Rheumatoid Arthritis (RA) is a chronic inflammatory disease of joints and other tissues
which affects approximately five million individuals in the United States and Canada.
RA causes great suffering in the form of chronic pain and progressive loss of
function. Drug treatments are disappointing and pain control is often inadequate. The
disease is characterized by:
- persistent inflammation of joints with swelling and progressive deformity
-
stiffness, pain, reduced mobility, loss of joint function
Stephen J. Gislason MD
There are many patterns of arthritis. A group of related joint and connective tissue
disorders have been called rheumatic diseases. All these diseases are
immune-mediated, and all are expressions of inflammation in connective tissues. Joint
involvement is diagnosed as arthritis. There are several distinct patterns. Inflammation
of tissues around the joints is diagnosed as bursitis, synovitis, and tendinitis.
Inflammation damages joints and surrounding tissues resulting in loss of function and
deformities. Variations in the patterns of these diseases reflect the many possibilities
for immune damage to disturb and distort structure and function of tissues. Severity
ranges from mildly painful, chronic activity to drastic, disabling and sometimes
life-threatening disease. Complications of the disease include:
- muscle weakness and wasting
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anemia and other blood disorders
-
eye inflammation
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cardiac and pulmonary inflammation
Cause of the Disease - immune mediated attack on tissues. T -
lymphocytes are thought to be the main disease-causing cells.
Inflammatory disorders involve:
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swelling
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pain
-
heat
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loss of function .
Rheumatoid arthritis, often severe and disabling, is the dominant rheumatic disease
that can attack all joints in the body. Rheumatoid arthritis is also
a systemic disorder and sometimes presents as an acute illness with pain, rashes, fever,
fatigue, weight loss and anemia. In adults, there is a distinct female predominance.
Joints tend to be involved symmetrically.
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80% of patients with rheumatoid arthritis are positive with rheumatoid factor
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most patients have an elevated sedimentation rate.
In children the onset of the illness is acute 20% of the time with fever joint pain
with swelling, rash, generalized lymphadenopathy, splenomegaly, liver disease, and GIT
disease A single joint, usually the knee, is involved in 30 % and in 50% multiple joints
are involved. Flu-like symptoms may precede the onset of arthritis for months to years.
The temperature peaks once or twice daily, often in the late afternoon or evening, to a
level of 39oC or higher with a quick return to normal. Chills are common. These
children can be apparently well between attacks of fever. The rheumatoid rash
consists of 2mm-5mm red macules, commonly seen on the trunk and proximal
extremities.
Autoimmune ?
Rheumatoid arthritis is often considered an autoimmune disease. The whole concept of
autoimmunity has flaws. It is clear that immune cells attack tissues of the host. It is
not clear that this self-attack arises entirely with the body in the absence of external
pathogens. Our idea is that no disease is internally generated and must involve outside
contributions. despite years of research, no one has come up with a pathogen. Bacteria and
viruses have been considered but no definitive evidence of infection has
emerged. An important clue is that inflammatory arthritis is often associated with inflammatory
bowel disease. The mechanisms of food allergy link abnormal digestive tract function with
immune attacks on connective tissue.
In a review article, Darlington and Ramsey suggest that there are now enough good
studies that show that diet therapy in some cases may improve symptoms and possibly halt
the progression of arthritis. They review both supplementation and food elimination
approaches. They suggested that diet therapy should begin with elimination of all foods
that might be causing symptoms, followed by single food re-introductions to discover which
foods reproduce symptoms. They list corn, wheat, cow's milk, pork, oranges, oats, rye,
eggs, beef, coffee, malt, cheese, grapefruit, lemon, tomato, peanuts, and soya as the
foods most likely to cause arthritis.
Carinini and Brostroff reviewed the concepts of and evidence for food-induced
arthritis. They stated:
"Despite an increasing interest in food allergy and the conviction of innumerable
patients with joint disease that certain foods exacerbate their symptoms, relatively
little scientific attention has been paid to this relationship. Abnormalities of the
gastrointestinal tract are commonly found in rheumatic disease...Support for an intestinal
origin of antigens comes from studies of patients whose joint symptoms have improved on
the avoidance of certain foods antigens, and become worse on consuming them. These have
included patients with both intermittent symptoms, palindromic rheumatism and more chronic
disease."
Fasting
It has been known for some time that fasting is very helpful in reducing the activity
of rheumatoid arthritis. If you start with a fasting period, you can reduce the disease
activity and you are motivated to follow the disciplined path of the Alpha Nutrition
Program. The fasting period must be 10 days or longed. You use Alpha ENF, perhaps mixed in
some fruit or vegetable juices.