MINDBODY TOOLKIT

Dietary Considerations For Pain and Fatigue

Diet & Chronic Pain

Pain and weight gain is about so much more than food – It is a complex mix of our biology and biography.

Sadly to add insult to injury often with a chronic pain, fatigue or stress illness there can be problems being and maintaining your ideal weight. The biological mechanism for this is due to the stress response. When the body feels under threat it produces cortisol which allows the body to release enough energy to fight or flee which would then be used up if we had to run away from the danger, however with our modern day stress we are not able to run away from it. This cortisol then stays raised in our blood stream and amongst other actions increases appetite to ensure that we have enough energy on board to react to the next danger. However, because we actually haven’t needed to physically escape this leaves the body with excess glucose circulating through the blood stream that eventually the body stores as fat. To make matters worse it often stores it as belly fat which adds to the distress.

If you feel you are struggling to get enough nutrients due to your health we do recommend seeking nutritional advice however there is one simple step to get additional vitamins minerals and nutrients into your diet. And this is through juicing. If you struggle to get enough fruit and vegetables into your daily food then cramming them into one glass may be a solution. A mix of fruit and veg makes a good juice and using lemon and ginger can help to give it a zingy flavour.  It is probably not an everyday solution as eating all the fibrous parts of the fruit and vegetables is essential too but a few times a week a shot of freshly juiced goodness is a small step towards easily absorbed nutrients. 

To stabilise your bodies stress response eating regularly and reducing stimulants will help.

  • Switch to decaffeinated tea or coffee and try not to drink carbonated drinks.
  • Cut out sugar and sugary foods – if you need a treat try a very dark chocolate.
  • Add some protein to every meal – nuts, cheese, meat, eggs.
  • Eat regularly and don’t let yourself get beyond hungry.
  • Fats are not the enemy – avoid low fat replacements as they often are high in sugar.
  • Eat mindfully – slow and conscious eating.

 

If you are someone who wants the support of a sensible food program to lose or control weight with no sense of deprivation then the Harcombe diet is a good plan. It is eating real food and is based on 3 basic principles; Reducing candida, removing food intolerances and stabilising your blood sugar levels using a simple food combining technique. There is no calorie counting. It has 3 stages: Phase 1 lasts 5 days and gets you started with cutting out all processed foods and sugars, Phase 2 concentrates on not eating fats and carbohydrates together and Phase 3 is for maintenance.

See below for details of The Harcombe Diet and Dr Marilyn Glenville’s nutritional supplements for ‘Fat Around The Middle’.

Two other important factors when it comes to food are fatigue and emotional eating:

Fatigue

With fatigue a major factor is the need to eat more regularly to maintain any sort of energy. It also produces craving for readily accessible calories from carbohydrate rich foods such as sugar and bread and also, understandably, from foods that require no preparation biscuits for instance.

When you are in pain, stressed or fatigued preparing healthy food can be a daunting task. It can help prepare food in advance .

Snack Planning

  • Have a healthy snack of chopped vegetables to have with hummus in the fridge.
  • Prepare portions of nuts, cheese or hard boil eggs.
  • Natural yogurt with berries.
  • Dark chocolate – over 70% for if you need a small treat.

Meal Planning

  • Plan your menu – if you do a 3 or 4 week plan you only need to do it once.
  • Get shopping delivered.
  • Cook earlier in the day if that is when you are less fatigued.
  • Batch cook and freeze once or twice a week for the rest of the week.
  • Pre-prepare ingredients and freeze for meals to go in the slow cooker (See below).
  • Have a few healthy, shop-bought ready meals in the freezer.
  • Frozen vegetables are a useful addition to the freezer.
  • Collect a selection of recipes for one pot meals.

 

If you are struggling to get enough fruit and vegetables on board then a smoothie or juice can be effective.

Eating as an Emotional Response

This is a hard one because when you are stressed, in pain or tired you are already having a hard time and for many food brings comfort or distraction.

When you want food try to check in with yourself and how you feel before eating.

We have produced a download to help. It is back to our theme of pausing but this time it is to help you pause before eating.

When you want to eat just remember to pause and reflect before you do.

  • Check whether you are actually thirsty. Drink a small cup of water and if you are still hungry afterwards then eat. It will help your hydration as well.
  • Pause and check whether you are physically hungry or emotionally hungry.
  • If you are physically hungry then eat.
  • If you are emotionally hungry, pause again and check the emotion, then eat.

 

Eventually you will become more aware of the emotions and may be able to try an alternative activity from the toolkit to help clear it, such as journaling. As long as you know why you are eating is the important part for now.

Eat A Rainbow

Eating a wide variety of different coloured foods each day helps to support you gut health.

Good gut health helps to decrease inflammation and therefore pain.

Different coloured foods bring with them different vitamins and minerals and also a wider range of microbes for your gut microbiome. These are the mini organisms that help protect us from germs, break down our food and help us produce vitamins.

For a more in depth look into the microbiome we recommend Dr Micheal Mosley and Tanya Borowski’s book The Clever Guts Diet.

Juicing is a great way to get some of your 5-10 a day in in one hit. If you or your children are not overly keen on vegetables this is quite a good way to disguise them.

Don’t make too many radical changes to your diet in one go, especially if you are suffering with chronic pain, as this will only increase the overwhelm.

If there are any foods you suspect don’t agree with you then it may well be worth eliminating them for a while. Gluten, wheat and dairy are often the usual suspects. It may be that whilst your body is trying to recover you reduce or eliminate them altogether and can introduce them once you are better.
However, whether you need to eliminate foods, or not, adding in goodness in the form of a juice will always be good for you. You can combine any fruit and vegetables but certain foods may help combat chronic pain and inflammation as they are rich in antioxidants and polyphenols. Here is a list you may like to try: carrots, apples, cucumber, grapes, lemons, kale, spinach, pineapple, oranges, blueberries or limes.

Juice Recipe

1 apple – cored
1 carrot
4 inches of cucumber
1 stick of celery
1/2 lemon – peeled
1 inch cube of fresh ginger root
Juice and enjoy

Juicing

If you feel you are struggling to get enough nutrients due to your health we do recommend seeking nutritional advice but we also have basic information on supplements in the toolkit.
Multivitamins – A high quality multivitamin supplement will support your diet. It has a little bit of everything which will help support all the systems in your body.

Vitamin C – Vitamin C is important for boosting your immune system. It is indicated to aid with chronic pain and can also decrease the effects of memory fog that often accompanies it.

Omega 3 – This supplement has been found to reduce inflammation and pain.

Supplements

At Osteopathy For All we are not nutritionists and so therefore recommend that if you need more in depth guidance to find your local nutritionist for more information.
There is a lot of mixed information about the efficacy of supplements and generally if you are eating a well balanced diet with lots of different food groups you shouldn’t need them.

When the body is stressed and overwhelmed, especially long term we are not always able to eat well therefore by taking supplements you are taking the pressure off the body having to produce them or obtain them only from food.

Supplements alone are not going to cure your chronic pain but they will help support your recovering body.

We recommend the best quality supplements that you can afford.

These are the supplements that we find supportive to the body – especially if you are in chronic pain.

Vitamin D – The symptoms of vitamin D deficiency are very similar to those of fibromyalgia/chronic pain.

Vitamin D is produced in the skin when it is exposed to the sun and many people now are deficient due to the protection of the skin with sun cream. Vitamin D3 supplements are a good place to start and may be a good supplement to take through the winter. The best way to boost vitamin D is 10 minutes out in the sun each day.

Alongside vitamin D3 it is best to take vitamin K2. This ensures that the calcium that is absorbed ends up in the bones and not the vessels. 

Also worth considering is magnesium. Magnesium is easily absorbed through the skin so can be administered via a cream or gel. Or you can get oral supplements. Magnesium is helpful for reducing pain, improving sleep, reducing restless legs and improving energy and mood. (Image attached.)

Bio Care also do a great supplement called Mitoguard which is really helpful for supporting energy levels. 

Eating for Health

There is so much varied information about with regards to what diet to choose. If you are struggling we recommend speaking to a nutritionist. However, there are some simple rules to make small healthy adjustments.

One of the simplest changes is to cut out as much processed food as possible. If you didn’t make it from scratch at home then try to avoid it unless you are out and it is a treat or family occasion. As long as you aim to eat well 80% of the time it gives your body enough support to cope with the odd piece of cake.

Add in as much goodness as possible. Enjoy any of the following as long as you have no intolerances to them.

  • Vegetables
  • Fruit – berries are less sugary than tropical fruits
  • Herbs and spices
  • Whole grains
  • Healthy fats and oils
  • Nuts and seeds
  • Beans and legumes
  • Fatty fish
  • Meat
  • Eggs
  • Diary

Start your journey towards better health.

Call us on 01825 840582 or email hello@osteopathyforall.co.uk.