444 Pain & Inflammation Protocol [30 Oct 2017]

A webinar by Philip Rouchotas ND of Bolton Naturopathic Clinic in Ontario described his treatment protocol for pain and inflammation. He also explained in some detail the rationale and science behind each item. Most of his patients with pain and inflammation have an autoimmune disease where the body produces antibodies which attacks its own tissues. And a common factor in most autoimmune disease is a hyperpermeable intestinal wall, also known as a “leaky gut”.

Here is a summary of his protocol:
• Eliminate dietary proteins that promote leaky gut and the autoimmune response. Gluten and gliadins from grains and casein from dairy are the most common culprits. Human studies show significant improvements with elimination diets for many autoimmune diseases. Because of the inconvenience, Dr. Rouchotas doesn’t recommend everyone eliminate grains and dairy, but anyone with an autoimmune disease is advised to do a trial even with negative allergy tests. He describes it as “the single most effective intervention for autoimmune disease I know”.
• Vitamin D acts as an immunomodulator, reducing the autoimmune process by increasing production of regulatory T cells (Tregs), while at the same time improving the immune system’s ability to fight infections [see #363 March 2016]
• Probiotics help restore a healthy gut microbiome, reducing the production of lipopolysaccharides (LPS) which cross the leaky gut inducing an autoimmune reaction
• Fish oil (at least 2,000 mg/day of EPA+DHA) replaces some of the arachidonic acid in the (COX) and (LOX) pathways, reducing production of pro-inflammatory prostaglandins and leukotrienes. A meta-analysis found that fish oil reduced joint pain, morning stiffness, and need for NSAIDS.
• Curcumin and Boswellia are the only herbals known to block both the COX and LOX pathways, thus providing double anti-inflammatory protection (Tylenol blocks only COX)
• Egg shell membrane (500mg /day) is another natural anti-inflammatory which has shown significant improvement in joint pain and stiffness after 1 or 2 months
• Glucosamine [see #63 March 2011] and chondroitin (1500 and 1200 mg/day) help rebuild cartilage in osteoarthritic joints [see #63 May 2010]
• Enzymes like bromelain and serrapeptase [see #442] taken between meals reduce inflammation

For more information on this or other natural health topics, stop in and talk to Stan; for medical advice consult your licensed health practitioner.