Monday, June 3, 2013

Various Over the Counter Gout Medication


Gout is one of the most severe types of arthritis among almost 100 types of arthritis. It is known as the metabolic arthritis and it is caused by the disturbed uric acid metabolism in the body. When too much uric acid builds up in the body, the formation of the tiny uric acid crystals begins to take place around the tendons and the tissues surrounding the joints. Gout is a serious concern for a large number of people these days. As a fact, most men after their 50 and most women after their menopause are the potential victims of the gout problems.

The most common and traditional symptoms of the gout are the acute pain in the joint areas, the intense swelling and the feeling of discomfort in the big toes. The big toes are the areas where the symptoms of the gout attack are first manifested in almost 75 per cent cases of the gout. So, any discomfort in the areas can be alarming. The redness, the tenderness of the skin and the heat felt on the gout affected areas are some of the common symptoms of gout. Sometimes, the growth of the uric acid crystals progresses to the point that it bursts through the skin to cause the discharge of a white chalk-like material. This is yet another gout symptom. The affected areas can be sensitive to a point where slight touch can affect the areas and an acute pain can be felt. Some patients of gout can have low degree fevers with nausea and vomiting. But these symptoms might not prevail in all gout patients. For some patients, the attack of gout can last for few hours and for some others the attack can last for even a few days.

There are various types of medications available for the gout patients. There are a number of over-the-counter medicines available to which the patients can have access to. Many medications are administered by the physicians according to the disease stage and an individual's response to disease. Most of the over-the-counter medicines are anti-inflammatory and analgesic agents. These are not recommended for the long-term use and they can only reduce the pain and inflammation for a short while. Indomethacin, the NSAID or the Intra-Articular Glucocorticoids are used as the over the counter medicines when they are administered through the joint injection.

Among the over-the-counter medicines available for the disease, Colchicine is most widely used. This is basically used for the weakening of the motility of granulocytes. The over the counter medications for the gout can also alleviate the pain and the inflammation. But one should be aware of the fact that these over the counter medicines for the gout can cause some side effects like diarrhea and nausea. So, if wish to discover the best over the counter medicine for the disease, it is better to consult your health professional to seek the expert advise.

Recognize Three Common Symptoms of Arthritis


There are many orthopedic diseases that people suffer from today in the world and one of the most common of these is Arthritis. But unlike other forms of bone disease this one doesn't affect just the elderly some young people can suffer from it also. However, before this disease can be treated the symptoms of arthritis need to be confirmed.

In that there are many different types of arthritis that one can suffer from one need to understand that there are different symptoms associated with them. There are some symptoms that are common to all forms of arthritis and these are what are often used in helping doctors to diagnose exactly what form of this disease a person is suffering from.

So what are the most common symptoms of arthritis that a sufferer may have? Below we take a brief look at them.

1. Often a person suffering from any form of arthritis will complain that their joints feel stiff and they also feel swollen. But it isn't just the joints where these symptoms will occur it will also happen to other parts of the body that are close to the affected joint such as the cartilage, the joints connective tissue and the linings. Plus in some cases the surrounding muscles may also be affected.

2. Another symptom that is associated with the various forms of arthritis that one can suffer from includes the area affected feeling tender and sometimes warm to the touch. Plus the area affected may also look red. Again these symptoms of arthritis may not only affect the area concerned by some of the surrounding area as well.

3. Along with the symptoms of arthritis we have mentioned above there are others that some sufferers may have to deal with. In some cases they may find themselves feeling tired often, they suffer from fevers or rashes and in some cases sufferers find themselves losing weight as a result of them losing their appetite. Certainly in younger people they may the form of arthritis they develop causes rashes to appear on their legs and arms or they suffer from anemia.

Rheumatoid Arthritis: Energy Conservation For Our Patients Part 1


It is a common occurrence during the earlier stages of the rheumatoid arthritis disease that the patient with the new diagnoses will try to resume their previous tasks, roles and habits as much as possible, in a bid to return to normal. Often they end up trying too hard and injures or aggravates their affected joints.

Energy conservation, at all stages of rheumatoid arthritis is important, and when combined with the joint protection program, will result in better preserved and protected joints for the patient with rheumatoid arthritis.

Energy Conservation Program

1. in between tasks and activities for the waking day, at least 60 minutes should be purely for resting. This is best when scheduled right in the middle eg work 9 am to 1 pm, rest 1 - 2 pm, continue work from 2 pm - 6 pm.

2. the needs to be a balance struck between activity and rest, we can call this microbreaks eg working for 20 minutes continuous before taking a short stretch for 1-2 minutes to rest the joints and muscles

3. scheduling and pacing work, that there is an adequate mix of heavy and light work at a time, not a pure stretch of 2 hours of heavy work etc

4. whenever possible, use leverage to help. This can be in the form of technology such as using the computer to type instead of using pen and pencils, using a car to travel instead of walking long distances, or even asking for manual help when required to carry heavy objects

5. plan and arrange the physical environment eg at home or at the work place for equipment, materials, items to be within easy reach, waist height, not overly high or low to minimize climbing and crouching

6. it would be best if the patient with rheumatoid arthritis be allowed to continue her past occupations in a seated manner rather in standing manner, to preserve and protect her joints and energy as much as possible

7. patient should educated and understand that they should accept help whenever possible or necessary especially when it is heavy and difficult to maneuver

8. and to maintain focus primarily on the most important tasks of their jobs or roles, and to remove and eliminate tasks or activities that are not pertinent for them to do eg being a mother doesn't mean she has to help her children (assuming they're young) with their school work or carry their heavy bags or books

Fish Oil Supplements in the Treatment of Arthritis


The term 'arthritis' describes a wide range of diseases that affect the joints. Osteoarthritis, also referred to as degenerative arthritis, is by far the most common form. Inflammatory arthritis is a general term for many different arthritic diseases in which the specific joints are inflamed.

Generally, all forms of arthritis, which in addition to osteoarthritis and inflammatory arthritis include rheumatoid arthritis, arthritis caused by gout or infection, septic arthritis, reactive arthritis and Reiter's syndrome, are characterized by joint pain, swelling and stiffness, and a reduced range of motion in a joint. Chronic dietary deficiencies in which such vital nutrients as vitamins, antioxidants, minerals and omega 3 fatty acids inhibit the body's ability to repair the damage caused by stress in the joints, injuries, repetitive motions or the relentlessness of aging. Being overweight also contributes to the problem, as it puts inordinate stresses on the weight-bearing joints. Lack of exercise is another problem.

Because of the great number of people afflicted by this condition - over 40 million Americans alone - there is always a number of ongoing clinical laboratory trials, and continuous research by drug companies, hospitals, and universities to find ways of curing the disease or ameliorating its effects. There are also any number of companies selling cures of all kinds. It can be a daunting task to separate fact from hype. Where lies the truth?

We'll take a look at the benefits of fish oil supplements, one of the more well-tested and proven remedies which works to relieve the pain of arthritis by reducing the inflammation that causes the flare-ups. For sufferers, there is some encouraging evidence from a number of independent laboratory studies, animal studies, and clinical trials about the potential usefulness of fish oil, or omega-3 supplements, for various aspects of arthritis and the joint pain that characterizes it.

Fish Oil - Its Potential

The pain of, for example, Rheumatoid arthritis is thought to result, at least in part, from an over activity of the inflammatory agents found in Arachidonic Acid. Arachidonic acid is an unsaturated fatty acid that the body uses to synthesize regulatory molecules. It is a form of Omega 6 fatty acid, which is a good fat and is essential to good overall health. It does, however, play a central role in the inflammation related to many chronic conditions. Individuals suffering from joint pains or active inflammatory disease may find that increased consumption of arachidonic acid (various vegetable oils are excellent sources of it) exacerbates their symptoms, the likely reason being that more of it is readily converted into inflammatory compounds.

Fish oil is comprised of the Omega 3 fatty acids EPA and DHA which are well documented to have anti-inflammatory properties. Balancing Omega 6 fats with more Omega 3 fats will significantly reduce the amount of inflammation in your body. The main ingredients of fish oils are also reputed to reduce the chances of breast, colon and prostate cancer where the fatty acids may halt the development of a cancerous mass from healthy cells, inhibit cell growth and cause the death of cancer cells. Though less well studied, there is also evidence that fish oil may be instrumental in preventing certain types of depression including schizophrenia, bipolar disorder and attention deficit disorder. It may also helpful in treatment of the Huntington's disease, inflammatory bowel disease, systemic lupus and other inflammatory conditions.

It is difficult to get therapeutic amounts of fish oil by eating fish alone. Most dietitians will recommend that the consumption of fish be limited to a maximum of two 3-ounce servings of fish a week. Fish is a very protein-rich food, and a high intake of proteins has been shown to cause high levels of uric acid - the prime culprit in the arthritis-like condition known as gout. Gout is a most painful condition which is specifically related to elevated levels of uric acid in the bloodstream which ultimately crystallize and get deposited in cartilage, joints, tendons and surrounding tissues. Eating some fresh fish, though, is definitely worthwhile since it is a healthy choice. Not surprisingly, the same types of fish which, when eaten fresh are also the best sources of the essential dietary fish oil, are also the best sources for making fish oil supplements. These include cold-water fish such as salmon, cod, mackerel, halibut, tuna, and herring. So, since diet alone is not the best source of getting the recommended amount of fish oil, other dietary steps and supplements that reduce uric acid should be considered because they provide the omega-3 without providing the protein. There are benefits of fish oil in treating all types of the disease, because it has natural anti-inflammatory properties.

Clinical trials (randomized) have demonstrated that patients with rheumatoid arthritis who include a daily omega-3 supplement in their regimen experience reduced pain, less morning stiffness and improved joint motility. They were also able to reduce the amount of NSAID drugs and anti-inflammatory drugs they were taking, thereby lessening the damaging effect on the liver that those drugs have been known to cause.

The Type of Fish Oil is Also Important

Many people are looking for an arthritis treatment that is both safe and also effective. Fish oil is worthy of attention, but with such a proliferation of different brands on the shelves, which types are worth consideration? Not just any fish oil will be effective. Make sure that any brand you purchase is ultra-refined to remove the impurities and toxins which are absorbed through fish skin such as mercury, PCBs, and lead. The product should also be rich in omega 3 fatty acids, particularly in ones called DHA (Docosahexaenoic acid) and EPA (Eicosapentaenoic acid). Research has shown that DHA and EPA have more anti-inflammatory properties than the other essential fatty acids.

Both DHA and EPA inhibit pro-inflammatory cytokines. Cytokines are a vast classification of proteins, some good, some bad, that are produced by the body and serve as chemical messengers between cells. They interact with the cells of the immune system to regulate both inflammatory responses, such as seen in arthritis sufferers, as well as the body's response to infective agents and diseases. DHA and EPA inhibit the inflammatory function of the cytokines by binding themselves to the target immune cells to disrupt their harmful effects.

Several independent tests have shown that a dietary supplement of fish oils (DHA and EPA) rich in Omega 3 fatty acids can result in a significant lessening of chronic pain and joint pain in rheumatoid arthritis sufferers by markedly reducing interleukin-1 beta (which is one of the pro-inflammatory cytokines) creation. They have a positive effect on the immune system and do not foster unwanted side effects such as those seen with anti-inflammatory drugs.

Omega 3 fish oil is only an effective arthritis treatment if it has a high level of anti-inflammatory activity in the body. Consumers are able to find out from the manufacturers themselves what the level of anti-inflammatory is in their products, because the producers can have the level of anti-inflammatory ingredient accurately measured.

Besides being an effective anti-inflammatory, fish oils offer many other health benefits. We know that fish oil is an excellent source of omega-3 fatty acids, which can reduce inflammation. We also know that fish oil lowers blood trigylceride (fats that circulate in the blood stream, the 'bad cholesterol'), thereby protecting against heart disease and reducing high blood pressure. Fish oil may be valuable as well in the treatment of hardening of the arteries (atherosclerotic cardiovascular disease), which starts with inflammation of the artery wall. Fish oil, too, appears to stabilize certain arterial plaques that build up and can sometimes break loose to initiate heart attacks and strokes. Because persons afflicted with rheumatoid arthritis have a significantly increased risk for developing atherosclerosis, the potential benefit of fish oil is doubled.

Some rheumatoid arthritis sufferers using fish oil supplements may be able to use it as an effective alternative to the prescription drugs VIOXX and Celebrex without having a flare-up of joint pain in their disease. Researchers have shown that long-term supplementation with fish oils may really benefit rheumatoid arthritis patients and can, indeed, lessen their need for the aforementioned prescription arthritis treatments.

If you choose to use fish oil supplement for relief of arthritis pain, it is important to use a pharmaceutical grade of the product, since inferior grades of fish oil may have contaminants and lower levels of DHA, EPA and omega-3 fatty acids. Current research suggests that lower grade fish oils with high levels of chemicals like polybrominated diphenyl ethers (PBDEs) may actually reduce or eliminate the positive effects of DHA, EPA and omega-3 fatty acids.

We know with great certainty that fish oil is an excellent source of omega-3 fatty acids, which can reduce inflammation. We know, too, that fish oil lowers blood trigylceride (fats that circulate in the blood stream), protecting against heart disease and reducing high blood pressure.

Dosage Recommendations

Although, as mentioned earlier, it's difficult to get a therapeutic dose of fish oil from food alone, for general health two 3-ounce servings of fish a week are recommended. To treat arthritis-related conditions, use fish oil capsules with at least 30 percent EPA/ DHA, the active ingredients. For rheumatoid arthritis, up to 2.6 g fish oil (1.6 g EPA) twice a day.

For mild pain, a supplement that provides 1000mg of omega3s per day should be effective. Hand pain, general stiffness or redness and inflammation, are signs that more help is needed and the dosage can be increased.

For severe pain, up to 3 grams of fish oil once per day can help to reduce joint inflammation. If, to that dosage you add a bit of olive oil, you may experience less morning stiffness. Fish oil comes in a variety of preparations. The most common is gel caps. Each gel cap should contain at least thirty per cent EPA/DHA, which are the active compounds.

For rheumatoid arthritis about 2.6 grams of fish oil containing 1.6 grams of EPA should be taken twice a day. Fish oil works by reducing inflammation and there is not, thus far, convincing evidence to suggest that fish oil can, in any significant way, retard the progression of rheumatoid arthritis. To the extent that it may help, the effect, if it exists, is relatively mild.

Still, there are those who rely on data from at least a few randomized double-controlled studies which have demonstrated a beneficial effect of dietary fish oil in rheumatoid arthritis sufferers. More than nine studies overall have shown statistically significant reductions which have relived symptoms of joints soreness.

In many of these studies, patients were able to lower the amount of non-steroidal anti-inflammatory medications and corticosteroids. One study suggested that combining fish oil with olive oil may enhance the anti-inflammatory effects of fish oil. In some people, the high amounts of omega-3s that are present in fish oil can increase the risk of bleeding or can affect the time it takes blood to clot. If a person is taking drugs that affect bleeding or is going to have surgery, this is of special concern. Fish oil supplements interact with medicines for high blood pressure, so taking them together might lower a person's blood pressure too much.

Caveats

Certain species of fish can contain high levels of contaminants such as mercury due to environmental pollution. Using the oils from contaminated fish could pose a health risk, especially for pregnant or nursing women and for children. People fitting these descriptions may want to avoid eating cold water fish because of the danger of mercury toxicity. Shark, swordfish, king mackerel, and tilefish are the species of fish that the Federal Government has found to have the highest levels of mercury. Anyone who makes the decision to use fish oil in the treatment of arthritis symptoms should look for products made from species of fish with demonstrated lower levels of mercury. They should also only purchase pharmaceutical grade supplements, which are refined to remove impurities. Government information on this topic is available in the form of two Federal publications called "Mercury Levels in Commercial Fish and Shellfish" and "What You Need to Know About Mercury in Fish and Shellfish: Advice for Women Who Might Become Pregnant, Women Who Are Pregnant, Nursing Mothers, and Young Children." These tracts are available online and are co-published by the U.S. Department of Health and Human Services and the U.S. Environmental Protection Agency.

It is also a good idea to examine whether the manufacturer of the fish oil supplement does its own testing on the product for the presence of contaminating substances and to see whether the results of those tests are available.

Another noteworthy point about the safety of fish oil products is that certain supplements may contain in their list of ingredients a product called fish liver oil. This substance may well contain a higher dosage of vitamin A than is recommended as a daily dosage. For some individuals this could be a potential source of problems. Also, some patients with blood disorders who have been prescribed an anticoagulant therapy with the drug warfarin may notice their clotting times will become erratic.

Generally though, for low doses of fish oil supplements, the side effects are mild and can include gastrointestinal symptoms including gas, belching, stomach disturbances, and nausea. Others have also reported diarrhea, spontaneous nosebleeds and sores in the nostrils. These symptoms are not common and may be indicative of other medical conditions unrelated to arthritis.

Final Notes

In addition to the obvious benefits of including a fish oil supplement in the diet to offset the symptoms of arthritis, there are lifestyle changes which could affect an even greater positive outcome in the treatment of the pain associated with swollen joints. Losing weight and performing any of a series of special exercises specifically designed to reduce joint stiffness and improve overall flexibility can be of great help. Addressing those lifestyle issues is a good first step. Just be aware that most of the conventional treatments for arthritis include taking pain relieving drugs, which do not actually address the root cause of the joint soreness problem and most of them have been proven to be detrimental to liver function. Certain pharmaceuticals such as VIOXX, Bextra, Celebrex and other COX-2 inhibitors negatively affect the heart, as well.

But, there is no doubt that omega 3 fish oil is highly beneficial to your overall health. At the very least, it should be considered as a complementary addition to any other arthritis treatment. It has been recommended as an essential component to a heart healthy diet for many years. Its omega 3 fatty acids can be absorbed easily and the EPA and DHA have proven to play a very crucial role in development of normal brain cell activity, proper functioning of nervous system, as a protection against heart diseases (by reducing the fatty deposits in arteries) and can even contribute to better eyesight, decrease dryness in the eyes and help to stop the inevitable decline in eyesight that comes with the increasing age.

Eating fresh fish is a great way for the body to get enough fatty acids, but to get the maximum advantage of its benefits, the concentrated fish oil available as a supplement represents the most efficient and easily digestible alternative.

In summary, choose a high quality pharmaceutical grade, preferably molecularly distilled fish oil supplement. Although a bit more expensive, you can be assured of receiving the most benefits from an already proven source of treatment for the effects of joint pain and stiffness.

Pseudogout and Its Remedies


Pseudogout is a disease which is often mistaken for the gout which is a sort of metabolic arthritis. Pseudogout is also a type of arthritis but it is not gout though the symptoms and the treatments of the gout and the pseudogout are almost of the similar types. Pseudogout is a type of arthritis or inflammation caused because of the build up of the Calcium Pyrophosphate Dihydrate crystals in the body. Like the gout, in pseudogout also affects the large joint areas. The affected areas become red, swollen and stiff. Warmth is felt when touched. The attack of the pseudogout can last for a few days just like the gout attack.

In almost 75 percent of the gout case, the primary affected area is the big toe but in pseudogout the affected areas are the large joints areas of legs and arms. Gout is caused by the accumulation of the high uric acid crystals in the body while the pseudogout is caused by the accumulation of the Calcium Pyrophosphate Dihydrate crystals.

As earlier said the treatment of the pseudogout is similar to the treatment of the gout. In treating the pseudogout the main focus is remained on relieving the pain in the joint areas. Several types of non steroid and anti inflammatory medicines are used to reduce the extreme pain that felt in the joint areas. The NSAIDs drugs like the Ibuprofen or the Motrin and Advil, Aleve and Indocin are used primarily to treat the disease.

But using the NSAIDs drugs cannot be without some side effects. Some severe side effects like the stomach bleeding, hypertension and kidney malfunction can be occurred with the medicines. This is the reason why the patients of the pseudogout should always consult to the doctors before they go for using any medicine. The patients should know about the side effects that can happen to most of the common adults after using the NSAIDs drugs.

Colchicine is another medication that the doctors prescribe to the patients who are not suited for the NSAIDs drugs. The drug helps in alleviating the pain, swelling and the tenderness of the skin. But it can also cause some side effects like vomiting, diarrhoea and stoamch pain. Sometimes bleeding can also occur.

Joint Injection is another popular treatment for the pseudogout. In this type of treatment the doctor will inject the injection to take out some joint fluid. The doctor then injects corticosteroid to reduce the pain and inflammation. There after anesthetic can be injected into the affected joints to numb the ailing joints.

Hemochromatosis or joint trauma due to the iron overload can be the reason for some of the pseudogout cases. In such cases the doctors try to treat the problem of hemochromatosis to treat the pseudogout.

Proper resting is important for the pseudgout patients. Proper resting helps in relieving the pain and swelling. The doctor must prescribe the patients to limit the daily activities. You should keep in mind that the problem of the pseudogout can be prevented and controlled as long as the doctor finds out the suitable medications for you. If you are suffering from pseudogout then you must consult your doctor about the proper medication and food diet plans.

Sunday, June 2, 2013

Feline Arthritis Linked to Pain In Toes After Cat Declawing


If you happen to have a declawed cat with feline arthritis it may very well be due to declawing your cat. Cats walk on their toes. Your vet may use the term "digitigrade," but it means the same thing. When you cat has pain in her toes it causes her to change her gait.

If you ever had a plantar wart on the sole of your foot you can relate to the situation. Plantar warts are thickened calluses that grow usually on the foot and can be quite tender when pressure is applied. That tenderness causes you to plant your foot differently when you walk. Perhaps you put your weight on the side of your foot so you don't apply pressure to the sensitive plantar wart area.

The same thing can happen in cats that have been declawed. Pain in your cat's toes causes her to change to their normal gait. That difference in weight distribution eventually leads to new pressure points and strain in her hips, spine and legs. Anyone who has ever experienced prolonged foot pain will understand exactly what I'm describing.

Cat declawing is one of the more controversial issues in feline medicine. Some owners and vets consider declawing and acceptable procedure, while others consider it an abomination. In fact in some countries, such as the United Kingdom, declawing for anything besides a medical condition is not permitted.

Declawing is an irreversible procedure that is an amputation of the claw including the cells that cause the claw to grown. Part of your cat's terminal toe bone is removed as that hosts the cells that cause the claw to grow.

Unquestionably, most concerns about cat's claws are only human concerns. Shredding wrapping paper on packages, plucking furniture and carpet are only a few reasons people give for declawing a cat. The one reason that really poses a human health problem is that when a kitty inadvertently shreds the thin skin of their aging caregiver.

There are, however, options to try to help out in all these situations. Cat's quickly adapt to a scratching post made of help wrapped around a pole and secured to the floor or wall. There are soft vinyl nail caps that where designed by a vet. They are literally glued onto your cat's claws. These "soft claws" are much gentler to Granny's thin skin when kitty jumps off her lap. Considering the pain your cat may endure from feline arthritis when she gets older that is just one more darn good argument not to have your cat declawed.

For temporary pain relief anti-inflammatory drugs can be administered that will help it to endure more pain. Here's another idea for treating arthritis in cats naturally. You can also treat her daily without worry of long term side effects.

Exomine RH is an All Natural Formula to Treat Rheumatoid Arthritis


Living with rheumatoid arthritis is at the very least a daily challenge. Chronic pain and lack of movement are second nature. With daily/nightly pain also comes depression and possible emotional outbursts. You certainly feel that you have little control over your life. Also, little things that are so important every day like buttoning your shirt or opening the door become painful hurdles, making life particularly hard.

Exomine RH is a natural supplement that has been developed at Progressive Health with the help of numerous physicians specifically for rheumatoid arthritis sufferers. In fact each of the 15 ingredients of Exomine RH has been backed by science. These include vitamins and minerals (vitamins B5,C,E, Selenium, copper, zinc and MSN) as well as botanicals and natural oils (boswellia, cat's claw, turmeric, omega 3, gamma linolic acid). There are three key ingredients that make Exomine RH stand out:
Hylaronic Acid - this acid is found in our joints and is used as lubrication, just like oil in an engine. The older you get, the less hylaronic acid is produced so our joints get stiffer.

Chondroitin Sulfate - this is a main component of cartilage and helps stimulate the production of healthy new cartilage, blocking enzymes that break down cartilage and normalize joint fluids so that friction is reduced.

BioCell Collagen Type II is a protein at gives cartilage structural strength. This reduces joint swelling and tenderness.

Why choose Exomine RH?
There are a number of benefits you will get from taking this supplement. You will finally get relief from the constant pain and discomfort that is caused by rheumatoid arthritis. Also, this supplement promotes the reproduction of healthy cartilage, which is vital to your recovery process. Once your tissue has begun to deteriorate the pain can become immense, and doing small everyday tasks can become much more difficult. Regenerating this tissue will put an end to a lot of the pain and allow your bones to once again glide across each other without conflict.

A new life could be waiting for you
Imagine being able to check the mail, clean the house, or play outside with your children and grandchildren without the hindrances associated with this rheumatoid arthritis. This dream doesn't have to live in your imagination. You can make this come true with Exomine RH. With this supplement you can retake control over your life, and resume the life you had before any of the pain. There is a light at the end of the tunnel for you. Since there is no cure you are only left with options of treatment, and there is no other treatment like Exomine RH. It's natural, it's safe, and it works.