What Should You Eat For Chronic Pain? | Nutrition for Chronic Pain

Do you suffer from chronic pain? Perhaps you’ve had pain for greater than three months, and you’re not sure how you can support nutritionally? Fortunately, there is so much high-quality evidence to support how diet therapy can make a profound difference in chronic pain.

Chronic pain is associated with pro-inflammatory states which are linked to peripheral and central sensitization. This is when the brain perceives that there’s pain, and even a heightened sense of pain with very little stimuli, yet there is no tissue damage.

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Additionally, the mitochondria, which is essentially the powerhouse of our cells, are also associated with chronic pain. The damage to the mitochondria can be driven by how we eat. Consuming pro-inflammatory foods, such as the Standard American Diet—the Western Diet—which is rich in sugary foods, alcohol, processed meats, and enriched grains, can contribute to inflammation and even damage the mitochondria. Therefore, with the Standard American Diet, there becomes an imbalance between our essential fatty acids, which we need for optimal health, and pro-inflammatory markers. That’s where a specific diet therapy comes in.

The first thing we want to do is address the inflammatory markers. The Mediterranean diet is one of the best and well-researched diets that has been shown to decrease inflammation. Think of a diet comprised of fish, legumes, olive oil, low in grains, and high in vegetables – also referred to as an anti-inflammatory diet.

5 ways that you address your chronic pain through diet

1) Decreasing Inflammation

The best way to do this is through an elimination diet. Eliminate the potentially pro-inflammatory foods for at least three weeks and then slowly reintroduce them, one at a time. These include gluten, dairy, sugar, alcohol, caffeine, coffee, tea, corn, soy, processed meats, red meat, chocolate, tea, coffee, and shellfish. If you don’t want to do a full elimination diet, you can do a modified version—eliminate gluten and dairy, for example. These two definitely can play a role in inflammation, and specifically chronic pain. If you’re eating a lot of sugar, this is also a great place to start. Sugar is a massive pro-inflammatory agent, so decreasing sugar in your diet would be very beneficial.

 2) Calorie Reduction

When we are consuming fewer calories than required by our basal metabolic rate, then we can not only increase our brain’s ability to generate new neurons by decreasing free radicals, but we can also increase ATP, the energy source of the cells, and we can increase our number of mitochondria. These all could play a huge role in inflammation and pain.

3) Intermittent Fasting

Intermittent fasting, an eating pattern that cycles between periods of fasting and eating, can help turn on genes that help cells survive by reducing inflammation. There are many different ways to include intermittent fasting in your life. Fasting from seven o’clock at night until seven o’clock in the morning would be a 12-hour fast. You can slowly increase that to a 16 hour fast, or you can do 24-hour fast two days a week. There are many options to suit your lifestyle and it is strongly recommended to start slowly.

4) Specific Nutrient Supplementation

Omega 3’s, vitamin D, vitamin E, vitamin B-12, and magnesium have all been shown to impact chronic pain. There are other nutrients that also help specifically with chronic pelvic pain, such as vitamin E, B1, and B3. 

5) Gut Health

Seventy percent of your immune system is in your gut. If there is an inflammation issue, we should start in the gut. So, do you need to include prebiotics, probiotics, or do you need a specific gut health protocol? If you are not managing gut health properly, then you are not managing chronic pain and inflammation well, either. 

These are just a few of the ways that we can use diet to influence chronic pain.  When we have that central sensitization of the nervous systems, our brain still perceives that there’s pain, yet there is likely no tissue damage. Our nervous system is heightened, and we can begin to associate chronic pain with pro-inflammatory markers. We can use diet to decrease inflammation and optimize our micronutrient, antioxidant, and phytonutrient profile to begin to bring our body back into a state of balance and healing. 

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What do your gut bacteria do? | 10 Functions of Gut Bacteria | Microbiome

Everyone talks about the microbiome and gut bacteria, but why is it so important? What are the actual functions of the bacteria?

Before we get into the 10 functions of your gut bacteria, let’s talk a little bit about the anatomy. The small intestine which is 18 to 25 feet of our intestine, should be a relatively sterile environment. The large intestine, however, is where we house the majority of the bacteria, especially the beneficial bacteria. When we get something like a small intestinal bacterial overgrowth (SIBO), it is in essence where the bacteria have now been relocated and overpopulated into the small intestine where it is not supposed to be. We have trillions of bacteria in our gut, and we have a thousand different species. There are also 5,000 different bacterial strains. With that said, everyone is unique, however, there are combinations of collections of bacteria that are present in healthy individuals.

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10 Functions of Gut Bacteria

So, let’s get into the 10 functions of gut bacteria and why it is so important that you have an optimal balance.

  1. Nervous System Modification

This is a really powerful function of our gut bacteria. We want to think of three key neurotransmitters which are essentially are chemical messengers that are formed from the gut bacteria.

  • Serotonin: This is the key hormone that stabilizes our mood, feelings of well-being, and happiness. Ninety percent of our serotonin is located in our gut.
  • Dopamine: Fifty percent of our dopamine, our feel-good hormone, is located in our gut.
  • GABA (gamma aminobutyric acid): This is an inhibitory neurotransmitter that decreases feelings of fear and anxiety and produces a feeling of calm.

All of these are associated with this amazing gut-brain connection.

2. Breaks Down Food Compounds

Essentially, the gut bacteria metabolize the food and medications that we consume.

3. Pathogen Resistance

Think of our gut bacteria as one of our protective mechanisms. It will protect us from pathogens and toxins.

4. Protection Against Any Epithelial Injury

It protects against infections, just like it does with toxins and pathogens.

5. Bone Density Modulation

The gut bacteria can influence our bone density.

6. Promotion of Fat Storage

The gut bacteria can influence the hormones that store fat. Additionally, the Standard American Diet (SAD), that is, the western diet, is influencing gut bacteria, which has been linked to obesity.

7. Immune System Stimulation

Seventy percent of our immune system lies within our gut. So when we have optimal gut bacteria, this gut bacteria is influencing how our immune system responds to foreign invaders, toxins, and pathogens that they might be exposed to.

8. Promotion of Angiogenesis

When we have more blood vessels in the gut, this can be very powerful for future advances in treatments for gut infections.

9. Biosynthesis of Vitamins and Amino Acids

Water-soluble vitamins are plentiful in the diet, but also can be synthesized by the gut.

10. Metabolism of Therapeutics

This is ultimately how we process our medications and supplements. So keep in mind, that if you are planning to take things, you have to make sure that your gut is optimized so that you can metabolize these appropriately.

Now that you know the functions of gut bacteria, you know how important it is to optimize it. You can do that through numerous things, and you can see some other videos for different suggestions to optimize your gut health. But, we do want to think about everything from prebiotics, the fiber that the probiotics feed on, probiotics whether that’s through fermented food or supplementation, and then, of course, stress management, a high-fiber diet with 25 to 35 grams a day, drinking plenty of water, eating a whole, natural food diet to ensure that you are optimizing the diversity of your gut—that is one of the key things that your gut loves, diversity.

Reach out for a 15-minute FREE discovery session to see how we can help you on your journey.

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IS YOUR GUT PREVENTING YOUR WEIGHT LOSS?

Did you wonder how your gut and your gut bacteria can be impacting your weight loss? Research proves time and time again that the Standard American Diet (SAD diet) is something that promotes inflammation in our gut and changes the colonization of our gut bacteria and gut flora over time. Even as simple as one energy-rich meal such as a Big Mac and French fries can release lipopolysaccharides, an endotoxin, into the bloodstream, contributing to this immune response.

The second thing that we know for sure is that when you are in an inflamed state, your hormonal, lymphatic, and GI system will be greatly impacted. Therefore, it will affect your ability to lose weight.

In essence, you have to optimize gut health, balance the bacteria, and feed the gut good bugs, what it needs and craves, which is not the Standard American Diet. I’d like to go over five key things that you want to think about for optimizing your gut health so that you can lose weight.

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1) Decreasing Omega-6’s and Increasing Omega-3’s

Omega-6 fatty acids are a type of polyunsaturated fat found in vegetable oil, canola oil, and palm oil commonly found in packaged and processed foods. Even healthy food can contain these ingredients. These omega 6’s can impact your overall health and contribute to inflammation, therefore your gut. Not only do you want to decrease your omega 6’s, but you also want to increase your omega 3’s. Think of your fatty fishes, walnuts, and flaxseed. All of these can be beneficial and working on increasing these healthy fats will have a positive effect on your gut flora. Make sure to prioritize getting healthy fat with every meal.

2) Include Fiber

You want to consume 25 to 35 grams of fiber per day.  Most Americans fall short of this. If you are eating a high plant-based diet, and you’re getting some grains, seeds, and nuts in; you should be well on your way to getting the appropriate amount of fiber.  If you’re not, then supplementation would be advised.  Think of your fiber as your prebiotics. In order for us to have the positive effect of the beneficial bacteria of probiotics, they have to feed on the prebiotics.

3) Include Fermented Foods

That could be fermented sauerkraut, kimchi, or kefir. You do want to make sure that they contain active live cultures that have beneficial probiotic. If you are not consuming fermented foods regularly, you could consider supplementation to ensure you’re populating your gut with good bacteria.

If you already have existing gut issues, consult with a functional medicine practitioner to ensure you are taking the right one at the right time.

4) Eat More Plants

You want to make sure you have 60-70% of your plate coming from plants. This does not mean to exclude your healthy lean proteins, it just means eat more plants. Fill your plate with a variety of colors because this is exactly what the gut feeds on. This is what it wants and craves. Make sure that you are eating enough variety, because the more diversity in your foods that you have, the better your microbiome diversity will be.

5) Reduce Stress

Stress is one of the biggest drivers for gut bacteria changes. Not only is it well known that it causes inflammation in the body, but it is impacting the gut flora. Even just the thoughts that you have can impact your gut bacteria. Begin to identify what stressors you have and how can you manage stress in your life. You’re not going to get rid of stress, but how can you become more mindful and grounded? How can you respond with clarity and creativity? Use different techniques to be able to cultivate this in your life, so that you can manage the stressors that come your way.

So there you have it, five different ways that you can begin to influence your gut bacteria, microbiome, and 70% of your immune system in order to optimize weight loss. If you’re a person that has been dealing with weight gain, and you recognize that there are some gut issues, start here! It is imperative to have optimal gut health for everything else in your body to function well.

If you need help on your journey, please reach out!

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4 REASONS YOU SHOULD RECONSIDER NSAIDS

Do you have arthritis and you’ve been told by your physician that you should be taking some kind of anti-inflammatory and/or pain medications? You’ve maybe settled on Ibuprofen, or perhaps you have tried some prescription medications. Well, let’s talk about why we may want to reconsider.

Let’s start by saying that osteoarthritis is an inflammatory condition. It is important to recognize all the potentially inflammatory triggers that could be impacting your pain and function: food, bugs, toxins, trauma (both physical and emotional), and hormone dysfunction. Let’s not forget the movement compensations over many years that are also contributing to your painful patterns. It is not simply that you have poor genetics, or you played football when you’re younger, or you hurt your knee many years ago. Those may play into it but they are definitely not the only driver and you do not need to be debilitated by your pain and function. There are many negative side effects of NSAIDs.

1. Impacts the GI System

It can significantly impact your GI system. It can affect the lining of the GI system, even in the stomach, and can contribute to GI bleeds. Now let’s remember that 70 percent of your immune system is in your gut. If you are negatively impacting your gut lining by taking NSAIDs regularly, then you are impacting your ability to regulate inflammation. Remember, osteoarthritis is inflammatory.

2. Linked to Heart Issues

NSAIDs have been linked to more heart attacks, strokes, and other heart-related conditions.

3. Affects Kidneys

It can impact your kidneys and the blood flow to the kidneys.

4. Decreases Pain Threshold

Your pain threshold is lower. So, what may have just been a little bit of pain, such as a one or two out of 10 is now a five or six. This is because you cannot manage or process pain as you could before with chronic NSAID use.

This goes without saying but physical therapists are the best way to improve your overall function, decrease pain, and help you to do exactly what you want to do. Please reach out to us we would love to help you. Also focusing on things like breathing, yoga, meditation, all of the things have been shown to help with being able to manage pain more effectively.

I know that you think I might suggest ice or heat, but we’re going to ditch those. Neither one of them is going to have a positive or therapeutic impact on your arthritis. It may feel good, but it is not doing anything to help. When you’re using ice it’s decreasing blood flow to the area creating vasoconstriction, so it does not decrease inflammation despite what people think. Also, heat can potentially bring a little bit of blood flow to the area, but it’s such superficial heat that it’s very minimal. Although it might feel good once again it is not necessarily doing anything to improve your function. You want to try to move as much as possible because that has been shown over and over again through research that is the most effective treatment for arthritis.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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WHY DO YOU HAVE CRAVINGS | 4 reasons

Did you ever wonder why you get cravings and why these cravings can be so overpowering they prevent you from sticking to your nutrition plan? There are four key reasons for cravings.

1. Dopamine response

You may have heard someone say they’re addicted to sugar or you may even be addicted to sugar. Sugar can cause a dopamine response, just like it can with things like alcohol, drugs, or cigarettes. This can cause a neurochemical and biochemical response in the body, therefore attributing to cravings. Think of it as a feed-forward mechanism.

2. Gut bacteria

We have a trillion different bacteria in our gut that all like different things like fiber, carbohydrates, and fat. When we don’t give them what they want they get pissed off. These specific bacteria are, in essence, seeking out certain foods so it’s important that we have a diverse healthy diet filled with lots of antioxidants and phytonutrients. If we feed it with exactly what it needs and wants, we won’t have cravings for other things, perhaps like carbohydrates, salt, or sugar.

3. Habits

You may go hours and hours without eating and without checking in with your body, and then all of a sudden, you are starving. This is a perfect example of how your habits and not being internally aware of what you need can attribute to your poor eating habits and choices. This will impact the cravings that you have for sugar, carbohydrates, and energy-rich foods that are giving you a quick burst of energy because you have let the tank stay empty way too long.

4. Blood sugar

This is really imperative in making sure that you are decreasing cravings. Let’s start with the basics. Every four to six hours you should be eating unless you are hungry. Now there are some exceptions if you are doing intermittent fasting. If there is already some existing blood sugar dysregulation, that would mean that you probably have to eat a little bit sooner than that, but ultimately that is our goal. Now to do that, we have to have a balance of nutrients; a protein, a healthy fat, and a fiber source. If we’re getting these balanced meals every four to six hours, then we should be able to keep our blood sugar stabilized. If you happen to just wake up, eat a bunch of sugar and carbohydrates such as oatmeal with honey and blueberries, our blood sugar is going to go way up, and then crashing down. Then, you will crave carbohydrates. So, make sure you are consistently incorporating a protein, a fat, and a fiber source in each of your meals to optimize your blood sugar control and prevent cravings.

In essence, being able to regulate cravings is within your control 100 percent. There are lots of ways to address it. Even if you have some preexisting health conditions, like insulin resistance, or dysregulation of your blood sugars, etc.; this could impact your cravings. However, try to work on these key fundamental things so that you can decrease your cravings and ultimately feel your best.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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What is SIBO?| Is this the cause of your digestive issues?

Have you heard about SIBO (small intestinal bacterial overgrowth) or perhaps you’ve been diagnosed with IBS (Irritable Bowel Syndrome) but you don’t know what to do about it? You may be wondering  if this is the cause of your digestive issues? Is this what’s making you feel so terrible? Let’s start by saying that SIBO is very complex and there is not one easy roadmap to treat SIBO. It is really important to understand what it is, the anatomy behind it, the risk factors, some of the symptoms that you could experience, and most importantly, the underlying causes. SIBO is exactly what it sounds like, an overgrowth of bacteria in the small intestine. It is not necessarily an imbalance between the good and bad bacteria, although it can be pathogenic, it is in essence, an overgrowth. The small intestine is meant for digestion and absorption of nutrients, where the large intestine is meant to house our beneficial bacteria. When we have a backflow of this bacteria into the small intestine, that’s when we can begin to overpopulate and have an overgrowth.

Let’s go over some brief functional anatomy so that you understand what’s happening. When you start chewing your food, you produce salivary enzymes to help begin the digestive process. The food is then passed through our esophagus, i.e. the food pipe, into the stomach. The stomach begins to produce hydrochloric acid (HCL) to break down the food even further. We have our gallbladder that releases bile to help break down the food moving into the small intestine. Our pancreas is also releasing enzymes to help further break down this food. Once the food moves into the small intestine which is 18 to 25 feet long, so it’s not small, digestion and absorption of nutrients occurs. The small intestine connect into our large intestine. There’s an ileocecal valve that prevents any backflow. From here, we then move the food into our rectum for waste removal. We can think of the large intestine as the house for the good bacteria and our storage for waste and excretion.

What symptoms can you have with SIBO?

One of the most frequent complaints is bloating. This is when the gases build-up from the bacteria eating the food. When the gas is releases, it causes pressure or distension in the abdomen. The small intestine is not made for any kind of buildup. When this buildup occurs and we’re not able to process it or digest it properly, this is when you can begin to have symptoms of nausea and acid reflux. The other two symptoms that are very common are constipation and/or diarrhea. You may have both and it could be alternating, or you could gravitate more towards one or the other. This can often be referred to as SIBO-C or SIBO-D. In addition to all the common digestive complaints associated with SIBO such as constipation, diarrhea, acid reflux, cramping, and abdominal pain, you can also have other health issues. This can range from skin issues to significant fatigue to anxiety or depression, and the list goes on.

What are the risk factors for SIBO?

1. Disease states. That can be an autoimmune disease or any other chronic disease that can be a driving factor.

2. Surgery. Specifically abdominal surgeries that create adhesions from scar tissue. This can impact the motility of the small intestine.

3. Medications. This can be any kind of pharmaceutical drugs or antibiotics that you may have been taking, chemotherapy, etc. All of these can drive SIBO.

Now, what are the underlying causes of SIBO?

This is often much more difficult to figure out, and sometimes requires a lot of investigation. The underlying cause essentially is when the system fails. When this protection mode and the normal process of digestion is not happening the way that it should. This can happen for various reasons.

1. If we do not have the appropriate amount of stomach acid in the stomach to be able to begin to break down food properly.

2. If there is an enzyme deficiency, which means that you do not have the capability of being able to break down food and absorb the nutrients.

3. The immune system. Seventy percent of the immune system is in our gut specifically in the gut-associated lymphoid tissue (GALT). You can appreciate that if this system begins to fail and our immune system becomes more heightened, this can be an underlying cause of SIBO.

If you have IBS or have chronic digestive issues, you may look into this as a possible cause. You can get tested for SIBO here.

If you need help on your journey to better health, contact drarianne@themovementparadigm.com to schedule a FREE 15 minute virtual consultation.

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