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Evidence reveals that exercise and strategies that address body and emotional mechanics are effective for back pain. Chronic low back pain is a prevalent condition, often involving an inflammatory process. Behavioral symptoms, including depressed mood, fatigue, and sleep disturbances, intensify pain and reduce quality of life. Patients characterized by a more depressed mood, fatigue and sleep disorders had a higher inflammatory state. Inflammation may contribute to the relationship between behavioral symptoms and pain intensity. Prolonged pain affects depression, anxiety, and insomnia that can affect disability and quality of life. Some patients improve after psychological treatment with respect to symptoms, functioning, and quality of life.

https://europepmc.org/article/med/31990692 (2020).-----

https://www.sciencedirect.com/science/article/abs/pii/S152490422030237X (2021).---

https://biblio.ugent.be/publication/8756935/file/8756952 (2022).---

https://www.sciencedirect.com/science/article/pii/S1699258X22001590 (2022).--

https://openarchive.ki.se/xmlui/handle/10616/48067 (2022).---

https://journals.lww.com/clinicalpain/Abstract/2022/04000/Are_Changes_in_Sleep_Quality_Quantity_or_Baseline.8.aspx (2022).--

https://www.sciencedirect.com/science/article/abs/pii/S1087079223000175 (2023).--

https://link.springer.com/article/10.1186/s12891-023-06682-6 (2023).--

Gut health with whole foods, anti-aging and anti-inflammatory helps relieve back and lower back pain. Constipation and dehydration can make back pain worse. Dehydration can increase back pain. Foods rich in potassium and magnesium. Omega-3 fats. Proteolytic enzymes, turmeric and ginger. GLA helps modulate inflammation. Vitamins B1, B6 and B12 are beneficial for many painful diseases. Vitamin D metabolites help inhibit inflammation. Melatonin is also a powerful antioxidant and has been shown to reduce pain associated with a variety of chronic painful conditions. Astaxanthin has very powerful anti-inflammatory properties. Boswellia and capsaicin and medical cannabis have a long history as a natural pain reliever. Earthing, or walking barefoot in the dirt, also provides some pain relief by fighting inflammation.

https://www.sciencedirect.com/science/article/pii/S0897189722000313 (2022)

https://articulos.mercola.com/sitios/articulos/archivo/2015/03/26/remedios-naturales-para-el-dolor-de-espalda.aspx .----

https://www.lifeextension.com/protocols/health-concerns/chronic-pain .-----

In a prospective, open-label, non-randomized study involving 98 outpatients with chronic low back pain (12 weeks or more) with or without radiculopathy and without neoplastic or inflammatory pathologies, supplementation with alpha lipoic acid (600 mg/d) and Superoxide dismutase (140 IU/day) over a 60-day period was associated with a significant reduction in analgesic use (8% of patients were still using analgesics after the trial, compared to 73.5% at baseline ). Additionally, based on self-report tools, after 40 days of intervention, perceived pain and functional disabilities significantly improved in a statistically and clinically meaningful manner.

http://www.vitasearch.com/get-clp-summary/40770 (2022)

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