Category Archives: arthritis

Reseach: Singing Lowers Patient’s Blood Pressure Prior to Surgery

This research highlights the amazing power within. When we focus our intention on healing ourselves with action steps blood pressure can be reduced and many ailments can even be healed. Singing, that worked, not the drugs. Tap into the healing within you and amaze yourself.

Singing May Offer Alternative Therapy for Chronic Pain; Surgical Interventions in Osteoarthritis

Doctors report that singing reduced the blood pressure of a 76-year-old woman who had experienced severe preoperative hypertension prior to total knee replacement surgery for osteoarthritis (OA). While the patient was unresponsive to aggressive pharmacologic interventions, the woman’s blood pressure dropped dramatically when she sang several religious songs. This case-report appears in the April issue of Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology (ACR).

Traditional therapy for preoperative hypertension, doctors say, involves drug-based therapies that include diuretics, beta blockers, calcium-channel blockers, and angiotensin-converting enzyme (ACE) inhibitors. These medications are used to lower blood pressure to acceptable levels for surgery, however, a number of patients do not respond to these treatments. In patients unresponsive to standard therapies, as in the current case study patient, alternative hypertension interventions are needed.

“Several studies suggest that listening to music can be effective in reducing blood pressure by calming or diverting patients prior to surgery, which lessens stress and anxiety,” explains lead author Nina Niu, a researcher from Harvard Medical School in Boston. “Our case study expands on medical evidence by showing that producing music or singing also has potential therapeutic effects in the preoperative setting.”

The current case subject was a 76-year-old woman from the Dominican Republic who had hypertension and a 15-year history of bilateral knee OA. The patient was treated with ACE inhibitors and calcium-channel blockers for high blood pressure and diclofenac, a non-steroidal anti-inflammatory drug (NSAID), for knee pain. She was accepted into Operation Walk Boston, a philanthropic program providing total join replacement to poor Dominican patients with advanced OA of the hip or knee. The case study authors served as members of her medical team.

Upon admission to the hospital for surgery the patient’s blood pressure was 160/90 mm Hg, controlled by her normal regimen of nifedipine and lisinopril. In the preoperative area, the woman’s blood pressure increased to 240/120 mm Hg and persisted, requiring doctors to postpone surgery. The Operation Walk medical team was onsite site at the Dominican hospital for a limited time; therefore it was imperative that the patient’s blood pressure be reduced so surgery could proceed.

The patient asked doctors if she could sing, which the patient reported doing frequently to calm herself down and to help with sleeping. The medical team encouraged her to so, and after two songs checked her blood pressure which had lowered to 180/90 mm Hg. With continued singing for 20 minutes, the patient’s blood pressure remained lower and persisted for several hours after. As instructed by doctors, the patient sang periodically through the night which kept her blood pressure at acceptable levels. The following morning, the woman was cleared for knee replacement surgery, which was successful and without complications.

Niu commented, “Singing is simple, safe, and free. Patients should be encouraged to sing if they wish.” This single case study showed the positive effective of singing in reducing blood pressure and controlling pain. “To be formally considered as an alternative therapy for the OA patient population, larger studies are needed to explore the effects of signing on hypertension and chronic pain relief,” said Niu.

Minorities hit hardest by arthritis

If the following article, below, is true, then don’t wait to be a statistic. What are willing to do, to make a difference in your life? Start now to change your diet, begin now to exercise more and walk more. Surround yourself with people who also want to live healthier, create a support team. Claim your power to live in ways that produce well-being.

Minorities hit hardest by arthritis

The burden of arthritis is greater for African Americans and Hispanics, despite lower prevalence among these groups according to a Centers for Disease Control and Prevention (CDC) report published in the May issue of Preventing Chronic Disease. According to the Arthritis Foundation, these findings suggest a critical need to expand the reach of effective strategies aimed at arthritis prevention and management, particularly among groups bearing a disproportionate burden.

The report finds that the prevalence of activity limitation, work limitation and severe joint pain are significantly higher among African Americans and Hispanics. These two groups are nearly twice as likely as whites to have severe joint pain and work limitations and 1.3 times as likely to have activity limitations.

“Arthritis is a debilitating disease that profoundly impacts the lives of millions of Americans on a daily basis,” said Dr. Patience White, vice president of public health for the Arthritis Foundation. “The effects of the 46 million Americans with arthritis on the economy are enormous; the direct and indirect medical costs of this disease are estimated to be $128 billion each year.” With the aging of the baby boomer population, the prevalence of arthritis is expected to rise significantly from 46 million Americans to 67 million Americans by 2030, adds White.

Fortunately, there are simple steps everyone can take to prevent and decrease the pain and disability of arthritis. Small amounts of weight loss and physical activity can make a big difference. For example, for every one pound of weight loss, there is a four-pound reduction in the load exerted on each knee. In addition, safe and effective self-management education programs are available. People living with arthritis can benefit from participating in one of the Arthritis Foundation’s exercise or self-management programs, such as the Arthritis Foundation Walk With Ease Program, Arthritis Foundation Aquatic Program, Arthritis Foundation Exercise Program, and Arthritis Foundation Self-Help Program.

Research Favors Vegan Diet in Patients with Rheumatoid Arthritis

Gluten-free vegan diet induces decreased LDL and oxidized LDL levels and raised atheroprotective natural antibodies against phosphorylcholine in patients with rheumatoid arthritis: a randomized study.

Arthritis Res Ther. 2008 Mar 18;10(2):R34

ABSTRACT: INTRODUCTION: The purpose of this study was to investigate the effects of vegan diet in patients with rheumatoid arthritis (RA) on blood lipids oxidized low-density lipoprotein (oxLDL) and natural atheroprotective antibodies against phosphorylcholine (anti-PCs). METHODS: Sixty-six patients with active RA were randomly assigned to either a vegan diet free of gluten (38 patients) or a well-balanced non-vegan diet (28 patients) for 1 year. Thirty patients in the vegan group completed more than 3 months on the diet regimen. Blood lipids were analyzed by routine methods, and oxLDL and anti-PCs were analyzed by enzyme-linked immunosorbent assay. Data and serum samples were obtained at baseline and after 3 and 12 months. RESULTS: Mean ages were 50.0 years for the vegan group and 50.8 years for controls. Gluten-free vegan diet induced lower body mass index (BMI) and low-density lipoprotein (LDL) and higher anti-PC IgM than control diet (p <0.005). In the vegan group, BMI, LDL, and cholesterol decreased after both 3 and 12 months (p <0.01) and oxLDL after 3 months (p = 0.021) and trendwise after 12 months (p = 0.090). Triglycerides and high-density lipoprotein did not change. IgA anti-PC levels increased after 3 months (p = 0.027) and IgM anti-PC levels increased trendwise after 12 months (p = 0.057). There was no difference in IgG anti-PC levels. In the control diet group, IgM anti-PC levels decreased both after 3 and 12 months (p <0.01). When separating vegan patients into clinical responders and non-responders at 12 months, the effects on oxLDL and anti-PC IgA were seen only in responders (p <0.05).

CONCLUSION: A gluten-free vegan diet in RA induces changes that are potentially atheroprotective and anti-inflammatory, including decreased LDL and oxLDL levels and raised anti-PC IgM and IgA levels

A vegan diet free of gluten improves the signs and symptoms of rheumatoid arthritis: the effects on arthritis correlate with a reduction in antibodies to food antigens.

Rheumatology (Oxford). 2001 Oct;40(10):1175-9.

Department of Rheumatology, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden.

OBJECTIVE: Whether food intake can modify the course of rheumatoid arthritis (RA) is an issue of continued scientific and public interest. However, data from controlled clinical trials are sparse. We thus decided to study the clinical effects of a vegan diet free of gluten in RA and to quantify the levels of antibodies to key food antigens not present in the vegan diet. METHODS: Sixty-six patients with active RA were randomized to either a vegan diet free of gluten (38 patients) or a well-balanced non-vegan diet (28 patients) for 1 yr. All patients were instructed and followed-up in the same manner. They were analysed at baseline and after 3, 6 and 12 months, according to the response criteria of the American College of Rheumatology (ACR). Furthermore, levels of antibodies against gliadin and beta-lactoglobulin were assessed and radiographs of the hands and feet were performed. RESULTS: Twenty-two patients in the vegan group and 25 patients in the non-vegan diet group completed 9 months or more on the diet regimens. Of these diet completers, 40.5% (nine patients) in the vegan group fulfilled the ACR20 improvement criteria compared with 4% (one patient) in the non-vegan group. Corresponding figures for the intention to treat populations were 34.3 and 3.8%, respectively. The immunoglobulin G (IgG) antibody levels against gliadin and beta-lactoglobulin decreased in the responder subgroup in the vegan diet-treated patients, but not in the other analysed groups. No retardation of radiological destruction was apparent in any of the groups.

CONCLUSION: The data provide evidence that dietary modification may be of clinical benefit for certain RA patients, and that this benefit may be related to a reduction in immunoreactivity to food antigens eliminated by the change in diet.