The most common and distinctive sign of rheumatoid arthritis, and joint inflammations in general, is morning stiffness and joint swelling. Most patients discover their condition due to these persistent symptoms, which significantly impact their daily lives. If the symptoms worsen, they may indicate an active inflammatory flare-up.
But have we ever wondered about the real reason behind morning stiffness? Why do we wake up every day unable to move our hands or fingers, or even get out of bed? And why are we simply advised to increase our doses of corticosteroids or methotrexate to temporarily relieve the symptoms—without anyone explaining why they occur, how to eliminate them, or prevent them from recurring?
The truth is that patients with autoimmune diseases often lack awareness of the real causes of their health problems. This prevents them from dealing with their condition properly. We have been conditioned to believe that immunosuppressants and corticosteroids are the only solution, but knowledge helps us discover safer alternative treatments without harmful side effects.
What Causes Morning Stiffness?
To understand why morning stiffness occurs, we need to know what facilitates joint movement. Two key factors play a role: cartilage and synovial fluid. Today, we will focus on synovial fluid, as it is the primary factor behind swelling and morning stiffness.
Synovial fluid is a thick, transparent liquid found between the joints and cartilage. It acts as a lubricant that reduces friction and allows smooth joint movement. Studies have shown that the main reason for morning stiffness is the accumulation of a protein called fibrinogen in the synovial fluid.
What is Fibrinogen?
Fibrinogen is a protein that the body produces in response to injury or inflammation. Its role is to stop bleeding and repair damaged tissues. However, in rheumatoid arthritis, chronic inflammation triggers excessive fibrinogen production, leading to its accumulation in the synovial fluid, which in turn causes stiffness, swelling, and pain.
Why is Excess Fibrinogen Dangerous?
High levels of fibrinogen do not only cause morning stiffness—they also increase the risk of:
- Blood clots (thrombosis)
- High blood pressure
- Neurodegenerative diseases such as Alzheimer's and multiple sclerosis
- Cancer growth (as fibrinogen weakens immune cells that fight tumors)
How Can We Reduce Fibrinogen Levels?
To solve this issue, we need to reduce chronic inflammation in the body. Here are some effective and scientifically proven methods:
1. Intermittent Fasting
Fasting regulates the immune system and reduces inflammation. It is one of the most powerful natural treatments for rheumatoid arthritis. It’s best to start gradually and increase fasting hours over time.
2. Anti-Inflammatory Diet
- Avoid sugar, processed foods, sodas, and fast food.
- Eat foods rich in Omega-3 fatty acids, such as fatty fish and chia seeds.
- Consume garlic, ginger, and green tea regularly.
3. Nutritional Supplements
Here are five powerful supplements that effectively reduce fibrinogen levels and help relieve morning stiffness and swelling:
- Ginkgo Biloba – Breaks down excess fibrinogen in synovial fluid.
- Nattokinase – An enzyme that reduces fibrinogen production and dissolves clots.
- Curcumin (Turmeric Extract) – A strong anti-inflammatory that lowers fibrinogen.
- Omega-3 Fatty Acids – Reduce fibrinogen levels by up to 10%.
- Nutritional Yeast – Rich in Vitamin B6 and B12, which help prevent fibrinogen buildup.
Habits That Increase Fibrinogen Levels
Certain habits can worsen inflammation and increase fibrinogen, including:
- Smoking – One of the biggest factors that elevate fibrinogen, increasing the risk of blood clots and heart disease.
- Infections, stress, and cold exposure – These trigger inflammation, leading to higher fibrinogen levels.
- Obesity and aging – Both contribute to increased fibrinogen in the blood.
- Pregnancy – Fibrinogen levels naturally rise during pregnancy to prevent bleeding during childbirth.
Conclusion
To eliminate morning stiffness, we must reduce inflammation through a healthy diet, fasting, and appropriate supplements. It is also essential to avoid habits that trigger inflammation, such as smoking and stress. By following these steps, we can manage rheumatoid arthritis naturally and significantly improve our quality of life.