Note and disclaimer: I am not a doctor. I am not associated with Padma Basic or Euconugenics. I am just a guy with ankylosing spondylitis, trying to find any and all treatments that can help control the disease. My statements below are not authoritative, but rather reflect my own experiences with Padma Basic, and nothing more. Please consult a rheumatologist when implementing any change of treatment to your own disease. 

As those who read my blog know, I’m been dealing with an auto-immune disease called Anklyosing Spondylitis (A.S.). In a nutshell, A.S. incites my body’s immune system to attack my own cells and cause inflammation, most notably in the lower back, hips/SI, and neck. These are all distinguishing markers for A.S. In addition, it has also caused swelling and painful inflammation in my toe joints, as well as a variety of tendon-related injuries.

And reportedly it only gets worse over time. This is certainly bad news for a 29-year-old guy like myself, supposedly entering my physical prime. It almost makes it worse being a competitive runner. I felt like I was finally coming into my own and making real progress as a marathoner over the past couple years. The 2:18:09 at St. George and 2:22:34 at the Olympic Trials four weeks later were real high points, and I felt like I had the ability to break 2:18:00 or even 2:16:00 on an unaided course. All I needed was time and continuity of training.

When the A.S. diagnoses was revealed, a lot of my hopes went down the drain. But I did keep a mere fragment of hope: If I could find a way to control the A.S. (and the tendon injuries that go along with it), then I would be able to resume training at an elite level, find my body’s true limits, and achieve my goals. Thus began my search for the treatment(s) that would work for me. I am open-minded: drugs, diets, herbal remedies…my main interest is in finding something that works.

Do date, the most effective treatment I’ve tried (and still use) is simply NSAIDs. Meloxicam has been effective in reducing pain and stiffness, and has not caused any gastrointestinal damage (yet). I take the tummy-protector Omeprazole to reduce acid and help out my gut with the NSAIDs. Also, I am doing the No Starch Diet (NSD), which supposedly reduces disease activity through eliminating all starches (wheat, rice, potatoes, legumes, processed foods, etc.). NSD indeed has helped dial back my pain levels by a couple points, but so far has not been a panacea. Right now, I view it to as a complement to traditional drug treatment, and not the primary treatment in itself.

I have also tried fish oil, ultrasound, and various supplements. They all basically did nothing other than make me wary of alternative treatments and throwing my money away. With NSAIDs plus NSD, my pain levels most days are around a “2″. I have daily stiffness in my neck, and intermittent stiffness in my lower back. My left foot has been constantly inflamed and sore for the past year, and I have experienced numerous tendon-related injuries. I am doing “okay”, but would like to do “better”…and I would also like to reduce the amount of NSAIDs I need to take, in order to preserve the long-term health of my gut.

So that is a rather long intro, but it lays the foundation that:

1. I suffer from A.S.
2. I have several ways to treat A.S., none of which are perfect
3. I am constantly looking for new treatments to try. Anything that can take off a point or more of pain and inflammation levels is worth trying, especially if there are no side effects.

A couple months ago I read a press release on the Spondylitis Association of America (SAA) website. It was about an herbal supplement called Padma Basic. The press release stated:

First, we look at an “exotic supplement” called “Padma Basic”. The “Dear Pharmacist” column in Tulsa World reports, “It works for rheumatoid arthritis by calming an overactive immune system that is bent on destroying cartilage and bone. The destruction occurs thanks to TNF (tumor necrosis factor), which signals the attack. Padma contains an herb “Pterocarpus santalinus,” which inhibits TNF and T-cell proliferation in a similar way to prescription drugs like Humira, Remicade and Enbrel. It could improve inflammatory conditions among them, Crohn’s disease, MS, rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis.” 

Whoa! That’s an eye-catcher to me! The release states that the herb has potential to inhibit TNF (and therefore slow or halt A.S.) similar to the very powerful biologic drugs available. These biologic drugs work very well, but they have many side effects and are very, very expensive. The press statement gave me a great interest in Padma Basic, so I started googling for anything I could find on it.

Padma is an ancient Tibetan herbal formula manufactured by Padma, Inc. in Switzerland under international pharmaceutical standards. It is sold in Europe as an OTC drug known as “Padma 28″, but in the U.S. it is distributed by EcoNugenics as a herbal supplement not regulated by the FDA. The only difference between Padma Basic and Padma 28 (beside their name) is the presence of 1 mg/tablet of aconite in Padma 28. This does not really affect the formula, and the function between the two is exactly the same.

With my wariness of herbal supplements in mind, I needed to be convinced to even try Padma Basic. But as it turns out, quite a body of objective research exists that validates using Padma for a variety of applications and ailments, including:

• peripheral artery disease (Atherosclerosis. 2006: Nov; 189(1):39-46)
• angina (Herba Polonica. 1986: 32; 107-114)
• stroke (Europ J Neurology. 1998: 5(suppl1); p. S9)
• hepatitis (Phytotherapy Research. 1993: 7; 224-247)
• arthritis (Int. Journal of Immunotherapy. 1991: 2(3); 143-147)
• ulcers (Nowiny Lekarski. 1992: 2; 40-44)
• AIDS Related Complex (Internation Congress for Infectious Diseases. 1988. Rio de Janeiro)
• multiple sclerosis (Phytotherapy Research. 1992: 6; 133-136)
• dental root canals (Forsch Komplementarmed. 2006 Feb; 13 Suppl 1: 28-30)
• recurrent infections (SchweizZschr fur Ganzheits Med. 1992: 7/8(Suppl 1); 22-23)
• inflammation (Inflammopharmacology. 1999: 7(1); 47-62)
• antioxidant (Redox Rep. 2000: 5(1); 17-22)
• antimicrobial (Research in Complementary and Classical Natural Medicine. 2002:9; 346-351)
• immune modulating (Inflammopharmacology. 2004: 12(4); 373-89)
• TNF / IL-inhibiting (Eur Cytokine Netw (0) 15: 203-9)
• 

I perused many of these journal articles (see links for yourself), and became even more interested. Although there was nothing directly studying the effects of Padma Basic/28 on ankylosing spondylitis, there were indeed many studies that indirectly stated that it could help in a variety of ways, including reducing inflammation, improving circulation, and inhibiting TNF.

The results of the Bernacka et al. (1991) study on juvenile rheumatoid arthritis, published in the Journal of Imunotherapy, were particularly encouraging to me. The group of children who were given Padma improved in both symptoms and laboratory tests without side effects during the six-month clinical trial. It was a very small study, but enough to stir more interest and hope in me that Padma can help dampen my overactive immune system.

So I believe it is worth a try. I plan to take Padma Basic for 30 days, and report my findings in a full review on this blog. Of course I have no delusion that this is some sort study; rather, it is merely my own personal experiences with Padma. Everyone’s form of A.S. is different, and different treatments will help different people. But my goal is that through this review and the followup review that other A.S. sufferers can find pertinent information, and be exposed to the option of Padma.

The kind people at EcoNugenics were gracious enough to supply me with a 180-tablet supply of Padma Basic. It arrived yesterday (January 2nd), and I have begun to take it. My dosage is two tablets 30 minutes before each meal (6 tablets/day). I am still taking meloxicam and omeprazole, and will continue to do so unless my pain drops down to a 0 or 1.

I plan to be as objective as possible when reporting the effects of Padma. My hopes are that it will:

1. Reduce or eliminate stiffness in my neck
2. Reduce the pain and swelling my left foot
3. Allow me to take fewer NSAIDs
4. Help the circulation of my hands and feet, which are constantly cold

So come back in 30 days for a full report of results!

Vegetarians may want to look away…

Today I’m here to describe the wonders of the “Brurger”. What is a brurger, you ask? A brurger, also known as the “hambur-brat”, is a fascinating mix of wonder-meats. The core unit consists of a hamburger patty, cheese, and a Johnsonville bratwurst, all tucked into a standard hamburger bun. The bratwurst is first cut in half, and then split along its longitudinal axis before mounted on its greasy beefy base.

However there are a plethora of variations and enhancements can can be performed to the standard brurger. One nuance is simply additional condiments. We have tried salsa (Tex-Mex Brurger) and blue cheese dressing (Fatty-fat Brurger), all with great success. Another novel idea is adding fry sauce (Utah Brurger). *Note* for those who don’t know, “fry sauce” is a mixture of ketchup and mayo, and is generally only found in Utah for some reason.

Furthermore, the standard brurger can be built upon by simply adding more meat, for instance bacon (Pig Brurger), a second bratwurst half (Br-Brurger), a second hamburger patty and a second bratwurst half (Double Br-Brurger), or a chicken breast (Noah’s Ark Brurger — give me two of every animal!). Most of these variations are experimental and not recommended for people who want to live past age 60.

The best brurger I’ve ever had was just last week, while camping with my wife and a friend in northern Washington. After my first “Standard Brurger”, I decided I wanted something more, and soon invented the “Br-Brurger”. The layers were: bun, bratwurst, cheese, patty, cheese, bratwurst, bun. Although it dripped the largest amount of grease I’ve ever seen, it ended up being about the best thing I’ve ever eaten.

So what does this have to do with running, you ask? After all, this is running blog. Well, the brurger’s history roots deeply into the realms of running. The original brurger was invented by myself and several friends after the 2004 Canyonlands Half Marathon. After working ourselves over in this early-season half marathon, we all decided that we deserved something “special”, something that would replenish our depleted calories and fat stores. Being a Wisconsin native it seemed logical to me that bratwurst should be involved. One thing led to another, and after some group collaboration the first brurger was born in the campground at Arches National Park.

The brurger soon become a traditional post-race meal. The deal is that you have to “earn” it. Usually a half marathon is sufficient, although special exceptions are allowed as well, such as long journeys and reunions with friends.

While in training, I keep my diet pretty tight: a lot of vegetarian cuisine, lean poultry, and fish. However, at times I feel it appropriate to let loose and celebrate, whether it’s finishing a tough race or enjoying the companionship of friends. For me, the brurger symbolizes the balancing of rigid training with celebration. Eating healthy is definitely beneficial for running…but something you just gotta unbuckle the belt and enjoy!

And while I’m off-topic, go Packers!

Early in the summer of 2006 my “running” hit an all-time low. I use the term “running” loosely, because at that time I had not actually ran in over two months. A better description would be that my overall physical well-being hit an all-time low, as I was suffering from an adductor strain, lower pain back, and acute plantar fasciitis all at the same time…

Let me just start off by saying I am NOT a true vegetarian or vegan. I am merely a fan. I would be classified more as a “flexitarian” or “semi-vegetarian” due to my occasional indulgence of bratwurst and other irresistable fatty meats. But I have come to recognize and believe in the positive effects of healthy vegetarian and vegan cruisine on not just our general health, but on running performance as well. Here’s why:

1) Reducing or eliminating meat and dairy helps keep weight off. A runner carrying extra weight is slower, less economical, more prone to injury. I struggled to lose those 10 extra pounds for quite some time until I tried more vegan cooking. Exercise wasn’t doing it, but diet did.

2) You will feel better. A vegan or vegetarian diet will gravitate toward foods, fats, and oils that are natural anti-inflammitories, and stay away from foods that actually increase inflammation (red meats, grease, eggs, processed foods, sugars, etc.). I noticed that my inflammation from plantar fasciitis and back pain was at an all time high after a work conference where I ate out every meal at brew pubs (nachos anyone?). When I switched to healthy, low-fat, low-sugar vegetarian the next week, I quickly started feeling better, and even my plantar fasciitis finally starting improving. Other people I know have had similar successes in reducing their back pain and other inflammitory ailments through a change in diet.

3) You will have more energy and better daily performance. After eating a big steak or a couple bratwursts, I’m usually ready to just wash my face and curl up for a nap. On the other hand, after a nice vegan meal, or a good salmon cruisine, I’m ready to go out and run! Digestion is faster and takes less energy, plus my body is fueled with nutrients designed for performance. Since switching to a mostly vegetarian diet, my daily energy levels have never been higher. I sleep less, am more productive, get sick less, and maintain steady, consistent running performance. Sasha can attest this as well; the year he switched to a “vegan-ish” diet, he dropped his marathon time from around 2:31 down to 2:24. Scott Jurek, America’s best ultramarathoner, is a vegan. He attests that his performance is related to his diet.

How many of us are willing to sacrifice a few of our favorite meats and junk foods for a performance jump like that? I encourage people to give it a try. If you are looking for ways to keep weight off or lose weight during the off season (or during season), give the veggie thing a shot. If you’re dealing with chronic inflammation-related injuries, give the veggie thing a shot. If you’re out of training ideas but still need a performance boost, give the veggie thing a shot. If you just hate it, or don’t get the results, you can always go back. But diet should be a tool to help our running, and it is an available resource.

Before people jump all over me, I want to make clear that just switching to a haphazard vegetarian or vegan-based diet will NOT help us. If the diet does not fulfill fueling requirements, it will hurt us. Educate yourself on what composes a well-rounded healthy diet with proper energy requirements. This goes for all diets, not just vegetarian (yes, a meat-based diet can be extremely healthy and performance-enhancing as well — I just think vegetarian/vegan has better potential). A good resource to read for those considering introducing vegetarian cruisine to their diet is “The Vegetarian Sports Nutritiion Guide” by Lisa Dorfman. This book helped demystify vegetarian fueling for athletes, and contains a lot of great profiles of elite vegetarian athletes, as well as their favorite training meals and recipes.

Like I said, I still indulge occasionally in various wonderful meats and junk foods. I strive for moderation and balance, and enjoying all types of foods can help us enjoy life more as whole. Remember, there is more to life than running, but making certain lifestyle choices, including diet and nutrition, can help us out with our running!

I’ll conclude by sharing some of my favorite vegetarian, vegan, and pisco-vegetarian recipes. These are all available on the Whole Foods Market website. These recipes, along with being very healthy, have an amazing amount of taste, and my wife and I always look forward to making them.

Indian Dal — one of my favorites. Lentils provide protein, and cardmom, fresh cilantro, and a jalepeno provide the style points! (vegan)

Quinoa with Broccoli and Cashews — high protein, gluten-free. The sun-dried tomatoes and red onion make this dish. (vegan)

Black Bean Burritos — these are GREAT. The crushed red pepper, hot sauce, lime juice, and fresh cilantro ensure both kick and zing. Leave out cheese for vegan. (vegetarian)

Honey Miso Dijon Alaska Salmon — oh man, this is a taste sensation. Salmon provides Omega-3 fats, which are natural anti-inflammitories. Remember to buy only wild-caught salmon to avoid the toxins in farm-raised salmon. (pisco-vegetarian).

I weighed in today at 132 pounds. So that means I’ve finally hit my goal and returned to my college racing weight. Hurrah! I celebrated by getting my chin-up PR (14). Chin-ups are a lot easier without love handles. Celebrated more when I got home by eating an orange.

I am originally from Wisconsin, and love things like beer, bratwurst, and cheese Danishes. It had taken its toll, and I developed the dreaded “skinny-fatguy belly” after college. I was about 145 pounds last winter when I got hurt, and over 140 pounds during the Grand Slam when I got hurt. A couple winters ago I hit 155. I think I read somewhere that every running stride you take, your joints bear 3x your body weight upon impact. Running downhill, it is even more. So for me to lose 10+ pounds is really like losing 30+ pounds, as far as my knees, back, and feet are concerned. It also factors into running economy and VO2Max, which may explain why holding a 6:30/mile pace seems pretty effortless right now, whereas my easy pace the past few years was 7:00+/mile. So I think meeting this weight goal will continue to help with injuries and also performance. 90% of my meals now are vegan or vegetarian, and that has been key for shedding excess weight, plus my energy levels have never been better. The funny thing is that after a while, you really start to like rice, beans, lentils and buckwheat. There are some excellent recipes out there. I still like the occasional bratwurst though, and if I lose any more weight, I will have to start adding more sausage and battered food to my diet! I am happy where I’m at and don’t need to lose a pound more.