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A self care approach to low back pain with Dr. Ayosanmi Part 2

Part Two of Dr. Ayosanmi's column on

Part 2 Dr. Ayo continued from Oct. 31, 2024 issue on Back Pain...

Title: A Self-Care approach to low back pain: What to do when you're tired of medications or when they no longer work.

3. Apply heat and cold therapy

Both heat and cold treatments are effective methods for alleviating pain and enhancing comfort without the use of medications.

Cold therapy: Cold therapy involves the application of ice packs or cold compresses to the affected area. This method is particularly effective in the initial stages following an injury, ideally within the first 48 hours. The cold helps to constrict blood vessels, thereby reducing inflammation and swelling. It also numbs the area, providing relief from acute pain. For best results, apply the ice pack for 15-20 minutes at a time, ensuring that a cloth is placed between the ice and the skin to prevent frostbite.

Heat therapy: Heat therapy, on the other hand, is beneficial for relaxing stiff or tense muscles and enhancing blood circulation. Methods can include the use of heating pads, warm baths, or hot packs. Applying heat increases blood flow to the area, which can help in the healing process and alleviate soreness. It is generally recommended to apply heat for 15-30 minutes to the affected area. Be cautious with the temperature to avoid burns, and consider using a towel or cloth as a barrier between the heat source and your skin.

Both therapies can be alternated as needed, depending on the nature of the pain and individual comfort.

4. Practice mindfulness and relaxation techniques

Managing stress and understanding pain perception are crucial factors that can greatly affect your experience with low back pain.

Mindfulness and meditation: Engaging in mindfulness meditation involves paying attention to your thoughts and feelings in a non-judgmental way. This practice encourages you to stay grounded in the present moment, which can reduce anxiety and stress. By cultivating awareness of your body and sensations without judgment, you may find that your perception of pain diminishes, leading to a more manageable pain experience.

Breathing exercises: Incorporating deep breathing techniques into your daily routine can significantly contribute to lowering stress levels. When you practice deep breathing, you engage the diaphragm, allowing for fuller breaths. This process not only helps you relax but also activates your body's natural relaxation response, which can help mitigate feelings of pain sensitivity. Regularly practicing these techniques can create a lasting sense of calm and improve your overall well-being.

5. Maintain a healthy weight

Carrying excess weight can create additional strain on your lower back, leading to discomfort and potential injury over time.

Balanced diet: Aim for a well-rounded diet that is rich in a variety of fruits and vegetables, whole grains, and lean proteins. Focus on incorporating a colorful array of produce to ensure you receive a broad spectrum of nutrients. Pay attention to portion sizes to avoid overeating, and make a conscious effort to limit processed foods, which often contain unhealthy additives and high levels of sodium and sugars.

Regular activity: Make physical activity a regular part of your daily routine. This can include cardiovascular exercises, strength training, and flexibility workouts. Engaging in at least 150 minutes of moderate aerobic activity each week, combined with muscle-strengthening exercises on two or more days, can help support weight management, strengthen your back muscles, and enhance your overall health. Activities such as walking, swimming, biking, or yoga can be particularly beneficial.

6. Utilize alternative therapies

Various complementary therapies can offer valuable support in the management of low back pain. Here are some detailed options to consider:

Physical therapy: Engaging with a qualified physical therapist can be highly beneficial. They will assess your individual condition and design a personalized exercise plan tailored to your specific needs. Techniques may include manual therapy, stretching, and strengthening exercises aimed at restoring movement, improving flexibility, and ultimately alleviating pain.

Chiropractic care: Chiropractic adjustments involve the manual manipulation of the spine and other joints. By realigning the vertebrae, chiropractors aim to improve spinal function and reduce discomfort. Regular chiropractic visits may help enhance mobility, decrease pain, and promote overall wellness, particularly when combined with other treatment approaches.