The news reported today that the misuse of pain relief drugs and how there is an increase in people being addicted to drugs with codeine in them. An in-depth report interviewed people with addictions to opioid drugs. They reported mindfulness techniques are being used for some to try to help them deal with pain. This was refreshing and hopeful.
Charlie and Steff on BBC Breakfast interviewed a GP live on the sofa. The GP welcomed a review into these drugs. She said that if someone is prescribed morphine for pain relief it only takes 72 hours to become addicted! She also admitted GPs sometimes have no choice to prescribe these drugs because they have no alternatives. Many of the previous pain relief meds have been taken off the market due to side effects. I think GPs can recommend other routes such as the mindfulness the news report had just spoken about. Diet may support pain relief, exercise, massage, physio and talking therapies may also be very helpful. Dr Chatterjee is a GP who promotes these routes of health as opposed to the drug route. He is also rolling out his approach to GPs to help them improve their patient’s health.
Resources are scarce for these therapies in the NHS however, the waiting lists are long if they are available. However, if they invested more in diet and lifestyle changes than in drugs perhaps there might be better outcomes for individuals and health of the UK as a whole.
Supplements and lifestyle are options try for pain management. This blog is focusing on some nutrients I have tried myself for frozen shoulder.
There is so much talked about with curcumin, it almost feels it could be a fad. However looking at research and clinical evidence it suggests turmeric may be supportive for pain. I take for the pain and if I don’t take it I notice, so it’s doing something.
A recent systematic review and meta-analysis of randomised clinical trials found turmeric and its pain relieving properties had value however they did state there is not enough of these trials to make a firm conclusion of its effect.
How does it work?
Similarly, to non-steroidal anti-inflammatories like ibuprofen and aspirin. Curcumin blocks the pathway that drives inflammation. Inflammation that is in overdrive causes constant pain. The problem with turmeric it is hard to absorb, it is a huge molecule that cannot pass the lining of the stomach due to its size and it molecular make-up. However fat and black pepper can aid the absorption. Supplement companies also produce products that enable it to pass through the stomach and then reach the bloodstream.
Cooking with turmeric is useful, it is difficult to say how much pain relief it will have at culinary level. Always pair it up with fat and black pepper as stated. Curries are a great way to incorporate it. I also make scrambled eggs with turmeric and add it to smoothies and even my porridge.
Ginger also had pain relief qualities similar to turmeric. A lovely food study showed one patient lightly cooked 50g ginger per day. 6 more took 5 g per day of fresh ginger or 0.1 to 1g of dried powdered ginger. Even though there was a difference in dosage all reported a reduction in pain, swelling and stiffness in the morning. So, get the ginger in. Grate over fish, chicken in curries and make fresh ginger tea.
This is found in pineapple and is known as an enzyme. It acts by breaking down inflammatory compound such as fibrin ( build up of scar tissue), fibrin may lead to inflammation that causes pain and swelling. Bromelain is usually found in a supplement and often is combined with turmeric.
Overall evidence demonstrates that fish oils may be effective with people in Rheumatoid Arthritis not so much on Osteoarthritis. Studies have shown a reduction in NSAIDs whilst taking fish oils and an improvement in symptoms. It is important if taking a fish oil supplement to source the best quality. Fish oils again work in a similar manner, they have been shown to block an inflammatory pathway and also increase anti-inflammatory substances within the body.
Rosehips contain a type of galactolipid that has anti-inflammatory action. Galactolipids are found in the cell membrane of plants. Extracts of rosehips and been used to make a powder and have captured the anti- inflammatory properties of galactolipids. Rosehip is also rich in Vitamin C. According to artritis.co.uk “A 2008 meta-analysis of three clinical trials showed rose hips powder reduced hip, knee and wrist pain by about one-third in nearly 300 osteoarthritis patients and a 2013 trial found that conventional rose hips powder relieved joint pain almost as effectively as an enhanced version. In a 2010 trial of 89 patients, rose hips improved rheumatoid arthritis symptoms better than a placebo”
Other diet and Lifestyle options
Eating an anti-inflammatory diet with quality proteins, fats and complex carbohydrates with plenty colour goes a long way to supporting health. Incorporating exercise, gentle if needed, ensuring good quality sleep and finding me time are also ways that may improve overall quality of mind and body. Seek advice from GP and a nutritional therapist about alternatives to pain relief.