Posts Tagged anti-inflammatories

Participants sought for restless legs study

Individuals with restless or unpleasant feelings in their legs at night or at rest, that are relieved by movement are needed. We are studying the possible benefits of yoga versus an educational film program for reducing symptoms of restless legs syndrome. Participants will attend up to two classes per week in Morgantown for 12 weeks. The study also involves two visits to WVU to complete questionnaires. Compensation is $150 upon completion of this research study. IRB approval on file (1505699758)

For additional information, contact:

  • WVU School of Public Health, Department of Epidemiology
  • Caitlin Montgomery, MPH
  • 304.293.2082, cmontgo2@mix.wvu.edu

Leave a Comment

“The Common Causes of Restless Legs Syndrome” by Dr. Aaron Ernst

AskDrErnstRestless legs syndrome is a seemingly unique condition and the cause is often difficult to pinpoint.

Few things are more frustrating than lying in bed at night, exhausted, but not being able to fall asleep because of an uncontrollable urge to move your legs. It seems so strange, doesn’t it? This phenomenon, known as restless legs syndrome (RLS), affects between 4% and 29% of adults in Western populations, and is a major contributor to sleep loss.

Pinpointing the cause of RLS has been an active research topic for years, but the condition is still not fully understood. The symptoms have been convincingly linked to impaired dopamine function in the brain, but the cause of this dysfunction is still being explored. Here are my top causes:

1. Systemic Inflammation & Immune Dysregulation (Subluxation)

One review paper published in 2012 investigated health conditions that were reported to Acute pain in a woman hand. Isolation on a white backgroundcause or exacerbate RLS symptoms, and found that 95% of the health conditions that are associated with RLS have an inflammation or immune component. As further evidence, an elevated blood level of C-reactive protein (a marker of systemic inflammation) has been associated with increased RLS severity.

Researchers have proposed three potential mechanisms to explain the association between RLS and inflammatory or autoimmune states: direct autoimmune attack on the nervous system; genetic factors that could predispose an individual to RLS and be triggered by inflammation or autoimmunity; and vitamin D deficiency caused by inflammation, which I’ll talk more about below.

What to do: If your RLS is a symptom of underlying systemic inflammation or immune dysregulation, the goal should be to find and treat the root cause & reduce the stressors to the central nerve system and spine. Often we see the issue target to L5/S1 regions.

2. Small Intestinal Bacterial Overgrowth (SIBO) and IBS

A recent study found that 69% of RLS patients also had SIBO, compared with only 28% of control subjects. They also found that 28% of RLS patients had IBS, compared to only 4% of controls. And according to the 2012 review I mentioned above 32% of the health conditions associated with RLS are also associated with SIBO. As I’ve mentioned many times in the past neurological interference & gut infections are often the culprit—even if you don’t have noticeable symptoms—its worth getting your gut tested.

What to do: If you have RLS and suspect you may have SIBO or a gut issue its best to get tested to find our what is going on in there. Generally speaking, the intestines need to be flushed or cleansed then re-inoculated with healthy living strains of bacteria. Your typical probiotic won’t be able to do that. Overall the best approach is to follow a ketosis diet with bone broth until symptoms subside (and your SIBO tests are normal), and then gradually re-introduce fermented foods and probiotics.

3. Vitamin D Deficiency

One of the most-researched theories about the cause of restless legs syndrome is impaired dopamine signaling, which has led to the conventional treatment of RLS by dopamine agonists (i.e. chemicals that can bind to and activate dopamine receptors). Unfortunately, these treatments can become less effective over time, and can even result in a worsening of symptoms.

vitaminThis is where vitamin D comes into play. The role of vitamin D in dopamine signaling is only beginning to be investigated, but some evidence indicates that vitamin D could play an important role by increasing levels of dopamine and its metabolites in the brain, as well as protecting dopamine-associated neurons from toxins.

RLS has been associated with vitamin D deficiency in several studies, and disease severity has been inversely correlated with vitamin D levels. One study has also found that vitamin D supplementation improved the severity of RLS symptoms.

What to do: If you have RLS, one of the easiest first steps you can take is to get your vitamin D levels tested. A good range to shoot for is typically between 40-60 ng/mL. If you have an autoimmune disease or another chronic health condition, optimal levels are between 60-80 ng/mL. One way to supplement vitamin D is through taking it directly. And of course, you should get regular sun exposure.

We’re still learning more and more about this syndrome, and hopefully we’ll come to some truly concrete answers soon enough. But as is so often the case, watching your nutrition and lifestyle goes a really long way in taking care of these sorts of issues.

This information originally appeared on the “Ask Dr. Ernst” website.
https://askdrernst.com/common-causes-restless-leg-syndrome

Dr. Aaron Ernst completed his undergraduate education in pre-medicine/biology at Messiah University in Grantham, PA. As a first generation holistic practitioner, he began his career with a Doctorate in Chiropractic from Logan College of Chiropractic in Chesterfield, MO.  While in Missouri, Dr. Aaron began helping patients rebuild their health in a Maximized Living Health center, which was the largest wellness clinic in Missouri. His experience has led him to spend countless hours studying and researching to create procedures and protocols to rebuild health naturally. Dr. Aaron has traveled all over North America, Europe and Africa teaching the principles of Maximized Living and educating all generations on gaining victory over disease naturally.

Leave a Comment

A Japanese Study Has Found an Association Between RESTLESS LEGS SYNDROME and INFLAMMATION

sleepcoverDr. Terumi Higuchi of the Department of Nephrology, Keiai Hospital, Tokyo Japan, headed a recent study to determine if there was an association between RLS, oxidative stress and inflammation in patients undergoing hemodialysis.

The results of the study were published in the August 2015 edition of the “Sleep Medicine Journal” (Volume 16, Issue 8, Pages 941–948).

The study was called “Association of restless legs syndrome with oxidative stress and inflammation in patients undergoing hemodialysis”

In the HIGHLIGHT section of the study, Dr. Higuchi states that “Restless legs syndrome was associated with oxidative stress and inflammation.”

You can read more details about the study here:
http://www.sleep-journal.com/article/S1389-9457%2815%2900746-7/abstract?cc=y=

Leave a Comment

A Wayne State Study is Testing the Effects of Tocotrienols (from Palm Oil) on Restless Legs Syndrome

palm-oil-fruitINTRODUCTION:

For many years I’ve waited with great hope that some day there would be a study to test the effectiveness of a natural anti-inflammatory on patients with RLS. Today, I’m extremely excited to announce that dream is coming true!

The article below gives details on a study that is underway that is going to test the effect of powerful anti-inflammatories called “Tocotrienols” on End-Stage Renal Disease (Kidney Disease) and at the same time they are going to measure its effect on Restless Legs Syndrome.

After the article I have posted some details on what Tocotrienols are, and how their anti-inflammatory benefits have tested in regard to other medical conditions.

THE STUDY:

“A team of researchers led by Pramod Khosla, Ph.D., associate professor of nutrition and food science in the College of Liberal Arts and Sciences at Wayne State University, will study the effects of a daily supplement of a Tocotrienol-rich fraction from palm oil to see if it improves dyslipidemia, a disorder of lipoprotein metabolism that may be manifested by a decrease in the “good” high-density lipoprotein (HDL) cholesterol in patients with ESRD who are on hemodialysis. Tocotrienols are a form of Vitamin E and have been shown in recent years to have diverse health effects. In addition, Khosla’s team will explore the impact on symptoms such as inflammation and symptoms related to Restless Leg Syndrome in the same cohort of patients.

Khosla believes that the supplement will also act as an anti-inflammatory and antioxidant nutrient, leading to improved nutritional status, lipid profiles, and inflammatory and oxidative stress markers in the ESRD patients.

The three-year study, funded by a $2.4 million grant from the Malaysian Palm Oil Board, a premier government agency of Malaysia, will take place in multiple dialysis centers in the United States and Malaysia. The cross-collaboration will allow the investigators to evaluate differences in dietary patterns of 800 dialysis patients in the two countries. With the patient pool in Michigan of predominantly African Americans and Caucasians and the Malaysian cohort comprised of three distinct ethnicities – Malays, Chinese and Indians – the investigators hope to shed light on possible genetic and metabolic differences in the dialysis populations. Additionally, as a significant proportion of dialysis patients suffer from Restless Legs Syndrome — an unpleasant tingling or cramping sensation that impacts the quality of life — the investigators hope to shed some light on the underlying causes for the condition.redpalmoil

“End-stage renal disease patients undergoing chronic hemodialysis experience a higher risk of complications such as cardiovascular disease, dyslipidemia, Restless Leg Syndrome, insomnia and other health issues,” said Khosla. “In this study, we hope to see significant improvements in various biomarkers that should help decrease some of these complications.”

Dr. James Sondheimer, associate professor of medicine and chief of the Division of Nephrology and Hypertension at WSU stated “We hope to gain a better understanding of how tocotrienols, as substances with antioxidant and anti-inflammatory effects, affect clinical outcomes as well as metabolic parameters.”

http://www.eurekalert.org/pub_releases/2015-07/wsu–wss071315.php

ABOUT TOCOTRIENOLS:

Tocotrienols are members of the vitamin E family. An essential nutrient for the body, vitamin E is made up of four tocopherols (alpha, beta, gamma and delta). Tocotrienols are potent gene regulators and modulators of many enzymes involved in human health, helping to quash the inflammation, glycation, and other processes that contribute to age-related diseases. Tocotrienols are increasingly being recognized for their potential roles in protecting against cancer, heart disease, stroke, diabetes, liver disease, neurodegenerative diseases, and even osteoporosis.

Tocotrienols are natural compounds found in select vegetable oils, including rice bran oil and palm oil, wheat germ, barley, saw palmetto, anatto, and certain other types of seeds, nuts, grains, and the oils derived from them. This variant of vitamin E typically only occurs at very low levels in nature.

In studies, Tocotrienols reduced plasma levels of C-reactive protein (CRP), which is both a marker of and a cause in the inflammatory response that damages heart and blood vessels. They reduce other inflammatory mediators such as cytokines.

Tocotrienols are potent antioxidants, which appear to reduce the oxidant-induced inflammation that contributes to bone loss.

553f63ad3015dedf22d0017954155678Tocotrienols given to mice with pancreatic cancer significantly improved their survival. Only 10% of animals in the control group survived for the study period while 70% of those taking tocotrienols survived!1 Pancreatic cancer is a particularly fast-moving and lethal form of cancer, and this study presents a promising new treatment option. Beyond cancer, research is showing that tocotrienols have a place in reducing important risk factors for some of the most lethal chronic diseases. For example, tocotrienols have been found to promote new artery formation after a stroke, lower homocysteine levels, improve insulin sensitivity, protect vital brain circuitry, and even prevent bone loss.

In a study using rabbits, tocotrienol supplementation, after a high-fat diet, significantly lowered a host of markers of both inflammation and heart muscle damage.

Through studies, tocotrienols have been closely linked to neuroprotection through their potent antioxidant properties, as well as their ability to redirect the production of inflammatory molecules to non- or even anti-inflammatory actions.

SOURCES:

“Tocotrienol” Wikipedia  en.wikipedia.org/wiki/Tocotrienol
“The Little-Known Benefits Of Tocotrienols” by Thomas Rosenthal http://www.lifeextension.com/magazine/2014/8/the-little-known-benefits-of-tocotrienols/page-01
Prasad K. Tocotrienols and cardiovascular health. Curr Pharm Des. 2011;17(21):2147-54.
Das S, Mukherjee S, Lekli I, et al. Tocotrienols confer resistance to ischemia in hypercholesterolemic hearts: insight with genomics. Mol Cell Biochem. 2012 Jan;360(1-2):35-45. Nazrun AS, Norazlina M, Norliza M, Nirwana SI. The anti-inflammatory role of vitamin e in prevention of osteoporosis. Adv Pharmacol Sci. 2012;2012:142702.
Nizar AM, Nazrun AS, Norazlina M, Norliza M, Ima Nirwana S. Low dose of tocotrienols protects osteoblasts against oxidative stress. Clin Ter. 2011;162(6):533-8.
Muhammad N, Luke DA, Shuid AN, Mohamed N, Soelaiman IN. Two different isomers of vitamin e prevent bone loss in postmenopausal osteoporosis rat model. Evid Based Complement Alternat Med. 2012;2012:161527.
Tiwari V, Kuhad A, Bishnoi M, Chopra K. Chronic treatment with tocotrienol, an isoform of vitamin E, prevents intracerebroventricular streptozotocin-induced cognitive impairment and oxidative-nitrosative stress in rats. Pharmacol Biochem Behav. 2009 Aug;93(2):183-9.
Kaileh M , Sen R. Role of NF-kappaB in the anti-inflammatory effects of tocotrienols. J Am Coll Nutr. 2010 Jun;29(3 Suppl):334S-339S.

Comments (3)

The Link Between Stroke, Restless Legs Syndrome and Inflammation

11111ast-stroke-posterYou may have read about a new study that’s getting a lot of press. The study shows that severe Restless Legs Syndrome is linked to increased stroke.

Here is an excerpt about the study from an article written by Megan Brooks of MedScape.

“More severe restless legs syndrome (RLS) is associated with an increased risk for stroke, particularly ischemic stroke, a new analysis of data from the Nurses’ Health Study II suggests.

“We were surprised at the importance of taking into account RLS severity — it was only severe RLS, not milder RLS, that was associated with increased risk of stroke,” principal investigator Xiang Gao, MD, PhD, director, Nutritional Epidemiology Lab, Department of Nutritional Sciences, Pennsylvania State University in University Park, said in a statement.”

You can read the full article here:
http://www.medscape.com/viewarticle/846486

This is not actually news. There was a study published in 2008 that demonstrated a powerful link between Stroke and Restless Legs Syndrome.

“A new US study has found that people with restless legs syndrome (RLS) have double the risk of stroke and heart disease compared to people without RLS. The study is the work of Dr John W Winkelman, of Harvard Medical School in Boston, Massachusetts, and colleagues, and is published in the Janaury 1st 2008 issue of the journal Neurology.” from “Restless Legs Linked To Increased Stroke And Heart Disease Risk” by Catharine Paddock, Medical News Today
http://www.medicalnewstoday.com/articles/92849.php

As is the case with many other diseases and conditions, logic dictates that inflammation is the common link and points to the fact that RLS is an inflammatory condition and can therefore be treated if an anti-inflammatory protocol is set into motion.

In other words, stop eating crap that messes up your body.strokex216

Here are some quotes about the link between inflammation and stroke (for more information about the link between RLS and inflammation visit http://www.RLcure.com).

“Inflammation is an all encompassing term for a complex process that entails multiple cellular, hormonal and biochemical alterations that are both systemic and organ-specific. A panalopy of acute and chronic infections as well as many exogenous and intrinsic sources of inflammation is associated with an increased risk for ischemic stroke.”  from “Inflammation and Stroke” by Bruce M. Coull, Arizona Health Science Center, University of Arizona, Department of Neurology

“Evidence continues to accumulate to suggest important roles for inflammation and genetic factors in the process of atherosclerosis and specifically in stroke. According to the current paradigm, atherosclerosis is not a bland cholesterol storage disease, as previously thought, but a dynamic, chronic, inflammatory condition due to a response to endothelial injury.”  from “Genetic and Inflammatory Mechanisms in Stroke” by Sally Sultan, MD, Columbia University Medical Center

“Recent work in the area of stroke and brain ischemia has demonstrated the significance of the inflammatory response accompanying necrotic brain injury. Acutely, this response appears to contribute to ischemic pathology, and anti-inflammatory strategies have become popular.”  from the study: “The Inflammatory Response in Stroke” by Qing Wang, MD et al. J Neuroimmunol. 2007 May 14.

“Exactly how inflammation plays a role in heart attack and stroke remains a topic of ongoing research. It appears that the inciting event in many heart attacks and some forms of stroke is buildup of fatty, cholesterol-rich plaque in blood vessels.”
Deepak Bhatt, M.D, Chief of Cardiology for the VA Boston Healthcare System (from “Inflammation and Heart Disease” The American Heart Association)

Leave a Comment

“RESTLESS LEGS SYNDROME – A SCOURGE, BUT THERE ARE SOLUTIONS” by Ken Cowley. Heart Disease Miracle Blog

BikramQuote1(Editor’s Note: While researching online I found this article plugging my website http://www.rlcure.com and I’d like to share it with you).

As a contributor to this blog I’ve spoken before about my own health, nutrition and fitness thoughts and issues.

One issue I’ve had, and which I might be able to help others with is Restless Legs Syndrome. If you’ve never had it, you won’t understand it, but if you have you’ll know exactly what I mean when I say it’s a scourge. It’s not debilitating, it’s not exactly painful, it doesn’t stop you doing things, but it does/can have a big impact on quality of life.

So, what is it?

Essentially it’s a restless creeping feeling in one’s legs, particularly in the quads/thighs, and particularly at night and particularly (for me anyway) when sitting down. It’s extremely uncomfortable and I find it at it’s worst during flights or long films, or even just sitting down in my living room watching tv.

I’ve done quite a bit of research in to it, including what people usually say are the biggest triggers (caffeine, stress, poor diet, high blood pressure) and what are the solutions (medication, quinine, stretching etc.).

However, I recently came across a website with some excellent suggestions in it about RLS, and I’m happy to give it a plug here. The chap who runs the website isn’t even selling anything, he just wants to pass on his findings. Here’s the link; http://www.rlcure.com

Basically, he says that RLS is completely caused by Inflammation. Now, inflammation is a whole other subject, with a whole other list of causes and symptoms.

However, his cure, which simply involves a combination of herbs which can be purchased at any health store, DOES seem to helping me a lot, so I suggest you have a think about if, if you suffer from RLS.

Two other things that have also helped are;

Bikram Yoga, and again, that’s a whole other subject, which I’ll come back to some day.
65f064ee487967f293f01ed3d9500b3c
ProArgi9 from Synergy Worldwide. The reason I think Pro Argi helps with RLS is that it creates Nitric Oxide in the body and therefore has a big impact on circulation, blood flow (and possibly inflammation) thereby helping the legs to relax, including when seated or lying down at night time.

So, that’s my tuppence worth on Restless Legs Syndrome, a nasty little affliction, and I hope the above may be of some help to fellow sufferers!

Ken Cowley has a background in the leisure industry and sales, and wants to further explore all aspects of health, fitness and wellness and share this with friends and colleagues along the way. http://www.heartdiseasemiracle.com

Leave a Comment

“Is Vitamin D Deficiency to Blame for Your Restless Legs?” by Dr. Robert Rosenberg, The Sleep Disorders Centers of Prescott Valley and Flagstaff

vitamindEditor’s Note: Please understand that although I publish any  hopeful information I can when it comes to natural remedies for RLS, I still stand firm in the belief that INFLAMMATION is the cause of RLS. So, a Vitamin D deficiency may be the cause (or may contribute) for some people, while others it may be a Vitamin B12 deficiency, for other an Iron deficiency, for others a Magnesium deficiency … and in most cases, just bad eating habits and stress.

They have yet to identify inflammation as being the real problem, and the ways that the inflammation is created, as being secondary. I don’t mean secondary as being ” less important,” what I mean is that you first have to identify the problem, admit that it exists, before the REAL healing can start. Once you have identified the problem, that your RLS is a symptom of the chronic inflammation in your body, then you can try and figure out how it got there, and how you can get rid of it.

As the saying goes “identifying the problem is HALF of the solution.”

However, instead of articles and studies that identify the real problem, what continually appears in the press are articles like the one below that attempts to identify the “ONE THING” that will set your legs free. They look for something we can BLAME it all on.

I totally agree with what Dr. Sircus stated in my previous post “no single medicine or nutritional agent has the power to both treat and prevent chronic inflammatory conditions.”

In other words, yes, a Vitamin D deficiency is inflammatory, and should be avoided at all costs. However, taking Vitamin D is not going to “cure” you if you are still leading an inflammatory lifestyle (including stress) or are consuming inflammatory foods.

Here is the article by Dr. Rosenburg:vitamindmonth2

“Within the past few years there have been several studies linking vitamin D to various sleep disorders. This connection is not surprising since vitamin D is involved in the regulation of calcium, phosphorous, and bone growth, as well as muscle function, immune regulation, and brain function.

There have also been studies linking vitamin D deficiency to sleepiness and enlarged tonsils in children, resulting in pediatric sleep apnea. Among the newer studies released, one of the most interesting studies is a new study, published August 2014 in the journal Sleep Breath titled The Effect of Vitamin D Supplements on the Severity of Restless Legs Syndrome, which links vitamin D deficiency to restless legs syndrome (RLS).

The study followed 12 subjects, all of whom were diagnosed with both primary RLS (meaning there was no other obvious cause) and vitamin D deficiency. All 12 patients were treated with vitamin D. After their levels returned to normal, they were reassessed. The severity of their RLS also significantly improved after treatment, causing the study authors to conclude that vitamin D deficiency may be associated with RLS.

This news comes on the heels of several other studies that have shown low levels of vitamin D in people with RLS.

vitd1There are many places in which you can find vitamin D. One source is our skin, which can produce vitamin D upon exposure to sunlight. Vitamin D can also be found in certain foods including:

Milk
Cheese
Eggs
Oily fish (salmon, cod, and mackerel)

Low levels of vitamin D can be caused by dark skin pigmentation, limited sunlight exposure, pregnancy, abnormal intestinal absorption, and some medications.

As a result of these studies — and several other studies correlating vitamin D to restless legs syndrome, sleep apnea, excessive sleepiness, and nighttime muscle cramps – I intend to start checking my patient’s vitamin D levels more often. I am only sorry that I was not aware of this relationship before. Just a decade ago, most of us in sleep medicine would never have imagined that the same vitamin deficiency that can cause rickets and osteoporosis could be
involved in sleep disorders. Modern medicine never fails to amaze or humble me.”

7aa229a83d4c9bbb98f4434bf37fce83Dr. Robert Rosenberg first started practicing medicine in Chicago as an associate professor at the Chicago College of Osteopathic Medicine where he taught students, interns, and residents and attended to patients. In 1982, he moved to Arizona and opened a private practice focusing on internal medicine, pulmonary medicine and sleep medicine. He continued to teach in Arizona and California. In recent years, he’s limited his practice to sleep medicine, and he’s also started writing, blogging, and lecturing on sleep. His expertise as a sleep physician has been featured in various publications, including Newsweek and Oprah Magazine, and he also serves as a forensic sleep medical consultant for legal cases. Dr. Rosenberg sees patients at his private practices, the Sleep Disorders Centers of Prescott Valley and Flagstaff, both in northern Arizona. His first book is titled “Sleep Soundly Every Night, Feel Fantastic Every Day,”  

Leave a Comment

Older Posts »