by James Wallace Harris, Monday, 1/11/21
After years of controlling pains in my back and leg with exercise and diet I’ve had a relapse. What have I done wrong? It took me years of learning about many good and bad habits to get that pain under control. What have I done to screw things up? It’s a mystery that I’m trying to solve but complicated by the many different factors involved.
Many years ago, I was diagnosed with spinal stenosis. I had gone to orthopedic doctors because I thought my hip was going out, but the pain went all the way down to my foot. After an MRI the showed my hip was okay, but I likely had stenosis I was sent to a pain management doctor. He told me to avoid surgery unless things got unbearable, set me up with a physical therapist, and prescribed anti-inflammatory drugs.
I quickly learned that sleeping flat on a bed aggravated my condition and switched to sleeping in a recliner. That dramatically reduced my pain. I also learned my 3 mile a day walks were annoying the hell out of my leg, so I stopped walking as much. That reduced the pain, numbness, aching, tingling, etc. a good deal more.
Also, during the time period, I had to have a stent put in my heart and I lost about thirty pounds trying to help that problem. I assume losing that weight might have helped my leg, but both my regular doctor and back doctor were doubtful.
Concurrent with those lessons I also learned my stomach couldn’t handle NSAIDS anti-inflammation drugs, but the physical therapy exercises paid off big time. Before I gave up on the drugs, I became aware of what it felt like to have lower inflammation. Because of that I became aware of which foods set off inflammation – mostly fun foods. So, I began avoiding them. That helped too.
Eventually I supplemented the PT exercises with exercises by Miranda Esmonde-White that I discovered on PBS TV. They helped a lot! Even better than the PT exercises.
Over the past couple of years, I’ve been doing intermittent fasting, and that seems to have helped with inflammation, but I’m not sure.
All these efforts got things mostly under control, and the pain and numbness almost went away. It became low level enough to ignore, and I was good for a few years.
However, things have gotten bad again. Not as bad as when I first started going to the back doctor, but it’s heading that way. Over the years I’ve had flareups and could fix them by being more diligent about my exercise and diet, but these quick tweaks aren’t working.
I assume my present flareup is because I’ve gotten lax about my exercising and intermittent fasting. Over the holidays I’ve indulged in some fun foods and gained five pounds and might have increased inflammation. But there’s one new factor that’s bothering me. At my annual checkup in November my doctor told me I my legs showed signs of poor circulation, and some of my aching legs symptoms could be that. She wants me to have tests done but not until after I get the Covid-19 vaccine. A stent in my leg might fix things, but I won’t know for a while.
Because my doctor scared me about the poor circulation in my legs I went back to walking regularly. I tried walking 1 mile twice a day. At first that seemed to help, but then my leg got bad again. I had been walking 1 mile several times a week. It makes my back and leg hurt for an hour or two, but that kind of exercise helps my heart, so I figured the short-term pain was worth it. But that extra walking is another clue to the leg flare up.
I also remembered that statins caused my legs to ache. Over the last twenty years my doctor has been having me take different statins and dosages trying to find the right combination that don’t produce side effects, which were pains in the legs. I was on 5mg every other day, but in November she had me go to every day, and even wanted to bump up the dosage to 10mg. So that might be another factor.
Now I have the mystery of the aching leg and wondering what’s causing it. My doctors have always told me things could get worse, but I’ve had so much success controlling pain with lifestyle changes that I don’t want to believe they’ve stopped working now.
I wish we had a little computer to plug into my brain and read body health like those car code readers decipher automobile problems. It sure would simplify things.
Did that extra walking caused this flare up? The gaining of weight? Enjoying a bit of cheese danish every day? Too many meals with cheese? Switching to statins daily? Skipping my exercises too often? Or is it hardening of the arteries in my legs? Do I need to go back to my 16:8 intermittent fasting? I just remembered I had to give up my protein drinks because they were driving my bladder crazy. That’s 30mg less of protein. I switched to eggs and yogurt, which may or may not affect my clogged arteries.
I know two types of people. Those that eat anything they want and don’t exercise and seem to do fine, and those with growing ailments that are constantly trying to find solutions that involve just the right combination exercise and diet.
Unfortunately, I’m in the group that always has a health mystery to solve. Sorry to bore you by complaining about my ailments, but writing these blogs are my way of thinking things through. This essay has helped me, but not to come up with a specific answer. I’m going to eat better, do more good exercising, walk less, take less statins, watch my posture, and try to lose weight. I hope that helps, but it won’t solve the mystery of what actually caused my leg to get worse.