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Better Nutrition April 2019

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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.

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