Guidelines for osteoarthritis in Clinic

Written by Jo Ann Prior

Clinical practice guidelines for osteoarthritis affecting approximately 3.6 million Australians,15% of the population according to the Australian Bureau of Statistics 2017 and 2018 National Health survey.

This represents over half 62% of all arthritic conditions in 2017 an 2018 in Australia.

Several factors are known to contribute to the onset and progression of the condition.

  • Genetic factors
  • Female gender
  • Being overweight or obese
  • Previous history of joint injury or repeated joint loading
  • Joint misalignment.

A number of clinical practice guidelines for osteoarthritis have been published including the Royal Australian College of General practitioner guidelines for the management of knee and hip osteoarthritis and those by the American College of rheumatoid arthritis. The research has been done through the American Academy of orthopedic surgeons.

The consensus of the lifestyle factors are very important in managing osteoarthritis, encouraging clients to increase their exercises pain permits and weight loss are two key components.

Regular exercise can help reduce pain and restore function for people suffering OA of knee and hip.

They recommend strongly increasing the muscle strength in exercises like Tai chi, walking, hatha yoga, riding a stationary bike for management of knee arthritis, water based exercise may also be helpful.

Clients with knee or hip osteoarthritis are overweight or obese, weight loss is strongly recommended, the target weight loss needs to be 5 to 7.5% of the body weight. Although some authors have recommended 10% of the body weight. Teaching clients how to self manage their symptoms is strongly supported by evidence self management program. Teaching patients about their pathology and of their type of osteoarthritis, their pain coping skills and goal setting around their lifestyles.

Therefore evidence supporting the use of pain relieving medications during the periods of exacerbation for example and non steroid anti inflammatory drug, may be useful for some kind of knee and hip osteoarthritis, if taken orally at low doses over short periods due to lack of evidence. Hot and cold packs to be used 15-20 minutes, ice then heat- same duration for the heat. Has more of a chance of removing pain to allow movement. However the study has found that therapies to avoid to manage your osteoarthritis include risks and outweighs for potential benefits these include (ultrasound, laser therapy, footwear marked knee osteoarthritis and Patellofemoral braces.)  strongly making recommendations against oral and transdermal opioids.

Here's what the arthritis assoc say about Omega 3 for joint pain. After you see the dosage required you can begin to see the products you are taking are low in cost, but you need more then its label tells you to take.

Australia, Nz only is 500mg , but the rest of the world is a 1000mg. Your also shopping for EPA, DHA doses, quality of where the fish are catch. Cheap products have been adding fillers like other vegetable oil and more vit E.  THIS IS ALL SHOCK / BUT ITS TRUE. But the Issue is what people are buy at Coles, Chemist arent great. So this is why the results are so poor. Its really sad, Cheap products just dont add up over time. 

So to take all the guess work out of it Zinzino are giving you all this In a soft Gel capsule or Balance oil- where you take it by a weight ratio. 

TEXT ME for a Balance Test $125. Retail $226. For JULY $100 OFF Results are back in 10-20 days.  

Fish Oil
The fish oils used in BalanceOil products have a strict specification for EPA and DHA that efficiently optimises the Omega-6:3 Fatty Acid balance in the body within 120 days. The fish oils we use are primarily derived from short-lived, small pelagic fish such as sardines and anchovies. The fish oils are derived from whole, unprocessed fish. The oil goes through a refining process to remove environmental contaminants (if any is present) and is certified as free from heavy metals and other toxins. LYSI, the manufacturer of BalanceOil , meets all regulatory requirements for production, and follows GMPs (Good Manufacturing Practices) for food and pharmaceutical products.

Extra virgin olive oil
The Spanish Picual olive is selected due to its richness in Omega-9 and very high antioxidant content. The olives are of pre-harvest quality and in the process the stones are taken out and only the fruits are cold-pressed, resulting in an extra virgin oil, rich in Omega-9 (Oleic acid) with very high content of antioxidants called polyphenols (above 750 mg/kg), both with several beneficial effects. The polyphenols protect the BalanceOil in the bottle but even more importantly, also your cells.

Vitamin D3
BalanceOil contains vitamin D3 (cholecalciferol). We use a natural vitamin D3 (cholecalciferol) made from lanolin. Lanolin is a naturally occurring fat found in sheep’s wool. The vitamin D is made by dissolving a precursor to vitamin D from the lanolin. It is then chemically altered and activated by exposure to ultraviolet (UV) light. The chemical process is comparable to the process which occurs in the human skin when it produces vitamin D.

Natural tocopherols
Mixed tocopherols are commonly used anti-oxidant in dietary supplements. The natural tocopherols used are made from GMO-free, highly refined soy bean oil distillates, which undergo further refining and therefore do not contain any soy proteins. This means there are no allergens present. The typical composition is: alpha-, beta-, gamma- and delta-tocopherols.

Fish and olive oil synergy = results 
Our scientists formulated BalanceOil to combine the Omega-3 with the correct amounts of olive oil that provides Omega-9 and anti-oxidants in extra high amounts. This synergistic combination makes it possible to safely adjust and maintain the Omega-3 in your body to achieve an Omega-6:3 Balance below 3:1.

Proof of balance in 120 days
Our certified laboratories are responsible for analysing the dried blood spot tests for eleven fatty acids in the blood, making our database the worlds largest of its kind. The average Omega-6:3 ratio for people not taking an Omega-3 supplement is 12:1 for Northern Europe, 15:1 for Europe and 25:1 for USA. After taking BalanceOi for 120 days, the average ratio is for most people below 3:1.

What we measure
The test measures 11 fatty acids, including saturated, monounsaturated (Omega-9) and polyunsaturated (Omega-6 and Omega-3) fatty acids. Individual fatty acid values are shown in the table and expressed as percentages of the total fatty acids measured. For comparison in the table, the average range for each fatty acid (based on data obtained from a large group of balanced people) is presented as Target Value. The following fatty acids are measured:
Palmitic acid, C16:0, saturated fat
Stearic acid, C18:0, saturated fat
Oleic acid, C18:1, Omega-9
Linoleic acid, C18:2, Omega-6
Alpha-linolenic acid, C18:3, Omega-3
Gamma-linolenic acid, C18:3, Omega-6
Dihomo-gamma-linolenic acid, C20:3, Omega-6
Arachidonic acid (AA), C20:4, Omega-6
Eicosapentaenoic acid (EPA), C20:5, Omega-3
Docosapentaenoic acid (DPA), C22:5, Omega-3
Docosahexaenoic acid (DHA), C22:6, Omega-3

Independent laboratory
Your test is analyzed by an independent and GMP-certified laboratory. The fact that Vitas is GMP-certified means that they follow good manufacturing practices. They are a contract laboratory for chemical analysis with 25 years of experience, providing high-quality chromatographic analysis based on cutting-edge knowledge and technology. Included with the blood test is a BalanceTest ID that only you can see. Neither the lab, nor Zinzino knows who submitted the test. At zinzinotest.com your results will be displayed when you enter your BalanceTest ID. If you have completed the questionnaire, you will have access to the complete analysis. If you have not completed the questionnaire, you will see your balance score only.

Certified test kit
The Zinzino Dried Blood Spot Test is certified to comply with the European regulation 98/79/EB on in vitro diagnostic (IVD) medical devices. This means the test and all its components are in compliance with applicable laws and regulations, and so the Kit has the CE mark on it.

This is how your results are calculated
11 fatty acids are analyzed and the total sum of their amounts is  considered 100%. For the following 6 values, we use 7 of the fatty acids. The analyzed amount of each of the 7 fatty acids is calculated as a percentage out of the 100%.
1. Omega-3 Eicosapentaenoic acid (EPA)
2. Omega-3 Docosahexaenoic acid (DHA)
3. Omega-3 Docosapentaenoic acid (DPA)
4. Omega-6 Arachidonic acid (AA)
5. Omega-6 Dihomo-gamma-linolenic acid (DGLA)
6. Saturated fat, Palmitic acid (PA)
7. Saturated fat, Stearic acid (SA)

Protection value
First, the following 3 recognized health indicators are calculated:
1. The value for the Omega-6 ratio is calculated like this: (DGLA AA) * 100 / (DGLA AA EPA DPA DHA)
2. The value for the Omega-3 level is the sum of EPA DHA
3. The Balance value is calculated as Omega-6 (AA) / Omega-3 (EPA)
Each indicator value is given the same weight in a second calculation and assigned a value between 0 and 100, which is then divided by 3 to get the Protection Value that ideally should be above 90. This does not tell anything about the health status of the person, only the fatty acid protection level.
Note: EPA and DHA values have a high impact on all the calculations and if EPA and DHA percentages are low, then as a result very low or even zero Protection Values are not uncommon.

Omega-3 Index
The Omega-3 Index is the summary of the percentage values for the two marine Omega-3 fatty acids EPA and DHA. The ideal combined level is at least 8%, but higher values like 10% are desirable. Omega-3’s have many benefits because they are the primary building blocks in your cells. EPA is dominant in the blood, muscles and tissues, while DHA is dominant in the brain, sperm and eyes.

Omega-6:3 Balance
The balance is calculated by dividing the percent value of AA with the percent value of EPA (AA / EPA), which is then expressed as a Balance value, for example 3:1. The Omega-6:3 Balance in the body should preferably be below 3:1. If this ratio is above 3:1, you will benefit from a change in your diet. A low balance of Omega-6 and Omega-3 is important for maintaining normal cell and tissue development (homeostasis) and help the  body control inflammation.

Cell membrane fluidity
Fluidity is calculated by dividing the percent value of the two saturated fats with the percent value of the two Omega-3’s. The fluidity value is thus defined as (PA SA) / (EPA DHA), and the result is expressed as a fluidity index, for example 3:1. If the fluidity value  is below 4:1, it shows that there is sufficient fluidity in cell membranes. The more saturated the fats are in a membrane, the more rigid is the membrane. Conversely, the more polyunsaturated the fats are in a membrane, the more fluid is the membrane. Cell membrane composition and structural architecture is critical for the health of the cells and hence the body. On the one hand, the membrane needs to be rigid enough to provide sound cellular structural architecture. On the other hand, the membrane needs to be fluid enough to allow nutrients in and waste products out.

Mental strength
This is calculated by dividing the percent value of AA with the sum of the percent values of EPA and DHA, i.e. the Mental Strength value = AA / (EPA DHA). The result is expressed as a mental strength value, for example 1:1. The value should be below 1:1 for sufficient and balanced supply of both Omega-6 and Omega-3 fatty acids to the brain and the nervous system. Cognitive performance improves with increased consumption of marine Omega-3’s EPA and DHA. Childhood and old age are two critical and vulnerable stages and Omega-3 deficiency is associated with learning and memory deficits, as well as mood problems.

Arachidonic acid (AA) index
The AA Index shows the measured value of the Omega-6 fatty acid Arachidonic acid (AA) as a percentage out of the total fatty acids measured. Good average values are in the range of 6.5 to 9.5% with an optimum target value of 8.3%. Arachidonic acid (AA) is the most important Omega-6 fatty acid for the body. It is the starting point for the production of local tissue hormones triggered by Omega-6, such as prostaglandins, thromboxanes and leukotrienes, all with various functions. The overall function is, however, to protect the body from damage by limiting the progression of the infection or the impact of the injury.

Nutrition value of  Balance Oil
Ingredients Australia BalanceOil

Help your Knees and Hips with total well being diet click here.

Recommended reference guidelines here 

All content and media on the relax4health website are created and published online for informational purposes only. It is not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice.
Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition.

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