What Natural Remedies for Rheumatoid Arthritis Should You Try?

Address Rheumatoid Arthritis Naturally With Diet, Probiotics, Turmeric, and More

Key Points:

  • The best diet for rheumatoid arthritis (RA) is one that addresses inflammation and lowers immune reactivity.
  • As a common root of systemic inflammation in the body, focusing on improving gut health will also likely improve RA symptoms.
  • Some of the best natural remedies for rheumatoid arthritis are probiotics, turmeric, omega-3 fatty acids, green tea, and consistent exercise.
  • RA fatigue, an often discounted yet common symptom, can be addressed through diet and lifestyle interventions.

Focusing on gut health by modifying your diet, taking probiotics, using targeted supplements like turmeric and omega-3 fatty acids, incorporating some kind of exercise into your regular routine, and managing stress are all natural remedies for rheumatoid arthritis (RA) that can help to reduce symptoms including pain and fatigue. 

Joint or arthritis pain, heavy fatigue, stiffness and swelling are just a few of the symptoms that make rheumatoid arthritis difficult to deal with every day. Often, doctors prescribe medications to hopefully reduce these symptoms, but they often come with side effects in the short and long term. 

Whether or not you choose to take medication for rheumatoid arthritis, diet and lifestyle modifications and certain natural remedies can be very helpful in calming inflammation, restoring gut health, and balancing the nervous system — all of which allow a body under autoimmune attack to reset and discontinue the inflammatory response. 

In this article, we’ll review several natural remedies for treating rheumatoid arthritis, including therapeutic diets, probiotics, turmeric, omega-3 fatty acids (fish oil), green tea, exercise, and mindfulness activities.

Natural remedies for rheumatoid arthritis: bowl and a spoonful of turmeric powder

What Is Rheumatoid Arthritis? 

Rheumatoid arthritis (RA) is an inflammatory autoimmune disease that affects the joints. It can occur anywhere in the body and affects almost every organ, but it often prominently affects multiple joints of both hands. It also typically involves morning stiffness for over one hour. 

There are two main types of RA: seropositive and seronegative. People with seropositive RA have certain antibodies to proteins in the body that activate the immune system and cause joint damage, bone erosion, and severe disease. These antibodies are present in about 50% of RA patients and may show up 5-10 years before symptoms appear [1 Trusted SourcePubMedGo to source].

The second type of RA, seronegative, simply indicates the absence of these antibodies [2]. But for some people, even without the antibodies present, some trigger — perhaps environmental or stress-related — causes the immune system to become overactive and initiate RA symptoms.

Note: Though somewhat similar, rheumatoid arthritis is not the same as osteoarthritis. Osteoarthritis is an age-related disease where bones and joints break down from use over time, often affecting hip, knee, and thumb joints. Osteoarthritis is not autoimmune-related. 

Rheumatoid arthritis affects 0.4%-1% of the population in North America and is significantly more prevalent in women than men. For every 2-3 women with RA, one man has it. Prevalence of the disease also increases with age [1 Trusted SourcePubMedGo to source].

Rheumatoid Arthritis Symptoms

Common symptoms of rheumatoid arthritis include: 

  • Joint pain, joint tenderness, stiffness, and inflammation
  • Swelling and deformity of the affected joints
  • Fatigue
  • Rheumatoid nodules, lumps under the skin that form on the elbows, heels, and toes
  • Carpal tunnel syndrome
  • Tenosynovitis (inflammation of the lining around a tendon)
  • Finger deformities
Natural remedies for rheumatoid arthritis: tired woman covering her face

RA Fatigue

Fatigue occurs in 80% of rheumatoid arthritis patients, with 50% rating it as severe [3 Trusted SourcePubMedGo to source]. RA fatigue is described as “a loss of physical and mental energy, or weariness and lack of motivation, that is overwhelming” [3 Trusted SourcePubMedGo to source].

And yet, this draining symptom often goes unrecognized and unaddressed by healthcare providers. Despite this, fatigue should be taken seriously and can be addressed. 

An interesting systematic review suggests that fatigue in RA may actually be a protective mechanism by the body to encourage rest and prevent further pain [4 Trusted SourcePubMedGo to source]. However, there are many natural remedies and strategies we can use to reduce fatigue and encourage a more balanced nervous system (whether they are used alongside medication or not). 

Conventional Medical Treatment for RA

Research suggests the most effective treatments for RA are prescription medications. But, these may come with negative side effects.

Common medications used to treat rheumatoid arthritis include: 

Side effects for these medications range from nausea to liver toxicity, but everyone is different. Your experience with side effects may be very mild, nonexistent, or more difficult. But whatever medication you choose, diet and lifestyle modifications can be just as critical interventions as pharmaceutical therapies. 

Natural Remedies to Relieve RA Symptoms

What Natural Remedies for Rheumatoid Arthritis Should You Try? - Rheumatoid%20Arthritis%20%26%20Gut%20Health Landscape L

Here’s the good news: Diet and lifestyle interventions have been shown to improve most, if not all, of the factors associated with the development of RA. 

While most current studies show the most significant benefits when natural treatments are combined with conventional medications, complementary therapies are worth trying. 

Most of the natural remedies we’re discussing are low cost, noninvasive, have a low risk of side effects, and may provide general, widespread health benefits. So, even if evidence is somewhat limited for certain natural treatments, if you’re struggling to find relief from symptoms of RA, holistic therapies are worth pursuing.

Of course, always work with a trusted healthcare practitioner to figure out your personalized RA treatment plan.

Focus on Gut Health

Since gut health is at the root of systemic inflammation in the body, healing your gut is likely to be a helpful strategy when it comes to improving RA symptoms and lowering overall inflammation. Focusing on gut health is also important in addressing RA because: 

Namely, finding the right therapeutic diet and probiotics can help lower intestinal inflammation, improve gut health, and reduce RA symptoms. 

Probiotics for RA

Natural remedies for rheumatoid arthritis: intestine cut-out and a bottle of pills

While more research still needs to be done on the effects of probiotics for treating RA, preliminary evidence suggests that they can be useful for treating pain, stiffness, inflammation, and disease activity. 

A 2020 systematic review of 20 RCTs (more than 1,500 participants) found evidence that probiotics had positive effects on RA disease activity [25 Trusted SourcePubMedGo to source].

A 2017 systematic review and meta-analysis of nine randomized clinical trials (RCTs) including 361 patients found that probiotics lowered the pro-inflammatory cytokine interleukin-6, which plays a role in joint destruction and disease progression in rheumatoid arthritis. However, the study noted that they did not alter disease activity scores. Scientists concluded that more research is needed [26 Trusted SourcePubMedGo to source].

Another 2020 systematic review of 12 studies (10 RCTs and two non-randomized/non-controlled clinical trials) found that probiotics (Lactobacillus species only) taken for 60 days on average yielded a statistically significant benefit on quality of life in RA patients. All types of probiotics led to small but significant pain reductions, and Bifido/Lacto blends led to lower concentrations of C-reactive protein, an inflammatory marker [27 Trusted SourcePubMedGo to source].

The bottom line: When you use probiotics to rebalance the gut and lower inflammation, RA symptoms may improve. In this way, probiotics can be one part of a foundational diet and lifestyle strategy to support patients with RA. 

What’s the Best Diet for Rheumatoid Arthritis?

What Natural Remedies for Rheumatoid Arthritis Should You Try? - Choosing%20Your%20Rheumatoid%20Arthritis%20Diet Landscape L

Another key component to addressing rheumatoid arthritis integratively is through finding and customizing your therapeutic diet. Keep in mind that any diet that quells inflammation and lowers autoimmune reactivity is likely to be helpful for RA. These are some of the diet options that RA patients may find useful to help manage symptoms:

  • Elimination diet
  • Elemental diet
  • Mediterranean diet
  • Paleo diet
  • Low FODMAP diet
  • Low nightshade diet

So, how do you decide which diet framework to try? The most fundamental place to start with changing your diet is an elimination diet.  The point of an elimination diet is to eliminate common trigger foods that may cause inflammation and set off an autoimmune reaction, and then to identify which ones are problematic for you specifically. Once your symptoms are under control, you may try adding back in certain foods like dairy products, for example, monitoring how you feel and ultimately building up to a diet that is as broad as possible while continuing to reduce inflammation and symptoms. 

For most people, the best approach is to start with a less restrictive anti-inflammatory diet like the Mediterranean or Paleo diet, and to only proceed to something more restrictive like a low FODMAP diet or low nightshade diet if your symptoms do not improve after a few weeks. 

Various healthy ingredients

The Mediterranean diet is the most studied diet for managing RA symptoms. Two systematic reviews of 90 studies found that the Mediterranean diet improved disease activity in RA patients [25 Trusted SourcePubMedGo to source, 28 Trusted SourcePubMedGo to source].

However, just because it’s the most studied diet doesn’t necessarily mean it’s the best. Another umbrella systematic review concluded that the Mediterranean diet makes little difference in pain or RA disease activity [29 Trusted SourcePubMedGo to source]. Still, it may be an easier place to start for those who have never considered a diet change before. 

Interestingly, one randomized clinical trial concluded that an elemental diet may be just as effective as corticosteroids for treating RA [30 Trusted SourcePubMedGo to source]. This supports the idea that RA manifestation is directly connected to gut health, so a temporary elemental diet that is able to reset the gut can also calm RA symptoms. Once the period of the elemental diet is over (usually no more than 2-3 weeks), foods can be slowly reintroduced to see whether certain foods cause symptoms to reemerge. 

Another option is the low-FODMAP diet, which restricts certain fermentable carbohydrates that may irritate the gut. There are no specific studies looking at low-FODMAP diets for RA at this time. However, a 2021 literature review stated that low-FODMAP and gluten-free diets may help autoimmune patients with functional GI disorders, like IBS [31 Trusted SourcePubMedGo to source]. Low-FODMAP diets have also been helpful to address pain and fatigue in fibromyalgia patients, so it is possible that a low FODMAP diet could help reduce joint pain and increase energy in RA patients [32 Trusted SourcePubMedGo to source].

Additional Strategies for RA

Alongside diet and probiotics, there are many other complementary supplements and lifestyle changes that may help treat rheumatoid arthritis. 

Turmeric

Turmeric, a popular Indian spice that contains the anti-inflammatory polyphenol curcumin, may help reduce disease activity, pain, joint swelling and tenderness, inflammatory markers, and rheumatoid factor (antibodies that attack healthy tissues), according to a 2021 systematic review of 259 RA patients [33 Trusted SourcePubMedGo to source].

You can add turmeric/curcumin into your therapeutic plan through high-quality supplements as well as by cooking with the actual spice. 

Omega-3 Fatty Acids (Fish Oil)

Omega-3 fatty acids, aka fish oil, also has therapeutic potential for treating RA. A 2012 systematic review and meta-analysis looked at over 900 patients from Europe, the U.S., Australia, Thailand, Brazil, and Bangladesh. It showed a somewhat consistent yet modest benefit of fish oil supplementation on joint swelling and pain, morning stiffness, generalized pain, disease activity, and the need for non-steroidal anti-inflammatory drugs (NSAIDs) in RA patients [34 Trusted SourcePubMedGo to source].

Another systematic review of 70 studies found evidence that high doses of omega-3 polyunsaturated fatty acids reduced RA disease activity and improved the effectiveness of RA drugs (56). A third review of 1,183 RA patients found that omega-3 fatty acid supplements (especially 3-6 g/day) reduced pain in RA patients [35 Trusted SourcePubMedGo to source].

You can also increase your omega-3 fatty acid intake by consuming more wild caught, fatty fish such as salmon and mackerel, and whole plant foods like avocado, walnuts, pumpkin seeds, and squash, if you tolerate those foods. 

Chinese green tea with mint in a glass cup

Green Tea

Green tea is well known for an abundance of antioxidants and anti-inflammatory properties. 

A 2016 randomized clinical trial of 120 older adults actually showed that those treated with green tea and exercise therapies had clinical improvements in disease activity (inflammatory markers CRP and ESR), health quality (number of swollen and tender joints, functional ability), and markers of bone resorption and formation (ie, bone formation markers increased, indicating possible reductions in bone loss and osteoporosis) [36 Trusted SourcePubMedGo to source]. These improvements were greater than those treated with a combination of infliximab and green tea (without exercise). 

Exercise

Exercise and physical therapy are some of the most important therapies for rheumatoid arthritis to manage joint stiffness and pain and maintain range of motion. They may help to decrease fatigue as well. 

A 2021 systematic review and meta-analysis of 1,010 RA patients found evidence that, compared to the control group, resistance exercise reduced disease activity in 28 joints, inflammation, and the length of time it took to walk 50 feet [37 Trusted SourcePubMedGo to source].

Another review stated that, compared to non-physical activity, home-based physical activity (low-impact flexibility and strengthening exercises with some aerobic, breathing and posture exercises) improved:

  • Quality of life
  • Functional ability
  • Disease activity 
  • Pain

They also concluded that home-based exercise was just as helpful as clinic-based exercise [38 Trusted SourcePubMedGo to source].

Stress Management

A 2019 systematic review found that yoga reduced inflammatory biomarkers in chronic conditions, including rheumatoid arthritis [39 Trusted SourcePubMedGo to source]. Of course, yoga is also considered a form of exercise, but a big part of yoga is breathing and mindfulness, too. 

Another 2019 umbrella review found that RA fatigue improved somewhat with psychosocial interventions, including cognitive skills training, cognitive behavioral therapy, mindfulness, lifestyle management, self-management, contracting/goal setting, coping strategies, and guided imagery [40 Trusted SourcePubMedGo to source].

Natural remedies for rheumatoid arthritis: woman practicing yoga by a lake during sunset

Take Control of Your Symptoms with Natural Remedies for Rheumatoid Arthritis

The bottom line is that there are clear steps to treat rheumatoid arthritis naturally. Start by identifying your ideal therapeutic diet. Next, add probiotics to support your gut and reduce inflammation. From there, you can try different natural remedies like turmeric and omega-3 fatty acids, as well as exercise and mindfulness practices like yoga. 

If you’re interested, you can find out more about the Ruscio Institute for Functional Medicine and how we approach healing with autoimmune diseases, including rheumatoid arthritis.  

➕ References
  1. Chauhan K, Jandu JS, Goyal A, Bansal P, Al-Dhahir MA. Rheumatoid Arthritis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. PMID: 28723028. Trusted SourcePubMedGo to source
  2. What Type of RA Do You Have | Arthritis Foundation [Internet]. Available from: https://www.arthritis.org/diseases/more-about/what-type-of-ra-do-you-have
  3. Matura LA, Malone S, Jaime-Lara R, Riegel B. A systematic review of biological mechanisms of fatigue in chronic illness. Biol Res Nurs. 2018 Jul;20(4):410–21. DOI: 10.1177/1099800418764326. PMID: 29540066. PMCID: PMC6346311. Trusted SourcePubMedGo to source
  4. Conrad R, Geiser F, Mücke M. [Pain and fatigue – a systematic review]. Z Psychosom Med Psychother. 2018 Dec;64(4):365–79. DOI: 10.13109/zptm.2018.64.4.365. PMID: 30829171. Trusted SourcePubMedGo to source
  5. Batthish M, Schneider R, Ramanan AV, Achonu C, Young NL, Feldman BM. What does “active disease” mean? patient and parent perceptions of disease activity in the systemic arthritis form of juvenile idiopathic arthritis (SO-JIA). Rheumatology (Oxford). 2005 Jun;44(6):796–9. DOI: 10.1093/rheumatology/keh597. PMID: 15784631. Trusted SourcePubMedGo to source
  6. Hannoodee M, Mittal M. Methotrexate. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. PMID: 32310574. Trusted SourcePubMedGo to source
  7. John M. Eisenberg Center for Clinical Decisions and Communications Science. Medicines for psoriatic arthritis: A review of the research for adults. In: Comparative effectiveness review summary guides for consumers. Rockville (MD): Agency for Healthcare Research and Quality (US); 2005. (AHRQ comparative effectiveness reviews). PMID: 23285507. Trusted SourcePubMedGo to source
  8. Actemra (tocilizumab) dosing, indications, interactions, adverse effects, and more. [Internet]. Available from: https://reference.medscape.com/drug/actemra-tocilizumab-999419
  9. Hoxha M. A systematic review on the role of eicosanoid pathways in rheumatoid arthritis. Adv Med Sci. 2018 Mar;63(1):22–9. DOI: 10.1016/j.advms.2017.06.004. PMID: 28818745. Trusted SourcePubMedGo to source
  10. Saad J, Mathew D. Nonsteroidal Anti-Inflammatory Drugs Toxicity. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. PMID: 30252262. Trusted SourcePubMedGo to source
  11. Hazlewood G, van der Heijde DM, Bombardier C. Paracetamol for the management of pain in inflammatory arthritis: a systematic literature review. J Rheumatol Suppl. 2012 Sep;90:11–6. DOI: 10.3899/jrheum.120336. PMID: 22942323. Trusted SourcePubMedGo to source
  12. Horta-Baas G, Romero-Figueroa MDS, Montiel-Jarquín AJ, Pizano-Zárate ML, García-Mena J, Ramírez-Durán N. Intestinal Dysbiosis and Rheumatoid Arthritis: A Link between Gut Microbiota and the Pathogenesis of Rheumatoid Arthritis. J Immunol Res. 2017 Aug 30;2017:4835189. DOI: 10.1155/2017/4835189. PMID: 28948174. PMCID: PMC5602494. Trusted SourcePubMedGo to source
  13. Wu X, He B, Liu J, Feng H, Ma Y, Li D, et al. Molecular Insight into Gut Microbiota and Rheumatoid Arthritis. Int J Mol Sci. 2016 Mar 22;17(3):431. DOI: 10.3390/ijms17030431. PMID: 27011180. PMCID: PMC4813281. Trusted SourcePubMedGo to source
  14. Maeda Y, Kumanogoh A, Takeda K. Altered composition of gut microbiota in rheumatoid arthritis patients. Nihon Rinsho Meneki Gakkai Kaishi. 2016;39(1):59–63. DOI: 10.2177/jsci.39.59. PMID: 27181236. Trusted SourcePubMedGo to source
  15. Maeda Y, Kurakawa T, Umemoto E, Motooka D, Ito Y, Gotoh K, et al. Dysbiosis contributes to arthritis development via activation of autoreactive T cells in the intestine. Arthritis Rheumatol. 2016 Nov;68(11):2646–61. DOI: 10.1002/art.39783. PMID: 27333153. Trusted SourcePubMedGo to source
  16. Bjarnason I, Williams P, So A, Zanelli GD, Levi AJ, Gumpel JM, et al. Intestinal permeability and inflammation in rheumatoid arthritis: effects of non-steroidal anti-inflammatory drugs. Lancet. 1984 Nov 24;2(8413):1171–4. DOI: 10.1016/s0140-6736(84)92739-9. PMID: 6150232. Trusted SourcePubMedGo to source
  17. Tajik N, Frech M, Schulz O, Schälter F, Lucas S, Azizov V, et al. Targeting zonulin and intestinal epithelial barrier function to prevent onset of arthritis. Nat Commun. 2020 Apr 24;11(1):1995. DOI: 10.1038/s41467-020-15831-7. PMID: 32332732. PMCID: PMC7181728. Trusted SourcePubMedGo to source
  18. Kinashi Y, Hase K. Partners in leaky gut syndrome: intestinal dysbiosis and autoimmunity. Front Immunol. 2021 Apr 22;12:673708. DOI: 10.3389/fimmu.2021.673708. PMID: 33968085. PMCID: PMC8100306. Trusted SourcePubMedGo to source
  19. Fasano A. Zonulin, regulation of tight junctions, and autoimmune diseases. Ann N Y Acad Sci. 2012 Jul;1258:25–33. DOI: 10.1111/j.1749-6632.2012.06538.x. PMID: 22731712. PMCID: PMC3384703. Trusted SourcePubMedGo to source
  20. Morris G, Berk M, Carvalho AF, Caso JR, Sanz Y, Maes M. The Role of Microbiota and Intestinal Permeability in the Pathophysiology of Autoimmune and Neuroimmune Processes with an Emphasis on Inflammatory Bowel Disease Type 1 Diabetes and Chronic Fatigue Syndrome. Curr Pharm Des. 2016;22(40):6058–75. DOI: 10.2174/1381612822666160914182822. PMID: 27634186. Trusted SourcePubMedGo to source
  21. Hallajzadeh J, Safiri S, Mansournia MA, Khoramdad M, Izadi N, Almasi-Hashiani A, et al. Metabolic syndrome and its components among rheumatoid arthritis patients: A comprehensive updated systematic review and meta-analysis. PLoS ONE. 2017 Mar 23;12(3):e0170361. DOI: 10.1371/journal.pone.0170361. PMID: 28333949. PMCID: PMC5363810. Trusted SourcePubMedGo to source
  22. Youssefi M, Tafaghodi M, Farsiani H, Ghazvini K, Keikha M. Helicobacter pylori infection and autoimmune diseases; Is there an association with systemic lupus erythematosus, rheumatoid arthritis, autoimmune atrophy gastritis and autoimmune pancreatitis? A systematic review and meta-analysis study. J Microbiol Immunol Infect. 2021 Jun;54(3):359–69. DOI: 10.1016/j.jmii.2020.08.011. PMID: 32891538. Trusted SourcePubMedGo to source
  23. Ma Y, Zhang X, Fan D, Xia Q, Wang M, Pan F. Common trace metals in rheumatoid arthritis: A systematic review and meta-analysis. J Trace Elem Med Biol. 2019 Dec;56:81–9. DOI: 10.1016/j.jtemb.2019.07.007. PMID: 31442958. Trusted SourcePubMedGo to source
  24. Hadwen B, Stranges S, Barra L. Risk factors for hypertension in rheumatoid arthritis patients-A systematic review. Autoimmun Rev. 2021 Apr;20(4):102786. DOI: 10.1016/j.autrev.2021.102786. PMID: 33609791. Trusted SourcePubMedGo to source
  25. Nelson J, Sjöblom H, Gjertsson I, Ulven SM, Lindqvist HM, Bärebring L. Do Interventions with Diet or Dietary Supplements Reduce the Disease Activity Score in Rheumatoid Arthritis? A Systematic Review of Randomized Controlled Trials. Nutrients. 2020 Sep 29;12(10). DOI: 10.3390/nu12102991. PMID: 33003645. PMCID: PMC7600426. Trusted SourcePubMedGo to source
  26. Mohammed AT, Khattab M, Ahmed AM, Turk T, Sakr N, M Khalil A, et al. The therapeutic effect of probiotics on rheumatoid arthritis: a systematic review and meta-analysis of randomized control trials. Clin Rheumatol. 2017 Dec;36(12):2697–707. DOI: 10.1007/s10067-017-3814-3. PMID: 28914373. Trusted SourcePubMedGo to source
  27. Lowe JR, Briggs AM, Whittle S, Stephenson MD. A systematic review of the effects of probiotic administration in inflammatory arthritis. Complement Ther Clin Pract. 2020 Aug;40:101207. DOI: 10.1016/j.ctcp.2020.101207. PMID: 32771911. Trusted SourcePubMedGo to source
  28. Liu Y, Hazlewood GS, Kaplan GG, Eksteen B, Barnabe C. Impact of Obesity on Remission and Disease Activity in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2017 Feb;69(2):157–65. DOI: 10.1002/acr.22932. PMID: 27159376. Trusted SourcePubMedGo to source
  29. Porras M, Rada G, Durán J. Effects of Mediterranean diet on the treatment of rheumatoid arthritis. Medwave. 2019 Jun 11;19(5):e7640. DOI: 10.5867/medwave.2019.05.7639. PMID: 31226103. Trusted SourcePubMedGo to source
  30. Podas T, Nightingale JMD, Oldham R, Roy S, Sheehan NJ, Mayberry JF. Is rheumatoid arthritis a disease that starts in the intestine? A pilot study comparing an elemental diet with oral prednisolone. Postgrad Med J. 2007 Feb;83(976):128–31. DOI: 10.1136/pgmj.2006.050245. PMID: 17308218. PMCID: PMC2805936. Trusted SourcePubMedGo to source
  31. Jiang Y, Jarr K, Layton C, Gardner CD, Ashouri JF, Abreu MT, et al. Therapeutic Implications of Diet in Inflammatory Bowel Disease and Related Immune-Mediated Inflammatory Diseases. Nutrients. 2021 Mar 10;13(3). DOI: 10.3390/nu13030890. PMID: 33801883. PMCID: PMC8001318. Trusted SourcePubMedGo to source
  32. Marum AP, Moreira C, Saraiva F, Tomas-Carus P, Sousa-Guerreiro C. A low fermentable oligo-di-mono saccharides and polyols (FODMAP) diet reduced pain and improved daily life in fibromyalgia patients. Scand J Pain. 2016 Aug 22;13:166–72. DOI: 10.1016/j.sjpain.2016.07.004. PMID: 28850525. Trusted SourcePubMedGo to source
  33. Bagherniya M, Darand M, Askari G, Guest PC, Sathyapalan T, Sahebkar A. The clinical use of curcumin for the treatment of rheumatoid arthritis: A systematic review of clinical trials. Adv Exp Med Biol. 2021;1291:251–63. DOI: 10.1007/978-3-030-56153-6_15. PMID: 34331695. Trusted SourcePubMedGo to source
  34. Miles EA, Calder PC. Influence of marine n-3 polyunsaturated fatty acids on immune function and a systematic review of their effects on clinical outcomes in rheumatoid arthritis. Br J Nutr. 2012 Jun;107 Suppl 2:S171-84. DOI: 10.1017/S0007114512001560. PMID: 22591891. Trusted SourcePubMedGo to source
  35. Abdulrazaq M, Innes JK, Calder PC. Effect of ω-3 polyunsaturated fatty acids on arthritic pain: A systematic review. Nutrition. 2017;39–40:57–66. DOI: 10.1016/j.nut.2016.12.003. PMID: 28606571. Trusted SourcePubMedGo to source
  36. Alghadir AH, Gabr SA, Al-Eisa ES. Green tea and exercise interventions as nondrug remedies in geriatric patients with rheumatoid arthritis. J Phys Ther Sci. 2016 Oct 28;28(10):2820–9. DOI: 10.1589/jpts.28.2820. PMID: 27821943. PMCID: PMC5088134. Trusted SourcePubMedGo to source
  37. Wen Z, Chai Y. Effectiveness of resistance exercises in the treatment of rheumatoid arthritis: A meta-analysis. Medicine (Baltimore). 2021 Apr 2;100(13):e25019. DOI: 10.1097/MD.0000000000025019. PMID: 33787585. PMCID: PMC8021371. Trusted SourcePubMedGo to source
  38. Sieczkowska SM, Smaira FI, Mazzolani BC, Gualano B, Roschel H, Peçanha T. Efficacy of home-based physical activity interventions in patients with autoimmune rheumatic diseases: A systematic review and meta-analysis. Semin Arthritis Rheum. 2021 Jun;51(3):576–87. DOI: 10.1016/j.semarthrit.2021.04.004. PMID: 33945907. Trusted SourcePubMedGo to source
  39. Djalilova DM, Schulz PS, Berger AM, Case AJ, Kupzyk KA, Ross AC. Impact of yoga on inflammatory biomarkers: A systematic review. Biol Res Nurs. 2019 Mar;21(2):198–209. DOI: 10.1177/1099800418820162. PMID: 30572710. PMCID: PMC6700894. Trusted SourcePubMedGo to source
  40. Santos EJF, Duarte C, Marques A, Cardoso D, Apóstolo J, da Silva JAP, et al. Effectiveness of non-pharmacological and non-surgical interventions for rheumatoid arthritis: an umbrella review. JBI Database System Rev Implement Rep. 2019 Jul;17(7):1494–531. DOI: 10.11124/JBISRIR-D-18-00020. PMID: 31169776. Trusted SourcePubMedGo to source

Need help or would like to learn more?
View Dr. Ruscio’s additional resources

Get Help

Discussion

I care about answering your questions and sharing my knowledge with you. Leave a comment or connect with me on social media asking any health question you may have and I just might incorporate it into our next listener questions podcast episode just for you!