{"id":3031,"date":"2024-10-01T22:44:06","date_gmt":"2024-10-01T20:44:06","guid":{"rendered":"https:\/\/www.ngdcare.nl\/product\/uncategorized\/pain-protocol\/"},"modified":"2026-05-14T21:05:49","modified_gmt":"2026-05-14T19:05:49","slug":"pain-protocol","status":"publish","type":"product","link":"https:\/\/www.ngdcare.nl\/en\/product\/veterinary-health\/protocols\/pain-protocol\/","title":{"rendered":"Joint protocol"},"content":{"rendered":"
\n
\n

This protocol helps with:<\/strong> standing up stiffly, difficulty climbing stairs, joint pain, osteoarthritis and joint wear in dogs and cats. Tackles pain and the cause: chronic inflammation that breaks down cartilage. Also preventively suitable for large breeds and active dogs. <\/p>\n<\/div>\n

Why a protocol and not any joint supplement?<\/h2>\n

Joint pain in dogs and cats has two components that both need to be addressed: the inflammation that damages the joint, and the loss of cartilage that results from that inflammation. A supplement that only inhibits pain does not address the cause. A supplement that only provides nutrients has limited effect if the inflammation breaks down the cartilage faster than it can be built up. <\/p>\n

Osteoarthritis is a systemic disease of the joint in which several processes are disrupted at the same time: MMP enzymes break down collagen, pro-inflammatory cytokines maintain inflammation, activated synovial macrophages feed the cytokine cascade and mitochondria in chondrocytes become exhausted. A single supplement can only address one of these processes. <\/p>\n

The Joint Protocol is divided into three layers that build on each other: preventive for those who want to prevent wear and tear, supplemented with pain modulation in case of pain, and extended to the full systemic protocol for chronic osteoarthritis.<\/p>\n

How does the Joint Protocol work?<\/h2>\n

The three layers build on each other. The preventive foundation lays the cartilage foundations and inhibits low-grade wear. In case of pain, pain modulation is added. In chronic osteoarthritis, the protocol is expanded to include direct MMP inhibition, synovial immune repair, and mitochondrial support of chondrocytes. <\/p>\n

\n

<\/p>\n

\n
\n
P<\/div>\n
\n
Preventive<\/div>\n
Building cartilage, slowing wear, strengthening joint barrier<\/div>\n<\/div>\n<\/div>\n

Mobility Support<\/strong> provides the complete cartilage matrix via eggshell membrane: collagen type II, hyaluronic acid and the growth factors IGF-1 and TGF-beta. This is the structural basis, also preventive, because cartilage does not have its own blood vessels and can only be built up if the building materials are structurally available. Calanus oil<\/strong> inhibits the COX pathway that drives MMP activation in cartilage via EPA, DHA, and stearidonic acid, and maintains the quality of the synovial fluid. MSM\/Quercetin Complex<\/strong> provides bioavailable sulfur as a building material for the cartilage matrix and inhibits low-grade joint inflammation via NF-kB that accelerates wear. Recommended for large breeds from two years of age, for active dogs and dogs with dysplasia predisposition. <\/p>\n

\n
Supplements preventive<\/div>\n
\n
\u2192<\/span> Mobility Support<\/a><\/div>\n
\u2192<\/span>O-Mega Blend<\/div>\n
\u2192<\/span>Histamine Balance<\/div>\n<\/div>\n<\/div>\n<\/div>\n

<\/p>\n

\n
\n
A<\/div>\n
\n
Acute (pain)<\/div>\n
Supplementing the preventive basis with pain modulation<\/div>\n<\/div>\n<\/div>\n

In case of visible pain, stiffness or reluctant movement, the preventive protocol is expanded with PEA Complex<\/strong>. PEA modulates pain via PPAR-alpha activation and inhibits mast cell activation in joint tissue without the side effects of long-term NSAID use. Effect noticeable within one to two weeks. PEA works synergistically with the omega-3 in calanus oil: both inhibit the prostaglandin cascade on complementary pathways. For pain with a strong central or stress-related component, supplemental CBD oil<\/a> is an option. <\/p>\n

\n
Supplement for pain<\/div>\n
\n
\u2192<\/span> PEA Complex<\/div>\n
\u2192<\/span> CBD oil (optional)<\/div>\n<\/div>\n<\/div>\n<\/div>\n

<\/p>\n

\n
\n
C<\/div>\n
\n
Chronic<\/div>\n
MMP inhibition, synovial immune repair, mitochondrial support<\/div>\n<\/div>\n<\/div>\n

In chronic osteoarthritis, the full protocol is used with three additions, each addressing a different level of the cascade. Liposomal Curcumin<\/strong> inhibits NF-kB and directly MMP-13, the enzyme that breaks down collagen type II. This makes curcumin mechanistically more relevant than CBD in osteoarthritis: curcumin inhibits structural cartilage breakdown, CBD mainly modulates pain perception. Myco Immune Complex<\/strong> modulates the synovial macrophages that maintain the cytokine cascade via beta-glucans. Activated M1 macrophages in the synovial fluid are the central driver of chronic joint inflammation; beta-glucans direct macrophage polarization towards the anti-inflammatory M2 phenotype and inhibit NF-kB and MAPK at the synovial level. Liposomal Ubiquinone (CoQ10)<\/strong> restores mitochondrial energy production in chondrocytes: without sufficient ATP, chondrocytes cannot convert the building blocks of Mobility Support into cartilage repair. In long-term chronic use, supplemental Shilajit<\/strong> is an option: a human RCT (2024) showed stimulation of type 1 collagen synthesis; fulvic acid synergistically supports mitochondrial biogenesis with CoQ10. Veterinary RCT data in dogs are still lacking. <\/p>\n

\n
Supplements for chronic osteoarthritis<\/div>\n
\n
\u2192<\/span> Liposomal Curcumin<\/a><\/div>\n
\u2192<\/span> Myco Immune Complex<\/div>\n
\u2192<\/span> Liposomal CoenzymeQ10<\/a><\/div>\n
\u2192<\/span> Shilajit<\/a> (optional)<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

When do you see results?<\/h2>\n

Joint repair occurs via two time scales. Pain modulation responds quickly via PEA and omega-3. Cartilage build-up is a slow biological process because cartilage does not have its own blood vessels. Give the full protocol at least three months for a fair assessment of the structural effect. <\/p>\n

\n
\n
Week 1-2<\/div>\n

PEA modulates pain. Fewer pain reactions when moving. Easier to get up. More willingness to be active. <\/p>\n<\/div>\n

\n
Week 2-6<\/div>\n

Clearly less stiffness after halftime. Move more smoothly. Less restraint when climbing stairs and jumping. <\/p>\n<\/div>\n

\n
Month 2-3<\/div>\n

Structural cartilage repair via Mobility Support and CoQ10. Better synovial fluid quality. More desire to play and vitality. <\/p>\n<\/div>\n

\n
Month 3+<\/div>\n

Daily maintenance inhibits further wear. In osteoarthritis, a long-term protocol. Possible reduction of NSAIDs in consultation with veterinarian. <\/p>\n<\/div>\n<\/div>\n

\n

Don’t see any improvement after six weeks? Schedule an intake with Stefan Veenstra. Never adjust the protocol without consulting a veterinarian if your animal is also taking NSAIDs. <\/p>\n<\/div>\n

Why the NGD Care Joint Protocol?<\/h2>\n
\n\n\n\n\n\n\n\nCan be <\/p>\n\n\n\n\n
Characteristic<\/th>\nNGD Care Joint Protocol<\/th>\nStandard approach<\/th>\n<\/tr>\n<\/thead>\n
Inflammatory pathways<\/td>\n\u2705 COX, NF-kB, PPAR-alpha, MMP-13 and synovial macrophage level<\/td>\nNSAID: COX inhibition only<\/td>\n<\/tr>\n
Cartilage repair<\/td>\n\u2705 Complete matrix of growth factors via eggshell membrane<\/td>\nNSAID: no cartilage buildup<\/td>\n<\/tr>\n
used preventively<\/td>\n\u2705 Yes, from 2 years of age in large breeds and dysplasia predisposition<\/td>\nOnly in case of complaints<\/td>\n<\/tr>\n
Long-term<\/td>\n

side effects<\/p>\n

\u2705 Minimal, no stomach or kidney strain<\/td>\nNSAIDs: gastric, liver and kidney burden with chronic use<\/td>\n<\/tr>\n
Scientifically substantiated<\/td>\n\u2705 RCT 2025 eggshell membrane, PEA RCT dogs, omega-3 osteoarthritis<\/td>\nYes for NSAIDs<\/td>\n<\/tr>\n
Developed by veterinarian<\/td>\n\u2705 Stefan Veenstra DVM<\/td>\nRare for supplement protocol<\/td>\n<\/tr>\n
Personal guidance<\/td>\n\u2705 Intake possible via Naturally Healthy Animals<\/td>\n\u274c Not available<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
\n

Is this protocol suitable for my animal?<\/p>\n

\n
\u2713<\/span>Osteoarthritis and joint wear<\/div>\n
\u2713<\/span>Stiffness and difficulty standing up<\/div>\n
\u2713<\/span>Chronic joint pain<\/div>\n
\u2713<\/span>Dysplasia in large breeds<\/div>\n
\u2713<\/span>Preventive for large breeds from 2 years of age<\/div>\n
\u2713<\/span>After orthopedic surgery<\/div>\n<\/div>\n

Never modify this protocol if your animal is also taking NSAIDs or corticosteroids without consulting a veterinarian. Combinations can influence each other’s effect. <\/p>\n<\/div>\n

[trustindex no-registration=”google”]<\/div>\n
\n
\n

Want to read the full scientific background?<\/p>\n

Stefan Veenstra DVM explains how osteoarthritis works at the cellular level and why a systemic approach is more effective than symptom suppression.<\/p>\n<\/div>\n

Read the blog<\/a><\/p>\n<\/div>\n

\n

Supplements in this protocol<\/p>\n

\u2192<\/span> Mobility Support (preventive)<\/a>
\n\u2192<\/span>O-Mega Blend (preventive)<\/a>
\n\u2192<\/span>Histamine Balance (preventive)<\/a>
\n\u2192<\/span> PEA Complex (therapeutic, chronic)<\/a>
\n\u2192<\/span> Liposomal Curcumin (therapeutic, chronic)<\/a>
\n\u2192<\/span> Myco Immune Complex (therapeutic, chronic)<\/a>
\n\u2192<\/span> Liposomal Coenzyme Q10 (therapeutic, chronic)<\/a><\/div>\n<\/div>\n
\n
SV<\/div>\n

Developed and clinically substantiated by Stefan Veenstra DVM<\/strong><\/a>, integrative veterinarian and founder of NGD Care. Naturally healthy animals<\/a><\/p>\n<\/div>\n

This protocol is educational in nature and does not replace a veterinary consultation. Never adjust the protocol if your animal is taking NSAIDs or corticosteroids without consulting a veterinarian. <\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Joint pain and osteoarthritis in dogs require more than just pain relief. The NGD Care Joint Protocol supports cartilage buildup, joint lubricants, and inflammation control at the same time, without the side effects of long-term NSAID use. Suitable as a stand-alone protocol and as an adjunct to veterinary treatment. <\/p>\n

Suitable for: osteoarthritis, joint stiffness, lameness, recovery after joint surgery and preventive in large breeds from middle age.<\/p>\n","protected":false},"featured_media":5100,"comment_status":"open","ping_status":"closed","template":"","meta":{"wds_primary_product_brand":0,"wds_primary_product_cat":185,"wds_primary_merken":0},"product_brand":[],"product_cat":[186],"product_tag":[1101,1100,1051,1103,303,139,1052,1054,138,1102,1050,1099,135,466,1053,1055,1060,1007],"merken":[],"class_list":["post-3031","product","type-product","status-publish","has-post-thumbnail","product_cat-protocols","product_tag-anti-inflammatory-en","product_tag-arthritis-en","product_tag-arthrosis","product_tag-boswellia-en","product_tag-calanus-oil","product_tag-cat","product_tag-cbd-en","product_tag-collagen","product_tag-dog","product_tag-eggshell-membrane","product_tag-joint-pain","product_tag-joint-protocol","product_tag-joints","product_tag-medicinal-mushrooms","product_tag-mobility-en","product_tag-myco-en","product_tag-ngd-care-protocol-en","product_tag-pea-en","infinite-scroll-item","sales-flash-overlay","woocommerce-text-align-center","woocommerce-image-align-center","do-quantity-buttons","wc-has-gallery","first","instock","sale","taxable","shipping-taxable","purchasable","product-type-variable"],"meta_box":[],"_links":{"self":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product\/3031","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/comments?post=3031"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/media\/5100"}],"wp:attachment":[{"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/media?parent=3031"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product_brand?post=3031"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product_cat?post=3031"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/product_tag?post=3031"},{"taxonomy":"merken","embeddable":true,"href":"https:\/\/www.ngdcare.nl\/en\/wp-json\/wp\/v2\/merken?post=3031"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}