide, and procumbine),
sugars, gum resin, Beta-sitosterol.
Devil's Claw derives its name from its large hooked, claw-like
fruit. The tuber is used medicinally and has become a primary
treatment for arthritis and rheumatism.
| FUNCTION |
| |
|
Two components of the plant, harpogoside and beta sitosterol have anti-inflammatory properties. Whole Devil's Claw however was found to be superior to isolated
harpogoside. |
| |
|
It is extremely helpful for sufferers of arthritis and inflammatory diseases as it helps to reduce swelling, relieve pain, improve motility in the joints. |
Squalene:
DESCRIPTION
Solvent-free, cold-pressed Evening Primrose Oil extracted from
the seeds of the Evening Primrose plant.
BIOCHEMISTRY
Evening Primrose Oil is the best known source of the essential
fatty acid, Gamma Linolenic Acids (GLA). GLA is normally
synthesized in the liver from dietary linoleic acid(LA). This
reaction however is frequently deficient in many people
because of interference by sugar, saturated fats, and
Trans-fatty acids (margarine). In addition the conversion
requires Vitamins B-3, B-6, and C as well as the minerals
magnesium, zinc, and copper. GLA is part of the Omega 6 series
of essential fatty acids and is the critical precursor of the
series 1 prostaglandin. PGE 1 series prostaglandin's along
with the PGE 3 series protect the body against the deleterious
effects of PGE 2 series prostaglandin's such as high blood
pressure, sticky platelets, inflammation, water retention and
lowered immune function. The series 2 prostaglandin are made
from arachidonic acid, which is derived from consumption of
excess animal products. As it is rich in GLA, which is known
for its beneficial effects for a wide variety of disorders,
including atherosclerosis, diabetes mellitus eczema, multiple
sclerosis, and premenstrual syndrome
Dosage 100-200 mg/day GLA pr 500-1500mg /d of evening primrose
oil. Excess consumption can result in oily skin, an indication
to decrease dosage.
Beta Glucans Barley:
It is alcohol extract of soluble barley fibers. It is a
polysaccharide or soluble fiber component found in a variey of
cereals, it occurs in higest amounts in the endoplasm of
barley and oats. Barley soluble fiber is also rich in
tocotrienes, which are anti-oxidants, related to vitamin E. It
reduces serum cholesterol and stimulates the immune system.
Bilberry:
Bilberry is a perennial shrub native to northern Europe,
northern America, and Canada. It is rich in constituents
useful for visual acuity and night blindness.
It contains 15 different anthocyanins, which help to maintain
the integrity of capillaries and to stabilize collagen. It is
potent antioxidants.
Grapeseed:
It contains the highest concentration of proanthocyanidin that
had been discovered by Dr. Jack Masquelier and he found that
the proanthocyanidins extracted from both pine and grape seed
raw material is non-toxic, 100%bioavailable, and the most
powerful antioxidant known. It is 50 times more potent than
vitamin E and 20 times more potent than vitamin C in free
radical scavenging. Like wise, is a master cardiovascular
protector and collagen cross-linking regulator because of its
unique affinity with both elastin and collagen. Is primarily
found in plant parts that are usually removed before eating.
Also, is often destroyed during cooking. Therefore
supplementation is usually necessary to obtain the optimal
body need.
Proanthocyanidins are almost completely non-toxic both in
acute dosage and high long-term dosage. They have no potential
for causing mutations or birth defects, and have no adverse
effect on fertility, pregnancy or nursing.
TOPICALLY APPLIED BALM FOR JOINT MOBILITY CREAM IS
RECOMMENDED FOR THE FOLLOWING COMMON INFLAMMATORY JOINT
DISORDERS:
Osteoarthritis:
It is the most common form of arthritis. It is frequently
called degenerative joint disease or "wear and tear"
arthritis. Although it can be brought on suddenly by an
injury, its onset is generally gradual; aging brings on a
breakdown in cartilage, and pain gets progressively more
severe, although it can be relieved with rest. Dull, throbbing
nighttime pain is characteristic of on top inflammation, and
it may be accompanied by muscle weakness or deterioration.
Gait patterns may grow erratic. Progressive loss of articular
cartilage begins with fraying or fibrillation of the articular
surface and progresses to exposure of subchondral bone.
Attempted repair of the cartilage, remodeling of subchondral
bone, and, formation of osteophytes, accompany the
degeneration of the articular cartilage Once degeneration of
the joint begins, it usually progresses inexorably, causing
increasing pain and loss of mobility despite attempted repair
of the articular surface. The limited capacity of articular
cartilage for repair or regeneration has led, in the past, to
the widely accepted view that an osteoarthritic joint cannot
be restored to normal structure and function. Even the most
effective current conventional treatments for Osteoarthritis
do not restore the joints structure.
Osteoarthritis, commonly involves the distal and proximal
interphalyngeal finger joints, the base of the thumbs, forming
bony swelling, the cervical spine (cervical spondylitis), the
lumbar spine (lumbar spondylitis), and the large joints
including Hips and Knees. X-rays may show joint space
narrowing and bony spurs - osteophytes. There may be
Subchondral cyst formation and sclerosis of the opposing bone
surfaces.

Osteoarthritis of the interphalyngeal joints, knee and hip
joints (the x-ray shows joint space narrowing and bony spurs)
Rheumatoid arthritis (RA):
In this disease process, the immune system of the patient
could no longer be able to recognize his own tissue and forms
autoantibodies against the tissue antigens. An interaction
between the autoantibodies and joint components antigens
occurs, and causes alterations in the composition of the
synovial fluid. Under the strain of daily activities and other
forces, those alterations in bone and joint structure result
in the deformities frequently seen in patients with rheumatoid
arthritis.
Early in the course of the disease several changes in joint
structures occur. Joint effusion and inflammation of the joint
synovial membrane occur producing a soft tissue swelling that
is easily detected during evaluation of the patient.
Additionally, changes (osteoporosis) in the ends of the bones
forming the joint may be present early in the disease process.
The cartilage and bone becomes eroded and the joints become
very deformed. It can attack any synovial joint in the body.
With the exception of the distal interphalyngeal joints, it
has the greatest affinity for the small joints of the hand,
wrist, and foot. In many cases the joint involvement in the
limbs becomes relatively symmetrical.
Constitutional signs and symptoms often accompany joint pain,
like lengthy morning stiffness, fatigue, and weight loss and
it may affect various systems of the body, such as the eyes,
lungs, heart, and nervous system.
Women are three or four times more likely than men to suffer
RA, indicating a linkage to heredity. RA has a much more acute
onset than osteoarthritis. It is characterized by alternating
periods of remission, and exacerbation. The latter stage is
marked by the return of inflammation, stiffness, and pain.
Serious joint deformity, and loss of motion, frequently
results from acute rheumatoid arthritis.

Advanced rheumatoid arthritis of the hand
Gout (gouty arthritis):
It is a syndrome caused by an inflammatory response to the
deposition of monosodium urate monohydrate crystals in the
joints. This condition develops secondary to hyperuricemia
(high blood level of uric acid). A single big toe joint is
commonly the locus, heels, ankles and knees could be also
affected possibly because these joints are subjected to so
much pressure in walking; attacks of gouty arthritis are
extremely painful, perhaps more so than any other form of
arthritis. Men are much more likely to be afflicted than
women, an indication that heredity may play a role in the
disease. Acute gout is characterized rapid onset of pain,
swelling and associated redness of the affected joint. The
pain may be excruciating. A Chronic form associated with
accumulation of crystals with secondary bone and joint
destruction could complicate long-standing disease. Gout is
commonly associated with obesity, heavy alcohol intake,
hypertension, renal impairment and diuretic use. While a rich
diet that contains lots of red meat, rich sauces, and brandy
is popularly associated with gout, there are other protein
compounds in such foods as lentils and beans, might play a
role too.

Gouty arthritis of the big toe
Ankylosing spondylitis:
It primarily affects the spine and the sacroiliac joints. The
joints and ligaments that normally permit the spine to move
become inflamed and stiff. The bones of the spine may grow
together, causing the spine to become rigid and inflexible.
Heredity seems to play a role since approximately one in five
people affected by ankylosing spondylitis have a relative with
the same disorder. Almost all people with ankylosing
spondylitis can expect to lead normal and productive lives.
The mean age of onset is at age 27, with inflammatory back
symptoms as back pain, stiffness and progressive spinal
restriction. The Stiffness occurs early in the day on waking
and eases off through the morning and with exercise. The
duration of the stiffness is proportional to the activity of
inflammation. Complaints of fever, fatigue and weight loss are
common. Despite the chronic nature of the illness, only a few
people with ankylosing spondylitis will become severely
disabled.

Ankylosing spondylitis with involvement of the vertebrae,
hip joint (sacroiliac joint) and the eye(uveitis)
X-ray shows characteristic changes in the form of bony bridges
between the vertebrae and calcification of the anterior and
posterior longitudinal ligaments. As the disease progress
there is loss of the usual spinal curvature and the patients
develop restricted range of spinal movement. Hip disease is
the most serious joint involved, and suggests a more severe
disease.
Eye involvement is potentially serious with uveitis. This
presents as a painful red eye. Vision may be disturbed. The
involvement occurs especially with peripheral disease, but
does not reflect severity of disease. Treatment usually
requires steroid eye drops, and is usually self limiting.
Topical application of Balm For Joint Mobility and
Glucosamine gel 3-5 times daily each, in alternative order, to
the affected joint during the inflammatory phase of the
disease, stops the inflammation, relieves the pain, stops the
complications, that usually happens as a result of the
inflammatory process and restore the articular cartilage
normal structure. The best of the results is obtained when
combined the nutritional capsules for joint mobility two
capsules 2-3 times daily.
FREQUENTLY ASKED QUESTIONS
Does the protocol work for all
types of arthritis whatever is the cause?
The program, which includes the topical anti-arthritic cream
and the nutritional supplementation, has been found effective
in treatment of rheumatoid, Osteoarthritis, Gout, Ankylosing
spondylitis, Reiter's syndrome, Sjorgren's syndrome and
psoriasis. It has also been found to relieve various types of
back pain of undetermined origin.
Is it harmful in any way?
No harmful short or long-term effects were ever
observed in humans or in laboratory animals. It is a perfectly
safe, naturally derived substance.
How does the protocol work?
The anti -arthritic cream is a powerful anti-inflammatory;
stop the complication of arthritis by reducing the
inflammatory tissue response, which lead to abnormal tissue
proliferation of the bones, cartilage and synovial membranes.
It has also fast analgesic effect in acute pain. The
nutritional supplementation normalizes the hyper-immune
responses with its favorable results in autoimmune conditions.
The Glucosamine sulfate helps the formation of more surfactant
that lubricates the articular surface of the joints.
Does the protocol improve joint
mobility?
Absolutely! The joint mobility usually improves as a result of
the diminished arthritic pain. However, if the bones have
fused, only surgery may restore joint function.
Does the recommended protocol stop
arthritis pain?
The arthritic pain will gradually improve and finally the
patient will need just small maintenance dose of the
nutritional supplementation together with one time application
of the topical cream to keep the lubrication of the joints.
How long is it before benefits are
noticed?
Most people begin to feel relief within ten-fourteen days.
Others may take a bit longer and few may even need six-eight
weeks.
Can it correct deformities?
Reduction of the swelling improves dramatically and often
allows the bones to return to their normal position. Extreme
cases may require some physical therapy.
Does it work for everyone?
Yes, unless there is sever bon diffusion
Can I continue with my usual
medications?
Yes, but after a few days, you may find that you won't need
them, it's best to avoid steroids if possible after gradual
reduction of the recommended.
Is age a factor?
All ages respond well, but the dose should be according to the
age.
 |