Rheumatoid Arthritis (RA) Treatment in Mumbai – Cure4Pain Integrative Approach
Rheumatoid Arthritis (RA) is a chronic autoimmune condition that causes joint pain, swelling, stiffness, and potential long-term damage to cartilage, bone, and other organs. At Cure4Pain, Mumbai, our functional and orthomolecular rheumatology protocols focus on supporting immune balance, reducing inflammation, and addressing nutritional and metabolic factors through personalized care.
Conventional treatments such as NSAIDs, steroids, DMARDs, and biologics may help manage symptoms but can come with side effects including weight gain, liver or kidney stress, increased infection risk, or bone density concerns. These approaches often do not target underlying contributors to RA.
At Cure4Pain, we use science-backed integrative methods — including monitored Vitamin D therapy, cofactor support, gut health optimization, and tailored nutrition — to support symptom improvement in many patients. Individual results vary. Not medical advice. Always consult your physician.
Why Does Rheumatoid Arthritis Develop?
At Cure4Pain, Mumbai, our clinical experience and research suggest that Rheumatoid Arthritis (RA) is often linked to correctable underlying factors rather than being purely random. Many patients present with long-standing imbalances, including:
- Vitamin D deficiency (widespread in India)
- Liver or kidney stress, particularly after age 40
- Hypothyroidism (clinical or subclinical)
- Iron deficiency anemia, especially in women
- Bile acid dysfunction or history of gallbladder issues
- Hidden infections (bacterial, viral, parasitic, or fungal), confirmed via lab testing
By identifying and supporting these contributing factors through personalized nutrition, monitored therapy, and functional protocols, we help many patients improve mobility and achieve better long-term symptom management — often with reduced reliance on strong immunosuppressants in some cases.
Individual results vary. Not medical advice. Always consult your physician.
Common types include:
- Plaque Psoriasis – thick, scaly patches on elbows, knees, scalp, feet
- Palmar-Plantar Psoriasis – painful cracks on hands and feet
- Scalp Psoriasis – flaking, itching (often mistaken for dandruff)
- Nail Psoriasis – pitting, discoloration, detachment
- Guttate Psoriasis – small spots, often triggered by infections
Psoriasis is linked with autoimmune dysfunction, metabolic syndrome, thyroid issues, and gut inflammation.
Why Conventional Psoriasis Treatments Fall Short & How Psoriasis Treatment in Mumbai Helps
- Steroid creams & ointments: Provide short-term relief but cause rebound flares and skin thinning.
- Immunosuppressants (Methotrexate, Cyclosporine): Carry risks of liver and kidney damage.
- Biologics: Expensive injections that suppress immunity, increasing risk of infections, cancers, and relapses when stopped.
- Phototherapy: Temporary improvement with limited long-term impact.
Many patients turn to Psoriasis Treatment in Mumbai at Cure4Pain when conventional therapies fail.
Psoriasis Treatment in Mumbai at Cure4Pain – Our Root-Cause Support Approach
At Cure4Pain, we focus on root-cause support and immune modulation.
Our Treatment Pillars:
- Coimbra Protocols (High-Dose Vitamin D Therapy) – Personalised dosing based on PTH response.
- Cofactor Support – Magnesium, Vitamin B2, B12, K2, Selenium, Omega-3, Zinc.
- Gut & Liver Detox – Removal of hidden infections, candida, parasites; liver support with milk thistle, dandelion, ashwagandha.
- Nutritional & Lifestyle Protocols – Calcium-restricted diet, millets, cold-pressed oils, ghee, removal of processed wheat & high-lectin foods.
- Long-Term Immune Management – Tailored maintenance therapy for sustained symptom improvement.
Real Psoriasis Case Studies (Before & After) Case 1
Recognizing the early signs of RA can help patients seek timely support. At Cure4Pain, Mumbai, we commonly observe the following RA symptoms in patients:
- Morning stiffness lasting more than 30 minutes
- Swelling and tenderness in joints (especially hands, wrists, and knees)
- Symmetrical joint involvement (both sides of the body affected equally)
- Persistent fatigue, low-grade fever, or unintentional weight loss
- In advanced stages: joint deformities or reduced mobility
These symptoms vary by individual. Not a substitute for medical diagnosis. Always consult your physician for evaluation.
Psoriasis Case Study – Female, 57 yrs
C/O: Severe Psoriasis with Diabetes (24 months to clinical improvement)
- Baseline (Aug 2023):
- Severe bleeding & oozing plaques on both feet.
- Vitamin D: 6.7 ng/ml, HbA1c: 7.2%, B12: 283 pg/ml, PTH: ~96.
- Treatment: Coimbra Protocol with cofactors, gut detox, and food corrections.
- Progression:
- 3 months: Scaling reduced, bleeding stopped.
- 12 months: Skin nearly clear.
- 24 months: Complete clinical improvement, Vitamin D maintained >150 ng/ml safely.
- Challenge: HbA1c rose to ~9.2, highlighting the need for metabolic focus.
- Outcome: Skin clinically improved, pain-free walking, reduced reliance
This patient presented to Cure4Pain in August 2023 with a severe flare of plaque psoriasis affecting both feet and legs. The lesions were bleeding, oozing, and painful, making walking difficult. The patient also had uncontrolled Type 2 Diabetes and signs of nutritional deficiencies.
Case 1 ( for Educational Purposes Only)
Psoriasis Case Study – Female, 57 yrs
C/O: Severe Psoriasis with Diabetes (24 months to clinical improvement)- Baseline (Aug 2023):
- Severe bleeding & oozing plaques on both feet.
- Vitamin D: 6.7 ng/ml, HbA1c: 7.2%, B12: 283 pg/ml, PTH: ~96.
- Treatment: Coimbra Protocol with cofactors, gut detox, and food corrections.
- Progression:
- 3 months: Scaling reduced, bleeding stopped.
- 12 months: Skin nearly clear.
- 24 months: Complete clinical improvement, Vitamin D maintained >150 ng/ml safely.
- Challenge: HbA1c rose to ~9.2, highlighting the need for metabolic focus.
- Outcome: Skin clinically improved, pain-free walking, reduced reliance
- Baseline (Aug 2023):
Case 2 – Psoriasis with Sustained Vitamin D Therapy
Individual results vary. Photos with patient consent. Not typical. Consult physician.
- Baseline: Severe flare, Vitamin D: 45 ng/ml, PTH: 37.5, Ionized Ca: 1.27.
- Treatment: High-dose Vitamin D (30k IU/day loading → weekly dosing) with cofactors.
- Progression:
- 4 months: 80% clearance, PTH dropped to 21.
- 6 months: 99% clearance, skin nearly clear.
- 8 months: Full clinical improvement, Vitamin D maintained >150 ng/ml.
- Outcome: 2 years of sustained improvement with no relapses, labs safe (Ca, kidney function intact).
(Individual results vary. Not typical.)
Timeline & Progression
Timeline | Vit D3 (ng/mL) | PTH (pg/mL) | Ionised Ca (mmol/L) | D3 Dose | Clinical Progress |
Baseline | 45 | 37.5 | 1.27 | 30k IU/day | Extensive plaques, bleeding |
4 months | — | 21.2 | 1.25 | 20k IU/day | ~80% improvement, plaques healing |
6 months | — | — | — | 15k IU/day | ~99% clearance |
8 months | — | 35.9 | 1.30 | 60k IU weekly | Significant clinical improvement , skin almost clear |
2 years (current) | Maintained >150 ng/mL | Stable | Safe | Maintenance weekly dosing | Sustained Clinical Improvement , no relapses |
Case 3 – Palmar-Plantar Psoriasis + Hypothyroidism (9 months to Significant clinical improvement)
Individual results vary. Photos with patient consent. Not typical. Consult physician.
Baseline:
- Cracks, bleeding, oozing lesions on hands & feet.
- Vitamin D: 23 ng/ml, PTH: 123 pg/ml, B12: 239 pg/ml, ESR: 23, TSH: 2.03.
- Treatment: Coimbra Protocol + cofactors, Vit D 60k alternate days.
- Follow-Up (9 months):
- Significant & Sustained clinical improvement.
- Vitamin D: 127 ng/ml, PTH: 33, B12: 933, ESR: 9, Ionised Ca: 1.03.
- Outcome: Pain-free, skin normalised, transitioned to maintenance (Vit D 60k twice/week).
These Psoriasis Treatment in Mumbai case studies demonstrate real patient progress and safe results.
Why Our Method Works for Psoriasis
- Immune Modulation: Vitamin D + cofactors reset immune balance (reduce Th17/IL-17 inflammation, expand T-regs).
- Root-Cause Focus: Corrects Vitamin D resistance, B12 deficiency, iron/ferritin issues, gut dysbiosis.
- Safety: Despite high-dose Vitamin D, ionized calcium and kidney function remain normal with proper monitoring.
- Durability: Patients remain in improvement for years when maintained on therapy.
Psoriasis FAQs
Can psoriasis be cured permanently?
Psoriasis is an autoimmune disease — there is no “once-for-all cure,” but long-term symptom and immunomodulation improvement is achievable with functional and nutritional protocols.
Is Vitamin D safe in high doses?
Yes, when guided by Coimbra Protocol principles with PTH, calcium, and kidney monitoring.
How long does it take to see results?
Most patients see improvement in 4–8 weeks, with significant progress in 6–24 months.
Do I need supplements for life?
Yes, lifelong nutritional therapy maintains immune balance and prevents relapses.
Can psoriasis be treated without steroids?
Yes — psoriasis can be effectively treated without steroids. At our clinic in Mumbai (Cure4Pain), we see patients who have struggled with steroid creams, methotrexate, or biologics, only to relapse once the medication is stopped.
The problem is that these drugs suppress symptoms but do not correct the immune dysfunction that drives psoriasis.
We use a science-backed approach combining:
- Coimbra Protocols (High-Dose Vitamin D Therapy) → to retrain the immune system.
- Cofactors (Magnesium, B-complex, Omega-3s, Selenium, Zinc, Vitamin K2) → to activate Vitamin D safely and prevent side effects.
- Gut & liver detox → removing infections, parasites, and correcting digestion.
- Food corrections → moving away from wheat/gluten, processed oils, and introducing millets + cold-pressed oils.
Our case studies show patients achieving significant clinical improvement within 6–24 months without steroids or biologics.
Learn more: Psoriasis Treatment in Mumbai – Cure4Pain
Is Vitamin D therapy safe for psoriasis?
When done correctly — yes, Vitamin D therapy is safe and highly effective for psoriasis.
The Coimbra Protocol, developed by Dr. Cicero Coimbra, uses high doses of Vitamin D along with mandatory cofactors to rebalance the immune system.
At Cure4Pain, Mumbai, we closely monitor:
- Parathyroid Hormone (PTH) → shows how the immune system is responding.
- Ionised Calcium & Kidney function → ensures safety, prevents hypercalcemia.
- Vitamin D levels → maintained above 100–150 ng/ml in resistant cases.
In over 200 psoriasis cases we’ve documented, patients maintained Vitamin D above 150 ng/ml for months safely — with normal calcium, kidneys, and no observed toxicity .
The key is: never self-medicate. Always work with a trained doctor who understands cofactors and lab monitoring.
See case photos + lab charts: Psoriasis Pillar Page – Cure4Pain
How long does it take for psoriasis to improve with Vitamin D therapy?
Most patients begin noticing changes within 4–8 weeks of starting high-dose Vitamin D therapy.
- Early changes: bleeding stops, itching reduces, scaling begins to thin.
- 3–6 months: visible clearance of plaques, smoother skin.
- 6–24 months: significant/complete clinical improvement (skin clear, joints pain-free in psoriatic arthritis).
For example, in one of our psoriasis cases, a patient started with Vitamin D 6.7 ng/ml and HbA1c 7.2. After 18 months of Coimbra Protocol + cofactors, their skin was visibly completely clear while Vitamin D was maintained above 150 ng/ml safely.
Patience + persistence are essential. Psoriasis is not a 7-day cure; it is an autoimmune condition that requires immune re-education. But once improvement is achieved, it can be sustained for years.
Book Your Consultation at Cure4Pain (Mumbai)
If you are struggling with psoriasis, repeated flares, and side effects from steroids or biologics, it’s time to consider a root-cause support integrative approach.
Visit us at Cure4Pain, Mumbai – India’s leading clinic for Functional & Orthomolecular Medicine. 
www.cure4pain.in
Book your Psoriasis Treatment in Mumbai consultation today and start your journey to clearer skin.
(Not medical advice. Individual results vary. Not a substitute for medical advice. Consult a physician. © 2025 Cure4Pain.)