Avocado and Soybean Oil to Relieve Arthritis Pain

The pain of arthritis is very common. In fact, this is one of the most common reasons for people to see a doctor and certainly one of the main reasons to go onto disability. There is no cure for arthritis at this time, but there are a number of medications to treat symptoms. Most medications have side effects, however, and often cannot be used for arthritis pain.

There are a variety of natural supplements that can be taken for arthritis pain. Most supplements have decent science behind their use. One should remember that supplements or medication work best to treat arthritis pain when paired with a program for weight loss and with low-impact aerobic exercise.


There is an intriguing supplement on the market in Europe called Piascledine that is derived from avocado and soy. The supplement concentrates the active ingredient considered crucial for the control of arthritic pain. This supplement has been tested in placebo-controlled trials in France by the company that makes it. The Cochrane Collaboration, an independent science group, has evaluated these studies.

Basically, Piascledine has “moderate to high” evidence that it works in the short-term to relieve pain. This is good news as this is a natural product with little to no side effect profile. A more long-term study (three years) found little difference in pain control between the supplement and placebo. A review study in 2008 found that the use of the avocado-soybean oil supplement reduced and even stopped the need to use NSAIDs (anti-inflammatory pills).

The French company that makes Piascledine, Laboratoires Expanscience, sells this product in 46 countries but not yet in the USA. The French experience has demonstrated the safety of the supplement over a 15 year span of use in that country.



The avocado combination provides anti-inflammatory activity and has also been shown in laboratory testing to build up cartilage. This unsaponifiable and anti-inflammatory product has shown a decrease in destruction of the joints over time. This has been examined at the University of Arizona.

According to the Arthritis Foundation, the supplement blocks pro-inflammatory substances, can help to rebuild cartilage cells and also prevents the deterioration of the synovial (joint) lining. Typically, the supplement works better than simply eating the vegetables as the ingredient is concentrated for you that way. The dosage ranges from 300 to 600mg per day.

The product is derived from the unsaponifiable part of the vegetable oil. This is a tiny fraction of the overall mass of the soybean and the avocado. The amount of avocados and soybeans that would need to be consumed to equal the unsaponifiable dose in the supplement is too large to recommend a dietary source for this substance.

This product is another natural remedy with a good side effect profile that has been found to be an effective way to treat the pain of arthritis.

If you want natural relief without heavy medicinal fog, reach for our full line of safe, holistic pain-fighting products. You should check with your doctor to make sure any of these natural remedies will not interfere with any current supplements of medications prior to trying them for yourself.

Treating Ankle Arthritis With Ankle Replacement

For years ankle fusion has been the only treatment option available for people suffering from severe ankle arthritis. Fusion has always been an effective treatment technique, but it’s an option that completely alters the patient’s gait, changing the way they walk for the rest of their lives. It totally eliminates ankle motion and causes severe arthritis in the rest of the foot too.

New advancements in medical technology have offered a solution, that can produce long-term mobility, flexibility, and stability. Total Ankle Replacement surgery allows the patient to retain motion in the ankle joint, creating a new joint that functions like the old one, but without pain. Below we’ll explain why Dr. Meredith Warner prefers Total Ankle Replacement surgery for her patients, and detail each step of the procedure.

Ankle arthritis is a condition caused by damage to the joint that connects the foot to the leg, also known as the tibiotalar or ankle joint. There are three bones connected in this joint: the tibia, the fibula, and the talus. Ankle arthritis can involve any or all of these bones. Symptoms vary but most commonly include pain during movement, swelling, tenderness, and difficulty walking.

About 50 percent of people over the age of 60 are affected by ankle arthritis every year and seek out a treatment that may help relieve pain. Most ankle arthritis is post-traumatic and can usually be traced to an injury.


Ankle fusion is one of the most common ankle arthritis solutions offered by medical professionals in the United States, yet often comes with a variety of complications. During the procedure, the doctor will extract damaged cartilage and use pins, plates, and screws to set the joint in a stable position. The joint is removed, allowing the bones to fuse and grow together over time.

The procedure is often successful and reduces pain, however adjacent joint disease may develop in the months and years following surgery. Also, by removing the joint, range of motion is reduced in the ankle, ultimately affecting gait. The change can negatively impact the knee and hip, causing injury or damage.

An Innovative Alternative: Ankle Replacement

Total Ankle Replacement surgery may not be as conventional as total hip or knee replacements at this time, but is a solution that can be as viable and successful for individuals living with arthritis. Dr. Meredith Warner prefers this treatment method over fusion because it allows patients to maintain a more normal gait post-surgery.

During the procedure, damaged cartilage is removed, and a new metal and plastic joint is implanted in order to restore function. The method relieves ankle arthritis pain and offers patients more mobility and flexibility than fusion. Following surgery, the patient can safely move the ankle joint, meaning less stress is transferred to adjacent joints.

Most patients can begin weight bearing on their ankle within one month and begin physical therapy just a week following surgery. Studies have shown that ankle replacement leads to more normal gait than a fusion. On average, replacement joints start to wear out after about ten to 15 years. Once the total joint is worn down a doctor may recommend a second ankle replacement or at that time a fusion may be appropriate.

For many patients with ankle arthritis, an ankle replacement may be the best treatment path to explore to ensure long-term success, comfort and to protect the rest of the foot and leg from arthritis problems.

At Well Theory, we always advise working with your primary physician to find the least invasive option available to you for the successful treatment of your condition. Dr. Warner, the founder of Well Theory, uses this methodology with her own patients, and this led her to develop a line of natural, safe, pain-relieving products that harness herbal medicine and modern medical therapies. Click here to view our full line of wellness products!

A Solution to Arthritic Knee Pain Without Replacement

A minimally invasive, office-based treatment for chronic knee pain from arthritis.


Osteoarthritis of the knee is one of the most disabling conditions in the world. It is present in about 20-30% of the elderly population (over 65-years-old). With the aging of the population and the increasing number of people working longer, this is expected to increase. Also, most individuals are more active now than ever. The pain of arthritis is long-term and can render one unable to do even basic daily activities.

There are many non-operative treatments available for chronic knee pain from arthritis. These treatments range from braces to hyaluronic acid injections. However, many physicians recommend a replacement of the natural knee with a metal and plastic one when other treatments don’t work.

Many people do not want to undergo the trauma and expense of a total knee replacement. Some people are not healthy enough to undergo such a surgery. Some individuals wish to delay such a surgery for any number of reasons.

Also, 20-30% of patients still have pain and disability even after having a total knee replacement.

Treatment Options

There is a way to treat the pain without replacing the knee joint. By blocking the sensory nerves that provide the pain signal from the knee to the brain, the pain can be treated. First, the nerves must undergo a temporary block to see if the pain relief is adequate. Then, a minor procedure is completed that prevents the nerves from working to create a pain signal. The pain is effectively gone. This has been shown to provide a significant amount of pain relief in a number of scientific studies. While there is no cure for arthritis, there is a potential treatment for the pain of arthritis of the knee.

The nerve block is done in the clinic. An area around the kneecap undergoes a series of injections with a medication that numbs the nerves. If this proves to provide enough relief, the next stage of treatment occurs.


The patient with the painful arthritic knee is mildly sedated, and numbing medication is injected into the area to provide relief during the procedure. Specialized cannulas and probes are placed around the kneecap in key positions. Each probe is inserted under the skin into an area known to have a sensory nerve. Once positioned, the probes area activated and render the nerves ineffective. The probes utilize radio frequency to produce a minimally invasive heat source that essentially burns the nerve. The surrounding tissue has minimal to no damage due to the design of the probe and the procedural technique.

If successful, this procedure can provide an individual with long-term pain relief without the need for medication.

For daily, natural relief without medicinal fog, reach for our Pain Relieving CBD Cream! The holistic blend in our CBD cream is designed to relieve pain on contact, and interact with the endocannabinoid receptors in your body to further regulate inflammation.

Three Ways a Total-Knee Replacement May Affect an Arthritic Ankle

If you’re living with an arthritic ankle, a total knee replacement can have a tremendous effect on your life. Below we’ve shared three ways a total knee replacement can affect the health of an arthritic ankle.

Change The Position of the Ankle

When a total knee surgeon places a total knee implant, they must consider the position in three planes. It must be position in the lateral (side-facing), coronal (front-facing) and finally the axial (cross-section) planes. Often, a position of external rotation in the axial plane is selected to place the patella correctly in its femoral groove.


Sometimes the rotation of the femoral and tibial total knee components changes the rotation of the tibia (shin-bone), ultimately affecting the ankle.

If you have ankle pain or feel that you wear out shoes differently since your total knee replacement, it may be worth seeing a foot and ankle surgeon.

Tendinitis May Develop Due to Changes in Range-of-Motion

People with pre-existing ankle arthritis usually have limited range of motion; the same is true of the knee of course. Over time, with an arthritic knee and ankle, the walking pattern accommodates to the limits of both joints.

Once the knee is replaced (assuming all goes well), the knee will have a much better range of motion. This knee range of motion then puts additional stress on the already limited and arthritic ankle. It is not unusual to develop Achilles tendinitis, plantar fasciitis, peroneal tendinitis or posterior tibial tendinitis in the ankle region due to the changes in walking.

Reduced Flexibility in the Hindfoot

Again, total knees will change the alignment of the knee from being either valgus (knock-kneed) or varus (bow-legged),  and change the angle of the ankle in the forward-facing plane.

Because the ankle has changed its angle, the calcaneus (heel bone) must change its relative position.  If an ankle has been in valgus, typically the calcaneus compensates by moving varus.  Conversely, if an ankle has been in varus, the heel will correct by moving into valgus.  The goal of the body is to maintain an overall neutral position of the leg and body relative to the ground.

When the total knee is placed and suddenly the knee is straight (neutral) again, this places the ankle in a different plane. The change is happening along with the tibial rotation change discussed in the first point. The heel bone will need to compensate less but often becomes stiffer due to the new biomechanics of the ankle joint. A stiff hindfoot will increase midfoot and forefoot pain, contribute to plantar fasciitis and make navigating uneven ground difficult.

All this to say, if you find that you are having more foot and ankle pain after total knee surgery, you should be evaluated. Sometimes a simple custom insert is necessary. Other times, professional physical therapy can help. Injections, massage, and other techniques can reduce the discomfort also. Rarely surgery is required, but it happens.

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Reduce Orthopedic Arthritis Pain with a Few Simple Exercises

You can do orthopedic exercises for yourself at home – and reduce your arthritis pain safely and effectively. The following exercises for arthritis help patients to become stronger and more flexible, while increasing endurance and balance.

Resistance Training for Orthopedic Strength

Stronger muscles can act as ‘shock absorbers’ for your joints (just like the shocks in a truck). By lifting something heavier than the joint itself, you can improve strength. This can often be done using just your own body weight.


To build the strength of your quadriceps (thigh muscles), you can do simple squats out of a chair:

  • Sit in a chair
  • Lean forward
  • Stand up

For a variation that strengthens the same muscles, you can lean against a wall with knees slightly bent. Hold this position for 10 seconds, stand up, rest a bit and repeat!

Stretching to Improve Flexibility

Everyone knows stretching is good for our bodies, but many think of Cirque du Soleil when discussing flexibility. Even a small increase in stretching can prevent orthopedic problems like arthritis from progressing and can help the pain. It can be done whenever you think about it. A good stretch begins by moving the joint to a position where you feel that it has been stretched, hold for 10 seconds and then push very slightly more. Heating before stretching and then icing afterwards helps as well.


Sample Exercise: Hip and Knee Stretch

You may only be able to reach your knees when you begin; even moving to the mid-calf will be great for arthritis in the hips and knees.

  1. Sit on the floor and reach for your toes until you feel a comfortable stretch.
  2. Hold for 10 seconds
  3. Push slightly more into the stretch
  4. Release


Aerobic Exercise for Endurance

Motion is key to orthopedic health. Joints that do not move will deteriorate and become even more arthritic joints. Low impact aerobic exercise such as walking, swimming, and bicycling will strengthen your heart and lungs, allowing you added energy throughout the day. Endurance depends on how much oxygen gets to the muscles and joints, and how the muscles and joints use that oxygen.

Sample Exercise: Walk

The impact of running will negatively affect your arthritic joints, but walking will not and actually helps the joints. Walking for 20-30 minutes at least three times a week is recommended.

Balance for Even Weight Distribution

Balance involves the ability to maintain one position for a long time without falling. It is a variation of endurance, and improves with better strength and flexibility. Balance is very important for joints as it allows for an even distribution of weight. When weight is evenly distributed then cartilage is not as easily damaged (causing orthopedic ailments such as arthritis). Yoga and Tai chi are both good ways to improve balance, and reduce the rates of hip and wrist fractures.

Sample Exercise: Tree Pose (Yoga)

  1. Stand on one leg
  2. Place the sole of the other foot on the standing calf, making sure to not let it rest on a joint like the knee or ankle
  3. Focus on a spot on the wall and hold still
  4. Leave the toe of the other foot on the ground and place the heel against the ankle

By doing these few simple exercises in a short amount of time at home, you can gain relief from the pain and discomfort of arthritis.

Incorporate this routine and other simple exercises (as recommended by your physical therapist or orthopedic doctor) into a regular, daily routine to experience greater strength, endurance, and flexibility for improved health and movement!

Use our Bone + Joint Health Multi to improve joint function and holistically reduce inflammation naturally over time! This multi contains surgeon-curated ingredients handpicked to improve your musculoskeletal health, fill gaps in your diet, and reduce pain + inflammation throughout your body.

The Stages of Ankle Arthritis

Ankle arthritis can be painful, but the key is to understand what stage it is in so you can treat it quickly.

The ankle is a critical joint in our bodies. Not to say that other joints are less critical, but the ankle is a meeting point for cartilage, connective tissues, and tendons. The ankle is the lowest main meeting point of the muscles, tendons, and ligaments used for walking, running and jumping. It is essential for force and speed. The downside to its importance is that all the force of these muscles and tendons around the ankle area makes the cartilage prone to damage, also known as arthritis. Cartilage coats the surface of a joint to allow motion when damaged, this is why movement becomes painful and less smooth.

Arthritis is a degenerative disease so, the longer you wait, the worse it gets. Medical professionals can determine your stage of arthritis and treat it, but there are some steps you can take to help alleviate and articulate the problem before it becomes too much to handle.

The early stage of ankle arthritis.

In healthy ankles, cartilage covers the joints to protect them from friction. In ankles that are developing arthritis, this cartilage begins to wear down, therefore enabling the formation of pitting and irregularities of the surface. This is considered the early stages of ankle arthritis and is characterized by an uncomfortable or stiffening sensation in the ankle after a long day of walking or several hours of sitting.

The early stage can be a problematic one, as this pain is hard to distinguish from regular discomfort. To remedy this stage of ankle arthritis, take some anti-inflammatory NSAIDs, such as ibuprofen or naproxen – if you aren’t allergic. Pair with this supportive footwear, low-impact activity, and a healthy, active lifestyle. Low impact aerobic activity has been shown to be best for cartilage health. Note that no activity is not good for cartilage.

Mid-Stage Ankle Arthritis

Later, bone spurs develop in response to abnormal cartilage. Thus, this is the stage where you will begin to realize some discomfort and pain that may not be normal. Symptoms will become more noticeable, as you’ll experience varying levels of pain throughout the day that comes in waves, as well as occasional swelling. Occasional rest and off-loading of the ankle may become necessary at this point. Doing so can help in the short term. However, for long-term solutions, it is better to stay somewhat active to keep your muscles strong so that they can support the ankle joint.

One remedy to this stage of arthritis, continue to take NSAIDs, do low-impact exercise, and meet with an orthopedic surgeon to determine the next steps. At this stage, surgery may be considered to remove spurs, clean up joins or stabilize or realign the ankle. Bracing and graded socks are often helpful. Rocker bottom shoes also and topical pain methods may also help with this.

End-Stage Ankle Arthritis

The late stages of ankle arthritis are when the cartilage around the joint is almost entirely gone, leaving very little space between the bones, inhibiting motion. This may be true for all or just a portion of the joint. Spurs can be quite large as well. At this stage, the ankle will be incredibly stiff and sometimes completely immobile.

Simple activities like ascending/descending stairs and squatting can become impossible. In the later stages, the lubricating fluid in your joints is absent, so the friction on your bones is increased. Moving at this stage may be painful and could also be damaging to your bones. However, many people can remain high-functioning and relatively pain-free, despite this arthritis. To treat this stage of arthritis, previous remedies (such as NSAIDs and light activity) may not be enough. If you’re at this stage and the pain is affecting your daily life, contact an orthopedic surgeon immediately, as surgery could likely be needed.

Your surgeon could also recommend a series of nonoperative remedies as well. These could range from physical therapy to acupuncture, to special shoes or CAM (complementary alternative medicine).

Arthritis is a painful disease that can get worse the longer you ignore it. Identifying that the pain or discomfort is in fact arthritis is an important step, and seeking help before symptoms worse is crucial. Sometimes, our joints are sore, stiff, and hurt a little, especially at older ages.

What is Ankle Arthritis?

The manifestation of ankle arthritis causes as much psychological and physical damage to the body as does the arthritis of the knee, hip, and back. In addition, we now know that ankle arthritis also causes as many functional limitations as does arthritis of the knee and hip.

However, ankle arthritis is only recently being recognized nationally as an actual pain source and entity worthy of treatment. Ankle arthritis has been considered secondary to hip and knee arthritis for a while.

Dr. Warner has been treating ankle arthritis for over a decade and is up to date on all cutting-edge treatments.

An unstable ankle due to ligament damage (sprains) that heal improperly can cause enough shear force to an ankle to produce arthritis. Also, a previous break/fracture will have abnormal motion if it is not repaired anatomically and that leads to abnormal forces on the cartilage; thus arthritis develops. It is very important that ankle fractures be corrected with exquisite attention to detail and anatomy.

The ankle is a small and perfectly shaped joint; it was not designed with the same amount of give and play that the knee and hip have. Therefore, fractures of the ankle have many more long-term consequences with regard to arthritic change.

Fractures that cause significant cartilage damage lead to ankle arthritis.

More often, fractures that heal poorly or heal in a poor position lead to arthritis. This is because even a 1mm shift in the ankle joint surface can dramatically increase the contact pressures inside the joint and cause chondral damage (arthritis). Again, this is not true for the hip and knee.

A mal-united fracture can be corrected to either prevent or treat arthritis. If you have an old fracture that has healed in a bad position, there are a number of treatment options available to correct that problem.


Causes of Ankle Arthritis

About 1% of the adult population has ankle arthritis. Of those, 80% are post-traumatic in nature. The ankle is different than most joints in that the arthritis is typically due to trauma. Most other joints, such as the hip, knee, and back have degeneration as the primary source of arthritis. The ankle breaks down and becomes arthritic after either a fracture (broken ankle) or due to sprains and ligament damage. For post-traumatic arthritis to occur, the actual bony plate that the cartilage sits upon must break as well as the cartilage itself.

Most cases of late ankle arthritis also have an alignment problem; that is, the ankle is in a varus or valgus position (tipped inward or outward). The mal-positioning of an ankle increases abnormal forces and also instability at times; this is associated with arthritis and pain. Any treatment plan should include a correction to normal alignment. If your treatment plan for ankle arthritis does not, ask your doctor if he or she has considered that.


Diagnosis Process

Pain is often associated with arthritis. However, some people with arthritis have no pain at all; it is not predictable who will have pain or who won’t. Many times other factors play into the perceived pain beyond the actual arthritis that is present. Ankle arthritis is no exception to the association of arthritis and pain; typically ankle arthritis hurts during activity (work, walking, running, etc.). Occasionally pain occurs with changes in the weather or after activity. Sometimes pain is spontaneous. There is a genetic predisposition to chronic pain related to arthritis. Cartilage itself has no nerve endings and arthritis in and of itself cannot be painful.

The pain that is associated with arthritis is typically due to associated damage to the bone that the cartilage sits upon, the synovial tissue or joint capsule and the ligaments around the ankle. In addition, the muscles of the leg can hurt, as can the nerves that surround the joint. The inflammatory fluids that are released due to the inflammation can sensitize nerves; this may contribute to pain as well. It is important that the actual source of pain be recognized prior to beginning or selecting any treatment method.

Just because there is the presence of arthritis on an X-ray and the pain is at that joint does not necessarily mean that there may not be another source of pain. Diagnosis of actual pain source should be mandatory prior to any surgical intervention.

5 Natural Tips To Help Reduce Arthritis Pain

5 Natural Tips To Help Reduce Arthritis Pain

Why You need a daily multivitamin

designed for bones and joints

Arthritis is a painful condition in the joints that causes inflammation, stiffness and most of all pain.  As we age, these conditions become worse due to wear and tear on our joints, and managing the pain and related symptoms can become even more of a challenge.

For those who are dealing with arthritis related pain, managing the pain can be a major concern.  Fortunately, there are several factors that we can directly control that can help reduce inflammation and pain overall.  While these tips won’t eliminate your arthritis, they can help you to better manage the pain you feel on a daily basis.


to reduce arthritis pain

Remember those days when you’d play catch and wind up with a sore shoulder? Your mother likely told you to “throw some ice on it.”  When pain strikes, one of the first things many people do is grab the heating pad.

Hot and cold therapy helps reduce arthritis pain and while it’s a very temporary solution, it does actually work!  

Simply taking a warm bath and applying a heating bad while watching TV can help to ease stiffness in your joints, while an ice pack can help to relieve joint pain after a long day.  When you’re looking to loosen up in the morning look to heat, but when you need a quick bit of pain relief, grab an ice pack and give yourself a break

Get Active and

start exercising

Just about any major life problem can be solved in one way or another through exercise.  It helps you control your weight, gives you more energy and overall just improves your quality of life.

While intense sprinting exercises or body building may be out of the question, low impact type exercises like swimming and walking allow you to move freely and to move your joints with little resistance.  

Looking for something a bit more involved? Try out yoga! Dr. Meredith Warner always recommends yoga to her patients.

take control of

your diet

Our diets have a much bigger impact on our quality of life than most of us realize or care to admit.  The foods we eat provide our bodies with the energy we need, and the vitamins and minerals we need to thrive.  

Avoid fast food, foods with high sodium content and inflammatory foods to help reduce arthritis symptoms.  Also, including the right fatty acids in your diet can not only help with pain relief but are known to have similar effects as NSAIDs.

Foods That Cause Inflammation:
try to avoid or limit these foods as much as possible:

  • Refined carbohydrates, such as white bread and pastries
  • French fries and other fried foods
  • Soda and other sugar-sweetened beverages
  • Red Meat (burgers, steaks) and processed meat (hot dogs, sausage)
  • Margarine, shortening, and lard

Anti-Inflammatory Foods:
An anti-inflammatory diet should include these foods:

  • Tomatoes
  • Olive Oil
  • Green Leafy Vegetables, such as spinach, kale, and collards
  • Nuts like almonds and walnuts
  • Fatty Fish like salmon, mackerel, tuna, and sardines
  • Fruits such as strawberries, blueberries, cherries, and oranges

be mindful of

your weight

This tip takes into account exercise and diet, as they both play a crucial role in maintaining a healthy weight.  As the numbers on the scale begin to rise, the amount of stress that is placed on our joints increases as well.  

With arthritis already causing significant joint pain, keeping your weight under control can help reduce the chance of worsening this pain.

Keep it simple. You don’t have to run a marathon every day to be healthy. Simple, daily choices to move more by walking a little further in a parking lot or stretching before bed will pay big dividends over time.

Other Natural Antioxidants

for support with pain relief

One natural herb that is gaining a lot of attention in the public and scientific forums, is hemp-derived Hemp, Cannabidiol. 

It has none of the psychoactive properties found in THC.

There is growing evidence to support the use of hemp Hemp oil for its high antioxidant contents and its ability to interact with the system of cell receptors in your body, called the endocannabinoid system (ECS), which spreads throughout connective tissues and even into your organs.  



Arthritis Pain with Hemp Oil
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Many people have found success over the long term by introducing a hemp-derived Hemp product into their wellness routine.

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