Infectious Arthritis?

QUESTION: My mother suffers from rheumatoid arthritis, which flared up
last year when she lost her job. Her doctor prescribed an antibiotic, and
it seems to be working. However, she is worried about taking an
antibiotic every day for years. Any suggestions?

ANSWER: Rheumatoid arthritis can strike at any age, and is often
disabling. Recently, strides have been made in treating this disease,
both in mainstream and alternative medicine, I like to combine both
approaches. Antibiotics can help. Researchers have found that a drug
called minocycline may block enzymes that destroy cartilage inside
joints. It's also possible that certain bacteria in the gut cause the
immune system to overreact and attack its own tissues; antibiotics may
work by killing these bacteria. Several studies have shown exactly this
link.

Because of this, I like to prescribe what I call probiotics, which
are friendly bacteria that actually fight off harmful invaders. They can
also prevent the yeast infections commonly associated with antibiotic
use. I recommend a combination of strains of friendly bacteria. The first
is lactobacillus, the most common form of acidophilus, which colonizes
the small intestine. Two of the best-studied forms are lactobacillus
easel and rhamnosus, both powerful restorative aids. Just as important
are bifidobacteria, which colonize the large intestine. Studies have
shown that they may even help prevent colon cancer. It's also important
to eat a high-fiber diet, which tends to promote healthier bacterial
flora. Flaxseed powder can also enhance the growth of beneficial
bacteria.

I also find other supplements helpful in arthritis. Some of my
patients with this condition have developed food allergies and are
deficient in stomach acid and digestive enzymes. Supplements containing
these substances can help greatly. I also suggest daily doses of vitamin
C and pycnogenol, a powerful anti-oxidant extracted from pine bark.
Fish-oil supplements can also decrease inflammation if taken daily over a
period of months.

Clearly, more research needs to be done on this debilitating
illness, but I am greatly encouraged by the results I've seen using a
combination of mainstream and natural therapies.