Easy to understand video explaining the nerves of the foot and leg:
Patients with chronic pain need a high-protein-intake diet, with avoidance of carbohydrate-induced episodes of hypoglycemia and weight gain.
Many serious conditions and diseases, including hyperlipidemia, obesity, congestive heart failure, and renal failure, have their own recommended diet. Considerable scientific information and clinical observation have accumulated in recent years that chronic pain, particularly the debilitating, severe form that requires opioid treatment, needs a “chronic pain” diet. To date, however, no chronic pain diet has been officially recommended. Therefore, the goal of this article is to provide pain practitioners with a pain diet.
The fundamental principle of the diet is that patients with chronic pain need a high-protein–intake diet with avoidance of carbohydrate (sugars and starches)-induced episodes of hypoglycemia and weight gain. It also is intended to promote strength, movement, energy, and mental function. The dietary supplements also recommended are intended to assist regeneration of tissue and prevent osteopenia and osteoporosis.
The diet recommended here is, with some exceptions, akin to the low-carbohydrate (Atkins) diet that is used in many weight control programs. It does not eliminate carbohydrates but attempts to restrict them by emphasizing protein intake.
The problem with reducing weight in patients with chronic pain is multifaceted. Chances are, patients can’t move or exercise enough to lose much weight. Medication that will relieve pain, whether an opioid, sedative, muscle relaxant, or antidepressant, may suppress the body’s metabolism and cause weight gain. Anorexiants may be of little assistance because the patient with pain may be eating very little. If the protein diet recommended here doesn’t cause weight loss, I recommend adding a stimulant such as phentermine.
Chronic pain without a visible cause is one of the most mentally difficult chronic health problems to manage, because many people assume that you’re just making it up for attention (especially if you “look healthy” otherwise, as if anyone could tell how healthy someone is by looking at them!). Doctors are sometimes reluctant to prescribe strong painkillers for patients who claim they hurt but don’t have any outer sign to “show for it,” because the doctors are afraid the “pain” could just be an excuse to get prescription drugs. But if you’re like most people suffering from chronic pain, you’re very definitely not making it up, and it doesn’t have to have a visible cause to be “legitimate” pain.
Paleo isn’t a one-size-fits-all solution to chronic pain. If that existed, then chronic pain wouldn’t exist any longer. But there is some evidence to support a Paleo-style diet as a reasonably effective therapy for both pain that isn’t caused by a particular disease and pain secondary to other pathologies, like autoimmune diseases or arthritis.
Continue Reading: Diet and Chronic Pain: The Paleo Perspective | Paleo Leap
Gary Taubes Calories vs Carbohydrates: Clearing up Confusion over Competing Obesity Paradigms
The science of obesity has been dogged for a century by a controversial question: is the condition an energy balance problem or a hormonal one? Do we accumulate excess fat merely because we consume more calories than we expend — we eat too much and exercise too little — or do we accumulate excess fat because the homeostatic mechanisms regulating fat metabolism and storage are out of whack. If the latter is the case, then positive energy balance (overeating) is an effect of getting fat, not a cause, and the prime environmental suspect for the cause of excess adiposity is the carbohydrate content of the diet and its effect on insulin signaling. This video by author Gary Taubes covers how we might tell these two scenarios apart and potential experiments to resolve this century-old conflict.