Spinecare Topics
The Role of Diet and Weight
The science of nutrition should be considered in the care and treatment of individuals with spinal disease. Patients with chronic back pain and osteoporosis may benefit by receiving nutritional consultation to evaluate dietary intake and eating habits. The spine physician experienced in nutrition or a nutritionist can use this information to develop a realistic nutritional plan that may benefit the patient on a long-term basis. It is important to eat a well-balanced diet in moderate quantities. Extreme dietary fluctuations or inconsistencies can lead to a loss of muscle mass, reduced bone density and altered body fat deposition. Loss of bone density in some cases can be extremely difficult to reveres.
Obesity
The loss of mobility secondary to muscular deconditioning and weight gain are a common occurrences in those suffering from chronic back pain. Weight gain can impair mobility and aggravate pre-existing back pain. The goal of nutritional intervention in these patients is to improve their dietary behavior and/or lifestyle choices to facilitate weight maintenance and/or weight loss. Nutritional recommendations are usually based upon the patient's dietary preferences, patterns, and lifestyle. This realistic approach of emphasizing improved eating habits instead of using rigid diet plans has been more successful in achieving long-term success in the prevention and treatment of obesity.
Obesity and the Relationship to Low Back Pain
Obesity contributes to myriad of health problems including back pain. Obesity can contribute to a number of different afflictions of the spine such as back pain, muscle strain, risk for compression fractures and deformity in the present of underlying osteoporosis, discogenic pain and spinal joint (facet) pain. The later condition occurs secondary to the increased magnitude of the low back curve that places additional stress upon the spinal joints (facets).
Overweight individuals are much more likely to experience low back problems than individuals who maintain a healthy weight. Individuals who carry extra weight around their midsection will be more likely to suffer low back complications than those who have more equal distribution of their weight.
Individuals who are overweight, particularly those who are obese are also more likely to experience nerve compression syndromes and related sciatic pain.
A lower BMI and Weight Loss can Lower Risk for Other Back Problems
Overweight and obese patients are exposed to increased risk for disc degeneration and spinal joint (facet) osteoarthritis.
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