NIGHTSHADES/ARTHRITIS
Dr. Norman Childers of Rutgers University says that people who are sensitive to the nightshade group of foods may react with painful joints or muscles, or even outright arthritis. He estimates that approximately 10 percent of the American population is sensitive to these foods which include white potatoes, tomatoes, eggplant, all kinds of peppers including cayenne, pimento, paprika and chili, and tobacco. Omitting these foods from the diet may bring total or partial relief of symptoms. The person must be strict in the diet, and it may require several months of total abstinence before the benefits of the diet become apparent. The person must become a "label reader," and Dr. Childers cautions that "spices" and "spiced salt" may contain paprika. Some yogurts and baby foods may contain potato starch as thickeners. Some herb teas contain pepper, and some cheeses contain paprika.
People participating in Dr. Childer's study report that the following items also produced symptoms: chocolate, vitamin A, C, and D supplements, cortisone or gold shots, cod liver oil, oranges or orange juice, tea, and perhaps coffee. The daily intake of asparagus, beets, spinach or rhubarb may produce symptoms, but use of these foods every second or third day does not. (Arthritis/Rheumatism Newsletter, August 1979; The Nightshades and Health by Norman F. Childers and Gerard M. Russo, Horticultural Publications, Somerset Press, Inc. Somerville, New Jersey) Copyright Phylis Austin

ARTHRITIS/STRETCH GLOVES
Patients troubled with morning stiffness of hands due to arthritis may be helped by wearing stretch gloves at night. Morning stiffness was reported totally or almost entirely relieved within the first two days, and patients reported sleeping better and less use of analgesics during the night. Nylon knit and Spandex-nylon gloves both proved more effective than plain cotton gloves. (Medical World News, February 25, 1972) Copyright Phylis Austin

BETA BLOCKERS/JOINT PROBLEMS
Beta blockers, often given for heart disease and hypertension, may induce joint problems involving stiffness, discomfort and swelling. Most of the patients in the study group suffered shoulder joint discomfort, but others reported knee or finger joint involvement. Some suffered pain in multiple joints. Other symptoms described by the same group of patients included cold extremities, vision problems, dry mouth and stuffy nose. The symptoms disappeared after the beta blockers were discontinued. Switching to another beta blocker will not eliminate the problem in most patients. Inderal, Lopressor, Visken, Tenormin, and Blacadren are commonly used beta blockers. (British Medical Journal 287:1256-1257, 1983)

CYCLOPHOSPHAMIDE/RHEUMATOID ARTHRITIS/CANCER
Patients given cyclophosphamide (Cytoxan, Neosar) for treatment of rheumatoid arthritis have a two-fold increased incidence of cancer, and are at high risk for the development of bladder cancer. Interestingly, these patients with rheumatoid arthritis and cytoxan treatment had more frequent use of alcohol. Some drugs, as well as certain diets, seem to increase a thirst for alcohol. (Arthritis and Rheumatism 28(4)Suppl S37, April, 1985) Copyright Phylis Austin

STRETCH GLOVES/RHEUMATOID ARTHRITIS
Two types of stretch gloves, Futuro and Isotoner, have been shown equally effective in relieving hand symptoms in rheumatoid arthritis patients. The patients wore one glove of each type from bedtime until morning for seven days. The study group demonstrated decrease in pain, swelling and stiffness and as well as an increase in strength and motion. (Arthritis and Rheumatism 28(4)Suppl S104, April, 1985) Copyright Phylis Austin

SEATONE/RHEUMATOID ARTHRITIS
Seatone (green-tipped mussel extract) has been widely promoted for relief of symptoms of rheumatoid arthritis. A Scottish study compared Seatone and placebo (an inactive substance) treatment in 35 rheumatoid arthritis patients. There were no significant differences in symptoms in either group, indicating that Seatone is ineffective in rheumatoid arthritis treatment, its only benefit coming from the well-known placebo effect. (Annals of Rheumatic Diseases 44:199-201, 1985) Since the body can be stimulated to turn off pain by many modalities of therapy other than drugs, it is always the best course to treat chronic pain with physical means, never drugs. The simple and physical means that are effective include heat, cold, friction, counterirritation, massage, range-of-motion, exercise, diet, herbal teas, and even enemas can sometimes relieve pain of arthritis and other chronic pain. Copyright Phylis Austin

MILK/RHEUMATOID ARTHRITIS
Several years ago Dr. Norman Childers reported an association between nightshades (potatoes, tomatoes, eggplant, peppers and tobacco) and arthritis. Now a University of Florida study reveals that milk may worsen symptoms of rheumatoid arthritis. (Arthritis and Rheumatism 28(4) Suppl:S14, April, 1985) Copyright Phylis Austin

DIET/LUPUS
Animal studies have shown that a low calorie, low fat diet is beneficial in systemic lupus erythematosus. A human study revealed that women whose lupus required corticosteroid treatment used a diet higher in fat than with milder symptoms. The authors of the report suggest that the use of fatty meats such as lamb, pork, and beef be reduced, that fried foods be entirely eliminated, and that dairy products be limited. (Seminars in Arthritis and Rheumatism 15(1)61-69, August, 1985) Copyright Phylis Austin

LUPUS/SUNLIGHT
Not all patients with systemic lupus erythematosus are sensitive to sunlight. Estimates of percentages of those photosensitive run as high as 58 percent, but the true percentage is not known. (Journal of Investigative Dermatology 85:179-180,1985) Copyright Phylis Austin

CIMETIDINE/RANITIDINE/GOUTY ARTHRITIS
Ulcer patients who have gouty arthritis may suffer an exacerbation of arthritis symptoms if given cimetidine (Tagamet) or ranitidine for their ulcers. (Drug Intelligence and Clinical Pharmacy 19:201-2, March, 1985) Copyright Phylis Austin

ASPIRIN/JUVENILE RHEUMATOID ARTHRITIS/REYE'S SYNDROME
Juvenile rheumatoid arthritics given long-term aspirin therapy had an incidence of Reye's syndrome 86 times higher than normal, according to a study based on Reyes syndrome incidence in Michigan in 1982 and 1983. (Medical World News, October 14, 1985, p. 34) Copyright Phylis Austin

JUVENILE RHEUMATOID ARTHRITIS/MILK ALLLERGY
An association between adult rheumatoid arthritis and milk allergy has previously been reported, but now researchers in Israel have demonstrated that milk allergy may induce juvenile rheumatoid arthritis. They state that commonly used allergy tests are unreliable in the diagnosis of milk allergy and suggest that a strict cows' milk protein-free diet may be beneficial to those with juvenile rheumatoid arthritis. (Journal of the Royal Society of Medicine 78:410-413, May, 1985) Another study has demonstrated rheumatoid-like lesions in laboratory animals given cows' milk for 12 weeks. (International Archives of Allergy and Applied Immunology 78:145-151, 1985) Copyright Phylis Austin

ARTHRITIS/VITAMIN D OVERDOSE
Large doses of vitamin D have been recommended in the treatment of arthritis. A 48-year-old woman who took several teaspoons of cod liver oil and three mugs of milk daily over a period of about 18 months developed kidney failure and calcium deposits in her joints and tissues surrounding the joints. Over 30 years ago it was reported in the medical literature that large doses of vitamin D may lead to calcium deposits in rheumatoid arthritis patients. Annals of Rheumatic Diseases 44:494-498, 1985) Copyright Phylis Austin

ALOE VERA/ARTHRITIS
An aloe vera extract has been shown to have anti-arthritic and anti-inflammatory action. It is felt that a group of anthraquinones is responsible for this effect. (Journal of the American Podiatric Medical Association 76(2)61-66, February, 1986) Copyright Phylis Austin

BREAST AUGMENTATION/ARTHRITIS
Women who undergo surgical procedures to have their breasts enlarged may develop systemic rheumatic disease, according to a Japanese study. They apparently develop a reaction to the silicone implant. (Arthritis and Rheumatism 29(1) Supplement, January, 1986, p. S34) Copyright Phylis Austin

ARTHRITIS/GLUTEN
A 15-year-old female with a three year history of synovitis of her knees and ankles had relief of her symptoms when she was placed on a gluten-free diet for her celiac sprue. (Journal of Rheumatology 13(1)201-204, 1986) Gluten is the elastic protein substance found in wheat, rye, barley, oatmeal and buckwheat. Copyright Phylis Austin

OVERWEIGHT/OSTEOARTHRITIS
Osteoarthritis has been associated with overweight. The joints undergo increased stress, which may produce or worsen symptoms. (Journal of Chronic Disease 39(4)311-319, 1986) Copyright Phylis Austin

ARTHRITIS/PARVO VIRUS
Parvo virus may cause arthritis according to a study conducted in Bristol, England. (Medical World News, August 11, 1986, p. 16) This virus produces flu-like symptoms, sometimes a rash and about half the causes may have joint pain, stiffness and swelling. The arthritis can persist for seven months or more. Copyright Phylis Austin

FASTING/VEGAN DIET/RHEUMATOID ARTHRITIS
Twelve of twenty patients with rheumatoid arthritis improved after being placed on a program of fasting, followed by a vegan diet (free of all animal products), free of strong spices, tea, coffee, all alcoholic beverages and refined sugars, with less pain and improved joint function. However, progression of the disease did not seem to be altered. Scandinavian Journal of Rheumatology 15:219-223, 1986). Previously reported studies have shown the same results. Copyright Phylis Austin

RHEUMATOID ARTHRITIS/FOOD ALLERGY
Almost 30 percent of rheumatoid arthritis patients in a study carried out at Vanderbilt University and the University of Florida stated that certain foods worsened their disease. Preservatives, pork, beef, sugars, alcohol, chocolate and caffeine were the most commonly listed trouble-makers. (Arthritis and Rheumatism 30(1 Suppl)542, January, 1987) Copyright Phylis Austin

FOOD ALLERGY/ARTHRALGIA (JOINT PAIN)
Still another study suggests an association between food allergy and joint pains. A study from Italy says that milk and cheese, artificial colors and preservatives, wheat and egg were common food allergens in their study group. They noted that symptoms may appear 12 hours after the intake of the offending food or 48 hours later. (Annals of Allergy 59:422-238, December, 1987) Copyright Phylis Austin

CALCIUM SUPPLEMENTS/ARTHRITIS
Calcium supplements may induce symptoms of arthritis in sensitive patients. A 67-year-old woman developed pain, swelling and redness in her right thumb after she began taking calcium supplements. Symptoms cleared within about two weeks after the calcium supplement was discontinued. She was later started on Os-Cal as a calcium supplement, and within two weeks the symptoms recurred, again clearing with the cessation of the calcium intake. Some people may be very sensitive to calcium supplements. (Canadian Medical Association Journal 138:208, February 1, 1988) Copyright Phylis Austin

ULTRAVIOLET A LIGHT/RHEUMATOID ARTHRITIS
Exposure to ultraviolet A (UV-A) light may be helpful in rheumatoid arthritis. Twenty-six patients were exposed to light for five days a week for three weeks, and reported significant improvement in fatigue, joint tenderness, joint swelling, morning stiffness, and grip strength. Sunlight is usually readily available with minimal expense, and much less toxic than many of the pharmaceutical agents used in the treatment of rheumatoid arthritis. The dose used in this study was insufficient to produce even slight redness of the skin in fair-skinned patients. (Clinical and Experimental Rheumatology 5:323-328, 1987) Copyright Phylis Austin

DIET/RHEUMATOID ARTHRITIS
Seventy-one percent of a group of rheumatoid arthritis patients placed on a diet free from milk, cereals, pulses, and non-vegetarian protein sources reported significant improvement in their symptoms. (Annals of the Rheumatic Diseases 47:69-72, 1988) Copyright Phylis Austin

HAIR DYE/LUPUS
A study conducted in Georgia suggests a relationship between the use of hair dyes and lupus, a connective tissue disease characterized by joint pain, fatigue, low grade fever, skin lesions, and hair loss. The researchers studied women in four Georgia counties, and conclude that amines in hair dyes may be absorbed via the scalp. Additional studies are under way to further evaluate the association. (Internal Medicine News 21(6)3, August 15-31, 1988) Copyright Phylis Austin

RHEUMATOID ARTHRITIS/PHYSICAL TRAINING
A group of rheumatoid arthritis patients placed on an eight-week physical training program showed decreased joint swelling and an increase in hemoglobin levels. (Clinical and Experimental Rheumatology 38:253-260, 1988) Copyright Phylis Austin

HYSTERECTOMY/GYNECOLOGICAL SURGERY/OSTEOARTHRITIS
Estrogen imbalance may be a factor in the development of osteoarthritis, according to a London study. A study of over 600 women revealed that women who developed osteoarthritis were more likely to have undergone a hysterectomy or other gynecological surgery than had non-arthritic control women. The researchers felt that the same estrogen imbalance that led to the reproductive tract surgery was responsible for the development of the osteoarthritis. (British Medical Journal 297:899-900, October 8, 1988) Copyright Phylis Austin

KNUCKLE CRACKING/OSTEOARTHRITIS
A new study, carried out at Mount Carmel Mercy Hospital in Detroit, suggests that knuckle cracking may lead to osteoarthritis of the hand. Nearly 85 percent of the knuckle crackers in this study had hand swelling and decreased hand strength. (Arthritis Today, September-October, 1989, p. 22) Copyright Phylis Austin

COLD THERAPY/TEMPOROMANDIBULAR JOINT PAIN
Cold applications may be helpful in the relief of pain associated with the temporomandibular joint according to a report from a San Pedro, California physician. (California Dental Association Journal, December, 1988, p. 30-31) Copyright Phylis Austin

UV-A LIGHT/LUPUS
Ultraviolet A light has been shown to increase the life span of laboratory animals who have lupus. A study of 18 systemic lupus erythematosus patients revealed that exposure to UV-A light five days a week for three weeks resulted in improvement in the clinical disease. (Arthritis and Rheumatism 33(9 Suppl)S165, September 1990) Copyright Phylis Austin

SYSTEMIC LUPUS ERYTHEMATOSUS
Medications used in the treatment of systemic lupus erythematosus may produce as many adverse symptoms as the disease itself, according to a report from the National Institutes of Health. Corticosteroids may cause organ damage and even death. They may produce bone damage, and cause heart and artery damage. Cytotoxic drugs suppress immune function and may raise cancer risk. (Journal of the American Medical Association 263:1812-1815, April 4, 1990) Copyright Phylis Austin

GOLD THERAPY/RHEUMATOID ARTHRITIS
A two year study of patients receiving gold therapy for rheumatoid arthritis revealed that those who received gold were no better off than those who did not receive gold. (Annals of Internal Medicine 114(6)437-444, March 15, 1991) Copyright Phylis Austin

TOBACCO/RHEUMATOID ARTHRITIS
Both primary and secondary exposure to tobacco smoke may contribute to the development of rheumatoid arthritis. (Medical Hypotheses 34:116-117, 1991) Copyright Phylis Austin

LUPUS SYMPTOMS/CHOLESTEROL
Some individuals given lovastatin to lower their blood cholesterol develop lupus-like symptoms. It is estimated that approximately 50 different medications may induce lupus-like symptoms, including yellowing of the skin and whites of the eyes, joint pain and swelling, fever, and fatigue. (Archives of Internal Medicine 151:1667-1668, August 1991) Copyright Phylis Austin

HYPERTHERMIA/ARTHRITIS
Deep heat may be used effectively in the treatment of arthritis and synovitis. (American Journal of Physical Medicine and Rehabilitation 69(5)239-244, October 1990) Copyright Phylis Austin

TEMPOROMANDIBULAR JOINT PAIN
Individuals who suffer from pain in the jaw joint may receive considerable relief by the use of a commercially available electric moist heat pack. The pad should be applied for 20 minutes two or three times a day. The application of hot moist towels produced some improvement, but not as marked as that produced by the electric heat pad. (Medical Abstracts Newsletter 12(3)2, March, 1992) Copyright Phylis Austin

DIURETIC/LUPUS
Hydrochlorothiazide diuretics may induce lupus erythematosus in sensitive individuals according to a report from the University of Louisville School of Medicine.
An earlier report in the medical literature reported that PUVA therapy for psoriasis may induce lupus erythematosus. Several other medications, including griseofulvin and sulfasalazine have been associated with lupus, and some wonder if the sulfonylureas, which are often used in diabetes, may not also induce lupus. (Internal Medicine News 24(1)34, January 1-14, 1991) A total vegetarian diet has been reported helpful in lupus, instituted after seven to ten days of total fasting. (Medical Tribune, June 11, 1992, p. 32) Copyright Phylis Austin

CHILDHOOD ARTHRITIS/RUBELLA BOOSTER IMMUNIZATIONS
Physicians at Columbia University in New York observed the onset of arthritis following MMR (measles-mumps-rubella) immunization. Seven of 58 newly diagnosed cases of childhood arthritis in this study group came on after immunization. Some of the children in the study received only booster shoots. Some of the children in the group continue to have symptoms eight months after the immunization; one patient requires daily medication. The authors conclude that parents should be told that rubella vaccine may induce arthritis. (Pediatric Research 29(4 Pt 2)175A, April 1991) Copyright Phylis Austin

RHEUMATOID ARTHRITIS/FASTING
Several studies have suggested that fasting may improve arthritic symptoms. A recent report from New Jersey supports these conclusions. A group of 43 patients placed on a medically supervised seven-day water fast showed significant improvement in their symptoms. (Internal Medicine 12(2)57-59, February 1991) Copyright Phylis Austin

OMEGA-3 FATTY ACID/ARTHRITIS
The daily intake of 2.6 gm of omega-3 fatty acids may improve arthritis symptoms sufficiently to reduce the requirement for arthritis medications. (Arthritis and Rheumatism 37:824-829, June 1994) A previous study has also shown improvement over the long- term with the omega-6 fatty acids (Evening Primrose, borage, and black currant oils). Copyright Phylis Austin

ARTHRITIS/MILK ALLERGY
A 52-year-old woman who had suffered arthritis for 11 years had dramatic improvement in her symptoms after the elimination of milk and milk products from her diet. (Dr. Alexander Grant's Health Gazette 17(3)4, March 1994) Copyright Phylis Austin

OSTEOARTHRITIS OF THE KNEE/PAIN
Taping the patella (knee cap) into a medial (middle) position may bring significant reduction in knee pain in osteoarthritis sufferers. (British Medical Journal 308:753-754, March 19, 1994) Copyright Phylis Austin

RHEUMATOID ARTHRITIS/COLD APPLICATIONS
Two studies indicate that cold applications decrease pain and reduce stiffness in joints affected by rheumatoid arthritis. A recent study from Moscow, Russia, demonstrated that cold has analgesic (pain reducing) and anti-inflammatory actions, reduces joint contractures, and increases joint motion. (Scandinavian Journal of Rheumatology, Supplement 97, 1994) Copyright Phylis Austin

ESTROGEN REPLACEMENT THERAPY/SYSTEMIC LUPUS ERYTHEMATOSUS
Women who are taking postmenopausal hormone replacement therapy are at increased risk of developing systemic lupus erythematosus. The risk increases as the length of time the hormones are taken increases. (Arthritis and Rheumatism 37(Suppl 9)S211, September 1994) Copyright Phylis Austin

POSTMENOPAUSAL ESTROGEN USE/LUPUS
Women who use estrogen are at increased risk of developing systemic lupus erythematosus. The risk increases as length of time the estrogen is used increases. The risk drops as estrogen use is discontinued. (Medical Tribune 35(22)8, November 17, 1994) Copyright Phylis Austin

SYSTEMIC LUPUS ERYTHEMATOSUS/DIET
Systemic lupus erythematosus is more common in women who report the frequent consumption of meat, particularly fatty meats such as pork or beef. Menstrual irregularity was also reported to be more common in women with systemic lupus erythematosus than in control women. (Tohoku Journal of Experimental Medicine 169:245-252, 1993) Copyright Phylis Austin

DIET/RHEUMATOID ARTHRITIS
Omega-3 fatty acids may protect against rheumatoid arthritis. An earlier study from Greece showed that those who consumed fish (a source of omega-3) and olive oil had reduced rates of rheumatoid arthritis. It is felt that omega-3 fatty acids prevent the production of substances which cause inflammation. (Epidemiology 7:256-263, 1996) Copyright Phylis Austin

TONSILLECTOMY/ANKYLOSING SPONDYLITIS
Tonsillectomy is known to increase the risk of rheumatoid arthritis and polio, probably by weakening the immune system. A study from the Royal National Hospital for Rheumatic Diseases in Bath, U.K., suggests that it also increases the risk of ankylosing spondylitis. (British Journal of Rheumatology 34(Suppl 2) 1995) Copyright Phylis Austin

RHEUMATOID ARTHRITIS/GLA
A report from the University of Massachusetts Medical Center indicates that gamma-linolenic acid (GLA) oil extracted from the seeds of the common borage plant may be beneficial in rheumatoid arthritis. Subjects in the study given 2.8 grams of GLA per day over a six month period showed significant improvement. (Arthritis and Rheumatism 39:1808-1817, 1996)
Unfortunately, not all products sold as GLA really are. Some products purchased from the health food store contain no GLA, even though they are sold as GLA. Copyright Phylis Austin

DIET/OSTEOARTHRITIS
A five-year study of dogs revealed that limiting food intake reduced the incidence of osteoarthritis. (Journal of the American Veterinary Medical Association 210(2)222-225, January 15, 1997) Copyright Phylis Austin

THUNDER GOD VINE/RHEUMATOID ARTHRITIS
Thunder God vine (Tripterygium wilfordii) is widely used in China for the treatment of autoimmune diseases. A recent placebo- controlled double-blind trial demonstrated benefit in rheumatoid arthritis. (Seminars in Arthritis and Rheumatism 26(5)713-723, April 1997) This herb also possesses anti-inflammatory principles, stimulates circulation, and reduces swelling. Copyright Phylis Austin

VITAMINS/ARTHRITIS
A diet high in vitamin C, vitamin D, vitamin E, and beta- carotene may slow the progression of osteoarthritis, the most common joint disorder of older Americans. (Annals of Rheumatic Diseases 56(7)397-400, July 1997) Copyright Phylis Austin