AP Therapy, a Myth or Reality?

One of the queries on my facebook page asked me for my opinion about AP therapy by Dr. McPherson Brown. Explaining everything in detail is quite a task on the post so I thought, I’d include this in my blog for the benefit of other patients.

First, let me give you a background of AP therapy. It is an antibiotic protocol therapy propagated on the premise that rheumatic diseases including Rheumatoid Arthritis (RA) results from mycoplasma infections and prolonged antibiotics can resolve the arthritis1.

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Obesity and the Obese

More often than not, people who suffer from obesity are heard complaining about joint pains much earlier in life as compared to people who maintain their optimum weight. As a doctor, it is easy to ask my patients to reduce their weight, however that is easier said than done. The larger problem at hand is motivating my patients to follow a healthy lifestyle and encourage them to actually lose the excess weight.

In my experience, there is a holistic improvement in the patients health after reducing their weight. I have treated such patients with a lot of patience and understanding as weight issues can be very sensitive, especially with women. So, I thought I’ll share some of my experiences with you.

If you know someone who is obese and is suffering from joint pains or arthritis and want to help them, the most important thing to do is, spare some time and understand why they are gaining weight. Take them to a doctor who would not only give them medicines to reduce the pain but wants to help them in the long run and tries to understand why he/she has gained weight & what increased weight is doing to his/her body systems?

What I do is, I show my patients a real vivid picture of their personality. It’s like showing them a mirror. It might sound a little insensitive to some but that’s what a well wisher will do. And it’s very important to have a doctor who you can trust to be brutally honest with you and show you the right path. Majority of the times, I have been successful in motivating my patients to reduce their excess weight and have seen arthritis symptoms ameliorate & even co-morbidities subside significantly. I motivate people on the following lines, I tell them in all sincerity that,

When you are obese, what you project to the world & tell the world about yourself is this: 

 

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Who is a Rheumatologist?

There seems to be a lot of confusion amongst patients who are suffering with joint and muscle pains about whom to consult in such a situation. I thought, I will give you a clear perspective about rheumatology and a rheumatologist so that you will be able to decide for yourself at an early stage to avoid unnecessary experimentation which in the long run may cause severe disabilities. 

Just like chest pain requires the expertise of a cardiologist and in case of cough, a chest physician (pulmonologist) is to be consulted as they have undergone a specialised training for 2-3 years after completing their MD (Medicine) course which in lay man's language is equivalent to a post graduation in Medicine.

Similarly, to take care of patients suffering from joint and muscle diseases, a separate superspecialisation has evolved, which is called Rheumatology. Rheumatism in India is often known as bai or a systemic musculoskeletal syndrome. What arthritis is in a joint, is what rheumatism is in the body. A Rheumatologist is a qualified physician, with an additional training and experience in the diagnosis and treatment of arthritis and related musculoskeletal conditions. 

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