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Fatty Acids, Antioxidants May Help 'Tennis Elbow'
Posted by: Dr. Mercola
April 30 2000 | 1,887 views

A combination of essential fatty acids and antioxidants appears to be an effective treatment for the inflammatory injuries commonly known as 'tennis elbow' and 'golf elbow'.

A physiotherapist with Denmark's Olympic Committee recently conducted a study in order to document the anti-inflammatory properties of this new treatment, which was tested for the first time in 1996 on a group of rowers from Denmark's National Rowing Team. The study will be published in a scientific journal of sports medicine in the near future.

The nutritional supplement used by the researchers to treat the athletes contains omega-3 (fish oil), omega-6 and vitamins A, B6, C and E plus selenium and zinc. According to Mavrogenis, most patients respond positively to the treatment in a matter of 2-3 weeks, depending on the severity of the injury, but in more serious cases it may take several months.

Strenuous exercise is known to produce an overload of harmful free radicals that damage healthy cells by oxidizing the phospholipids in the cell membrane. Antioxidants neutralize the free radicals and limit their destructive impact, which is why athletes must make sure to get adequate amounts of antioxidants to protect themselves against stress injuries. In addition, essential fatty acids are important since they support the body's production of beneficial type 1 and type 3 prostaglandins, those which counteract pain and inflammation.



Dr. Mercola's Comments:
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Prostaglandin production is the key to improving inflammation. This yet to be published study suggests that one can control inflammation by the addition of some essential fatty acids and vitamins. However, the researchers fail to recognize that the manipulation of prostaglandins is controlled far more powerfully through insulin mediation. So reducing sugar and grains will be more beneficial than adding fatty acids. This is because insulin is a very potent control mechanism for the production of prostaglandins. However, once the sugar and insulin levels are optimized, then the addition of fatty acids are important.

I believe most nutritionally oriented clinicians and patients use borage oil for the omega 6 fatty acid GLA as it is far more cost effective than evening primrose oil. However, I am a big proponent of evening primrose oil as there are a number of other fatty acids in borage oil, such as nervonic acid, which after several weeks of ingestion will start to cause problems in most people. Normally I find that 6 to 10 grams (10,000 mg) of evening primrose oil a day is useful initially and that dose can decrease to 2 to 3 grams once therapeutic results are achieved. It is useful to use a good EPA/DHA supplement of 1 to 2 capsules per day. Generally, far less EPA/DHA is required than GLA.

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