By Dr. Gina Marino

Joint pain may result from an acute injury, such as an ankle sprain, knee sprain, or rotator cuff tear. It may also accompany various types of joint inflammation, including osteoarthritis (degenerative joint disease), rheumatoid arthritis, psoriatic arthritis and inflammation secondary to lupus erythematosus and irritable bowel syndrome. Of the numerous causes of joint inflammation, osteoarthritis is by far the most common, frequently affecting the lower back, neck, hips, knees, shoulders and wrists. Several factors contribute to the development of osteoarthritis, including overuse, underuse, faulty biomechanics and a general lack of exercise. Joint pain related to osteoarthritis may be improved through a comprehensive approach that includes restoring efficient biomechanics, targeted exercise and proper nutrition.

Diet plays a significant role in various systemic inflammatory disorders, including those affecting the joints. For example, celiac disease, a chronic inflammatory disorder, is triggered by gluten intolerance. Malabsorption syndrome and leaky gut syndrome, both of which may contribute to joint inflammation, are also associated with gluten sensitivity or intolerance. Nutritional supplementation, such as probiotics and prebiotics, can be beneficial in managing these conditions. Additionally, adopting a gluten-free diet may help reduce inflammation in individuals with gluten-related sensitivities.

Certain foods are known to contribute to joint inflammation, including sugar, refined carbohydrates, saturated fats, monosodium glutamate and alcohol. For some individuals, dairy products, eggs, tomatoes, nuts and coffee may further exacerbate inflammation. Conversely, a diet rich in fresh fruits and vegetables—at least five servings daily—can help prevent inflammation, reduce joint pain and support overall health.

Regular exercise is essential for maintaining joint function, improving range of motion, strengthening supporting muscle groups, and increasing the flexibility of tendons and ligaments. Ideally, exercise should be performed five days a week for at least 30 minutes per session. Beneficial activities include walking, swimming, bicycling, yoga and strength training. Those who have not exercised in some time should begin gradually, allowing the body to build stamina and strength over time.

Chiropractic care also plays a crucial role in managing joint pain. By identifying and correcting spinal nerve irritation, nerve interference and joint dysfunction, chiropractic adjustments help restore proper biomechanics and enhance overall physiological function. Addressing joint pain in the neck, mid-back and lower back directly improves mobility, while optimizing nervous system communication benefits joint health throughout the body. In this way, regular chiropractic care supports long-term wellness and enhances overall quality of life.

Dr. Gina Marino is the founder of the Center for the Alignment of Body, Mind & Spirit located at 2213 Wantagh Ave., Wantagh, NY. She offers gentle chiropractic care, reiki, lifestyle and nutritional advice. For more information, call 516-221-3500 or visit Align-Me.com.