Bad for joints with arthritis: review, research and recommendations
Section 1: understanding of arthritis and the role of dietary supplements
Arthritis is a common name for a group of diseases characterized by inflammation of the joints. Osteoarthritis (OA) and rheumatoid arthritis (RA) are most common, although there are many other types. Osteoarthritis, often called «age -related» arthritis, develops as a result of wear of cartilage, depreciable joints. Rheumatoid arthritis is an autoimmune disease in which the immune system attacks its own tissues of the body, including joints. Symptoms of arthritis include pain, stiffness, edema and decrease in joint mobility.
Traditional treatment of arthritis includes drugs, such as painkillers, non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids and Disease-Modifying Antirheumatic Drugs (DMARDS). However, these drugs may have side effects. Biologically active additives (dietary supplements) become more and more popular as additional means to relieve arthritis symptoms, reduce inflammation and improve joint function. It is important to note that dietary supplements are not a replacement for traditional treatment and should be used under the supervision of a doctor.
Dietary supplements for joints contain various ingredients aimed at maintaining the health of cartilage, reducing inflammation and relief of pain. Some of the most common ingredients include glucosamine, chondroitin, methyl sulfonylomethane (MSM), hyaluronic acid, omega-3 fatty acids, turmeric (from turmeric) and herbal extracts.
Section 2: Glucosamine and Chondroitin: Building blocks of cartilage
Glucosamine and chondroitin are components that are naturally contained in cartilage. It is believed that they play an important role in maintaining the structure and function of cartilage. Glucosamine is an aminosahar, which is used by the body for the production of glycosaminoglycans (GAG), the main components of cartilage. Chondroitin sulfate is a gag that helps to keep water and elasticity.
Studies on glucosamine and chondroitin with osteoarthritis give mixed results. Some studies have shown that these additives can help reduce pain and improve joint function, especially with mild and moderate osteoarthritis of the knee joint. Other studies did not show significant benefits. It is important to note that studies often use various dosages and forms of glucosamine and chondroitin, which complicates the comparison of the results.
A major study by Gait (Glucosamine/Chondroitin Arthritis International Trial), conducted by the US National Institute of Health, showed that glucosamine and chondroitin were not effective for reducing pain in ostearthritis of the knee joint as a whole. However, in the subgroup of patients with moderate and severe pain, glucosamine and chondroitin turned out to be more effective than placebo.
Some studies also showed that a combination of glucosamine and chondroitin can be more effective than each ingredient separately. However, additional studies are needed to confirm this.
The dosage of glucosamine is usually 1,500 mg per day, and chondroitin is 1200 mg per day, taken in divided doses. Glucosamine is usually well tolerated, but some people can experience light side effects, such as nausea, diarrhea and heartburn. Chondroitin is also usually well tolerated, but can cause blood thinning in some people, especially in those who take anticoagulants.
Section 3: Methyl sulfonylmetatan (MSM): Sure for joint health
Methyl sulfonylmetatan (MSM) is an organic compound of sulfur, which is naturally contained in plants, animals and people. Sure plays an important role in various processes of the body, including the formation of collagen, the main component of cartilage, ligaments and tendons. It is believed that MSM has anti -inflammatory and antioxidant properties that can help reduce pain and improve joint function with arthritis.
MSM studies under osteoarthritis showed promising results. Several studies have shown that MSM can help reduce the pain, constraint and edema of the joints, as well as improve mobility. For example, one study published in Osteoarthritis and Cartilage showed that MSM reduces pain and improves the function of the knee joint in patients with osteoarthritis.
MSM is usually taken at a dose of 1,500 to 3000 mg per day, divided into several doses. MSM is usually well tolerated, but some people can experience light side effects, such as nausea, diarrhea and headache.
MSM is often combined with glucosamine and chondroitin in dietary supplements for joints. It is believed that this combination can provide a synergistic effect by enhancing the benefits of each ingredient.
Section 4: Hyaluronic acid: joint lubricant
Hyaluronic acid (Civil Code) is a natural substance that is contained in high concentrations in the synovial fluid, lubricating the joints. The Civil Code helps maintain the viscosity of the synovial fluid, which allows the joints to move smoothly and painlessly. With osteoarthritis, the concentration and quality of the Civil Code in the synovial fluid are reduced, which leads to an increase in friction and inflammation in the joint.
Civil Code is available in the form of oral additives and injections. Injections of the Civil Code are introduced directly into the joint and are often used to treat osteoarthritis of the knee joint. The oral supplements of the Civil Code are becoming more and more popular, although there are disputes about how well the Civil Code is absorbed from the intestines and reaches the joints.
Some studies have shown that the oral supplements of the Civil Code can help reduce pain and improve joint function in osteoarthritis. For example, one study published in Osteoarthritis and Cartilage showed that the oral Civil Code reduces pain and improves the function of the knee joint in patients with osteoarthritis. However, additional studies are needed to confirm these results.
The dosage of the oral Civil Code is usually from 80 to 200 mg per day. The Civil Code is usually well tolerated, but some people can experience light side effects, such as nausea and diarrhea.
Section 5: omega-3 fatty acids: anti-inflammatory effect
Omega-3 fatty acids are indispensable fats contained in fatty fish, such as salmon, tuna and sardines, as well as in plant sources, such as flaxseed and walnuts. Omega-3 fatty acids have anti-inflammatory properties and can help reduce the pain and swelling of the joints in arthritis.
Two main types of omega-3 fatty acids are eicopascentaic acid (EPK) and non-zahexaenic acid (DHG). These fatty acids help reduce inflammation, blocking the production of inflammatory substances, such as prostaglandins and leukotrienes.
Numerous studies have shown that omega-3 fatty acids can be useful for treating arthritis. For example, one study published in the journal Arthritis & Rheumatism showed that the supplements of omega-3 fatty acids reduce the pain and constraint of joints in patients with rheumatoid arthritis.
The recommended dosage of omega-3 fatty acids for the treatment of arthritis is from 2 to 4 grams per day containing both EPC and DGC. Omega-3 fatty acids are usually well tolerated, but some people may experience side effects, such as fishing, nausea and diarrhea. Omega-3 fatty acids can also dilute blood, so people who take anticoagulants should consult their doctor before taking the supplements of omega-3 fatty acids.
Section 6: Kurkumin (from turmeric): powerful antioxidant and anti -inflammatory agent
Kurkumin is an active compound contained in turmeric, spices often used in Indian cuisine. Kurkumin has powerful antioxidant and anti -inflammatory properties. It is believed that it can help reduce the pain, edema and stiffness of the joints with arthritis.
Kurkumin acts by blocking the production of inflammatory substances, such as cytokines and TsOC-2 enzymes. He can also help protect cartilage from damage.
Studies of curcumin in arthritis showed promising results. Several studies have shown that Kurkumin can be as effective as NSAIDs to reduce pain and improve joint function in patients with osteoarthritis. For example, one study published in the journal Phytotherapy Research showed that Kurkumin reduces pain and improves the function of the knee joint in patients with osteoarthritis.
However, curcumin is poorly absorbed by the body. To improve the absorption of curcumin, it is often combined with piperin, a compound contained in black pepper. Piperin helps to increase the absorption of curcumin in the intestines.
The dosage of curcumin is usually from 500 to 2000 mg per day, divided into several doses. Kurkumin is usually well tolerated, but some people can experience light side effects, such as nausea and diarrhea.
Section 7: Extracts of herbs: Additional means to relieve pain in arthritis
Some plant extracts, such as ginger, Boswellia and a devilish claw, are traditionally used to treat arthritis. It is believed that these herbs have anti -inflammatory and analgesic properties.
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Ginger: Ginger contains compounds, such as ginerols and shogaolas, which have anti -inflammatory properties. Studies have shown that ginger can help reduce the pain and stiffness of the joints with osteoarthritis and rheumatoid arthritis.
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Boswellia: Boswellia, also known as incense, contains boswellic acids that have anti -inflammatory properties. Boswellia can help reduce pain, edema and stiffness of the joints with osteoarthritis.
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Devil’s claw: The devilish claw is African grass, which is traditionally used to treat arthritis. It is believed that the devilish claw has anti -inflammatory and analgesic properties. Studies have shown that the devilish claw can help reduce pain and improve the joint function with osteoarthritis.
The dosage of plant extracts varies depending on the specific grass and product. It is important to follow the instructions on the product label and consult a doctor before taking plant extracts, especially if you take any other drugs.
Section 8: Choice of Dietary Dietary Dams: Critical Considerations
The choice of dietary supplements for the joints can be a difficult task, given the wide range of available products. Here are a few important points that should be considered when choosing dietary supplements for the joints:
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Quality product: Choose dietary supplements from well -known manufacturers who adhere to strict quality control standards. Look for products that have passed third -party testing for cleanliness and efficiency.
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Ingredients and dosage: Carefully study the list of ingredients and the dosage of each ingredient. Make sure that the product contains ingredients that, as shown, are useful for treating arthritis, and that the dosage corresponds to the recommended.
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Form of ingredients: Some ingredients, such as glucosamine, are available in various forms, such as glucosamine sulfate and hydrochloride glucosamine. Studies have shown that glucosamine sulfate can be more effective than glucosamine hydrochloride.
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Potential interactions: If you take any other medicines, consult your doctor to make sure that dietary supplement does not interact with your medicines.
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Allergies: Carefully study the list of ingredients to make sure that the product does not contain the ingredients that you are allergic to.
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Personal experience: Keep in mind that what works for one person may not work for another. It may take some time to find a dietary supplement that is right for you.
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Price: Dietrs for joints can vary greatly in price. Not always more expensive product is the best. Compare the prices and quality of various products before making a decision.
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Reputation manufacturer: Explore the reputation of the manufacturer. See customer reviews and make sure that the manufacturer has a good reputation against the quality of products and customer service.
Section 9: The role of diet and lifestyle in the treatment of arthritis
In addition to dietary supplements, diet and lifestyle play an important role in the treatment of arthritis.
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Anti -inflammatory diet: Anti -inflammatory diet, rich in fruits, vegetables, whole grain products, oily fish and healthy fats, can help reduce inflammation and alleviate the symptoms of arthritis. Avoid processed foods, sweet drinks and red meat, which can aggravate inflammation.
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Maintaining a healthy weight: Excessive weight has an additional load on the joints, especially on the knee and hip joints. Weight reduction can help reduce pain and improve the function of the joints.
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Regular physical exercises: Regular physical exercises, such as walking, swimming and cycling, can help strengthen the muscles surrounding joints, improve flexibility and reduce pain. It is important to choose exercises that do not have a strong effect on the joints.
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Physiotherapy: A physiotherapist can develop an individual exercise program to help improve strength, flexibility and joint function.
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Stress management: Stress can aggravate the symptoms of arthritis. Find the ways to manage stress, such as yoga, meditation or pastime in nature.
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Sufficient sleep: A sufficient dream is important for general health and can help reduce pain and inflammation.
Section 10: Scientific research and evidence of dietary supplements
The effectiveness of dietary supplements for arthritis is the subject of constant scientific research. It is important to understand that research results can be mixed, and that not all dietary supplements are equally effective for all people.
Many studies were conducted on glucosamine and chondroitin, and the results were ambiguous. Some studies have shown that these additives can help reduce pain and improve joint function, especially with mild and moderate osteoarthritis of the knee joint. Other studies did not show significant benefits. It is important to note that studies often use various dosages and forms of glucosamine and chondroitin, which complicates the comparison of the results.
Studies of MSM, Kurkumin and omega-3 fatty acids with arthritis showed promising results. Several studies have shown that these additives can help reduce the pain, edema and stiffness of the joints, as well as improve mobility. However, additional studies are needed to confirm these results.
Studies of plant extracts, such as ginger, Boswellia and the devil’s claw, also showed promising results in the treatment of arthritis. However, additional studies are needed to determine the optimal dosage and effectiveness of these herbs.
When evaluating scientific research of dietary supplements, it is important to consider the following:
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Sample size: Studies with a large sample size are usually more reliable than studies with a smaller sample size.
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Research design: Randomized controlled studies (RCTs) are the gold standard for scientific research. RCTs compare the effect of dietary supplements with a placebo effect (inactive).
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Research quality: It is important to evaluate the quality of the study in order to make sure that it was carried out in accordance with strict scientific principles.
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Research financing: It is important to consider who financed the study. Studies financed by dietary supplement manufacturers can be more prone to positive results than studies financed by independent sources.
Section 11: Safety and side effects of dietary supplements for joints
Most of the joints for joints are considered safe for most people when taking recommended doses. However, some people may experience side effects.
The most common side effects of dietary supplements for joints include:
- Nausea
- Diarrhea
- Heartburn
- Bloating
- Headache
In rare cases, dietary supplements for joints can cause more serious side effects, such as allergic reactions and liver problems.
It is important to consult your doctor before taking any dietary supplements for the joints, especially if you take any other medicines or have any diseases. Some dietary supplements can interact with medicines, and some diseases can increase the risk of side effects.
People taking anticoagulants should be careful when taking dietary supplements containing chondroitin or omega-3 fatty acids, since these substances can dilute blood and increase the risk of bleeding.
People with allergies to mollusks should avoid taking the dietary supplements containing glucosamine, since glucosamine is often obtained from mollusks.
Pregnant and nursing women should consult your doctor before taking any dietary supplements for the joints.
Section 12: Legal and regulatory aspects of dietary supplements in Russia
In Russia, dietary supplements are regulated by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare (Rospotrebnadzor). Bades are not subject to the same strict control as medicines. Dad manufacturers are not required to provide evidence of the effectiveness of their products before they are sold. However, dad manufacturers must guarantee that their products are safe for use and meet the safety requirements established by Rospotrebnadzor.
Rospotrebnadzor maintains a register of dietary supplements allowed for sale in the Russian Federation. Before buying dietary supplements, it is recommended to check its presence in the register of Rospotrebnadzor.
When buying dietary supplements, you should pay attention to the following information on the label:
- Name of dietary supplements
- Composition
- Recommendations for use
- Contraindications
- Best before date
- Name and address of the manufacturer
- State registration certificate number
Section 13: Alternative methods of treating arthritis
In addition to traditional treatment and dietary supplements, there are alternative methods of treating arthritis that can help alleviate the symptoms:
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Acupuncture: Acupuncture is a traditional Chinese medicine, which involves the introduction of thin needles into certain points of the body. It is believed that acupuncture can help reduce pain and inflammation.
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Massage: Massage can help relax muscles, reduce pain and improve blood circulation.
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Yoga and Tai-Chi: Yoga and tai-chi are forms of exercises that combine stretching, strength and meditation. It is believed that yoga and tai-chi can help improve flexibility, reduce pain and stress.
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Hydrotherapy: Hydrotherapy is the use of water for the treatment of various diseases. Hydrotherapy can help reduce pain, improve joint function and relax muscles.
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Transcanated electrical nervous stimulation (Tens): Tens is a method that involves the use of a small electric current to stimulate nerves. It is believed that Tens can help reduce pain.
Section 14: Integrative approach to arthritis treatment
The most effective approach to the treatment of arthritis is an integrative approach that combines traditional treatment, dietary supplements, diet, lifestyle and alternative treatment methods. An integrative approach involves working with a doctor, physiotherapist, nutritionist and other health specialists to develop an individual treatment plan that meets your specific needs.
It is important to remember that dietary supplements are not a replacement for traditional treatment and should be used under the supervision of a doctor. Before taking any dietary supplements, consult your doctor to make sure that they are safe for you and do not interact with your medicines.
Section 15: new directions in research studies for arthritis
Studies of dietary supplements for arthritis continue to develop. Some new areas in research include:
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Microbiotic intestinal: Studies have shown that the intestinal microbiota (a community of microorganisms living in the intestines) can play a role in the development and progression of arthritis. Studies study the influence of dietary supplements, such as probiotics, on the intestinal microbiota and their potential benefit for the treatment of arthritis.
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Exosome: Exosomas are small bubbles that stand out with cells and contain various molecules, such as proteins and RNA. Studies are studying the possibility of using exosos for the delivery of drugs and other therapeutic drugs directly into the joints.
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Individualized medicine: Individualized medicine involves the adaptation of treatment to specific characteristics of a person. Studies study the possibility of using genetic information and other factors to determine which dietary supplements are more likely to be effective for a particular person.
Section 16: Practical tips on the use of dietary supplements for arthritis
Here are a few practical tips on the use of dietary supplements for arthritis:
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Consult your doctor: Before taking any dietary supplements, consult your doctor to make sure that they are safe for you and do not interact with your medicines.
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Choose quality products: Choose dietary supplements from well -known manufacturers who adhere to strict quality control standards.
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Follow the label instructions: Take dietary supplements in accordance with the instructions on the label. Do not exceed the recommended dosage.
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Be patient: It may take several weeks or months to notice the effect of dietary supplements.
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Follow your symptoms: Keep a diary of symptoms to track how dietary supplements affect your pain, constraint and mobility.
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Beware of false statements: Do not believe the dietary supplements who promise the «miraculous» treatment of arthritis.
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Do not replace traditional dietary supplements: Bades are not a replacement for the traditional treatment of arthritis. Use them as an additional tool under the supervision of a doctor.
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Be careful with plant extracts: Plant extracts can interact with drugs. Consult with your doctor before taking any plant extracts.
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Report side effects: If you experience any side effects from dietary supplements, stop taking it and consult a doctor.
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Inform yourself: Read more about arthritis from reliable sources, such as national health institutions of the United States and the arthritis fund.
Section 17: Final remarks (without conclusion as such)
Arthritis is a complex disease that requires an integrated approach to treatment. Bades can be a useful addition to traditional treatment, but they are not a replacement for him. It is important to consult with your doctor before taking any dietary supplement, and use them as an additional remedy under the supervision of a doctor. With the right approach, you can reduce pain, improve the function of the joints and improve the quality of life. A thorough consideration of the factors described in this article will make it possible to make a conscious choice regarding the use of dietary supplements to maintain joint health in arthritis.