Treatment of Rheumatoid Arthritis

Depending on the stage of the disease, treatment of rheumatoid arthritis varies but initial treatment is usually aimed at reducing inflammation while minimizing the side effects of such treatment. The presence of other disorders, particularly liver or kidney complaints, also affects the type of treatment. In some cases, treatment may involve surgery.

Increased nutrient intake

People with active rheumatoid arthritis may have a poor dietary intake due to loss of appetite. At the same time, some of the medications that treat rheumatoid arthritis, such as anti-inflammatory drugs, may increase the requirement for certain nutrients and reduce their absorption.

Like osteoarthritis, weight loss is recommended for overweight and obese people to reduce the stress on inflamed joints. Nutritional guidelines, therefore, focus on eating a varied diet that provides essential nutrients while helping control weight.

• Sufficient intake of vitamin E is important for the health of your joints; vitamin E-rich foods include oils, fish, nuts, and seeds.


• You should also choose foods that provide an adequate intake of B vitamins, vitamin D, calcium, iron, and omega-3 fatty acids.


• Include adequate amounts of antioxidants in your diet.

Maintaining bone density

Rheumatoid arthritis causes bone loss, which can also lead to osteoporosis. Bone loss is more likely with an increasing level of disability, resulting from rheumatoid arthritis and the decreasing level of weight-bearing activity. The use of steroid drugs further accelerates bone loss, particularly in postmenopausal women.

Bone loss can be countered by making sure you consume adequate amounts of calcium (1,000 - 1,500mg per day) and vitamin D (0.01 - 0.02mg per day), either in the diet or by taking supplements.

Exercise and mobility

Pain and stiffness often cause people with rheumatoid arthritis to stop using their inflamed joints. However, such decrease of activity can lead to loss of joint motion and loss of muscle strength, which leads to decreased joint stability and increased fatigue. Exercise can help prevent and reverse these effects, but exercise programs should be designed by a physical therapist and tailored to the severity for your condition, the former activity level, and your body build.

Sardines are good for rheumatoid arthritis

Containing high levels of calcium, iron, B vitamins, and omega-3 fatty acids, sardines on toast makes an easy and nutrition snack.

Omega-3 fatty acids and rheumatoid arthritis

Studies have shown that people with rheumatoid arthritis who were treated with fish-oil supplements for between 3 and 4 months had a reduction in the number of affected joints.

It is thought that omega-3 fatty acids, which are found in oily fish and in some plant oils, might reduce inflammation and help alleviate the troublesome symptoms of rheumatoid arthritis by recuing the number of inflammatory "messenger molecules" made by the body's immune system.

High doses of omega-3 fatty acids should be taken under the supervision of a doctor to prevent side effects or interactions with medications that you may be using to treat rheumatoid arthritis. Eating oily fish, such as tuna, salmon, and mackerel, at least twice a week should be an integral part of your diet if you suffer from rheumatoid arthritis.

Can diet cure arthritis?

Theories abound that eliminating certain foods, such as tomatoes, potatoes, and peppers, taking specific supplements, or adding honey, vinegar, or hers to the diet will alleviate arthritis. However, with the exception of gout, which may benefit from a change of diet, there is no scientific evidence that diet can cure joint disorders.

Tests have shown that diets low in saturated fats, or that include certain omega-3 fatty acids, seem to have a mild anti-inflammatory effect, but there is insufficient evidence that these are useful I the treatment of arthritis. (You should note that cod liver oil is not a source of these oils and should not be taken in large quantities).

Neither is there any evidence that fasting and "cleansing" diets, which are sometimes promoted as methods of treating arthritis, have any long-term benefits. On the contrary, these may lead to malnutrition and health problems.

Glucosamine supplements

There is a certain amount of evidence that glucosamine, in a dose of 1,500mg per day, may help relieve the pain of osteoarthritis, and studies are now underway to try to determine whether this supplement helps preserve or regenerate damaged cartilage. Since glucosamine may affect the action of insulin in the body and may cause digestive upsets and allergic reactions, it should be taken only under medical supervision and avoided entirely if you are pregnant or breast-feeding. The usefulness of other supplements, such as S-adenosylmethionine, chondroitin sulfate, copper, and zinc is uncertain.

Tips for arthritis

If you suspect that a certain food is aggravating your arthritis, try keeping a food diary for a month, writing down everything that you eat and drink, and then see your doctor for advice. If you eliminate a food, be sure to find an alternative source for the nutrients that this food supplies. The best advice is to maintain a healthy lifestyle and eat a balanced diet, choosing foods low in sugar and fat and including a variety of food from the five major food groups every day. Other general dietary tips for people with arthritis include:

• Avoid crash dieting or fasting.


• Increase dietary calcium intake.


• Drink plenty of nonalcoholic fluids.


• Keep within a normal weight range.


• If you do drink alcohol, make sure you do so in moderation.

Cottage cheese on crispbread Maintaining calcium levels is critical for arthritis sufferers, but it is important to choose low-fat dairy products to help control weight.