The most important supplements for the treatment of chronic pain are
the B-complex and C vitamins. The spine is surrounded by the watery
cerebrospinal fluid, which, in healthy individuals, contains a higher
concentration of these water-soluble vitamins than is commonly found in
the blood. A combination of thiamine (B1), vitamin B6 and vitamin B12
has been shown to significantly improve symptoms for those complaining
of severe pain. In a study of back pain sufferers, this combination
(100 mg B1, 200 mg B6 and 0.2 mg B12, each three times daily) was used
over six months. Only 32 per cent of those taking the vitamins suffered
relapses in back pain, compared to 60 per cent receiving the placebo.
Adequate vitamin C intake is necessary to maintain the integrity of
spinal discs. Deficiency in copper and selenium may also be
contributory factors in chronic pain; 90 to 100 mcg of selenium alone
or in addition to 20 IU vitamin E, taken daily, has been shown to
improve musculoskeletal complaints.
Proteolytic enzymes - such as bromelain, papain, trypsin and
chymotrypsin - may help heal minor injuries because they are
anti-inflammatory and capable of being absorbed from the
gastrointestinal tract.
Several small trials have shown that both bromelain and papain can help
reduce pain and swelling, and promote faster healing, in people
suffering from a variety of conditions, including back strain.
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