Nutrition for soft tissue healing.
Subject: Wound healing (Methods)
Dietary supplements (Health aspects)
Diet therapy (Usage)
Author: Klotter, Jule
Pub Date: 10/01/2012
Publication: Name: Townsend Letter Publisher: The Townsend Letter Group Audience: General; Professional Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2012 The Townsend Letter Group ISSN: 1940-5464
Issue: Date: Oct, 2012 Source Volume: 351
Product: Product Code: 2834730 Nutrient Preparations NAICS Code: 325412 Pharmaceutical Preparation Manufacturing SIC Code: 2833 Medicinals and botanicals; 2834 Pharmaceutical preparations
Geographic: Geographic Scope: United States Geographic Code: 1USA United States
Accession Number: 304943442
Full Text: Prolotherapy, an injection therapy that uses local anesthetics to relieve pain and generate collagen, is useful for chronic musculoskeletal conditions such as fibromyalgia. Connective tissue cannot, however, heal without an adequate supply of certain nutrients, as Margaret E. Taylor points out in her 2011 article for the Journal of Prolotherapy. Inadequate diets, malabsorption, and undetected celiac disease lead to deficiencies in protein, zinc, copper, manganese, and vitamin C--all of which are required to make and maintain collagen.

"Protein deficiency is known to delay wound healing and many studies show that a protein supplement hastens healing and reduces hospital time after surgery," Taylor writes. The recommended daily allowance (RDA) for adults is 0.8 grams/kg of body weight per day. Older people need to consume more--at least 1.0 gram/kg/day, according to research. To meet the RDA, an adult who weighs 70 kg (154 pounds) would have to eat one egg (7 grams protein), 5 ounces of tuna ( 28 grams protein), and 3 ounces of meat, poultry, or fish (21 grams protein). An older person with the same weight would need an additional 14 grams. Unfortunately, appetite tends to decline as people age. In addition, older people are more likely to prefer sweet and starchy foods and less protein because of a taste disorder related to zinc deficiency. Protein drinks with low sugar might be a helpful source of protein for older people. Unlike high-protein whole foods, however, these drinks do not always contain zinc.

Mild zinc deficiency is common. Taylor's clinical experience has taught her that zinc deficiency along with irritable bowel and fatigue are signs of gluten sensitivity. She reports that many of her prolotherapy patients with signs of undiagnosed celiac disease also have/had growing pains, Perthes hips, Osgood-Schlatter disease, scoliosis, and uneven leg length. Gluten sensitivity leads to intestinal damage and poor absorption of essential nutrients, such as zinc. Supplements alone cannot make up for poor absorption due to celiac, but a gluten-free diet will eventually allow the GI tract to heal, and absorption will improve.

The minerals zinc, copper, and manganese are vital for connective tissue growth and repair. Taylor recommends finding a mineral supplement with 25 mg zinc, 5 mg manganese, 1 g copper for use during prolotherapy. "A good rule of thumb in supplementation of minerals is to use a dose between the RDA and twice the RDA, in conjunction with other nutrients," says Taylor. Excessive doses of zinc interfere with the absorption and effect of manganese, copper, and iron; impair immune response; and slow wound healing. In addition to these minerals, Taylor recommends vitamin C (1000 mg/day), which "can maximize the likelihood of a good response to Prolotherapy.

Taylor ME Nutritional support for soft tissue healing./ Pro tother. August 2011:3(3);709-713. Available at http://www.journalofpn.floiherapy.comiinclex.php/nutritional-support-for-softtissue-healing. Accessed June 28, 2012.

briefed by jute Klotter jule@townsendletter.com
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