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Handout #6 - Promoting a Healing Environment

Taking care of yourself is one of the most important aspects of recovery from an injury. Getting adequate rest and nourishing food not only allows your body to recover, but can improve your overall health and sense of well being.

Rest and Recovery

Feeling exhausted is miserable anytime-feeling exhausted when your back is injured can be even worse. In addition, fatigue can make the discomfort of a back injury feel more severe during the day and throughout the night. Taking a few steps to take care of yourself can go a long way toward making your days more pleasant and healthful.

 

  1. Usual sleep-wake cycles are often interrupted after an injury or illness. Your regular sleep pattern can be even more interrupted by taking pain medication, being off work, or being less active than usual. If you have gotten off schedule since your injury, try going to bed and waking up at your usual times.

  2. Limit your intake of stimulant beverages (such as coffee, cola, chocolate, and black teas) if you are having problems getting to sleep at night. Pick up a pound of decaffeinated coffee or caffeine-free soda if you regularly drink these beverages. If you don't feel you wish to quit caffeine all together, try and reduce the amount of caffeine you have during afternoon and evening hours.

  3. Avoid heavy meals before bedtime. Try and adjust your meals so that you have eaten at least one to two hours before bedtime.

  4. Stay awake during your usual awake times. Shorter naps and rest periods should not keep you awake at night; however, sleeping for a long time during the day can make it difficult to get to sleep at night. Oftentimes people get into a cycle where they go to bed later and later (because they are unable to fall asleep) at night, only to sleep later and later in the morning. Try and avoid this pattern and make an effort to get back to your usual resting hours.

  5. Late night television, video games, computer work, or radio can sometimes inhibit a person's ability to relax and fall asleep. Avoid these activities for at least one hour before bedtime-instead, try an activity that usually makes you sleepy like reading or listening to relaxing music.

  6. Even though alcohol is not a stimulant (like caffeine), it can still hinder sleep. Limit your intake of alcoholic beverages before bedtime. If you would like a drink, try and have it with a meal several hours before bedtime.

  7. If you go to bed and can't get to sleep within a half hour, get up out of your bed and read. Don't stay in bed. Go back to bed when you begin to feel sleepy.

Eating Healthy as You Recover

When we don't feel well, we often seek out things that make us more comfortable-and food is one of the things that often comes to mind. Remember that good nutrition is important to recovery. Here are a few ideas:

  1. During your recovery, eat for hunger, not because of boredom or pain. Find something else to do during those times.

  2. Try and eat well-balanced meals that provide the right amount of calories (not too few and not too many) for you. If you have questions about your dietary needs, talk with your health care provider.

  3. As noted above, try and limit intake of caffeine and alcohol during your recovery.

  4. If your job is physically demanding and you are not currently working, you will need to adjust your daily calorie intake. Reduce food intake accordingly. Remember that as you become more active you will be able to return to your regular eating patterns.

Soothe Your Mind: Stress Reduction

  1. Just as fatigue and exhaustion can make back pain seem worse, so does the muscle tension that occurs when we are overly stressed. An important part of taking care of yourself is allowing your mind to be at ease, relaxed and alert. If you are troubled by tense muscles or worries that you cannot seem to dismiss, there are several approaches you can take to reduce and prevent excessive stress. Reducing stress won't cure your back pain, but it may allow you to focus effectively on your recovery, take care of yourself, and allow you to reduce muscle tension throughout your body. Here are some ideas for you to consider:

  1. There are many different approaches to stress management, such as meditation, reducing tension through exercise, and music or art therapy. Find an approach that is well suited to your interests and is offered at a convenient time. There is no use in attending a stress management class if getting there becomes a source of stress for you.

  2. Many communities offer stress-reduction classes-if this is of interest to you, follow-up with a few telephone calls to make sure the class is suited to your interests.

  3. Check your local library for the availability of stress management books and tapes (both audio and video tapes).

  4. Take life a little less seriously-all of our daily lives are full of minor hassles-such as traffic problems, chores around the house, and our obligations on the job or at home. When hassles happen (and they always do), keep them in perspective. Instead of losing your patience, relax--take a deep breath, and think about something more pleasant. How we think affects how we feel. Thinking positive is not always easy-but can help us from getting tense over things that we cannot control.

  5. Use your friends to talk things out. One of the best ways of getting rid of stress is to talk to friends in your neighborhood or through work. If your friends don't allow you to feel good about yourself, work toward becoming friends with people who like and respect you. When you are together, get things off your chest that have been bothering you. Be considerate and don't overload them-and be ready to hear some of their concerns as well.

  6. Major life crises occur during some people's lives-and these types of problems are nothing to be ashamed of. Such problems include serious financial problems, grief over the loss of family members, problems with alcohol or drugs, violence in the home, or overwhelming care giving responsibilities. These issues often require more in depth assistance than simpler stress reduction activities provide. Talk with your health care provider if you have concerns about your well-being or those of family members around you.

 


For information contact rtw_project@montana.edu, Dr. Patricia Butterfield, Montana State University-Bozeman.  Do not copy without permission.

 

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Last updated: January 29, 2001.