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If you’ve ever struggled with back pain, you know just how frustrating it can be. In fact, over 95% of Americans will experience it at some point in their lives. The reality is, while it's common, back pain is not something we should accept as 'normal.' Dr. Betsy Grunch, a spine surgeon and advocate for proactive spine health, offers a new perspective on how small changes today can lead to big rewards tomorrow.

The best part? Most back pain doesn’t even need surgery. Dr. Grunch explains that about 8 out of 10 people who come into her clinic don’t end up needing an operation. Instead, conservative treatments—think physical therapy, injections, and pain management—can be life-changing. But prevention is key, and it starts long before pain kicks in.

Here are the four actionable steps that Dr. Grunch recommends to prevent chronic back issues:

1. Ditch Nicotine for Good

Nicotine, in all its forms—vapes, gum, patches, cigarettes—is more than just a lung destroyer. It constricts your blood vessels, severely limiting your body’s ability to heal. This means that the small injuries we all get over time take longer to recover from, ultimately leading to worse pain and degeneration. The sooner you cut it out, the better for your body’s long-term health.

2. Maintain a Healthy Body Weight

Carrying excess weight puts tremendous stress on your spine, joints, and muscles. Dr. Grunch sees the impact of this every day: people with chronic pain and joint problems who could have potentially avoided surgery by simply maintaining a healthier weight. The American lifestyle often glorifies indulgence, but this doesn’t have to mean sacrificing your health. Small, sustainable lifestyle changes can make a huge difference in both your spine and overall health.

3. Focus on an Anti-Inflammatory Diet

Inflammatory foods—like processed snacks, sugary drinks, and fast food—are a hidden contributor to chronic pain. Dr. Grunch emphasizes that what we eat directly affects how our body feels, and choosing an anti-inflammatory diet can significantly reduce pain and inflammation. Focus on whole foods: fruits, vegetables, lean proteins, and healthy fats. These simple shifts can support your spine and joints, keeping you active and pain-free longer.

4. Stay Active and Build Strength

Movement is medicine. Staying active, especially when it comes to strengthening your core, is crucial for spinal health. Dr. Grunch emphasizes the importance of core strength to support the spine, especially for women who may lose abdominal strength after pregnancy. Incorporating weight-bearing exercises not only strengthens your core but also helps prevent osteoporosis, which can lead to spine fractures. Start with simple exercises like planks, or even just daily walks. The goal is to move your body and build strength, helping you age with less pain.

Take Charge Now

The future of your spine health isn’t something you can afford to put off. As Dr. Grunch says, most back pain is preventable if you take the right steps early on. Incorporating these changes into your daily life can help you avoid chronic pain, multiple surgeries, and a decreased quality of life.

It’s all about making smart choices now for a stronger, healthier future.