Will arthritis be helped by pectin and coffee?

Q: I read in your column about a year ago to try adding one tablespoon of liquid fruit pectin to an 8 ounce glass of grape juice to help with the pains of arthritis. It also mentioned that some people have tried apple juice. Since I dislike the taste of grape juice, I have been adding it to apple juice and so far it seems to be helping considerably. My question is, can I also add the pectin to other flavors of juice or other liquids like milk, coffee, tea or soda or is that not recommended? I’m afraid that if I keep using the apple juice, I will get tired of the flavor.

A: When remedies are received from readers that may be anecdotal, don’t appear to cause any harm but do have the potential for helping many people with a variety of disorders, we print them — either in an upcoming column or in a health report. Such was the case with a reader a number of years ago who used 100% purple grape juice and pectin to help reduce the pain of arthritis. The reader indicated it couldn’t be a grape drink with additives, but had to be 100% juice. Apparently nothing else worked for the reader.

If you have found apple juice works well for you, I can only recommend you go with it. And, when it comes to including the pectin to coffee, milk or other liquids, I can only suggest you give it a try. I cannot explain why one juice would work and another won’t but you have nothing to lose. I don’t know low long you will have to experiment before concluding whether you have hit on something that will keep your taste buds enticed or whether you are forced to return to 100% juice for pain control. At least at this stage you have the option of rotating grape juice and apple juice for control. Keep me posted on your experiment.

Briefly, arthritis is essentially inflammation of one or more joints, with symptoms of pain and stiffness that increase as we age. The two most common types of arthritis known are rheumatoid arthritis and osteoarthritis. Rheumatoid refers to chronic inflammation primarily of the small joints of hands and feet but can also cause fever and fatigue. It is more prevalent in women than in men and commonly affects those between the ages of 40 and 60. Rheumatoid arthritis is an autoimmune disorder, meaning the immune system incorrectly attacks a person’s own body’s tissues.

Osteoarthritis (OA) occurs when cartilage at the ends of bones wears down. Areas most commonly affected are the joints of the neck, lower back, hips, knees, and hands. Symptoms include pain, stiffness, bone spurs, and grating that can be heard with use of the joint. It worsens with time and while there is no cure, treatment is available and may include non-steroidal anti-inflammatory drugs (NSAIDS) and acetaminophen that are available over-the-counter or prescription drugs that may contain codeine. The primary problems with narcotics such as codeine or hydrocodone and others are nausea and constipation. A physical therapist might be recommended who can help create a regimen of exercise to strengthen muscles around joints, lessen pain and increase range of motion. Beyond that, lubricating injections, corticosteroids, acupuncture, tai chi and yoga might be worth considering.

Readers who are interested in learning more can order Dr. Gott’s Health Reports “Osteoarthritis” and “Compelling Home Remedies” by sending a self-addressed, stamped number 10 envelope and a $2 (for each report) US check or money order to Dr. Gott’s Health Reports, PO Box 433, Lakeville, CT 06039. Be sure to mention the title(s) or print an order form from www.AskDrGottMD.com.

Were doctors really negligent?

Q: I am a 76-year-old woman. I take no prescription drugs, just vitamin B complex, Garlique and calcium.

I was in excellent health until I was treated by two negligent doctors. About 1 ½ years ago I was playing with my dog. She grabbed me by the wrist and left a puncture wound. It didn’t bleed. I washed it off and forgot about it. Twenty-four hours later I was in the shower and felt my arm was real hot. There was a line from the inside of my wrist up to the inside bend of my elbow. I got out of the shower and went to the hospital emergency room. He gave me a tetanus shot and a prescription for antibiotics. Not long after the tetanus shot I got a weakness all over my whole body that is still here. My balance is so off I use a walker. Nineteen days after the shot it was still all red around the area. I went back to the hospital and asked [Read more…]

Information wanted on unusual form of arthritis

DEAR DR. GOTT: I was recently diagnosed with ankylosing spondylitis. What causes this and what can I do to help myself? Should I be following a certain diet? Are there exercises for this to help me stay mobile?

I take meloxicam 1.5 mg. Is there another medication that would help me more?

DEAR READER: This is an inflammatory disease that can cause some of the spinal vertebrae to fuse together and go on to affect the eyes and bowels. When this occurs, the spine is less flexible and a patient takes on a hunched-forward posture. The condition affects men more frequently than it does women, with symptoms beginning in early childhood.
[Read more…]

Sausage fingers debilitating

DEAR DR. GOTT: My friend who is 53 has swelling and pain in both of her hands – especially the first two fingers. One of the fingers swelled so bad her doctor referred to it as “sausage finger”. The skin actually split. She can hardly bend her fingers, she can’t hold any utensils. She has had blood tests for gout and Lyme disease which came back negative. One doctor gave her prednisone for 7 days which helped the swelling some but not the pain. This has been going on for about two months.

Do you have any ideas as to what this might be? No one here seems to be able to figure it out! Thank you for any information you can give us.

DEAR READER: There are several conditions that can cause severe swelling of the fingers such as tophaceous gout and the diseases associated with spondyloarthritis. [Read more…]

Patient took matters into her own hands

DEAR DR. GOTT: I have arthritis in my feet and hands but never let it slow me down. I became semi-crippled after being put on simvastatin. I didn’t complain to the doctor. I cannot tolerate pain killers, so I spent hours each day off my feet on a large heating paid. I’m not young, of Scottish ancestry, and raised to be stoic. I’m the widow of a nuclear scientist who died in his mid 50s. He moved us 23 times and I had six children.

I never told my oldest PhD/MD/OB/GYN son but but after reading your column in the Journal Inquirer, I stopped using the statin of my own accord and that saved my life. Within a few days the excruciating pain that would have staggered a lesser person was gone. At age 92 ½ I have a lot of pain in my mid spine but I just soldier on. I am doing my own landscape cleanup, am an old-fashioned New England housekeeper and live alone. [Read more…]

Pain relievers can upset stomach

DEAR DR. GOTT: I’m a 32-year-old female in good health, on no regular medications (I take an occasional ibuprofen for headaches or pain), and am not overweight. I try to exercise at least three times a week. I am a new follower of your column and (as I’m sure you’ve heard many times before) love your common-sense advice and willingness to recommend alternative remedies.

I am writing about my mother (68, in good health) who has arthritis in her hips and cannot tolerate most pain-relievers because of a sensitive stomach. Do you have any recommendations for alternative or home remedy treatments that may help her? She keeps active and eats a balanced diet, but (as expected) the pain is slowly increasing as she ages.
[Read more…]

To walk or not to walk

DEAR DR. GOTT: I am an 80-year-old male, 5’8”, weighing 172 pounds. My medications consist of finasteride, simvastatin, lisinopril, terazosin, omeprazole, plus all types of vitamins including glucosamine MSM for joint pain relief. I also take chelation therapy on a monthly basis. I golf three times a week during my winter months in Florida and walk one or two miles a day.

My problem is I can only walk for ten minutes at a time due to severe pain in both hips. After resting for less than a minute, I can continue for another ten minutes.

I purchased an expensive pair of walking shoes but that didn’t help. I took one 500 mg pill of naproxen a day for two weeks in the event I had some inflammation but it didn’t improve my problem. [Read more…]

Reader taking 10 times more than recommended

DEAR DR. GOTT: Now 67, I’ve suffered with “pings” of sharp pain in my shoulders for three years. I could hear and feel the tendons and muscles pop when I moved or reached for something. My uncle, 94, claims to have “not an ache or pain” and recommended I take 40,000 units of vitamin D3 daily. I tried 20,000 with no results. I tried 30,000 with some relief. I tried 40,000 units and am mostly symptom free. I had been to MDs, chiropractors and had acupuncture and massages all with little or no results. What might have been my diagnosis? Are there any long-term side effects from this seemingly high dose?

DEAR READER: Vitamin D is fat soluble and found naturally in very few foods (fish liver oil, fatty fish, beef liver, cheese, and egg yolks). It is best known for promoting calcium absorption, but also maintains adequate blood calcium and phosphate levels, [Read more…]

33-year-old stricken with degenerative bone disease

DEAR DR. GOTT: My 33-year-old son has been diagnosed with permanent bone degenerative disease in his lower spine, possibly due to an old injury in high school. He’s been told there is nothing that can be done to stop the continuous damage.

What’s the difference between his condition and osteoporosis which is reversible? He’s in great pain with no hope. Thank you for any suggestions.

DEAR READER: Degenerative disc disease refers to the normal changes in spinal discs as a person ages. Healthy spinal discs are flexible, cushioned and can withstand compression. These discs can be compared with shock absorbers on a car that help ease bumps and bends in a road. [Read more…]

Addressing arthritis

DEAR DR. GOTT: I am 71 years old and have arthritis really bad. Both shoulders and my hip and knee on the right side are all bone on bone. The orthopedic doctor I see about my neck said he doesn’t know what to do with it but surgery is out of the question on all of them.

Kenalog does help. My question is, how many shots can one have at one time and how often can they be given? Safely, of course.

DEAR READER: There are more than 100 different types of arthritis. Cartilage normally protects our joints and absorbs shock when pressure is exerted, such as during walking or other exercise. When a person has arthritis, that cartilage breaks down and pain, stiffness, inflammation and stiffness result. [Read more…]