Posts Tagged ‘fatigue’

Viewer Question: Back Pain and the Weather

Wednesday, February 11th, 2009

Barbara submitted this question: I’m curious about connections that may exist between the weather and back pain (and pain in general caused by fibromyalgia and arthritis, which my partner has). It always seems like changes in the weather, or severely cold weather, or precipitation of any kind increases my partner’s pain. What’s this all about? And is there anything we can do to mitigate the pain ahead of time, like after checking the weather forecast but before the weather event has happened?

Well you definitely do not need me to confirm that weather does indeed have an effect on how your partner feels. Both joint pain and fibromyalgia/myofascial pain can be exacerbated by changes in the weather.

As it pertains to arthritis, the pain seems to be specifically related to drastic changes in barometric pressure. The question of how these changes influence fibromyalgia is a little more complicated.

Fibromyalgia pain can be worsened by changes in temperature (up or down) changes in barometric pressure, and humidity. And to make matters worse, there seems to be a correlation to length of day (similar to that experienced by persons with seasonal affective disorder or SAD.) In fact, these and other factors make up parts of the calculations resulting in the daily ‘pain index’ which can help persons with fibromyalgia estimate how their symptoms will play out over the following several days.

SInce controlling the weather is not really an option (unless you do what many ‘fibromites’ do and move to someplace where the climate is more consistent than Philadelphia) there are a few other things you can do:

1) Regardless of the weather conditions, make efforts to remain active- stretching, walks- anything which helps to maintain mobility.

2) HYDRATE!!!! Good hydration can help to clear many of the cellular waste products which can aggregate in myofascial layers, resulting in trigger points. DRINK!

3) Make efforts to protect your sleep. Regular, uninterrupted sleep is one of the few things which fibromites consistently site as a source of relief.

4) Dress in order to maintain a reasonably consistent comfortable temperature, and adjust quickly when transitioning from inside to outside. This does not just hold true for going from a warm inside to a cold outside- going from a temperate outside to an overly air conditioned inside can be as bad or worse.

I hope this is helpful.

Fibromyalgia is such a complicated issue, and each individual has different means & methods of coping with the symptoms. Please share your experiences, successes and failures, with our viewers.

Thanks for your question Barabara!

Viewer Question: Hydration and Back Pain- is there a relationship?

Tuesday, February 10th, 2009

Ena G. submitted a question: I am always curious about links between wellness and diet. Is it true that dehydration can exacerbate back pain or discomfort?

Dehydration can definitely exacerbate back pain and stiffness. Your body is requires hydration for a couple of things: If you think of your body is a machine, adequate hydration can help ensure that your soft tissue and joints are sufficiently lubricated. More importantly, all of your activity requires the electrolytes and other nutrients which are replenished through hydration. Dehydration can cause muscle spasm and cramping in extreme cases, and a feeling of soreness and fatigue in less extreme situations.

Now, something to keep in mind is that hydration should not come exclusively in the form of water- particularly if you are participating in strenuous activity likely to result in dehydration. Something not many people realize is that you can actually become dehydrated by consuming too much water. The easiest way to understand this is with a grasp of what is known as the OSMOTIC GRADIENT- that is the idea that minerals and electrolytes dissolved in water tend to go towards places where there are less of them. So, if you consume excessive water without replacing some of the nutrients lost through sweat and activity, the water can actually draw these substances out of your tissue, worsening dehydration.

As always, consume water throughout your day, but be certain that your diet contains sufficient nutrients to replace the ones you use- in short a nicely balanced diet.

If you are running a marathon, or participating in other strenuous activity/exercise- fluid supplements fortified with electrolytes and other minerals can be a useful aid.

One last thing, hydration falls under the larger topic of nutrition. Look back at the blog in late March or early April for a segment with a nutritionist who will discuss other nutritional considerations for back pain.

Thank you for your question!