Joint pain natural treatment with supplements, herb, and vitamins, Is is rheumatoid arthritis or osteoarthritis?
December 18 2015 by
Ray Sahelian, M.D.

Joint pain has many causes, from trauma, infections, to degenerative conditions such as arthritis or osteoarthritis. Before you take any natural supplements have a medical exam to make sure there are no serious diseases causing the discomfort. If your doctor determines your symptoms and signs are due to a degenerative disease such as osteoarthritis, natural remedies and nutraceutical joint formulas are available. As far as diet, consider eating more fish and vegetables and less sugar and sweets.
Natural herbs and supplements that help reduce joint discomfort
Several supplements could reduce aches including fish oil or krill oil, curcumin or turmeric, ginger,
glucosamine, chondroitin, MSM, cmo, boswellia, cat's claw, and others. Joint Power Rx is a product that includes many of these substances. Some people report that high doses of astaxanthin reduces aches. The dose of astaxanthin many people take to reduce joint pain seems to be 8 mg or above. These are just testimonials I have come across and no actual studies regarding the effect of astaxanthin on joint aches.

Joint Power Rx includes several herbal extracts and nutrients that play a role in joint health. This product may be taken in combination with fish oil supplements.

Because joint pain restricts ambulation and movement, glucosamine and chondroitin alone are often not enough.



Dr Joerg Gruenwald recruited 177 people with moderate-to-severe hip or knee osteoarthritis and randomly assigned them to receive either a glucosamine sulfate supplement (1500 milligrams per day) or glucosamine plus omega-3 fatty acids (providing 444 mg of fish oil, of which 200 mg were omega-3-fatty acids). Because the patients studied had moderate-to-severe knee or hip osteoarthritis pain, a placebo group was not used for ethical reasons. After 26 weeks of supplementation, Dr Joerg Gruenwald tested pain levels using the established Western Ontario and McMaster Universities Arthrosis index (WOMAC) score. While there was no significant difference between the number of responders in each group when a minimal pain reduction of at least 20 per cent was used, significant differences were observed when a higher responder criterion of at least 80 pain reduction was used. Indeed, the combination product reduced morning stiffness and pain in the hips and knees by between 48 and 55 per cent, compared to 41 to 55 per cent in the glucosamine only group. Advances in Therapy "Effect of glucosamine sulfate with or without omega-3 fatty acids in patients with osteoarthritis" Authors: J. Gruenwald, R. Busch, H.-P. Petzold, H.-J. Graubaum. Adv Ther. 2009.

Arthritis and osteoarthritis
Arthritis joint pain is the most common cause of joint pain in older people. In this case the ache is due to osteoarthritis, or wear and tear of the cartilage and supporting tissues. Joint pain that is present in the morning is more indicative of rheumatoid arthritis whereas achiness that gets worse by the afternoon is more likely osteoarthritis, but these are rough guidelines and it could vary among individuals and perhaps there could be other causes.

Joint pain relief with over the counter and prescription medications
Relief of joint pain depends on the cause. If the joint pain is due to osteoarthritis, many doctors often recommend acetaminophen or NSAIDs. Nonsteroidal anti-inflammatory drugs are used to relieve some symptoms caused by arthritis, such as inflammation, swelling, stiffness, and joint pain. However, NSAIDs do not cure arthritis and will help relieve pain only as long as you continue to take them. NSAIDs may possibly interfere with healing of joints after an injury. NSAIDs can also cause stomach ulcers and can be toxic to cells in the ears that are involved in hearing.

Knee joint pain
Pain in the knee joint could be due to an injury to the knee, a tear, a fracture, an autoimmune condition, or osteoarthritis. Obesity is driving surge in knee replacements, University of Massachusetts Medical School, news release, Oct. 30, 2013.

Losing a large amount of weight slows the loss of knee cartilage in obese people. Obesity is a major risk factor for knee osteoarthritis, a degenerative joint disease that often leads to joint replacement surgery.

Hip joint pain
Common causes of hip pain include arthritis -- often felt in the front part of the thigh or in the groin. Bursitis -- inflammation of the bursae that sit on the outside of the hip joints You may feel pain when you get up from a chair, walk, climb stairs, and drive. Tendonitis from repetitive or strenuous activity. A strain or sprain; and low-back pain such as sciatica. Two very serious causes of hip pain are fractures and insufficient blood flow to the hip (aseptic necrosis).

Medications that cause joint discomfort
Use of a class of widely prescribed medications for type 2 diabetes is tied to severe joint pain in some patients, the U.S. Food and Drug Administration warned in 2015. The drugs -- sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta) and alogliptin (Nesina) -- come from a newer class of medications called DPP-4 inhibitors.

Lipitor and cholesterol lowering drugs as a cause
Some people who take Lipitor or a statin drug for cholesterol lowering experience muscle and joint pain symptom and swelling which often ends within days of stopping the Lipitor or statin drug.

Joint pain natural treatment emails
Can you recommend a natural product for crepitus of the knees, wrists and shoulders. There is no joint pain but just a lot of creaking.
   We don't know if glucosamine, chondroitin, or a combination product will work or not. It is difficult to predict if such supplements will work, but natural options for joint health are worth a try for a few weeks to see if there is a response.

My dog limps and I think he has joint pain. I am looking at getting a product to relieve my dog's arthritis. I believe the ingredients in Joint Power Rx are safe for a dog. If so, can you tell me how much a 60 lb dog should take.
   Different dog breeds may metabolize herbs and supplements differently, but, as a rough guideline, one or two capsules a day appears reasonable. Your dog's veterinarian may also be able to guide you.

Is avocado soybean unsaponifiable supplement helpful for joint health?
    See the article provided on this product.

What is your opinion on Instaflex?
   A. I found a study: Nutr J. 2013. A commercialized dietary supplement alleviates joint pain in community adults: a double-blind, placebo-controlled community trial. The purpose of this study was to assess the effect of 8-weeks ingestion of a commercialized joint pain dietary supplement (Instaflex™ Joint Support, Direct Digital, Charlotte, NC) compared to placebo on joint pain, stiffness, and function in adults with self-reported joint pain. Instaflex™ is a joint pain supplement containing glucosamine sulfate, methylsufonlylmethane (MSM), white willow bark extract (15% salicin), ginger root concentrate, boswella serrata extract (65% boswellic acid), turmeric root extract, cayenne, and hyaluronic acid. Results from this randomized, double blind, placebo-controlled community trial support the use of the Instaflex™ dietary supplement in alleviating joint pain severity in middle-aged and older adults, with mitigation of difficulty performing daily activities most apparent in subjects with knee pain.