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Joint & Nerve Pain Relief: A Comprehensive Guide to Supplements, Therapies, and Lifestyle Approaches

Joint and nerve pain can be life-altering — whether from arthritis, tendon injury, autoimmune inflammation, or chronic neuropathy. While conventional medications (NSAIDs, steroids) can help short-term, many people are looking for safer, long-term strategies to reduce pain, improve mobility, and support tissue repair.

This article blends dietary strategies, supplements, peptides, medications, regenerative injections, and physical practices. We’ll also highlight insights from Dr. Chris Masterjohn (many thanks!), particularly on collagen, vitamin C, and glycine timing.

BUT FIRST…..I have found that exercise is a really good treatment. With the right exercise protocol followed by the right dosage AND the removal of activities that “pick the scab” exercise may be the best treatment of all.

Next, try these:

1. Diet & Elimination (Including Gluten-Free)

  • Many with autoimmune or inflammatory joint issues report improvement on gluten-free diets or elimination protocols.

  • Try a 4–8 week structured elimination (gluten, dairy, soy, corn, nuts, night shades, processed sugar/ carbs) followed by gradual reintroduction.

  • Anti-inflammatory diets rich in vegetables, omega-3s, and polyphenols (berries, olive oil, green tea) may further support pain relief.

  • This in not a “sexy” but it can work BETTER and is way CHEAPER then everything else. I have not had bread/ gluten since 2014 and I am still alive. Life goes on without gluten

  • I do this step!

2. Collagen Peptides + Vitamin C (Masterjohn-Guided Timing)

  • Why: Collagen provides amino acids (glycine, proline, hydroxyproline) that support tendon, ligament, and cartilage repair. Vitamin C is essential for collagen cross-linking.

  • Masterjohn’s protocol: Take 15 g collagen peptides + 50–250 mg vitamin C about 30–60 minutes before exercise or physical therapy to maximize connective tissue remodeling.

  • Brands: Vital Proteins, Great Lakes, Designs for Health.

  • Extra tip: Collagen counts toward your daily glycine intake (see Section 7).

  • I do this one!

3. B Vitamins (for Nerve Support)

  • B12 (methylcobalamin): 1,000 µg/day sublingual or oral; supports myelin and nerve regeneration.

  • B1 (benfotiamine): 300 mg/day in divided doses for diabetic neuropathy.

  • Caution: Avoid chronic B6 >100 mg/day (risk of neuropathy).

4. Fish Oil (Omega-3s)

  • Why: EPA/DHA reduce inflammatory cytokines and may improve pain and morning stiffness in arthritis.

  • Dose: 2–4 g/day combined EPA + DHA. PLEASE NOTE…this is a higher dosage than the bottles will give.

  • Timing: With meals containing fat.

  • Brands: Nordic Naturals (IFOS-certified), Carlson, Thorne.

  • I do this one

5. Curcumin & Boswellia

  • Curcumin: 500–2,000 mg/day in enhanced forms (Meriva® phytosome, BCM-95®, or with piperine).

  • Boswellia serrata (AKBA-standardized): 300–1,000 mg/day.

  • Evidence: Effective for osteoarthritis pain, sometimes comparable to NSAIDs with fewer side effects.

  • Tip: Best absorbed with fat-containing meals.

  • Note those dosages…I do this one.

6. Glucosamine, Chondroitin & MSM

  • Glucosamine sulfate (stabilized with KCl): 1,500 mg/day (best studied form).

  • Chondroitin sulfate: 1,200 mg/day, may slow cartilage breakdown.

  • MSM (methylsulfonylmethane): 1.5–3 g/day divided; supports sulfur metabolism and reduces joint pain.

  • Evidence: Benefits are modest but cumulative over 2–6 months.

7. Glycine (Masterjohn Highlights)

  • Why: Balances methionine from muscle meats, improves sleep, and supports collagen synthesis.

  • Dosage:

    • 3 g before bed: improves sleep quality by lowering core body temperature.

    • 3–5 g with meals: helps stabilize blood sugar and improves protein balance.

  • Sources: Collagen, gelatin, or standalone glycine powder.

8. Peptides (e.g., BPC-157)

  • What: Synthetic peptides studied for tissue repair, gut healing, and inflammation.

  • Evidence: Mostly animal models; not FDA-approved for humans.

  • Caution: Safety, purity, and legality remain concerns. Should only be used in clinical trials or with medical supervision.

  • I have used this one and it reduced my elbow tendon pain 90%!

9. Low-Dose Naltrexone (LDN)

  • Dose: Start at 1.5 mg nightly, titrate to 3–4.5 mg.

  • Mechanism: Modulates microglial activation and boosts endorphins, reducing inflammation and chronic pain sensitivity.

  • Evidence: Promising in fibromyalgia, multiple sclerosis, Crohn’s disease, and chronic pain.

  • Access: Prescription only, compounded.

  • I have tried this on and off over the years.

10. CBD Oil (Cannabidiol)

  • Uses: May reduce neuropathic pain and inflammation.

  • Dose: Start with 10–25 mg/day, titrate up (some use 50–100 mg/day).

  • Forms: Oils, capsules, topical creams.

  • Caution: May interact with medications via liver enzymes (CYP450).

  • Brands: Charlotte’s Web, NuLeaf Naturals, Lazarus Naturals (all third-party tested).

  • I have tried this one.

11. Topical Analgesics & Essential Oils

  • Menthol-based rubs: Provide cooling relief for muscle/joint pain.

  • Capsaicin cream: Effective in nerve pain (must be used consistently for 2–4 weeks).

  • Essential oils: Peppermint, eucalyptus, lavender — always dilute with carrier oil to reduce irritation.

  • Practical use: choose reputable topical analgesics (menthol 1–3% gels or methyl salicylate patches), apply as directed (usually 2–3× daily for creams/gels or single-use patches per label). Essential oils (peppermint/menthol blends) may help topically in low concentrations; avoid applying undiluted essential oils to skin and test a small area first. Do not use on broken skin and keep away from children/face

12. Ice & Cold Water Immersion

  • Local icing: 15–20 min for acute flare-ups, repeat every 2–3 hrs as needed.

  • Cold plunges/immersion: 3–10 min at 50–59°F (10–15°C) can reduce systemic inflammation and DOMS.

  • Caution: Avoid if you have Raynaud’s, uncontrolled blood pressure, or heart disease.

  • I love gel packs for this!

13. Regenerative Injection Therapies

Platelet-Rich Plasma (PRP)

  • What: Concentrated platelets from your own blood injected into painful joints/tendons.

  • Why: Platelets release growth factors that promote tissue repair.

  • Evidence:

    • More effective than hyaluronic acid in knee osteoarthritis for pain and function.

    • Helpful in tendon injuries (tennis elbow, patellar tendinopathy).

  • Protocol: 1–3 injections, relief may last 6–12 months.

  • I have tried this many times.

Prolotherapy

  • What: Hypertonic dextrose injected into ligaments/joints to stimulate repair.

  • Evidence: Mixed but promising in knee osteoarthritis and chronic low back pain.

  • Protocol: Several sessions (3–6) spaced weeks apart.

  • Caution: Can cause post-injection soreness.

  • This has been very helpful for my bone on bone knee arthritis! This has worked better than stem cells.

Brands & Quality Control

Look for third-party tested supplements:

  • Fish Oil: Nordic Naturals, Carlson, Thorne

  • Collagen: Vital Proteins, Great Lakes, Designs for Health

  • Curcumin: Meriva® (Thorne), BCM-95® (Life Extension), Longvida®

  • Glucosamine/Chondroitin/MSM: Doctor’s Best, NOW, Pure Encapsulations

16. Safety & Caveats

  • Bleeding risk: Fish oil, curcumin, glucosamine — use caution with blood thinners.

  • Drug interactions: CBD and curcumin (with piperine) affect drug metabolism.

  • Injections: PRP/prolotherapy effectiveness varies; usually out-of-pocket.

  • Peptides: Use caution; not regulated or approved for human use. Get it from a good doctor.

✅ Key Takeaways

  • Foundations first: diet, sleep, weight management, exercise.

  • Core stack: collagen + vitamin C pre-exercise, fish oil, curcumin, glycine.

  • Adjuncts: glucosamine, chondroitin, MSM, B12.

  • Advanced: LDN (prescription), CBD, PRP/prolotherapy (specialist).

  • Avoid unregulated peptides outside clinical supervision.

Bottom line: Relief often comes from combining diet + supplements + physical therapies, and for stubborn cases, exploring regenerative injections under medical care.

ACTION: Pick 2 or 3 of these and try them this week. Let me know what you decide and if you have any questions.

📚 References (selected):

  1. Bello AE, Oesser S. Collagen supplementation for joint health. Curr Med Res Opin. 2006.

  2. Masterjohn C. The Ultimate Guide to Collagen, Gelatin, and Bone Broth. chrismasterjohnphd.com

  3. DiNicolantonio JJ et al. Omega-3s and inflammation. Prog Lipid Res. 2016.

  4. Henrotin Y et al. Curcumin and joint health. J Evid Based Complementary Altern Med. 2014.

  5. Bannuru RR et al. Glucosamine/chondroitin for osteoarthritis. BMJ. 2015.

  6. Younger J et al. Low-dose naltrexone for fibromyalgia. Arthritis Rheum. 2013.

  7. Fitzpatrick J et al. PRP for musculoskeletal disease. Am J Sports Med. 2017.

  8. Rabago D et al. Prolotherapy for knee OA. Ann Fam Med. 2013.

Disclaimer: Please consult your doctor before you begin any exercise program. The content of this blog is for educational purposes only. You are responsible for the outcomes for the use, misuse, or lack of use of the information presented in this blog.

Are Sit-Ups Bad? YES! Hear Me Out

Sit ups…..I remember doing so many during grade school and beyond. They were a staple in PE, sports practice, and also in my first home exercise routines. I did a LOT of sit-ups before the age of 18 and I am well experienced with this exercise.

Then there was a workout that changed my life forever. When I was 16 years old I was doing a workout that included box jumps. During my last jump down from a big wooden box something strange and unexpected occurred. A lightening bolt of pain struck my low back. OUCH! I was down on the ground confused and full of fear. I didn’t know it at the time, but I had just created a disc bulge. My disc was out of place and it was touching a nerve. This created a lot of pain and made walking near impossible for a time.

Why me? Why did jumping down from a box create a disc bulge?…. It all comes down to anatomy, physics, and time.

The human spine has the potential to have a great range of motion despite the fact that no one segment has a large range of motion. When all the segments move together, this creates the ability for sit-ups, back arching, and other motions (including the ones found in circus acts…). Sit-ups are a flexion based exercise that takes the spine through a large range of motion. What is missed by many that love sit-ups is that not all segments of the spine are equal.

The middle back (known as the thoracic spine) has ribs attached to each vertebrae. This makes the middle back more stable than the lower back (the lumbar spine) which do not have ribs attached. Instead the low back vertebra are stabilized by muscles (the ab muscles…the six pack). So, at a baseline the lumbar vertebrae and discs are more unstable than the rest of the spine because it carries much more load than the neck and it does not have ribs attached like the middle back. Therefore, the low back does not have the capacity to withstand a lot of load over time when motion is added compared to the middle back.

If you want to injure the human lumbar spine, sit-ups are a great way to do it. This was demonstrated in labs that took cadaver spines (from pigs) through the sit-up motion. Disc damage was created. The research did not stop there. The same thing was shown in living humans!

(Yates, Justin P. MSc; McGill, Stuart M. PhD. The Effect of Vibration and Posture on the Progression of Intervertebral Disc Herniation. Spine: March 1, 2011 - Volume 36 - Issue 5 - p 386-392)

Sit-ups are indeed a very good exercise to work the abdominal muscles. However, sit-ups are one of the highest “tax” body weight exercises there is. Yes, sit-ups will give you stronger muscles, but they will weaken your spine and will likely cause back pain. This is what happened to me. All the sit-ups I performed as a youth slowly weakened the collagen around my disc and made it more vulnerable to injury.

When I jumped off that big wooden box when I was 15 years old, my collagen was already cracked and weak. The force of jumping down caused the “dam” to rupture sending me on a near 15 year journey into chronic low back pain. In short, I would not recommend classic sit-ups as an acceptable exercise for most people. There are many other exercises that work the core FAR BETTER than a sit-up that have little to no spine tax.

More on this subject coming soon in part 2….


Ready to build your body while sparing your spine?  Contact Jason Cornish, Medical Fitness Specialist, Personal Trainer, and Health Coach in Auburn, AL today at 402-521-0314 or email at jason.a.cornish@gmail.com.

Disclaimer: Please consult your doctor before you begin any exercise program. The content of this blog is for educational purposes only. You are responsible for the outcomes for the use, misuse, or lack of use of the information presented in this blog.

Ken's Back Pain Story

Here is Ken’s story about how he has overcome much of his back pain through exercise and the science of biomechanics.

Ken has lived in the Auburn, AL area for many years. He first sought me out because he was desperate to not lose any more function and strength. Training with me was his first experience working with a personal trainer and medical fitness specialist.

It has been amazing to see the changes in his strength, pain level, and abilities over the past 2 years. In addition, he continues to see further improvements after every 2 months or so (improvements slow down when you are 80-90% better). Since shooting this video, his back pain and function has gotten even better.

If you need help with your back and how to navigate fitness with back issues, contact Jason Cornish, Medical Fitness Specialist, Personal Trainer, and Health Coach in Auburn, AL today at 402-521-0314 or email at jason.a.cornish@gmail.com.