Authors: Carol Svec
FOR RHEUMATOID ARTHRITIS
GLA
(gamma-linolenic acid). This fatty acid is found in evening primrose oil, borage oil, and black current oil. Studies show that GLA seems to reduce pain, joint tenderness, and morning stiffness of rheumatoid arthritis by suppressing certain inflammatory substances. Recommended dosage is between 1 and 3 grams per day. Because the action of this supplement may interfere with certain medications, always talk with your doctor before taking GLA.
Follow this program if you have osteoarthritis, rheumatoid arthritis, or other arthritis (except gout—see Chapter 8 for more information).
STEP 1…
START WITH THE BASICS
These are the first things you should do to take control of inflammation, which feeds your arthritis pain:
- See a doctor if you have new or uncontrolled joint pain. It is important to get early and effective treatment for arthritis.
- Ask your doctor about whether taking omega-3 fish oil supplements makes sense for you.
- If you smoke, quit.
- Begin a program of gentle, low-or no-stress exercise.
- Drink plenty of water.
- Avoid foods high in saturated fats, trans fats, and omega-6 polyunsaturated fats.
- Avoid sugary and refined carbohydrate foods.
STEP 2…
YOUR ULTIMATE GROCERY LIST
This list contains foods with high levels of nutrients that help reduce inflammation and control arthritis pain, plus some foods used as ingredients in the meal plans and recipes. You don’t have to purchase every item…but these foods should make up the bulk of what you eat for the week. If you find yourself getting bored with familiar items, try something new—perhaps a curry recipe like the Slow-Cooker Chicken Curry and Vegetables. If you have gout, limit your portions of foods marked with an asterisk.
FRUIT
Apples with skin (especially Red Delicious)
Apricots
Berries (blackberries, blueberries, boysenberries, elderberries, lingonberries, raspberries, strawberries)
Cantaloupe
Cherries
Clementines
Cranberries
Currants, black
Grapefruit (and juice)
Grapes (black, red, purple)
Guava
Kiwi
Lemons (and juice)
Limes (and juice)
Lychees
Mangos
Nectarines
Oranges and juice (especially blood oranges)
Papaya
Peaches
Persimmons
Pineapple
Plums
Tangerines
Watermelon
VEGETABLES
Asparagus*
Beans, green,
Beans (kidney, white)
Beets, red
Broccoli
Brussels sprouts
Cabbage (including Chinese, red, purple)
Carrots
*Cauliflower
Celery
Chickpeas (garbanzo beans)
Chives
Collard greens
Corn
Eggplant
Horseradish root
Kale
Kohlrabi
Leeks
Lettuce
*Mushrooms (especially shiitake)
Mustard greens
Okra
Onions (red, yellow, white)
*Peas, sugar snap
Peppers, (hot; yellow/red/green)
Potatoes, sweet
Potatoes, white
Pumpkin (fresh, 100% pure canned pumpkin)
Rhubarb
Rutabagas
Seaweed
Snow peas
Soybeans (edamame)
*Spinach
Squash, summer
Squash, winter (especially butternut)
Swiss chard
Tomatoes (including red ripe tomatoes, cherry tomatoes, green tomatoes)
Turnip greens
Watercress
SEAFOOD
*Anchovies
Cod
Crab
*Herring
*Mackerel (not king)
Oysters (including Pacific)
Salmon, wild (with bones)
*Sardines (with bones)
Shrimp
Tilapia
Trout, rainbow
Tuna (canned light)
LEAN MEATS/EGGS/SOY FOODS
*Beef, lean
*Chicken breast
Eggs, omega-3-fortified
Turkey
NUTS AND SEEDS (PREFERABLY UNSALTED)
Brazil nuts
Butternuts (white walnuts)
Flaxseed, ground
Walnuts
WHOLE GRAINS
Breads, whole wheat (including crackers, buns)
Cereal, fortified whole grain
Pasta, whole wheat
Rice, brown
Wheat germ
DAIRY
Cheese, feta, reduced-fat
Cheese, Parmesan
Cottage cheese (fat-free, 1% reduced-fat)
Margarine spread, vitamin D-fortified, soft tub, trans fat-free
Milk, fortified (fat-free, 1% reduced-fat)
Soy milk, enriched/ fortified
MISCELLANEOUS
Allspice
Baking powder
Basil, fresh
Cilantro, fresh
Cinnamon, ground
Cocoa powder, unsweetened
Flour, whole wheat
Garlic
Ginger, fresh and ground
Honey
Hot sauce
Mayonnaise, reduced-fat
Oil, canola
Oil, flaxseed
Oil, olive
Oil, walnut
Pepper, black
Sugar, white and brown
Sugar substitute
Tea (black, green)
Turmeric/yellow curry powder
Wine, red
STEP 3…
GOING ABOVE AND BEYOND
If you want to do everything you can for arthritis pain and stiffness, here are some additional things you might try:
- If you have osteoarthritis, ask your doctor about what supplements you might try. The ones with the best track record are glucosamine with chondroitin sulfate, omega-3s, and SAMe. (See the Supplements section, Chapter 8, for cautions and more information.)
- If you have rheumatoid arthritis, ask your doctor about what supplements you might try. The ones with the best track record are GLA and omega-3s.
- Incorporate ginger and turmeric into your recipes and meals.
- Consult a qualified acupuncturist about pain relief.
- Try to find ways to reduce stress, which can amplify pain and even trigger flares of rheumatoid arthritis.
A GINGER PRIMER
Ginger is a versatile spice that has antiinflammatory properties. It can be used in any course, from appetizers to dessert. Look for fresh ginger in the produce section of most grocery stores—it is a tan root about the size of very fat fingers. Powdered ginger, found in the spice aisle, is used most often in baking and gives a stronger taste to foods—do not automatically substitute the same amount of powdered ginger for fresh ginger. A common accompaniment to sushi, pickled ginger (also called
gari
) is made by soaking thin slices of fresh ginger in rice vinegar and sugar for a week or longer. Candied or crystallized ginger is sweet, and can be eaten as an occasional treat, or baked in cakes and muffins.
STEP 4…
MEAL PLANS
These sample menus include foods that have been shown to help ease inflammation and arthritis pain, specifically: antioxidants, omega-3 fats, vitamin D, and inflammation-reducing spices.
Every day, choose
one
option for each of the three meals—breakfast, lunch, and dinner. Then, one or two times per day, choose from a variety of my suggested snacks. Approximate calories have been provided to help adjust for your personal weight-management goals. If you find yourself hungry (and if weight is not an issue), feel free to increase the portion sizes for meals and snacks. Beverage calories are
not
included. I encourage you to drink plenty of water, and to incorporate a daily cup or two of green tea.
BREAKFAST OPTIONS
(Approximately 300 to 400 calories)
Vanilla Pumpkin Breakfast Pudding
1 cup fat-free vanilla yogurt mixed with ½ cup canned 100% pure pumpkin puree and topped with 2 tablespoons chopped walnuts and 1 tablespoon wheat germ.
Scrambled Eggs with Tomatoes, Mushrooms, and Onion
Beat 1 whole omega-3-fortified egg with 2 or 3 egg whites. Cook in hot skillet coated with nonstick cooking spray; add 2 tablespoons each chopped tomato, sliced mushrooms, and sliced onion (preferably red). Serve with toasted whole grain English muffin, dry or with 1 to 2 teaspoons soft tub, reduced-fat, trans fat-free margarine spread.