My back really went downhill just after my daughter was born (ladies: don't believe the twits that claim childbirth is 'beautiful') so I've made a concerted effort since last spring to loose as much weight as possible while remaining strong and limber. This is my best hope for pain management, as ultimately there's only so much the chiropractor can do and even less the regular docs can offer without getting into scary drugs that I don't want to get mixed up with.
Anyway... nothing like the threat of being a crippled momma for motivation. *sigh*
Every single suggestion you'll find comes down to 2 simple concepts: eat less and move more. I still eat whatever I want, just less of it. And I try to get 3-5 hours of really solid exercise a week, no more than 2 days off in a row, minimum of 20 mintues at a session, at least one day off a week. That's it. I have no idea how many pounds I'm down, but enough for people to really notice. I'm guessing over 15 anyway and I'm not done.
The dogs DO help in my case, because the mushing season adds an extra activity in the mix and they drive me nuts if I don't hit it regularly. Today I took the sled to the top of a ridge with the kid riding along, and the drifts were so bad I was really huffing keeping the works under control.
I hope to rotate some dogs into the mountain biking season this year, as they would be much happier hounds with more summer fun. But at least we have the fence finished now, so we'll be doing more play are time too.