Rheumatoid Arthritis
Eating certain good-for-you foods can help reduce inflammation and ease some of the pain and stiffness that come with RA.
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By
Beth W. Orenstein
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by
Beth Biggee, MDofAmerican College of Lifestyle Medicine
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A number of foods and spices and even green tea can help combat inflammation, which makes them great options for people living with rheumatoid arthritis.
Rheumatoid arthritis (RA)causes pain, swelling, and stiffness in your joints. Along with following your prescribedRA treatmentplan, you may find added relief by making changes to your diet.
“There’s no one food that helps everyone with rheumatoid arthritis,” saysScott Zashin, MD, arheumatologistat Presbyterian Hospitals of Dallas and coauthor ofNatural Arthritis Treatment. But some people feel that eating or drinking certain things and cooking with specific herbs and spices can help reduce inflammation andease joint pain.
A variety of studies have shown that the following foods, herbs, and spices may be helpful formanaging RAsymptoms. You’ll need to experiment to see which, if any, work for you, says Dr. Zashin. And before you make any changes to your diet, be sure to talk to your doctor first to get the green light.
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Fatty Fish
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Wild salmon, herring, mackerel, sardines, anchovies, trout, and other fatty fish are good sources of omega-3 fatty acids, which decrease inflammation and reducesymptoms of RA. Consider eating it twice a week or supplementing with omega-3fish oilcapsules, which can potentially reduce inflammation and slow the progression of RA, according toresearch in Autoimmunity Reviews.
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Turmeric
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Turmericis a deep mustard-yellow spice from Asia that’s in the ginger root family and used in many Indian dishes for color and taste. Turmeric’s main active ingredient is curcumin, which has been shown to reduce inflammation at the cellular level. Prepared mustard is a good source of turmeric and probably the easiest way to get it, Zashin says. He recommends having some yellow mustard or curry at least two or three times a week. According toa study, curcumin can have positive effects on not just RA but also other conditions, such as heart disease and diabetes. Like ginger, though, turmeric can thin your blood, so be sure to talk to your doctor if you take blood thinners.
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Ginger
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Gingerhas long been recognized for its ability to calm the stomach — though it also contains chemicals that may improve RA symptoms. According toa study, supplementing with ginger may help improve immunity and reduce inflammation in people with RA. Some cautions, though: Ginger can thin the blood, so if you’re taking a blood-thinning medication, such aswarfarin (Coumadin), talk to your doctor before adding ginger to your diet; and ginger can also worsen symptoms for some people with gastroesophageal reflux disease (GERD).
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Green Tea
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A cup ofgreen teaa day may keep the joint pain away. Zashin notes that green tea has antioxidant properties, which are helpful in combating disease. One studyfound that green tea offers an anti-inflammatory effect for people with RA because it contains catechins, which are antioxidants. But green tea also contains small amounts of vitamin K, which can counteract certainblood thinners. That makes it important to talk to your doctor before adding the drink to your RA treatment regimen if you take blood thinners.
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Fresh Coriander
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This green, curly-leafed herb goes by different names — coriander, cilantro, Chinese parsley — and it’s a staple in Mexican, Thai, and other cuisines. Some people say it also helps their RA symptoms. Coriander was among the many nutraceuticals (food extracts) shown to have a beneficial effect on chronic inflammatory diseases like RA, according toa study.
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Pineapple
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“It’s not thepineapplethat’s so exciting but the stem,” Zashin says. That’s because the stem contains the most bromelain, a digestive enzyme that has been shown to reduce inflammation inpeople with conditions like RA or osteoarthritis. Because the stem isn’t edible, though, you can boost your intake by taking bromelain supplements in capsule or pill form.A study found that bromelain has anti-inflammatory effects on conditions such as arthritis. Zashin says further studies are needed and cautions, “Always talk to your doctor before using any supplement, becausedietary supplementscan interact with your prescription medications.”
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Parsley
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The ubiquitous garnish on restaurant entrées, parsley has been shown to have powerful properties. It contains the flavonoid luteolin, anda study reported that this and other flavonoids help block inflammatory proteins. Further studies of parsley’s effects on people are needed, but the easy-to-grow herb is another anti-inflammatory food that just might help reduce pain and stiffness while brightening up your salads.
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Sour Cherries and Pomegranates
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Both of these fruits contain the flavonoid anthocyanin. According toa review in the journalNutrients, cherries contain antioxidant and anti-inflammatory properties, which help combat chronic conditions such as RA. Zashin is a proponent of tart or sour cherries for symptom improvement. Sour cherries may also lower levels of nitric oxide, a compound linked to RA, he says. Like cherries,pomegranatesare rich in antioxidants, which can protect your cells from the damaging effects of free radicals.
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Blackstrap Molasses
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Many people with RAswear by blackstrap molasses and have for years, but the scientific research is limited, Zashin says. One reason some suspect molasses may help relieve pain is that it’s rich in vitamins and nutrients, including magnesium, which some research has shown may help preserve nerve and muscle function as well as joint cartilage. For example, one studyfound that magnesium may play an important role in the progression of some inflammatory conditions, such as RA, while a lack of the mineral can cause inflammation. Other goodsources of magnesiuminclude nuts, beans, whole grains, bananas, green vegetables, dairy products, and olive oil.
Additional reporting by Erica Patino.
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Resources
- Petersson S, Philippou E, Rodomar C, Nikiphorou E. The Mediterranean Diet, Fish Oil Supplements and Rheumatoid Arthritis Outcomes: Evidence From Clinical Trials. Autoimmunity Reviews. November 2018.
- Sundar Dhilip Kumar S, Houreld NN, Abrahamse H. Therapeutic Potential and Recent Advances of Curcumin in the Treatment of Aging-Associated Diseases. Molecules. April 5, 2018.
- Aryaeian N, Shahram F, Mahmoudi M, et al. The Effect of Ginger Supplementation on Some Immunity and Inflammation Intermediate Genes Expression in Patients With Active Rheumatoid Arthritis. Gene. May 25, 2019.
- Fechtner S, Singh A, Chourasia M, Ahmed S. Molecular Insights Into the Differences in Anti-Inflammatory Activities of Green Tea Catechins on IL-1ß Signaling in Rheumatoid Arthritis Synovial Fibroblasts. Toxicology and Applied Pharmacology. August 15, 2017.
- Al-Okbi SY. Nutraceuticals of Anti-Inflammatory Activity as Complementary Therapy for Rheumatoid Arthritis.Toxicology and Industrial Health. September 2014.
- Rathnavelu V, Alitheen NB, Sohila S, et al. Potential Role of Bromelain in Clinical and Therapeutic Applications.Biomedical Reports. September 2016.
- Leyva-López N, Gutierrez-Grijalva EP, Ambriz-Perez DL, Heredia JB. Flavonoids as Cytokine Modulators: A Possible Therapy for Inflammation-Related Diseases.International Journal of Molecular Sciences. June 9, 2016.
- Kelley DS, Adkins Y, Laugero KD. A Review of the Health Benefits of Cherries. Nutrients. March 17, 2018.
- Shahi A, Aslani S, Ataollahi M, Mahmoudi M. The Role of Magnesium in Different Inflammatory Diseases.Inflammopharmacology. August 1, 2019.
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