Nordic Natural Fish Oils – The fish oils are mild anti-inflammatories, exerting effect on arachadonic acid in the inflammatory cascade. They also have mild anticoagulant effects.

Dietary sources of Omega-3 Fatty Acids are cold-water fish including salmon, herring, mackerel, sardines and albacore tuna. Flax seed, nuts (particularly walnuts), dark green leafy vegetables, soybeans and hemp seeds are vegetarian sources of the Omega-3s. In some persons, can cause loose stools. Nordic Naturals, third party tested, were found to be free of mercury, lead, and environmental toxins. The taste is neutral to lightly flavored with citrus, the citrus flavor won a “Best Taste” award. Fish oils need to be taken at least one month before beneficial effects are seen.

“Dona” Glucosamine Sulfate 1500mg/day – can purchase at Walgreens, San Vicente Pharmacy, or at . Glucosamine’s primary role is as a substrate for glycosaminoglycans and the hyaluronic acid backbone used in the formation of proteoglycans found in the structural matrix of joints. The best scientific studies demonstrating efficacy of glucosamine used “Dona” brand glucosamine sulfate. Rare side effects include dyspepsia, nausea and headache.

Magnesium 400mg/day – 800mg/day – Functions as a mild muscle relaxant. It helps maintain normal muscle and nerve function, and helps support immune function. May cause loose stools in some patients. Nature Made, Solgar, and Goldline all manufacture magnesium. Dietary sources of magnesium include whole grains, spinach, almonds and cashews.

SAM-e (S-adenosylmethionine) 400mg/day – 800mg/day – 1200mg/day – This is a physiologic molecule formed in the body from the essential amino acid methionine. The mechanism is not fully understood, but may be related to its ability to stimulate proteoglycan synthesis in osto-arthritis cartilage. In double blind randomized controlled trials, SAM-e was as effective at two months as Celebrex in reducing pain from inflammation. Side effects can include nausea and gastrointestinal distress.

Traumeel Ointment – Heel Biotherapeutics is a homeopathic medication containing 12 botanical substances and two mineral substances. It has been used in Europe for over 60 years as an anti-inflammatory and analgesic. It can be used on an as needed basis to decrease swelling, tenderness and inflammation. Avoid contact with eyes and open wounds. It is carried at most health food stores, Whole Foods, and on the Internet.

Arnica Gel – Boiron is derived from arnica Montana, a mountain plant found in the northwest United States and central Europe. It is used for relief of muscle aches and stiffness, and reduces pain and discoloration from scars and bruises. Avoid contact with eyes and open wounds. It is carried at most health food stores, Whole Foods and on the Internet.