Meals while living with chronic pain. Part 2 - What to eat and how it helps you.

In Part 1 of this series, I talk about why emphasis on the kind of meals we have while living with chronic pain is important. Part 2 will cover what I recommend my occupational therapy clients eat and how eating like this would help you maintain optimal health even while you have chronic pain.

This is the Havard School of Public Health (HSPH) Healthy Eating Plate.

I am a big fan of the HSPH Healthy Eating Plate. I always show this to all my occupational therapy clients, regardless of what health conditions they may have. This Healthy Eating Plate is an excellent guideline to use for clients who want to lose and maintain weight, to regulate their blood pressure, blood cholesterol and blood sugar, to regulate their sleep (yes!) and also for clients who have chronic pain too.

So what does this Healthy Eating Plate have to do with recovering from pain?

1. It is full of antioxidants which have anti-inflammatory properties.

If you notice, half the plate is full of fruits and vegetables. Now everybody knows fruits and vegetables are good for your health because they are full of fibre and nutrients which your body would need to maintain optimal functioning. In my earlier post I talked about how taking foods that are inflammatory can actually aggravate your pain. So anti-inflammatory foods, reduce inflammation and reduce pain, good right?

Also, take note that the portion of vegetables is double that of fruits. Fruit to vegetable ratio should ideally be 1:2 at every meal. Why? This is because of the sugars that fruits contain, and we want less sugar for less inflammation, right?

2. Healthy oils - you can refer to my post about omega 3, it's anti-inflammatory properties and how it has helped my clients reduce pain for further details.

3. Proteins

Your cells are made out of protein, so taking enough protein is an absolutely necessary part to aid recovery and for your body to be able to rebuild the damage done to them. If you notice, proteins are a quarter of your plate.

4. Whole grains

Yes, whole grains, not white grains, not refined grains. Try to cut down on the mee hoon, the mee sua, the noodles, the biscuits and bread - I know Malaysians seem to think these are "healthy" substitutes for rice, but they are not. They are actually worse for your health than rice is, so yes - you can go back to eating rice with a clear conscience now. ;) They are more processed than rice is, and ideally we would want to eat things that are as close to their original form as possible. Grains are essentially sugars and as mentioned in Part 1, sugars trigger inflammation.

Also, do note that the composition of a typical Malaysian meal is typically 99% grain (fried rice, fried noodles, char kuey teow, nasi lemak, roti canai, etc) so I would suggest to take this seriously if you're living with chronic pain and start reviewing your eating habits!

In Part 3 of this series, we will talk about how to make eating healthily easier for people living with chronic pain.

Meals while living with chronic pain. Part 1: Why is this important??

When people talk about living with pain, rarely do they talk about the kind of food that one has to eat. Of course, if you're Malaysian, and you go to traditional treatments (i.e. Chinese medicine etc) then there is especial emphasis on certain herbs and soups to eat to help certain conditions, etc. But rarely do we spend much time talking about the composition of our every day eating. However, knowing what to eat to maintain our bodies in optimal condition is just as important as many other aspects of pain management that are typically covered by conventional treatment. In fact, it may help support a faster recovery too.

When do people living with pain need are not careful how they organise their meals:

1. they are at risk of putting on weight.

This is very common and I do see it happening in my occupational therapy clients. Besides reducing physical activity, our body goes into a fight or flight response while we are experiencing pain - this is equivalent to our body experiencing stress. This can cause cravings - or perhaps a more appropriate word, as they don't really feel like cravings sometimes, "increased attraction" to sugar-containing foods that could lead to weight gain.

2. They are at risk of causing further inflammation which leads to increased pain.

Sugar is a major cause of inflammation. It doesn't help that when our bodies are stressed, it leads us to be attracted to more sugar. Pain can be sign of inflammation (as mentioned in the post about nutrition, one of my clients has reduced pain when she takes salmon omega 3 which is anti-inflammatory) and while inflammation is a natural part of the healing process, it may not necessarily be a good idea to stimulate even more inflammation (and more pain!) than the body finds necessary.

3. They are at risk of leading to further diseases and health problems that could further weaken their already weakened physical state.

Chronic inflammation then leads to further complications. Did you know that the root cause of heart disease is actually inflammation rather than high cholesterol? Read this post on my stroke blog to find out how that happens. If you're already feeling that chronic pain is inconvenient to you, are you sure you want to complicate things further with more health problems and further hospital visits?

In Part 2 of this series, we would be talking about what to eat to maintain optimal health while living with chronic pain.

Update - other posts on this topic:

Part 2 of meals while living with chronic pain, what to eat and how it helps you  - http://painmalaysia.blogspot.com/2015/01/meals-while-living-with-chronic-pain_9.html

Part 3 of meals while living with chronic pain, shopping solutions - http://painmalaysia.blogspot.com/2015/01/meals-while-living-with-chronic-pain_20.html

Not part of the series but still helpful and relevant: Supplements for pain management

The Best Supplements for Pain Management

One aspect of pain management that not many people look into is the nutritional aspect. I often tell my occupational therapy clients, you can go to the acupuncturist or the chiropractor as many times as you like, and they will put you back together nicely again, but if you keep going back to them too many times it could mean either one of two things:

1) the clinician who is treating you wants to make a profit from you and keep you coming back for a long time (much of healthcare in Malaysia is unregulated and private - this is fodder for another blog post and I won't talk much about it here).

2) you're undoing the clinician's work with certain every day habits, which result in increased risk of damaging your body. Every time the clinician fixes your body, and you go back to injure / cause more damage to it, that's why you have to go back to get it fixed again.

Many people are not aware of the 2nd reason. When they start to protest at Reason 1 and tell me that they have a very good clinician treating them, then it's most likely Reason 2, and that makes them an ideal candidate for occupational therapy.

Occupational therapists look at how your habits and routines in your every day life would affect your health and how your health affects these habits. That's why I work with people who develop health problems from work, and also whose health problems affect their work. (I get invited to speak to corporations about these workplace health issues and am also developing a programme to train HR to recognise health problems in staff early so that they can get their staff to seek help.)

Eating and nutrition is a very important habit too.

Here are some recommended supplements that my clients find to be helpful to them when managing pain. (Note, supplements are - and should be - intended to provide nutrients that may otherwise not be consumed in regular quantities. This means that the stuff I'm recommending is typically found in your every day food - however, our every day food tends to be very nutritionally deficient, and if you're experiencing chronic pain, chances are your body could use the extra nutrients to help it recover).

1. Salmon Omega 3

Whenever there's an injury (pain is an indication of injury) there is inflammation. Chronic inflammation occurs every where in the bodies of people these days, resulting in damage, injury and subsequently pain. Have you ever slammed the door on your finger and seen how big your finger swells? That's inflammation for you! My clients find that Omega 3 helps to reduce the inflammation and provide relief, even with such a small dose of one capsule a day! There are plenty of these supplements out in the market, so do beware to ensure your omega 3 comes from reliable sources though, as sea water fish can be prone to heavy metal toxins. And also, try to ensure that your supplement is Omega 3 and doesn't contain Omega 6. Omega 6 is inflammatory (causes swelling) whereas Omega 3 is anti-inflammatory (reduces swelling). You don't want more swelling to cause more pain!

2. B-Complex and Calcium-Magnesium

These two have a calming effect on the nerves (they help convert your tryptophan to serotonin that calms you down and can help you call asleep too!) I take them when I'm feeling stressed, and I take them when I get those really annoying flu aches - no more body-wrecking aches when I have flu anymore, and I can get enough sleep to recover (the role sleep plays in pain management - now that's for another post!) They are a great alternative to paracetamol, especially if you're a tad worried about the residues of drugs left in your body (the ones I use are from organic sources and have very good bioavailability - which means the body can absorb them very well without leaving residue in your gut!) I have used them with autistic kids as well (nutrition is very important to them as they have very unique guts - that's another post for another day now) and non-verbal kids who threw tantrums learn very quickly to ask their parents for these supplements when they notice the agitated feelings coming on. Yes, the effects are *that* significant!

The company I get my supplements from is a very reliable manufacturer with more than 80 years of experience in nutrition and supplementation production, they even have their own organic farms surrounded by forests to keep the air clean, and plenty of state-of-the-art farming practices. If you're keen to get more information on these supplements and get them for yourself, go here. Do note that supplements are just that - *supplements* supplementing your actual food and you're still supposed to eat real food in order for them to be able to work best for you. We'll talk about food and eating habits and how they aid recovery from pain in another post.

Update, other posts on related topics - series on meals while living with chronic pain:

Why focus on meals is important
http://painmalaysia.blogspot.com/2015/01/meals-while-living-with-chronic-pain.html

What you should expect to be in your meals

http://painmalaysia.blogspot.com/2015/01/meals-while-living-with-chronic-pain_9.html

Shopping Solutions (and why they are important)

http://painmalaysia.blogspot.com/2015/01/meals-while-living-with-chronic-pain_20.html