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Exercise and strategies that address body and emotional mechanics are effective for back pain. Chronic low back pain is a prevalent condition, which often involves an inflammatory process. Behavioral symptoms, including depressed mood, fatigue, and sleep disturbances, intensify pain and reduce quality of life and lead to an increased inflammatory state. Inflammation may contribute to the relationship between behavioral symptoms and pain intensity. Patients improve after psychological treatment with respect to symptoms, functioning and quality of life.

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

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

Dr. Cohen says, “When we are dehydrated, fluid always goes to the brain first and gets transported from other areas of the body like joints. Our fascia, the connective tissue webbing that supports every cell and organ in the body, can become tangled and knotted, making movement painful, difficult, and stiff.”

There are certain chronic pain conditions that can be worsened by dehydration. Dr. Cohen lists headaches, migraines, arthritis, joint pain, fibromyalgia, and overall stiffness as conditions that can be affected by dehydration.

"The discs between our vertebrae need fluid to cushion the bones," she says. "They can become a little dry and brittle when not properly hydrated, exacerbating back pain."

If you're currently in physical therapy for your back pain, Dr. Cohen adds that good hydration is "imperative before any physical therapy" since it can improve the outcome.

https://www.healthcentral.com/condition/back-pain/relieve-your-back-pain-staying-hydrated (2022).--

Gut health with unprocessed, anti-aging and anti-inflammatory foods help relieve back and lower back pain in general with chronic pain. Constipation and dehydration can make back pain worse. Dehydration can increase back pain. Foods rich in potassium and magnesium. 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 medicinal cannabis have a long history as natural pain relievers. Earthing, or walking barefoot on the earth, also provides some pain relief by combating inflammation.

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

https://assets.cureus.com/uploads/editorial/pdf/171367/20230825-29742-1jn8rf8.pdf (2023).--

https://link.springer.com/article/10.1007/s00586-024-08131-x (2024).--

https://link.springer.com/article/10.1007/s11916-024-01221-x (2024).--

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

In a prospective, open, non-randomized study involving 98 ambulatory patients 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 continued to use analgesics after the trial, compared with 73.5% at baseline ). In addition, according to self-report tools, after 40 days of the intervention, perceived pain and functional disabilities were significantly improved in a statistically and clinically significant manner.

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

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