Arthritis is an
inflammatory disease affecting the joints of the body. The most
common form, Osteoarthritis is characterized by a breakdown and loss
of cartilage with pain, swelling and reduced mobility of the affected
joints. Osteoarthritis most commonly affects the hands, toes, spine,
hips, knees and can cause lower back pain.
What are the causes
of Osteoarthritis?
There are several
identifiable causes of Osteoarthritis including trauma, excessive
use, postural deficits and the wear and tear of aging. Another major
cause is obesity, which stresses the lower back, hips and knees. Many
of these things can be either prevented or mitigated so that joints
remain healthy even into old age.
Various degenerative
changes can occur in affected joints. In the neck or lower back, bony
spurs may develop where nerves exit the spine creating an irritation
that causes numbness, tingling and radiating pain into the arms or
legs. For some people the neck and lower back pain can be
debilitating. Symptoms can come and go, ranging in intensity from
minor to severe.
How can Osteopathy
help lower back pain?
Patients who consult
with me for hip, knee, neck or lower back pain due to Osteoarthritis
undergo a thorough postural evaluation. Misalignment of the
skeletal system due to accidents, repetitive strain or other causes
will shift the center of gravity off the central axis of the body.
Consequently, certain joints that are designed to carry the weight of
the body in a particular way no longer do so and are unduly stressed.
This can cause accelerated wear and tear of cartilage. The aim of
treatment is therefore to re-centre the body, evenly distributing the
body’s weight, maximizing biomechanical efficiency and minimizing
mechanical stress on weight-bearing joints.
What else can be
done to help my lower back pain?
Lose weight:
Osteoarthritic pains can be alleviated or diminished by losing weight
reducing mechanical stress on weight-bearing joints.
Avoid high-impact
activities such as, excessive jogging or other activities which tend
to injure joint cartilage and can cause lower back pain, hip or knee
pain.
Exercise is very
beneficial because it strengthens surrounding muscles of affected
joints and helps to support, stabilize and protect joints. Also,
physical activity will improve and maintain joint mobility and helps
with losing weight.
Here are some of the
types of excise I routinely recommend to my patients: Tai Chi, Yoga,
Pilates, Step Machine, Cycling, Aqua-Fitness, Swimming, and Light
Weights. Make sure you balance your exercise program to include,
cardio, stretching and strength training.
Nutritional advice on alleviating or reducing Osteoarthritic lower back pain
Dr. Andrew Weil MDis an advocate of certain foods and supplements which may help to
alleviate or reduce Osteoarthritic pain. Regularly eat foods rich in
omega-3 fatty acids such as fish, walnuts and ground flaxseed. The
spices ginger and turmeric are considered beneficial as they may help
to reduce inflammation. Also, Dr. Weil recommends foods rich in
antioxidants found in most fruits and vegetables as they may help
reduce tissue damage caused by inflammation. I believe that organic
fruits and vegetables are probably your best bet as they are free of
harmful pesticides and herbicides.
In terms of other
dietary supplements, Dr. Weil recommends the use of Glucosamine
Sulfate derived from shellfish which may help to improve and maintain
healthy cartilage. Condroitin may also protect cartilage and Evening
Primrose Oil is believed to modify inflammation. Other foods
recommended that contain anti-inflammatory compounds are: holy basil,
green tea and rosemary.