Food intolerance can apparently cause aching joints in some people. It is likely to be the most heavily used joints, such as the knees, that are afflicted first, but it may later spread to other joints. Assuming that all the disorders mentioned above have been ruled out, then food intolerance is a very likely-cause for joint pain, especially in patients with a variety of other minor symptoms as well. Studies have found that between 50 per cent and 85 per cent of patients respond to an elimination diet.
Since immune complexes are known to produce joint pain in several other diseases, they are a logical suspect in food intolerance as well. In this case, the immune complexes might well consist of food molecules (absorbed intact into the blood from the gut) and antibodies to the food. At present there is no evidence to show whether this idea is right or not, and it is possible that food produces joint pain by some completely different mechanism.
An acute, immediate allergic reaction to a food, with characteristic symptoms such as swelling of the lips, can also include transitory pain and swelling in the joints, especially those of the hand and wrist. Other atopic (‘allergic’) patients experience more long-lasting joint pain, which may be due to food whether this is food allergy or intolerance is a debatable point but mast cells do seem to be involved in some of these patients.
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