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For the millions of people struggling with the chronic pain, stiffness and joint swelling of arthritis, recent warnings about heart risk associated with anti-inflammatory drugs have called into question some of the medical therapies to help manage arthritis.
With warnings attached to some drugs and others pulled from the pharmacy shelves entirely, many arthritis sufferers are turning to complementary medicine — taking a more holistic approach to their condition, as well as to general health and well-being.
From social support to nutrition to spirituality, there are several factors that influence our well-being and healing. Adjusting one's diet can be particularly beneficial in reducing the inflammation that aggravates chronic conditions such as arthritis.
The changing American diet
Over the past century, the evolution of the American diet has actually promoted such inflammation through increased consumption of more animal products, including meat and dairy as well as oils rich in trans-fatty acids.
In the 1950s, Americans became concerned that consumption of saturated fats from animal products was leading to clogged arteries and heart disease. So, with "good intentions," the food industry developed new oils and food preservation techniques that allowed for longer shelf lives for many baked products.
But with these new oils — in the form of "trans-fatty" acids and partially hydrogenated oils —Americans began consuming high levels of omega-6 fatty acids. In general, omega-6 fatty acids lead to the production of more inflammatory chemicals in our bodies.
In recent decades, the ratio of omega-6 fatty acids to the healthier omega-3 fatty acids in the Western diet has soared to about 25:1. But to reduce inflammation in the body, that ratio needs to be reduced to 4:1.
Here are several strategies to begin shifting to a diet targeted to reduce inflammation, including:
Reduce saturated fats: Major building blocks of inflammatory agents in the body come from arachidonic acid, which we consume in the form of animal foods. Studies of inflammatory conditions such as rheumatoid arthritis have shown that symptoms improve in people who eat small amounts of meat and dairy products. However, not all animal products are culprits. Several types of cold-water fish have shown anti-inflammatory benefits, including salmon, mackerel, sardines and herring - due to their high content of the more beneficial omega-3 fatty acids.
Reduce omega-6 fatty acids: This includes reducing consumption of margarine and several types of oils, including partially hydrogenated corn, cottonseed, grapeseed, peanut, safflower, sesame, soybean and sunflower oils. To reduce omega-6 fatty acids in your cooking, use monounsaturated oils, such as olive or canola oil. When shopping, keep in mind that omega-6 fatty acids are often used in any products that have a long shelf life, such as crackers, pastries and potato chips.
Increase omega-3 fatty acids: Eating more cold-water fish is one way to boost omega-3s in your diet. But there are also several non-meat sources, including flax seeds or oil, walnuts and green, leafy vegetables.
Flax and fish oil: Because flax spoils very quickly once it's ground up, buy flax in seed form and grind the seeds in a coffee grinder. The flax can then be used in a variety of ways - for example, you can take a tablespoon and sprinkle it on salads or mix it into smoothies.
Several other plant sources can also help reduce inflammation in the body, including onions and garlic. Others include apples, red pepper, ginger, rosemary and the spice turmeric, which can be purchased in supplement form. Fish oil is another way to increase your intake of omega-3 fatty acid, but too much of it can do more harm than good.
If you take any supplements, you should always inform your doctors. Supplements might interact with your prescription drugs, potentially reducing their effectiveness.
Exercise and arthritis
From acupuncture to journaling, there are several other so-called "alternative" ways to help people cope with chronic diseases such as arthritis. Exercise can also help, by keeping joints moving and restoring and preserving strength and flexibility.
It's a technique that 70-year-old Sandy Porter has been using for several years to help manage her osteoarthritis. Porter is an enthusiastic participant in arthritis classes held in the 92-degree warm water pool at the aquatic center at UW Health's Science Dr Medical Center.
"I've been doing it for years and I think it's absolutely saved my life," says Porter.
The soothing warmth and buoyancy of warm water create a safer environment for relieving arthritis pain and stiffness and improving range of movement. The water supports joints while providing mild resistance to help build muscle strength.
Porter also enjoys the social aspect of the warm water class, which allows her to interact with others going through the same types of aches and pains associated with osteoarthritis.
"It's really been like a support group — although sometimes we talk too much in class," Porter said with a laugh.