At long last an improvement

Recently my pain has improved and i feel much better, the recent changes i have made are:-

Vitamin D

Apple Cider Vinegar

taken every morning in conjunction with my other supplements which are below:-

Soluable Vitamin C

Multivitamins

Glucomsomine Sulphate

Cod Liver Oil

My prescribed medication

Naproxen 500mg

I was supposed to take this 2 twice a day, but i am taking 2 once a day, as i feel that is sufficient.

And Copper Insoles.

The question is is it one of the above or a combination of above.................

The Doctor also prescribed me 

Co Codamol (30mg/500mg)

To take as and when needed but since i have been taking the above, i have not needed to take them.

Why lack of sleep may trigger arthritis - but treating insomnia may improve the condition

Published in the Daily Mail

Anyone who suffers from it knows that joint pain can have a significant effect on your life, restricting mobility and making it harder to complete even everyday tasks.
But it’s not just during the day that it can cause problems — sleep can be affected, too.
Persistent, aching pain in the back, hip, arms and legs can lead to disrupted, restless sleep.

Until recently restless nights were viewed as a secondary and almost inevitable problem for people with arthritis

Experts say insomnia is common among the ten million arthritis sufferers in Britain, with some estimates suggesting that nearly two in three experience trouble sleeping.
However, until recently restless nights were viewed as a secondary and almost inevitable problem for people with arthritis.
But now scientists are realising that this problem is a two-way street: not only does joint pain cause sleep loss, but sleep deprivation makes joint pain worse, and can even accelerate joint damage.
There is growing concern that sleep disturbance exacerbates osteoarthritis (wear-and-tear arthritis) and rheumatoid arthritis (where the immune system attacks the joints), and experts believe that treating insomnia could lead to an improvement in the condition.
‘There’s a correlation between lack of sleep and pain and it’s a vicious circle.
'Pain induces lack of sleep and lack of sleep induces pain,’ says Professor Alan Silman, medical director of Arthritis Research UK.
Osteoarthritis develops when cartilage that protects the surface of bones becomes damaged and starts to break down.
The exact causes remain unknown, but genes, weight and age are all thought to be involved.
Much of the pain and swelling is caused by inflammatory molecules in the body travelling to the joint.
For reasons that are not fully understood, disrupted sleep leads to increased numbers of these inflammatory markers, which further aggravates sore joints.
One of these markers is called interleukin-1 (IL-1), which is made by white blood cells.
One expert thinks IL-1 is the ‘primary trigger’ of osteoarthritis.
Professor Peter Wehling, an orthopaedic surgeon whose Dusseldorf clinic has become a pilgrimage site for sports stars seeking to prolong their careers, says even a limited amount of sleep disruption can cause the immune system to ‘go into overdrive’.
It then begins to ‘flood the body with white blood cells in a vain attempt to address exhaustion-related distress’, as he puts it in his book The End Of Pain.

Osteoarthritis develops when cartilage that protects the surface of bones becomes damaged and starts to break down

Many of the IL-1 producing white blood cells lodge in the joints and cause ‘discomfort and gradual erosion of cartilage’, he says.
Professor Wehling warns that even one bad night’s sleep can set this in motion.
Professor Silman from Arthritis UK agrees that inflammatory compounds play a role in arthritis. ‘Sleep disturbance can change the body’s natural cycle of hormones as well as possibly adversely affecting the underlying levels of inflammation,’ he says.
He agrees that IL-1 is ‘an important player’ in the development of inflammatory arthritis, but says other cytokines — inflammation-causing chemicals — may also be involved.
He adds that some of the symptoms of osteoarthritis, especially in its early stages, may be a direct consequence of inflammation.
And while loss of sleep may release damaging inflammatory chemicals, it also means the joints miss out on the healing benefits of sleep.
Sleep is the longest time during which the body has low levels of inflammation and opportunity to heal.
Around 15 to 25 per cent of it should be deep sleep — this equates to around 1½ to two hours every night.
During this time, energy levels are restored and the immune system strengthened.
But it can take up to 45 minutes of sleeping to enter deep sleep — and these deep phases seem to occur only in the first half of the night, for reasons not understood.
This means that if someone is tossing and turning they may have very little deep sleep.
This not only increases the number of inflammatory markers in the body, but it can also disrupt the workings of hormones vital for joint healing, says Professor Wehling.
Perhaps most notably it lowers production of human growth hormone, sometimes called the ‘master hormone’ because it is vital to many processes in the body including tissue repair, weight management and continuing replacement of bone and collagen.
Though human growth hormone is produced in small surges during the day, by far the biggest burst comes 60 to 90 minutes after falling asleep as we enter deep sleep.
Inflammation suppresses human growth hormone — and so deep sleep causes levels to surge.
But without much deep sleep we may not produce enough growth hormone, speeding the decline of tissue and bone, causing it to become worn in joint areas.
Furthermore, weariness makes people more sensitive to pain, and can lead to them becoming even more immobile.
Professor Kevin Morgan, director of the Sleep Research Centre at Loughborough University, explains: ‘Moving involuntarily in the night can wake you up with a lightning shaft of pain and a cracking sensation.
'This sleep disruption makes pain worse the next day, and makes a person less inclined to want to move around.
‘However, movement and activity makes joints hurt less.’
Arthritis Research UK is funding a study by King’s College London’s Institute of Psychiatry, which aims to identify and treat the issues preventing patients with rheumatoid arthritis from being physically active and sleeping well.
Around 200 people with the disease are taking part in the research, which it is hoped will lead to new techniques to tackle inactivity, sleep disruption  and pain.
A similar study by the University of Washington in Seattle involving 375 patients with osteoarthritis is also being held and is due to report next year.
It is examining whether targeting pain and sleep problems is more beneficial than a regimen focusing on pain alone.
The researchers have hypothesised that the dual approach will have greater long-term benefits for sleep and pain, increase physical activity and lead to a reduction in healthcare costs.
Jo Cumming, head of helplines at Arthritis Care, says the charity speaks to 12,000 people a year, and 63 per cent say they don’t get a good night’s sleep.
‘It is a huge burden to bear. When GPs are considering medication or joint replacements one of the things they ask patients is whether the pain stops them sleeping,’ she says.
But Professor Morgan argues that previously GPs have considered insomnia as an unfortunate consequence of another health problem, rather than an important health problem in itself.
This has led to patients not always receiving the best treatment.
‘You have to put in a lot of work convincing clinicians that sleep problems are not just collateral damage from the main disease,’ he says.
So what can help those with joint pain achieve a good night’s sleep?
Tips include cutting out afternoon naps, using lamps rather than ceiling lights in the evening, avoiding caffeine after 3pm and not drinking alcohol after 9pm.
Professor Wehling also recommends ‘keeping a consistent bedtime and rising within an hour of sunrise’.
Avoiding midnight snacks can also help.
An estimated 50 per cent of our body weight is carried by the menisci, small pads of cartilage in the knee, so piling on the pounds adds substantially to an already considerable strain.
Excess body fat can also heighten arthritis directly because our fat cells expand and produce more cytokines, which fuel inflammation.
However, a lack of sleep can lead to weight gain, which is known to make joint pain worse.
Levels of melatonin, the key hormone in regulating our daily body cycle or circadian rhythm, are also disturbed by sleep loss, and this in turn upsets the balance of two other hormones.
The first is ghrelin, known as the ‘hunger hormone’.
Elevated levels of ghrelin at night can prompt people to raid the kitchen, craving carbohydrates in particular. It also causes extra insulin production, making the body store more fat.
The second is leptin, which usually helps regulate appetite, but may be disrupted by loss of sleep.
Studies in mice also suggest that leptin may itself have inflammatory effects.
Arthritis Care Helpline free on 0808 800 4050 or email Helplines@arthritiscare.org.uk.

Miracle Drug

When i went to the Doctors the Co-codomol he prescribed was

Solpadol 30mg/500mg capsules (Codein Phosphate and Paracetamol)

I have taken this when my pain became unbearable, and the difference was extreme, the relief was incredible.

Solpadol

Main use	Active ingredient	Manufacturer
Severe pain	Paracetamol 500mg, codeine phosphate 30mg (co-codamol)	Sanofi-Aventis

How does it work?

Solpadol caplets, capsules and effervescent tablets all contain two active ingredients, paracetamol and codeine phosphate. This combination of medicines is often referred to as co-codamol. (NB. Co-codamol is also available without a brand name, ie as the generic medicine.)
Paracetamol is a simple painkilling medicine used to relieve mild to moderate pain. Despite its widespread use for over 100 years, we still don't fully understand how paracetamol works to relieve pain. However, it is now thought that it works by reducing the production of prostaglandins in the brain and spinal cord.
The body produces prostaglandins in response to injury and certain diseases. One of the effects of prostaglandins is to sensitise nerve endings, causing pain (presumably to prevent us from causing further harm to the area). As paracetamol reduces the production of these nerve sensitising prostaglandins it is thought it may increase our pain threshold, so that although the cause of the pain remains, we can feel it less.
Codeine is a stronger painkiller known as an opioid. Opioid painkillers work by mimicking the action of naturally occurring pain-reducing chemicals called endorphins. Endorphins are found in the brain and spinal cord and reduce pain by combining with opioid receptors.
Codeine mimicks the action of natural endorphins by combining with the opioid receptors in the brain and spinal cord. This blocks the transmission of pain signals sent by the nerves to the brain. Therefore, even though the cause of the pain may remain, less pain is actually felt.
Solpadol caplets, capsules and effervescent tablets contain 30mg of codeine, which in combination with the paracetamol, is effective at relieving severe pain.

What is it used for?

• Severe pain.

Warning!

• This medication may cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink.
• Do not take this medicine with any other products that contain paracetamol. Many over-the-counter painkillers and cold and flu remedies contain paracetamol. It is important to check the ingredients of any medicines you buy without a prescription before taking them in combination with this medicine. Seek further advice from your pharmacist.
• An overdose of paracetamol is dangerous and capable of causing serious damage to the liver and kidneys. You should never exceed the dose stated in the information leaflet supplied with this medicine. Immediate medical advice should be sought in the event of an overdose with this medicine, even if you feel well, because of the risk of delayed, serious liver damage.
• Alcohol increases the risk of liver damage that can occur if an overdose of paracetamol is taken. The hazards of paracetamol overdose are greater in persistant heavy drinkers and in people with alcoholic liver disease.
• If this medicine is taken regularly for long periods of time, the body can become tolerant to it and it may become less effective at relieving pain. With prolonged use, the body may also become dependent on the codeine. As a result, withdrawal symptoms such as restlessness and irritability may occur if the medicine is then stopped suddenly. If you find you need to use this medicine all the time you should consult your doctor for advice.
• Consult your doctor if your symptoms persist despite taking this medicine.
• Taking a painkiller for headaches too often or for too long can actually make the headaches worse.

Use with caution in

• Elderly people
• Weak or debilitated people
• Decreased kidney function
• Decreased liver function
• Asthma
• Chronic obstructive pulmonary disease (COPD)
• Epilepsy
• Underactive thyroid gland (hypothyroidism)
• Low blood pressure (hypotension)
• Narrowing of the urethra, causing difficulty passing urine
• Enlarged prostate gland (prostatic hypertrophy)
• People at risk of bowel obstruction, eg due to constipation
• Inflammatory bowel disease such as ulcerative colitis or Crohn's disease
• Biliary tract disorders, eg recent surgery on the biliary tract
• Underproduction of natural steroid hormones by the adrenal glands (Addison's disease)
• Myasthenia gravis.
• Solpadol effervescent tablets contain sodium. They should be avoided in people with kidney problems and those on a low sodium diet.

Not to be used in

• Children under 12 years of age
• Slow, shallow breathing (respiratory depression)
• People having an asthma attack
• Alcohol intoxication (acute alcoholism)
• People with a head injury or raised pressure inside the skull (raised intracranial pressure)
• Paralysis or inactivity in the intestines that prevents material moving through the gut (paralytic ileus).
• Solpadol effervescent tablets contain sorbitol and are not suitable for people with rare hereditary problems of fructose intolerance.

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.

If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

Label warnings

• Do not take more than 2 at any one time. Do not take more than 8 in 24 hours.
• Do not take this medication with any other products containing paracetamol.
• This medication may cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink.

Side effects

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Just because a side effect is stated here does not mean that all people using this medicine will experience that or any side effect.

• Constipation.
• Nausea and vomiting.
• Dizziness.
• Lightheadedness.
• Drowsiness.
• Shortness of breath.
• Confusion.
• Mood changes.
• Difficulty in passing urine (urinary retention).
• Skin rash.
• Dry mouth.
• Slowed heart rate.
• Contraction of the pupils.

The side effects listed above may not include all of the side effects reported by the drug's manufacturer.

For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

How can this medicine affect other medicines?

It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to ensure that the combination is safe.
You should not take other medicines that contain paracetamol in combination with this medicine, as this can easily result in exceeding the maximum recommended daily dose of paracetamol. Many cold and flu remedies and over-the-counter painkillers contain paracetamol, so be sure to check the ingredients of any other medicines before taking them with this one.
This medicine should not be taken at the same time as, or within 14 days of taking a monoamine oxidase inhibitor (MAOI), for example the antidepressants phenelzine, tranylcypromine or isocarboxacid.
There may be an increased risk of drowsiness and sedation if this medicine is taken with any of the following (which can also cause drowsiness):

• alcohol
• antipsychotics, eg haloperidol
• barbiturates, eg phenobarbital, amobarbital
• benzodiazepines, eg diazepam, temazepam
• other opioid painkillers, eg morphine, dihydrocodeine
• sedating antihistamines, eg chlorphenamine, hydroxyzine
• sleeping tablets, eg zopiclone
• tricyclic antidepressants, eg amitriptyline.

Cholestyramine reduces the absorption of paracetamol from the gut. It should not be taken within an hour of taking paracetamol or the effect of the paracetamol will be reduced.
Metoclopramide and domperidone may increase the absorption of paracetamol from the gut.
Long-term or regular use of paracetamol may increase the anti-blood-clotting effect of warfarin and other anticoagulant medicines, leading to an increased risk of bleeding. This effect does not occur with occasional pain-killing doses. If you are taking an anticoagulant medicine and you are also taking co-codamol regularly, your blood clotting time (INR) should be regularly monitored.

EXERCISE BEATS ARTHRITIS PAIN

.. Tuesday November 13,2012 Nathan Rao MILLIONS of arthritis sufferers could drastically improve their condition with regular gentle exercise, new research shows. Doctors claim simply doing yoga, pilates or dance just once a week can provide dramatic relief from the agony of the disease. The findings bring hope to millions of Britons who suffer from arthritis which causes painful, stiff joints and can be debilitating. American doctors looked at the effect of weekly exercise classes on 200 osteoarthritis sufferers at the Hospital for Special Surgery (HSS) in New York. They found participants could walk more easily, were less prone to falls or injuries and generally enjoyed a better quality of life after taking the classes. The results support growing evidence that keeping active can vastly improve the lives of people with the condition. Sandra Goldsmith, from HSS, revealed: “When participants were asked to report their level of pain severity, there were statistically significant reductions in pain from pre- to post-test. Pain is a huge factor in quality of life.” The results of the study have been welcomed by doctors who said exercise is vital to improve the symptoms. Nottingham-based GP Dr Ian Campbell said sufferers often avoid regular activity because of pain or fear of joint damage. He said: “We are aware of the benefits of gentle exercise for people with arthritis, but this study backs up what we know to be very beneficial. “Much of the time people with arthritis are afraid to exercise because it hurts but they need to know that if they can work through the initial discomfort they will see the improvement. “Exercise can improve levels of mobility, and help with the pain of arthritis as well as self-esteem. “The nice thing about these findings is that it is achievable across the board, even people with a level of disability can learn new techniques and see an improvement.” During the study people took tai chi, mat and chair pilates, yoga and dance fitness classes for a year. Instructors tailored exercises for those with osteoarthritis and other musculoskeletal issues and oversaw the sessions. Before and after the classes 200 participants were asked to give a measure of their pain, balance and mobility, and asked about any falls. Around 62 per cent said after taking part in the classes their pain levels had begun to fall. Researchers also found those in the study showed an improvement in general activity, mood, walking ability, sleep, normal work, and enjoyment of life. Dana Friedman, from HSS, said: “We asked participants to rate their balance, and we found a statistically significant increase in those who rated their balance as excellent, very good or good, from pre- to post-intervention.” Linda Russell, rheumatologist at HSS, said: “Patients benefit from supervised exercise programmes with regard to their overall sense of well-being and pain due to their arthritis.” Medical research charity Arthritis Research UK welcomed the new findings. A spokesman for the charity said: “We know that exercise is an effective way of managing the pain and disability for people with osteoarthritis. “However, people need to know how to exercise, what is safe and also want a supportive environment to work in, as so many people take up exercise but don’t keep it up. “Very few people in the UK go into hospital because of osteoarthritis, so hospital-based exercise classes may not applicable in the UK – what we do need are more community-based classes.” Harley Street consultant Dr Malcolm VandenBurg said: “We know exercise, especially pilates, builds strength and improves mobility and can be beneficial to most people including the elderly. “This is why it is beneficial to people with arthritis,.” Osteoarthritis affects at least 8.5 million people in Britain and causes the cartilage between bones to waste away, leading to painful joints usually in the hands, spine, knees and hips. Rheumatoid arthritis is more severe but less common, affecting almost 700,000 people. It occurs when the immune system attacks the joints, causing pain and swelling, most commonly in the hands, wrists and feet. There is no cure for either condition but the symptoms can be treated with anti-inflammatories and painkillers. The new findings will be presented to the annual meeting of the American College of Rheumatology/Association of Rheumatology Health Professionals this month.

Doctors.......Waste of time

Well today i saw Dr Lake again, and as i predicted it was a complete waste of time.
He had the results of the X Ray and confirmed Moderate Arthritis in Right Knee, Left Knee not quite so bad Minor to Moderate Arthritis, NO Arthritis in Hips and Back.  Which is as i expected, however, if it is only moderate and if it isthis pain ful and immobilising, what will it be like if it is severe.

However, most of the discussion centred around my weight and he said they couldn't do anything until i lost weight, he explored my history of weight loss and diet.  And said he would refer me to a dietician and to the Gym, well hopeless, but we will see.

He prescribed me
Co Codamol (30mg/500mg)
Naproxen 500mg

He said there was no point in him seeing me again, as he would get reports, so i have to ration my medication i guess.


Naproxen (naprosyn)¹ is one of the nonsteroidal anti-inflammatory drugs (NSAIDs)² used to treat certain types of arthritis. Naproxen tablets were approved by the FDA in 1976. On January 11, 1994, the FDA approved naproxen in a nonprescription form.

What is the availability of naproxen?

Naproxen is currently available as an over-the-counter drug by either its generic name or by several brand names. Prescription-strength naproxen comes as a regular tablet, enteric-coated tablet, extended-release tablet, and as a liquid suspension to take orally.
The usual dose of naproxen is 250 mg, 375 mg, or 500 mg -- twice a day in the morning and evening for conditions like rheumatoid arthritis, osteoarthritis, or ankylosing spondylitis. Enteric-coated naproxen is usually taken in doses of 375 or 500 mg twice a day. Your doctor can adjust your dose based on how you are responding to the drug.

When is naproxen prescribed?

Naproxen is prescribed to relieve signs and symptoms of osteoarthritis³ and rheumatoid arthritis⁴. It is primarily used to reduce inflammation⁵, stiffness, and pain.

Are there any special instructions regarding how to take naproxen?

Many doctors instruct patients to take naproxen with food. Some resources say that naproxen can be taken with or without food. Other resources suggest taking it with a full glass of water. To prevent stomach upset, you can take it with food or milk. If stomach upset occurs, consult your doctor. He may recommend that you take an antacid.

Are there patients who should not take naproxen?

Patients who had episodes of asthma, rhinitis, or nasal polyps after taking aspirin or other NSAIDs should not take naproxen. Aspirin-sensitive patients should not take naproxen.
Be sure your doctor knows about any previous drug reactions. Patients who have had ulcers, stomach bleeding, severe kidney problems, or severe liver problems may not be candidates for treatment with naproxen.

What common side effects can occur with naproxen?

Diarrhea, constipation, gas, mouth sores, headache, dizziness, thirst, lightheadedness, drowsiness, tingling in arms and legs, cold symptoms, ringing in the ears, hearing problems, and trouble falling or staying asleep are all possible side effects associated with naproxen.

What special warnings and precautions are associated with naproxen?

Problems with stomach ulcers and stomach bleeding can occur with any NSAID, and naproxen is no exception. Typically, these problems are tied to long-term use of the drug but not always -- short-term use of naproxen or other NSAIDs can be problematic for some patients. Stomach ulcers and bleeding can occur without warning. Some people do get signs and warnings by experiencing burning stomach pain, black stools, or vomiting. Call your doctor if you are experiencing these symptoms.
Liver damage can occur in people taking NSAIDs like naproxen. Warning signs include nausea, vomiting, fatigue, appetite loss, itching, yellowing of the skin or eyes, and dark urine.
Naproxen can cause fluid retention and swelling in the body. NSAIDs like naproxen have also been linked to increased blood pressure.
NSAIDs, including naproxen, are associated with an increased risk of adverse cardiovascular events, including heart attack, stroke, and new onset or worsening of pre-existing hypertension⁶ (high blood pressure). The cardiovascular risk may be increased with duration of use of naproxen or other NSAIDs or pre-existing cardiovascular risk factors or disease.

Are there drug interactions associated with naproxen?

Naproxen can have serious adverse reactions with certain drugs. Drugs which can cause interactions include:

• Aspirin⁷
• ACE inhibitors
• Blood-thinning medications
• Furosemide
• Lithium
• Methotrexate⁸

The mother with crippling arthritis who's now running a half marathon - all thanks to a pair of copper insoles

• Helen Basson, 39, feared she would end up in a wheelchair after being diagnosed with arthritis in every joint of her body
• But three months after inserting the copper insoles she astounded doctors by beginning to walk freely
• Mother-of-three now planning to run a half marathon

By Anna Hodgekiss
PUBLISHED: 14:45, 9 November 2012 | UPDATED: 15:12, 9 November 2012

Helen Basson, who had arthritis in every joint of her body five years ago, can run pain-free thanks to a copper shoe heel

A mother-of-three is training for a half marathon after beating excruciating arthritis - thanks to a pair of £30 copper insoles.
Garden designer Helen Basson, 39, feared she would end up in a wheelchair after she was diagnosed with arthritis in every joint of her body after the birth of her third child.
Her condition was so bad she was unable to lift her baby out of his cot or get into the bath unaided.
But within three months of inserting the copper insoles, recommended to her by her mother-in-law, Mrs Basson astounded her doctors by beginning to walk freely.
She is now planning to take part in a half marathon in February.
She said: 'I couldn't do anything. I had to be helped off the toilet and getting in and out of the bath was extremely difficult.
'It was terrifying - I was a young woman and I feared I would end up in a wheelchair.
'The low point was a check-up at the hospital when they inserted a fluid into me and discovered I had arthritis in every joint.
'There was a time when I thought I wouldn't be able to walk again, so running a half marathon will be incredible.'
The apparent healing powers of copper were first pioneered by the ancient Greeks who used copper bracelets to ease aches and pains (the insoles claim to contain 14 times more copper than bracelets).
Copper is an essential mineral in the body and is thought to keep blood vessels, the immune system and bones healthy.
The Arthritis Foundation reports there is no scientific research to prove the effectiveness from copper bracelets. However it also says there is scant research to prove there are no benefits.

Mrs Basson, with eight-year-old son Theo, feared she would end up in a wheelchair. But within three months of inserting the copper insoles she could walk freely again

Mrs Basson first noticed something was wrong after her son Theo was born in May 2004 and she was unable to straighten her left arm.
It wasn't long before the discomfort spread to her knees, wrists, hips, elbows and ankles. She went downhill so quickly she was unable to walk more than 100 metres.
Mrs Basson, who lived in Devon before her children were born but now lives in France, was shocked when a rheumatologist at her local hospital in Nice told her the arthritis was in every joint of her body.
The agonising condition left her in too much pain to vacuum, iron or clean the house - meaning her husband James had to do everything.
Then late in 2007 her mother-in-law recommended the 'copper heelers' which had eased the pain for her some months earlier.

The mother-of-three has astounded doctors with her progress and now plans to run a half marathon

Within three months of inserting them into her sandals Mrs Basson, who refused drugs prescribed by doctors, began to notice a difference.
Setting herself small goals she started to walk more, building the distance up gradually.
When the condition eased she started training for the Rock 'n' Roll Nice, a half marathon around the streets of the city in southern France.

She said: 'As well as inserting the copper heelers I changed my diet and stopped having dairy, alcohol, caffeine and gluten. Now I am able to do everything I want to do. I have even started sailing again.

'The doctors are amazed. They cannot believe I have managed to control the arthritis without any drugs.
'I still get a few aches and pains, but I have learned to manage the condition now.'
Tony Andrews, of The Original Copper Heeler, the company which invented the copper insoles, said: 'I was passionate in finding a completely natural, drug free solution to stop the torturing pain of this 'quality-of-life' destroying disease. People from all walks of life are wearing the copper heelers.'

Morning Regime

Well, i am beginning to feel like a walking pharmacy, I now take the following supplements every morning.


Soluble Vitamin C
Multivitamins
Glocosomine Sulphate
Cod Liver Oil
Vitamin D
Anti histimine

If in pain (which is usual) 2 Aspirin.

Arthritis Self Help

Today I am in a lot of pain, so googled Arthritis Relief and came up with a few interesting things - a couple i intend trying are

• Vitamin D
• Aspirin

Some of the possible and quirky self help remedies I came across include

 Aspirin -  

Willow Bark For Arthritis Inflammation  Aspirin actually comes from willow bark. The boswellia herb has been used for centuries to help reduce the inflammation of joints and it also helps to maintain healthier joints.

Take some aspirin. Aspirin is the tried and true standby of arthritis pain relief. It has been used for this purpose for decades and remains one of the most effective ways to relieve the pain of arthritis

Vitamin C and D - Deficiencies in both vitamin C and D can lead to unnecessary arthritis pain. Diets high in vitamin C can slow down the loss of cartilage due to osteoarthritis. However, a diet low in vitamin D can speed up the process of osteoarthritis.Doctors have found in a recent study those who had a diet high in Vitamin D or took Vitamin supplements had reduced the risk of having their arthritis worsen by 75 percent. Another study with 25,000 people has shown a low consumption of vitamin C will increase a person's risk of developing arthritis. You should take daily supplements of vitamin C should be 500 to 1,000 mg, and vitamin D the intake should be 400 IU.

Quaker Oats - Mix one cup of water and two cuts of Quaker Oats into a bowel. Then warm this solution in a microwave oven. Cool slightly and then apply it to the affected area to soothe your pain.   

Tabasco Pepper Sauce - To calm achy joints, spread Tabasco Pepper Sauce on them. This product is produced from a variety of pepper called Capsicum frutescens which contains an alkaloid capsaicin that numbs pain when applied topically. If you feel a burning sensation on the skin, put Colgate Toothpaste over the dried sauce to cool it. (Warning: Do not use this remedy over an open wound )

Heinz Apple Cider Vinegar - Prior to eating a meal, drink a glass of water mixed with two teaspoons of Heinz Apple Cider Vinegar. Do this for at least three weeks and you'll soon notice more mobility in your joints and less pain. 

French's Mustard - Rub this product over the afflicted joints or empty an entire bottle into a warm bath. Soak in this mustard bath for fifteen minutes in order to experience some relief. Unfortunately, there is no cure arthritis. However, by using some homemade remedies, you can live productively with it. Just remember to follow each remedy carefully and check with your doctor if your symptoms worsen.   

WD-40 - Although several people swear that rubbing WD-40 into aching joints relieves arthritis pain, the company that produces this product refuses to condone it's use for easing arthritis pain.

Grapes - The skins of grapes contain a natural compound called resveratrol which acts as a COX-2 inhibitor. The COX-2 inhibitor is a non-steroidal anti-inflammatory drug that targets the COX-2. The COX-2 is the enzyme that is responsible for the inflammation and pain of arthritis.You should eat one cup of red or white grapes on a daily basis.

How to Stabilize the Knee With Athletic Tape

Knee pain and misalignment can be caused by a number of things, including injury, aging or overuse. When your knee is not aligned properly, you can find yourself unable to perform daily tasks or exercises. Fixing this problem can be done with the help of physical therapy and knee taping. If you've got knee pain, learning how to tape up your knee to alleviate it can help get you back on your feet.

Difficulty:

Moderate

Instructions

Things You'll Need

• Athletic tape

1. • 1
     Make an appointment with a physical therapist to determine what position will be most beneficial for taping your knee. Trying to tape your knee on your own can lead to taping in a detrimental position that can contribute to pain or cause further damage. A physical therapist can help find the correct alignment for taping.
   • 2
     Practice with your physical therapist taping up your knee and positioning it correctly to ensure you can do it properly at home. Your physical therapist will typically study your movement to find a position that helps alleviate knee pain and can then show you the best position for wrapping.
   • 3
     Practice at home with a family member or friend's help. Position your knee cap in the proper position and have a friend hold it into place so that you can begin taping without having to worry about it slipping.
   • 4
     Wrap around you leg below the knee once to start, then wrap it around your knee as demonstrated by your therapist. Do not wrap tape too tightly, as this can lead to poor circulation to your knee and cause more pain. Wrap so that it is snug, but the area of your knee doesn't begin to get red.
   • 5
     Stand up, putting weight on your knee to see if the pain is alleviated after you've wrapped it. If there is still pain, try re-wrapping it and moving it slightly, as it might just be a little out of position. If there is no pain, then continue with your daily activities and unwrap the knee at the end of the day.

How to ease arthritis pain

Arthritis symptoms can flare up even if you are taking medication. Your joints may become swollen and painful as more cartilage is worn away. However, it is not necessary to seek additional medication or a surgical procedure to control these painful episodes. You can reduce arthritis pain with remedies that are simple and inexpensive.

1. Protect Your Joints

   • Consider your joints before undertaking any physical task, even something as simple as reading a book. Just holding a book in your hands without any other support can bring on an arthritis episode. Look for alternatives for daily activities that may affect your joints. Instead of lifting a box, slide it across the floor. Open a door with your shoulder whenever possible to avoid straining the joints in your hand. Use the handicapped entrances and exits around buildings instead of climbing stairs.

   Exercise

   • Exercise between bouts of arthritis swelling and pain. Walking is one simple way to begin an exercise regimen; you can begin with three 30-minute walks per week. This strengthens joints in your legs and prolongs the pain-free periods. Engage in light weight training to exercise your arms and hands. Additional benefits of exercise include heightened energy levels, an improved mood and weight loss. Losing weight can take the burden off your joints and further reduce painful arthritic attacks.

   Relax

   • Know when it's time to quit. If the joints in your fingers are killing you, stop using them and take a break. If your knees are swelling up, sit down for a few minutes. You cannot work through an arthritis spell nor can you walk it off. Increase the relief you experience by taking a warm bath. Moist heat penetrates joints and relieves arthritis pain. The application of heating pads is also effective.

   Use Assistive Devices

   • Buy a cane and ergonomic equipment designed to reduce physical stress on the body. These items may cost money, but they are worth the investment if they bring you relief. For example, some manufacturers make can openers with larger parts to enable people to use them with less pressure on their finger joints. These devices are designed to avoid workplace injuries, but they are also ideal for people with arthritis.

   Plan All Your Physical Activities

   • Plan your daily activities carefully. If you have a lot of physical labor to accomplish, organize the day so that periods of hard work are interrupted by opportunities to rest. If you are going to walk more than usual, bring a cane and begin using it before you feel pain. Prepare your house for the bath or the nap that you will take at the end of the day.

How to Relieve Arthritis Pain

Joint pain is one of the hallmarks of arthritis. The swelling, stiffness and inflammation that accompany this, sometimes debilitating, disease are the main causes of arthritis pain. Fortunately, there are now many ways to relieve arthritis pain.

1. • 1
     Take some aspirin. Aspirin is the tried and true standby of arthritis pain relief. It has been used for this purpose for decades and remains one of the most effective ways to relieve the pain of arthritis. In fact, many arthritis patients start out with aspirin when they first get the disease.
   • 2
     Try an over-the-counter anti-inflammatory. Inflammation is the primary culprit in arthritis pain. Readily available anti-inflammatories, such as Motrin and Aleve, may provide pain relief for mild to moderate arthritis.
   • 3
     Get a prescription. If over-the-counter medications don't work for you, you probably need something stronger. Your rheumatologist or family doctor can prescribe a variety of drugs, such as Bextra and Voltaren, that are aimed at relieving arthritis pain.
   • 4
     Rub in a topical ointment. You can get plenty of good pain-relieving creams over the counter. Look for ointments containing capsaicin (derived from cayenne pepper) for the best results.
   • 5
     Start exercising. Even though it may cause you more pain in the short term, exercise is remarkably effective at relieving arthritis pain over the long term. This is because exercise increases blood flow to the joints and strengthens the surrounding muscles.
   • 6
     Use ice packs on painful, tender joints. Ice can help to reduce inflammation (taking pain away with it) and can also temporarily numb the area. You can use ice packs as often as you see fit.
   • 7
     Soak in warm water. A hot tub or warm bath can relax your muscles and increase blood flow throughout your body, resulting in a lessening of pain.

Tips & Warnings

• If you are on prescription arthritis medicine, always check with your doctor before using any over-the-counter pain relievers. You must do this to make sure the over-the-counter drug is right for you and will not negatively interact with your prescription medication.
• Exercise is a must for arthritis patients. If you do not move your joints, there is an increased risk that they will become frozen in place or otherwise deformed. Therefore, you must exercise--even on days when you don't feel like it.
• If you decide to soak in a tub of water, make sure the water is not too hot. If your skin turns red on contact with the water, you should add some cold water to the tub before gettingin.

Aide for Arthritis Sufferers

Easy Remedies for Aches and Pains Associated with Arthritis

By Stephanie Modkins

Takeaways

• Over 31 million Americans suffer with arthritis.
• Every thirty three seconds, a new case of arthritis is diagnosed.
• James Mason plays a teacher who turns into a megalomaniac after getting cortisone shots for a severe case of arthritis in the movie Bigger Than Life.

Over 31 million Americans suffer with arthritis which equates to one out of every seven people. Arthritis is described as the inflammation of tissue around the joints due to injury, infection or irritation. If you or someone you know has arthritis, you probably experience the side effects on a regular basis which include swelling, pain, stiffness, unexplained heat coupled with redness to the skin. So, what do you do? Many people visit their doctor or take over the counter medications like Aleve or Advil to deal with the pain. However, if you prefer a more simple approach, you can try a few home remedies. These remedies are inexpensive and handy. Check out a few popular ones below. 

Quaker Oats. Mix one cup of water and two cuts of Quaker Oats into a bowel. Then warm this solution in a microwave oven. Cool slightly and then apply it to the affected area to soothe your pain.  

Tabasco Pepper Sauce. To calm achy joints, spread Tabasco Pepper Sauce on them. This product is produced from a variety of pepper called Capsicum frutescens which contains an alkaloid capsaicin that numbs pain when applied topically. If you feel a burning sensation on the skin, put Colgate Toothpaste over the dried sauce to cool it. (Warning: Do not use this remedy over an open wound )  

Wilson Tennis Balls. For those of you who have difficulty grasping items due to your arthritis, buy Wilson Tennis Balls and have a friend or relative slice small slits into the opposite sides of a ball. Then, use it to hold onto things like silverware and toothbrushes by sliding these items into the slits.

 McCormick Bay Leaves, Star Olive Oil, and Mr. Coffee Filters. Add three bay leaves into a mixture of four teaspoons of Star Olive Oil into a saucepan. Warm this solution over a low heat without letting it burn or smoke. Next, let it cool, strain it with coffee filters and apply it to the areas of your body that hurt. It will provide a soothing relief.  

Heinz Apple Cider Vinegar. Prior to eating a meal, drink a glass of water mixed with two teaspoons of Heinz Apple Cider Vinegar. Do this for at least three weeks and you'll soon notice more mobility in your joints and less pain. 

French's Mustard. Rub this product over the afflicted joints or empty an entire bottle into a warm bath. Soak in this mustard bath for fifteen minutes in order to experience some relief. Unfortunately, there is no cure arthritis. However, by using some homemade remedies, you can live productively with it. Just remember to follow each remedy carefully and check with your doctor if your symptoms worsen.  

Trivia About Arthritis
* Every thirty three seconds, a new case of arthritis is diagnosed.

 * James Mason plays a teacher who turns into a megalomaniac after getting cortisone shots for a severe case of arthritis in the movie Bigger Than Life. 

* Norma Wickwire holds the record for the most artificial joints for having her hips, knees, shoulders and elbows replaced with artificial joints.

 * Although several people swear that rubbing WD-40 into aching joints relieves arthritis pain, the company that produces this product refuses to condone it's use for easing arthritis pain.

Reduce Arthritis Pain with 5 Little Known Tricks

Anyone who has any type of arthritis pain has tried the usual tricks with ibuprofen, pain killers, heating pads, and all the other common tricks. For those who have tried Celebrex or any supplements which contains glucosamine for their arthritis, and there are other less costly remedies for this common ailment.
There is no longer a need to break the bank with dealing with the inflamation of arthritis. For those who would rather try alternative medical ways to treat your arthritis pain, these tips are for you. 

Therapeutic Taping For Arthritis Pain and InflammationYou can try using wrapping tape which you can find in the health and beauty sections of any pharmaceutical store, Walmart or grocery store to help realign the joints, for support, and take off the pressure from your inflamed joints.There was an Australian study conducted which showed that 73 percent of the patients with osteoarthritis had reduced their symptoms with the therapeutic taping technique in a three-week period. The same patients who used the therapeutic tapping had comparable benefits to those who had used drug treatments over the same period. The therapeutic tapping technique had longer lasting benefits after the technique had been stopped.NOTE: In order for the therapeutic tapping to be most effective, consult your doctor or a physical therapist to show you or a family member the proper technique for using the wrapping tape for your arthritis. 

Use Willow Bark or Boswellia For Arthritis InflammationAspirin actually comes from willow bark. The boswellia herb has been used for centuries to help reduce the inflammation of joints and it also helps to maintain healthier joints.The combination of willow bark and boswellia can be just as effective as taking any other form of over-the-counter aspirin or pain relievers. You can take in combination with these two alternative methods in the following manner each day for your arthritis pain: 240 mg of willow bark and 1,000 mg of boswellia. 

Grapes are Good For Arthritis ReliefThe skins of grapes contain a natural compound called resveratrol which acts as a COX-2 inhibitor. The COX-2 inhibitor is a non-steroidal anti-inflammatory drug that targets the COX-2. The COX-2 is the enzyme that is responsible for the inflammation and pain of arthritis.You should eat one cup of red or white grapes on a daily basis. NOTE: Wine and purple grape juice also contain resveratrol. 

Joints Like Green Tea For Relieving Arthritis PainResearchers have found green tea has polyphenols. Polyphenols are compounds which suppress a key gene that is involved in arthritis inflammation.Although black tea is processed differently than green tea, it can be as beneficial for relieving arthritis pain.NOTE: You should drink one to two cups of cold or hot tea daily for an alternative way of relieving arthritis inflammation and pain. 

Boosting Vitamin C and D for Arthritis Pain ReliefDeficiencies in both vitamin C and D can lead to unnecessary arthritis pain. Diets high in vitamin C can slow down the loss of cartilage due to osteoarthritis. However, a diet low in vitamin D can speed up the process of osteoarthritis.Doctors have found in a recent study those who had a diet high in Vitamin D or took Vitamin supplements had reduced the risk of having their arthritis worsen by 75 percent. Another study with 25,000 people has shown a low consumption of vitamin C will increase a person's risk of developing arthritis. You should take daily supplements of vitamin C should be 500 to 1,000 mg, and vitamin D the intake should be 400 IU. As you can see, anything that is actually good for you can help with the least thought about health issues in your life. You can even start now to help with the pain and inflammation of arthritis.

7 EASY WAYS TO BEAT ARTHRITIS

MILLIONS of arthritis patients can ease their agony with a combination of pain relief pills and complementary therapies.

A new study says a few easy steps dramatically improve the quality of life for sufferers crippled with pain.

Patients are increasingly turning to complementary and alternative therapies to manage their condition.

Two out of three believe the treatments can relieve the unbearable pain, help them sleep better and carry out daily tasks.

The seven key methods are herbal therapies, exercise, massage, acupuncture, yoga, meditation and dietary supplements.The study found that complementary and alternative therapies are particularly favoured by younger sufferers.

Lead author of the report, Professor Nada Alaaeddine, said it “underlines the importance” of health staff knowing about the potential of the treatments.

Nearly a quarter of patients with rheumatoid arthritis and osteoarthritis said they used complementary and alternative therapies (CAT) to try to manage their condition. A total of 23 per cent used CAT as well as prescribed drugs. Just under two-thirds felt CAT improved pain intensity, sleeping patterns and activity levels.

However, there isn’t very much hard scientific evidence that many of these therapies actually work

A spokeswoman for Arthritis Research UK

The percentage who said that they experienced no pain rose from 12 per cent to 43 per cent after CAT. The number who slept all night went from nine per cent to 66 per cent.

The percentage claiming that their pain did not limit their daily activities at all rose from three to 12 per cent and the number who could do everything, but with pain, soared from 26 to 52 per cent.

Of those studied, more than two-thirds had rheumatoid arthritis and the remainder had osteoarthritis.

More than 10 million Britons have arthritis. Osteoarthritis affects at least 8.5 million people and is caused when cartilage wastes away, leading to painful rubbing of bone on bone, usually in the hands, spine, knees and hips.

Rheumatoid arthritis, a more severe form – when the immune system attacks joints, causing pain and swelling – affects almost 700,000.

There is no cure for arthritis but treatments can slow its progress. Drugs can relieve symptoms and surgery is an option for severe cases.

The new study, published in the Journal of Clinical Nursing, found that CAT users had an average age of 45. The average non-user was 57.

The most common CAT used was herbal therapy at 83 per cent, followed by exercise (22%) and massage (12%). Acupuncture, yoga, meditation, and diet supplements were three per cent each.

Just under a quarter of patients using CAT sought medical care because of possible side-effects, including skin and gastrointestinal problems. More than half did not tell health staff they were using alternative medicine.

Prof Alaaeddine, of the Faculty of Medicine, University of St Joseph, Beirut, Lebanon, said: “CAT use is increasing and this study shows that it provided self-reported benefits.

“It is, however, important that patients discuss CAT use with their healthcare practitioner and that they are made aware of possible side effects, in particular the possible interactions between herbal and prescribed drugs.”

A spokeswoman for Arthritis Research UK, which is preparing a report on therapies such as acupuncture and yoga, said: “Many people with arthritis who don’t want to take conventional medication or who find they don’t work or have side-effects, turn to alternative therapies, thinking they are more natural. However, there isn’t very much hard scientific evidence that many of these therapies actually work.”

Ailsa Bosworth, chief executive of the National Rheumatoid Arthritis Society, said some CAT therapies could have a beneficial effect for people with rheumatoid arthritis.

“There is no evidence that any of these therapies have any impact on slowing or halting the disease.

“We always advise caution as some products can have side effects or interact with prescribed medications. Before embarking on any new therapy it is important for people to talk to their healthcare professional,” she added.

I hurt

Yesterday i recieved some ear plugs, hopefully that will aid my sleep, Bobs snoring is just too much and the lack of sleep is getting me down, i know he can't help it but that doesn't make things easier.

Apart from the exhaustion this is causing. my knees are causing me chronic pain and discomfort.

On top of that situation, i have severe numbness and tingling in my right hand, it is there all the time but worst overnight, i have done research which suggests carpal tunnel syndrom.

Tingly Finger Symptoms can indicate:

• Arteriosclerosis
• Multiple Sclerosis
• Poor Circulation
• Alcoholism
• Diabetes
• Hypoparathyroidism
• Angina
• Heart Disease
• Lyme disease
• Stroke
• Syphilis

I am so frightened my quality of life is zilch,  i am terrified that i will no longer be able to work, then how will we cope financially as well as my zero quality of life, and i might have to give up my cross stitch, it terrifies me, my life is about ended as far as i can ascertain.

Anti-Inflammatory Foods

Inflammation¹ is the painful component of arthritis (symptoms include pain, swelling, red coloration to the area, and sometimes loss of movement or function), and may be a component of cardiovascular diseases.
Can the foods you eat help reduce inflammation? Some experts believe it's possible, so I'll explain which foods may be anti-inflammatory foods (and which ones to avoid).

Foods To Eat

Fats and Oils. Omega-3 fatty acids² are found in cold-water oily fish, flax seeds³, canola oil and pumpkin seeds. Consumption of monounsaturated fatty acids⁴ found in olive oil, avocados⁵, and nuts has been linked to reduced risk of cardiovascular disease. Other healthful oils include rice bran oil, grape seed oil, and walnut oil.
Fruits and Vegetables. Whole fruits, berries and vegetables are all rich in vitamins, minerals, fiber, antioxidants and phytochemicals⁶. Choose green and brightly colored vegetables, and whole fruits such as broccoli, chard, strawberries, blueberries, spinach, carrots and squash. You should eat at least five and preferably more) servings of fruits and vegetables each day.
Protein Sources. Possible anti-inflammatory protein⁷ sources include lean poultry, fish and seafood (fatty fish offer protein as well as omega-3 fatty acids). Soy and soy foods such as tofu and tempeh, along with other legumes and nuts and seeds can be used as plant-based protein sources. The best nuts are walnuts, almonds, pecans and Brazil nuts.
Beverages. Your body needs water. Drink tap, sparkling or bottled water, 100-percent fruit juices, herbal tea, low-sodium vegetable juice, and low- or non-fat milk are all healthful sources of water.

Foods To Avoid

Loading up on junk foods, high-fat meats, sugar, and highly processed foods⁸ may increase the potential for inflammation in your body. Reduce your consumption of trans-fats⁹ and saturated fats¹⁰ by cutting back on highly processed foods, red meats, and high-fat processed meats such as bacon and sausage. Cut back on refined white flours in bread and pasta (look for 100-percent whole-grains instead). Eliminate added sugars¹¹ by decreasing your consumption of sugary sodas, pastries, candy, rich desserts, and pre-sweetened cereals.
Another possible source of irritation comes from the nightshade family of plants¹², which includes potatoes, tomatoes, and eggplant. These vegetables contain a chemical alkaloid called solanine, which can trigger pain in some people. While there aren't any formal research findings that back the claim about nightshade plants, some people do believe they get relief from the symptoms of pain and inflammation when they eliminate them.

Anti-inflammatory Diet Tips

Choose fresh foods more often and choose fewer heavily processed foods. Here are some tips:

• For breakfast, try oatmeal served with fresh berries and walnuts.
• Snack on whole fruits, nuts, seeds, and fresh vegetables instead of cookies and candy.
• Eat more fish and less fatty red meat.
• Cook with olive oil and canola oil.
• Try a tofu stir-fry or scramble.
• Have a salad with lots of fresh vegetables as your meal.
• Stay away from deep-fried foods; bake, broil, poach or stir-fry instead.
• Choose dark green or brightly colored vegetables as side dishes -- they should fill half your dinner plate.

Maintaining a healthy weight also appears to be helpful for reducing pain and inflammation. I designed these calorie calculator¹³ to help you determine how many calories you need each day.

SIX STEPS TO BEAT ARTHRITIS

Published in the Daily Express Tuesday September 25,2012

Hannah Ebelthite and Caitlin Reid

---

SUCH is its prevalence, particularly among the elderly, that you'd be forgiven for thinking arthritis is something that creeps up on you over the years along with grey hairs and middle-age spread. Fortunately there are many ways to reduce your risk and to minimise its effects if you become a sufferer.

Arthritis is not a single disease but an umbrella term for a group of conditions that cause pain and inflammation in and around the joints. It affects people of all ages including children and there are many types with a range of symptoms. The most common are pain, tenderness and stiffness around the joints, reduced movement and function, inflammation, redness and warmth and muscle weakness.

By far the most common form is osteoarthritis which is estimated to affect 8.5million people in the UK. While usually detected in those over the age of 50 it can start at a younger age following over-exertion, injury or as a result of another joint problem.

The cartilage protecting the bones around a joint becomes thin leaving the ends of the bone exposed. This makes movement painful as the bones rub together. Osteoarthritis is most often found in the joints of the hands, knees, hips and spine.

The second most common form is rheumatoid arthritis which is more severe but less prevalent, affecting around 400,000 people. It is most likely to arise between the ages of 40 and 50 and is three times more common in women than men.

Rheumatoid arthritis is an autoimmune disease in which the immune system attacks the lining of the joints causing inflammation and pain. Movement may be reduced and bones and cartilage broken down.

Other forms of arthritis include ankylosing spondylitis, gout and lupus. While there is no cure for arthritis there are various treatments that can successfully slow down its effects and minimise joint damage. Plus there are some adjustments you can make to your diet and lifestyle to stay mobile and pain free.

1 WORK WITH YOUR HEALTHCARE TEAM

There isn't just one way to manage arthritis and you need to devise a treatment plan that best suits you.

"You'll need to work with your GP and monitor your symptoms to develop the most effective treatment plan," says Dr Dawn Harper, GP and expert on Channel 4's Embarrassing Bodies. The plan should incorporate all aspects of your wellbeing and may involve any of a long list of healthcare professionals: rheumatologists, orthopaedic surgeons, pharmacists, physiotherapists, occupational therapists, orthotists, podiatrists, dietitians, nurse specialists, psychologists and chiropractors.

Medication for osteoarthritis can include painkillers, non-steroidal anti-inflammatory drugs and corticosteroids.

In severe cases surgery may be recommended. Rheumatoid arthritis patients may be given painkillers and disease-modifying antirheumatic drugs.

"Don't suffer in silence," says Dawn. "See your healthcare team regularly to make sure any medication and treatment you're receiving is the right type and dosage for whatever symptoms you have at the time."

2 MANAGE YOUR WEIGHT

Many people with arthritis, particularly osteoarthritis, are overweight while others may gain weight as a result of their restricted mobility. Being overweight puts extra strain on already burdened joints, especially the ankles, knees, hips, feet and spine.

"Maintaining a healthy weight can help relieve the tension in your joints, reduce pain and maintain or improve mobility," says Dawn. "If you're overweight slimming can help slow the progression of arthritis. Talk to your GP about a diet plan."

3 EXERCISE

According to the charity Arthritis Research UK everyone can benefit from some form of exercise even those with arthritis.

"Arthritic people who exercise have higher levels of fitness, better muscle strength, a greater ability to do daily tasks and improved mood and emotional wellbeing," says Dawn.

Exercise also helps to maintain a healthy heart and blood vessels and some specific exercises may help to improve bone strength.

Aim for a mix of strength training, stretching and aerobic exercise.

4 EAT TO EASE SYMPTOMS

In addition to following a wellbalanced diet for overall wellbeing and to maintain a healthy weight Arthritis Research UK says it is worth having a good intake of the following nutrients:

omega-3 fats

Inflammatory types of arthritis such as rheumatoid may be helped by omega-3 essential fatty acids EPA and DHA found in oil-rich fish.

Experts recommend two portions a week but you may want to take a supplement containing 3g each of EPA and DHA especially if you're vegetarian (omega-3 oils are found in ground flaxseeds and their oil, rapeseed oil and walnuts, although they are less easily absorbed by the body).

Promising research at the University of Bristol has for the first time linked omega-3 intake to the slowing or prevention of osteoarthritis too.

Early signs of the condition such as degradation of collagen in the cartilage reduced when omega-3 fats were consumed.

Glucosamine sulphate and chondroitin

These supplements are commonly taken for arthritis. Both are found in the body. Glucosamine is one of the building blocks for cartilage while chondroitin is a substance that helps keep cartilage spongy and healthy by drawing in water.

Latest research suggests they are not particularly effective at relieving pain although Arthritis Research UK argues taking supplements may still be worthwhile for some osteoarthritis sufferers to help nourish the cartilage (ask your doctor before taking supplements).

Balance your diet

The support charity Arthritis Care suggests these foods may also help symptoms:

Nuts contain omega-3 fats which may ease stiffness and reduce inflammation. Pecans, walnuts and hazelnuts are especially high in antioxidants and Brazils are loaded with selenium which may help limit the damage that occurs in arthritis.

Oil-rich fish. The omega-3 fats they contain may help fight inflammation, pain in the joints and stiffness.

Dairy products are high in calcium, essential for healthy bones. Choose low-fat varieties as they contain just as much or a little more calcium.

Whole grains contain magnesium for healthy bones.

Berries are full of antioxidants that may help to reduce inflammation. ? Cherries may play a role in reducing inflammation and pain.

Citrus fruits are rich in vitamin C, which may protect against inflammatory arthritis.

No appetite? It's common to lose it as a result of pain or through depression. If this is the case it may help to eat smaller, frequent meals and always avoid fasting or crash diets.

Drugs used to control rheumatoid arthritis may have nutritional side effects or increase the risk of diet deficiencies.

If you are concerned ask to be referred to a registered dietitian to ensure your nutritional needs are met.

Vegetables

Scientists at the University of East Anglia found a compound in broccoli called sulforaphane which may block the enzymes that cause joint destruction in osteoarthritis. Another study found women with the highest intake of vegetables of the allium family (garlic, onions and leeks) have the lowest levels of hip osteoarthritis.

5 CONSIDER COMPLEMENTARY THERAPIES

There are many options that may lower the physical and emotional toll of arthritis although it's a matter of trial and error and finding a therapy you feel is worthwhile and affordable.

Some approaches thought to offer relief include the Alexander technique, acupuncture, aromatherapy, wearing a copper bracelet and homeopathy.

Other methods include magnet therapy, relaxation, meditation and hypnosis, manipulative therapies such as chiropractic or osteopathy, wax bath therapy and herbal medicine.

"Tell your doctor about any therapies you want to try but continue to take your prescribed medication," says Dawn.

"Also tell the complementary practitioner about your condition before receiving any treatment."

There is increasing evidence that a Mediterraneanstyle diet including plenty of fish, beans, grains, fruit and vegetables and small amounts of red meat may help with arthritis.

6 TRY NEW WAYS TO MANAGE PAIN

Even when you do all of the above there may still be times when you experience arthritic pain. Experiment with techniques to manage it: apply an ice pack, take a warm bath, meditate, try deep-breathing exercises or listen to music.

A new Australian study has found psychotherapy may be an effective intervention for rheumatoid arthritis.

Patients given cognitive therapy showed greater improvements in inflammation and joint tenderness than a control group. Arthritis Research UK believes this shows the importance of psychological and emotional support for patients.

If you feel you'd benefit from counselling speak to your GP about a referral or contact the British Association for Counselling & Psychotherapy (bacp.co.uk).

Talking to other people who share your symptoms and experiences may also help. Below is a list of organisations with forums and phone services that can put you in contact with others.

WHERE TO GO FOR HELP ?

• Visit Arthritis Care

• Visit Arthritis Research UK

• Visit National Rheumatoid Arthritis Society or call 0800 298 7650