What to Eat to Heal from Surgery

What you eat can affect how well you heal from an orthopedic injury or surgery. When your body has to repair injuries, create new bonds, and strengthen tissues, its performance will depend on whether it gets the building blocks it needs. Imagine your food being digested into molecules, and those molecules being absorbed into your blood stream to be delivered to the site of healing.

Protein intake should be spread out evenly throughout the day in meals and snacks. Branched-chain amino acids (BCAA) are metabolized in muscles to provide energy and promote protein synthesis. BCAA found organic poultry, grass-fed beef, fish, soybeans, lima beans, eggs and nuts boost healing after musculoskeletal injury.

Vitamin C is required to make collagen to repair tendons or ligaments and heal surgical wounds. Good sources include citrus, broccoli, strawberry, kiwi, and bell pepper.

Zinc enhances wound healing. It is found in free-range beef, oysters, pumpkin seeds, and cashews.

Beta-carotene is a precursor to Vitamin A and promotes stronger bones, healthy scar tissue, and elasticity of skin. Good sources are sweet potato, kale, squash, carrot, prune, apricot, and mango.

Antioxidants (Vit C, flavonoids, Vit A, Zinc, Selenium, B vitamins, folate) neutralize the damaging effects of free radicals and repair cellular damage from injury or surgery. Found in leafy greens like kale, vegetables, fruits, legumes, whole grains, lean meat/poultry, fatty fish, nuts and seeds.

Flavonoids reduce swelling and protect cells. Flavonoids are found in cocoa, tea, red wine, fruits, vegetables, legumes, garlic, turmeric, green tea, blueberries, apples, citrus, and pineapple.

EPA and DHA Omega 3 fatty acids reduce joint stiffness, improve bone health, and provide anti-inflammatory benefits. You can find it in oily fish such as wild salmon, sardines, and anchovies.

Iron is required for oxygen delivery to the site of injury or surgery, and for wound healing. In addition to animal products, iron is found in dark leafy greens, legumes, beets, raisins, and black beans.

Calcium and Vitamin D optimize tendon-to-bone healing after injury or surgery. Calcium is found in dark leafy greens, salmon, rainbow trout, white beans, and fortified foods like almond milk and oatmeal. Vitamin D is found in mushrooms, salmon, tuna, soy milk, and egg yolks.

Healthy fats from avocado, olive oil, coconut oil, nuts, and seeds will improve immune response and help your body absorb vitamins A, D, E, and K.  Avoid partially hydrogenated oil (in processed foods) due to their pro-inflammatory effect.

Fiber is necessary to avoid post-operative constipation. The pain medications required for orthopedic surgery, as well as the anesthesia used during surgery, can cause slowing of intestinal transit and constipation. Up your fiber intake from vegetables, apples, berries, prunes, whole grains, flax and chia seeds.

Why I Believe in Prolotherapy

For someone suffering from joint pain, prolotherapy can be a safe and effective way to get them back to their usual activities. My opinion is that a targeted treatment at the source of the problem is a better option than a systemic treatment that circulates to the entire body. Prolotherapy causes proliferative cells to migrate to the weakened area, targeting the problem.

Chronic joint pain is an astronomically common condition, especially given our aging population. In fact, the majority of people over the age of 65 will have radiographic evidence of osteoarthritis. As we age, body tissues such as vertebral bones, spinal discs, and knee cartilage, lose height due to decreased bone density, loss of vascularity, wear and tear, and disc degeneration. While these tissues lose height, the ligaments connecting the bones remain the same length, causing these supporting ligaments to buckle. These lax, weakened ligaments can lead to segmental instability resulting in pain.

Poor posture (head forward, slumped during prolonged sitting, rounded lower back) exacerbates the laxity of ligaments in the neck and low back. The laxity of ligaments causes an instability which stimulates proprioceptive nerve fibers and can lead to chronic muscle spasm in the body’s attempt to stabilize the area. Prolotherapy is an injection treatment using safe, natural, proliferant substances such as dextrose, to stimulate the body’s natural healing cascade where the ligament and tendon join to the bone. Prolotherapy treats the cause of the chronic pain by correcting the ligament laxity.

Prolotherapy has been shown to be effective in treating knee osteoarthritis by combining intra-articular (inside the joint) injections of proliferant solutions with ligament and tendon injections to stabilize the knee joint. Studies have shown improvement in pain, function, and stiffness when using prolotherapy to treat knee OA.

Clinical trial literature is growing which supports the use of prolotherapy in osteoarthritis, low back pain, ligament and tendon injuries. A newer use of prolotherapy has been gaining momentum called neural prolotherapy. Neural prolotherapy involves multiple subcutaneous injections of proliferent solution to treat the hundreds of small nerve fibers under the skin which can contribute to chronic pain when chronically activated.

While it does not work for everyone, proliferative therapy is a worthwhile technique in the tool kit of treatments for joint pain. Prolotherapy has fewer side effects than medications and fewer risks than surgery or platelet-rich plasma (PRP). Prolotherapy is far less expensive than PRP while studies show the two treatments to have similar outcomes. Prolotherapy is an effective modality when combined with weight loss to offload the joint and a focused exercise program to strengthen supportive muscles.

You can schedule a prolotherapy consultation at the Akasha Center in Santa Monica by calling 310-451-8880.