February 02, 2022 4 min read

Arthritis refers to the swelling and tenderness of one or more joints. It often begins with joint pain and stiffness which reduces your ability to move comfortably, and whilst there are 200 types of arthritis, the most widely known & common forms of arthritis are Osteoarthritis and Rheumatoid arthritis.
Osteoarthritis causes cartilage — the hard, slippery tissue that covers the ends of bones where they form a joint — to break down, due to the lack of nutrients your body is absorbing.
Rheumatoid arthritis is a slightly different disease in which the immune system attacks the joints, beginning with the lining of joints.
This is the most common type of arthritis and generally occurs the older you get, but it’s also caused by “wear and tear” of the joints, in everyday activities. In Osteoarthritis, the synovial fluid that keeps the cartilage stable & healthy, has deteriorated or has dissipated, which results in the bones having no protection, and so they grind against each other with every movement. Unsurprisingly, this causes the extreme pain of Arthritis.
Osteoarthritis can be caused or exacerbated after a sports injury or a fall, so you can develop arthritis at any age, although this type of arthritis is more common with age.
Whilst arthritis in general is classified as an auto-immune disease, Rheumatoid arthritis is specifically an auto-immune arthritis, and not directly caused by a sports injury or generic joint deterioration over time. This type of arthritis is more severe and is more likely to occur at any age so even children can develop Rheumatoid Arthritis. The deterioration starts in a slightly different way that the membranes around the joint are attacked by the immune system which makes them deteriorate and become inflamed and swollen.

DO NOT PANIC. There is always something you can do to help!
Whatever the type of Arthritis you have, there are always ways to help improve your condition and your movement just by making a few changes to your daily routine & exercise that could result in your condition improving.
February 14, 2024 3 min read
Read MoreD-mannose is commonly discussed in relation to urinary health, particularly by people who experience recurring urinary discomfort or infections.
It is typically used as a supplement that may support urinary tract health, not as a treatment for an active infection.
D-mannose is thought to interact with certain types of bacteria, including Escherichia coli, which are commonly associated with urinary tract infections.
It may help reduce the ability of these bacteria to attach to the lining of the urinary tract, allowing them to be flushed out through normal urination.
This is a proposed mechanism and does not apply to all types of urinary issues.
Some people choose to take D-mannose daily, particularly when managing ongoing or recurring urinary issues.
However, there is no single standard approach, and usage can vary depending on the product and individual circumstances.
If you are considering regular use, it’s a good idea to speak to a healthcare professional to ensure it is appropriate for you.
D-mannose is generally considered well tolerated for most people when taken as directed. Some individuals may experience mild digestive discomfort, particularly at higher intakes.
If you are pregnant, recovering from surgery, managing a health condition, or taking medication, it’s best to speak to your GP or healthcare professional before use.
No — D-mannose is not a replacement for antibiotics or medical treatment.
If you have symptoms of a urinary tract infection, it’s important to speak to a GP, as antibiotics may be required.
D-mannose is typically discussed as a self-care option, not a treatment.
The NHS includes D-mannose as one of several options that people may consider if they experience recurrent urinary tract infections.
It is generally described as a self-care approach rather than a medical treatment, and evidence is still considered limited.
D-mannose is commonly available in both tablet and powder form.
The best option often depends on personal preference and what fits most easily into your routine.
There is no single agreed dose for D-mannose.
Different products provide different guidance, and some are designed to be taken in smaller amounts throughout the day rather than all at once.
It’s best to follow the instructions on the product you are using and speak to a healthcare professional if you are unsure.
Recurring urinary tract infections can happen for a variety of reasons, including anatomy, hormonal changes, life stage, sexual activity, and individual susceptibility.
In many cases, there isn’t a single clear cause.
If you experience frequent UTIs, speaking to your GP can help identify any patterns, possible triggers, and appropriate ways to manage them.
If you are experiencing symptoms such as:
It’s important to seek advice from a healthcare professional.
In many cases, you do not always need to wait for a GP appointment. According to NHS guidance:
You should seek more urgent advice if:
If you experience recurrent urinary issues, it can also be helpful to speak to your GP about patterns, possible triggers, and whether there are any preventative or supportive approaches that may be appropriate for you. You may also wish to ask whether options like D-mannose are suitable within your overall care.
While most urinary tract infections are straightforward to treat, they can occasionally lead to more serious complications if left unmanaged. In some cases, UTIs can develop into more serious infections, including sepsis, particularly if the infection spreads to the kidneys or bloodstream
This is one of the reasons why it’s important not to ignore ongoing or recurring symptoms, and to seek medical advice where needed.
For more information, you can also visit the NHS guidance here: https://www.nhs.uk/conditions/urinary-tract-infections-utis/
D-mannose is not a substitute for medical care or prescribed treatment.
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