The possible serious side effects of over-the-counter and prescription nonsteroidal anti-inflammatory drugs (NSAIDs) and slow acting anti-rheumatic drugs (SAARDs), have become cause for concern, spurring research into safer alternatives (please see "AHCPR Guidelines Recommend NSAIDs and Acetaminophen -- But How Safe Are They?" in the February 13, 1995 issue).
But there is evidence that treatment methods may be changing. A recent study published in the Chiropractic Journal of Australia1 examined the use of nutritional supplements as an alternative course of management.
The paper concluded:
"Although the nutritional management of rheumatoid arthritis requires further clinical validation, there is strong evidence to suggest that patients on appropriate nutritional supplementation may reduce their intake of anti-rheumatoid drugs without suffering deterioration in their arthritis."While those DCs who have experienced the benefits of nutritional supplements in their own practices could provide numerous anecdotal accounts to support their use, it is exciting to see that the chiropractic profession (specifically an Australian chiropractic college, RMIT University) is conducting research to demonstrate their value.
Reference
1. Jamison JR. The management of rheumatoid arthritis: considerations for chiropractic practice. Chiro J Aust 1994; 24:83-90.
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