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asktheNATUROPATHICdoctor/ANSWERS TO YOUR HEALTH QUESTIONS<br />
Relieve Low Back<br />
Pain Without Drugs<br />
From dehydration to an inflammatory diet, here<br />
are the most common causes—and the best natural<br />
therapies—for back pain<br />
/// BY EMILY A. KANE, ND, LAc<br />
: I have chronic low back pain that has waxed and waned for more<br />
than 30 years. I don’t want to take drugs. Any suggestions?<br />
—Peter M., Tucson, Ariz.<br />
a:Chronic low back pain is one of<br />
the most common reasons people<br />
seek medical advice. First and foremost,<br />
it’s important to work with a provider who<br />
will take the time to understand the history<br />
of your pain. Good questions for a doctor to<br />
ask: What makes the pain worse or better?<br />
When did it start? Is it progressing?<br />
Almost all pain is exacerbated, if not<br />
caused entirely, by inflammation, so it’s<br />
always worthwhile to engage in natural<br />
anti-inflammatory practices. The first<br />
recommendation is to be well-hydrated.<br />
The “shock absorber” discs between the<br />
bony units of the spinal column are mostly<br />
made of water (as is the rest of your body).<br />
Being well-hydrated will keep those discs<br />
turgid, thus providing internal traction.<br />
Anti-Inflammatory Diet & Nutrients<br />
Try to reduce your consumption of animal<br />
foods such as cheese, ice cream, and meat.<br />
18 • APRIL <strong>2019</strong><br />
Did You<br />
Know?<br />
Standing all day can be<br />
just as bad as sitting. The<br />
best bet is to alternate<br />
every few hours.<br />
Vegetables need to be at the center of your<br />
diet—eat several at every meal. Also, eating<br />
less in general helps reduce body wear<br />
and tear (which causes inflammation). If<br />
you really enjoy breakfast, make sure you<br />
have dinner early enough to allow for a<br />
prolonged fast. This also helps rest your<br />
digestive system.<br />
Give natural pain relievers and antiinflammatories<br />
a try as well. My favorites<br />
include bromelain (take without food),<br />
turmeric, MSM, and CBD oil.<br />
Sciatica Solutions<br />
A low backache that comes with a buzzy,<br />
unpleasant sensation down one or both legs<br />
(sciatica) usually means an intervertebral<br />
disc is pressing on a spinal nerve. The range<br />
of treatment options includes traction<br />
(e.g., gravity boots or hanging from a<br />
chin-up bar), or spinal manipulation. You<br />
can also consider a well-placed steroid<br />
Emily A. Kane, ND,<br />
LAc, has a private<br />
naturopathic practice<br />
in Juneau, Alaska,<br />
where she lives with<br />
her husband and<br />
daughter. She is the<br />
author of two books<br />
on natural health,<br />
including Managing<br />
Menopause Naturally.<br />
Visit her online at<br />
dremilykane.com.<br />
injection if local inflammation<br />
is confirmed, and as a last resort,<br />
some kind of surgery to relieve<br />
the pressure (such as shaving off the<br />
protruding edge of the disc, or, less popular<br />
now, laminectomy).<br />
Sitting Too Long Spells Trouble<br />
Very frequently, low back pain is caused by<br />
chairs. If possible, sit on a large ball at work.<br />
Standing desks are okay. It’s not great to<br />
stand all day either—better if your desk is<br />
adjustable and you can alternate every few<br />
hours between sitting and standing.<br />
Try to push yourself all the way back<br />
in the chair to preserve the natural arch in<br />
your lower back. Pull the belly button back<br />
toward the spine and gently engage the<br />
perineum upwards. Set an alarm on your<br />
phone if you have to. The perineum lift is<br />
like a Kegel exercise for women. These are<br />
subtle movements and require keeping<br />
your buttocks relaxed.<br />
Essential Elements of Pain Relief<br />
Another essential element for preventing<br />
or reducing low back pain is core toning.<br />
There are many readily available programs<br />
for the abdominal muscles. Find one that<br />
is simple (you can quickly commit to<br />
memory), and engage daily. Classic sit-ups<br />
are out. You just need to lift your shoulder<br />
blades off the floor and shorten the rectus<br />
abdominus (muscle group from front rib<br />
cage to pelvic girdle) by bringing the bony<br />
points toward each other on each exhale.<br />
Repeat up to 100 times. Start with 10.<br />
Do you have a question for Dr. Kane? Email it to editorial@<br />
betternutrition.com with “Ask the ND” in the subject line.