If you have arthritis and you are looking to control pain without drugs, then the first thing you need to do is  reduce your weight or maintain a normal weight. If you are overweight, weight loss will be the most important thing you can do to improve the level of pain, stiffness and mobility.

A small amount of weight loss can make a significant difference. The best measure of weight in relation to height and general body health is the Body Mass Index (BMI). The normal range is 20-25 and 26-30 is considered overweight and over 31 obese.

Extra weight puts additional stress on weight bearing joints such as knees and hips, and increases the level of pain. It also increases the risk of arthritis. It is not always easy to lose weight if you have arthritis. If your weight remains constant on a particular diet plan, then you are consuming just the right amount of calories to provide for the needs of the body. If you are gaining weight, then you are taking more than your body needs and the extra calories are stored as fat.

To lose weight you need to consume less than your body requires. This way the extra calories needed is obtained from the breakdown of fats stored in the body. Exercise will help you burn fats. it is not as effective as a specific diet plan but will help. It should be incorporated into the whole weight loss plan.

The heavier you are, the more calories you will burn during exercise. Exercise will keep the joints supple, reduce stiffness and tone up supporting muscles. It also makes you feel healtheir and energised.

To assess your progress, evaluate the level of pain, stiffness and mobility before your diet and exercis plan, then make assessmentsat intervals.

Dr.Phil Hariram

Arthritis Guide.

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Christmas is fast approaching and if you go back in time, you will stumble on to Christmas Cards with ruddy faced men having a toast. That was how gout was seen in the old days. Today it is different but sadly gout is increasing globally.

Sidney Smith, a long time ago, described his gout as ‘Walking on my eyeballs.’

Here is a histirical explanation by the clinician, Thomas Sydenham, a gout sufferer.

“The patient goes to bed and sleeps quietly till about two in the morning when he is awakened by a pain which usually seizes the great toe, but sometimes the heel, the calf or the leg or the ankle. The pain resembles that of a dislocated bone…and is immediately succeeded by a chillness, shivering and slight fever.

The pain grows gradually more violent every hour and comes to its height towards evening, adopting itself to the numerous bones of the tarsus and the metatarsus, the ligaments whereof it affects: Sometimes the gnawing of a dog, and sometimes a weight and constriction of the parts affected, which becomes so exquisitely painful as not to endure the weight of the clothes, nor the shaking of the room from a person’s walking briskly therein.”

Hippocrates described gout in men and post-menopausal women. And it was in the nineteenth century that it was known that gout was due to high concentration of uric acid in the blood.

Dr.Phil Hariram,

Acid Reflux Guide.

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