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Showing posts with label Polymyalgia Rheumatica. Show all posts
Showing posts with label Polymyalgia Rheumatica. Show all posts

Wednesday, March 16, 2011

The case of a 70 year old man with an arthritic ankle

"He is an avid golfer still playing several games a week but restricted now to flat courses).   He has had two knee replacements with no problems but is coming off steroids because of a bout of polymyalgae rheumatica.  Now taking 3 and a half mgs a day.   He has a lot of other medication including betaloc, disprin and allopurinol which are a preventative prescription to stave off any nasties I believe.   An x-ray has confirmed his ankle is arthritic.   He likes a daily wine and small beer but has always been a beer drinker.    Any help would be marvellous."


With further questioning, it was confirmed he was on other medication as well: Arrow-Simva simvastatin (40).Betaloc CR 47.5, Aspirin 100MG EC (ethics), Allopurinol 300MG,  prednisone 3and 1/2 daily  ,Etidronate disodium 200MG, calcium carbonate 1 25G
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Gary:
Without knowing the exact sequence of when each drug was prescribed, I am making some assumptions as to what came first, next, then last.

Heart and blood pressure medications are, in my opinion, prescribed with excess.  This may be in response to a perceived "family risk" or raised cholesterol and/or blood pressure even if the elevation is of minimal risk ("to stave off any nasties").  These drugs have many side effects, including upsetting digestion, and weakening joints and muscles by depleting the body of critical minerals and nutrients like Coenzyme Q-10.  Even the Mind is affected.

If a person is at elevated risk of cardiovascular disease, the best course of action is to correct nutrient imbalances and not to medicate.  Medicating without first correcting imbalances within the body is madness.

One of the conditions that we see almost daily from the use of these drugs is disabling muscle and joint pain, often referred to as Polymyalgia or similar.  The standard medical treatment is to place the person on a steroid - usually Prednisone.

Prednisone will give relief for a few months; but at a huge cost.  Prednisone progressively shuts down adrenal function leading eventually to a life threatening condition known as Addison's.  The only treatment is to increase the Predisone.  To stop taking Prednisone can be life threatening.

Prednisone also expedites the loss of bone and the softening of joints.  It is not unusual for those on prednisone to require joint replacement within 5-10 years of use.

The usual treatment to counter the loss of bone is to place the unfortunate person on a drug like Etidronate which effectively kills the bone and to prescribe calcium supplements.  There is evidence that "bone sparing" drugs are associated with increased fracture risk from about four years of use (this is all documented on my blog in many articles about drugs for osteoporosis).

Excess calcium circulating via bone loss and calcium supplements will increase the rate of calcification of the blood vessels and joint tissues (arteriosclerosis and arthritis).  This is medical madness when drugs have been prescribed to treat a perceived or real cardiovascular condition.

As in the case of our 70+ year old man, you can see the process by which one drug is added onto another.  Never, it seems, is a drug that may be causing harm withdrawn.  Diseases, such as osteoporosis, are being caused by drugs where good health once dominated.  One can only speculate as to why these drugs are dished out with scant regard for the health consequences.  Is it outright ignorance?  Is it due to brain-washing by the drugs industry?  Is it the convenience of a quick-fix?  Is it the money (prescribing drugs is highly profitable)? Is it because the act of withdrawing a drug that is causing harm implying culpability by the prescriber (safer to cover your tracks by giving the drug-induced condition an important name like "polymyalgia rheumatica" and prescribing another drug)?  Whatever the reason may be, the end result is a person who is falling apart while drugged out on as many as a dozen different highly expensive medicines.

There are three steps this man can take to rescue his health:

  • Consult his doctor about a progressive withdrawal of all the medication he is on.  Ones like the calcium, the Etidronate and the statin can be withdrawn immediately without any risks at all - other than feeling better.  Set a timetable no longer than three months for the lot.  If the doctor objects, listen to what he has to say carefully.  If you are not satisfied, or unconvinced, I recommend you change doctors without hesitation.
  • Commence immediately a course of Coenzyme Q-10 and an adrenal recovery programme (You will need my assistance with this).  These are complimentary to your current and any ongoing medication and will prepare the way for getting off Prednisone which is the most delicate challenge ahead.
  • Complete a Hair Tissue Mineral Analysis and act on the results.




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Monday, February 23, 2009

Prednisone, Polymyalgia Rheumatica and Adrenal Fatigue

"My question is about a "syndrome" my mother has been diagnosed with and still struggles with even despite my recommendations, she has been on prednisone for at least 8 months now. The Rheumatologist diagnosed her with Polymyalgia Rheumatica which as far as I'm concerned is just a fancy name for a lot of muscular pains in different places in the body.

She is 68 yrs. old, overweight, overly stressed because she was a caregiver of my 94 yr. old grandmother who just passed away and before that helped take care of my grandfather who passed away 6 yrs ago. Being a caregiver induced incredible amounts of stress despite the fact that she is a pathological worrier and doesn't sleep. She takes prednisone (being tapered off), toprol for an arrythmia and had been hospitalized about 1 yr. ago for passing out with no know etiology.
Might you have some nutritional recommendations?"

Nancie, USA
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Gary:
Nancie; You are right: Polymyalgia Rheumatica is a fancy word that is part of the process to disempower the patient and render them to a state of dumb compliance.  This is necessary to get away with administering dangerous drugs such as prednisone and Toprol.  Both drugs would be either temporary (like a few weeks) or completely unnecessary if the causes and not the symptoms were properly treated.  Gosh!  I am getting cynical.

Cynical because in the best part of 30 years, I have yet to see any real cases where drugs have been anything other than short term benefit for cases such as your mother.

It is most likely that the constant stress that you describe has caused a condition in your mother called Adrenal Fatigue.  Her heart issues are probably symptomatic of an adrenal cortisol insufficiency: Toprol merely blocks the symptoms.

Prednisone works for muscle pain when there is adrenal insuficiency because it is a synthetic source of natural cortisol that is produced by healthy adrenals.   Muscle pain and fatigue is one of the symptoms of cortisol insufficiency. The problem is that prednisone causes the adrenals to further shut down production of cortisol, causing increasing dependency on the drug.  The final result (before death) is a condition of complete adreal shutdown called "Addison's Disease".

Your mother needs to steadily reduce her dose of prednisone.  Better still, she can switch to cortisone (5ml of cortisone = 1ml of prednisone).  It is easier to minutely reduce the doses with cortisone.  This needs the cooperation of her doctor.  Stopping this drug suddenly is not an option - Okay!  Stopping the Toprol is easier but still best done under medical supervision.

Adrenal fatigue is a widespread condition that you and your mother need to get a thorough understanding of.  The first step is to get a copy of Adrenal Fatigue by Dr Wilson.  This excellent book explains the condition and guides the reader, step-by-step, through the steps taken to achieve recovery and restore full health.  It includes the dietary advice that you have inquired about.

Once your mother has read the book, she can decide, based on the information provided, whether or not to commence Dr Wilson's recovery programme.  I can assist with that including providing Dr Wilson's specially formulated adrenal products - Distance is no barrier.


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