Degenerative spinal conditions, such as facet joint arthropathy and spinal stenosis, are common sources of chronic pain and reduced mobility. These conditions often stem from cartilaginous breakdown, poor vascularization of spinal structures, and inflammatory processes. This chapter explores a comprehensive approach to spinal health, emphasizing the role of nutrition and lifestyle modifications. Nutritional strategies focus on promoting vascular health and supporting cartilage integrity through diets rich in omega-3 fatty acids, antioxidants, collagen, glucosamine, and chondroitin. Foods like fatty fish, nuts, shellfish, and bone broth enhance nutrient delivery and cartilage resilience. In addition to dietary interventions, non-nutritional preventative measures are crucial for preserving spinal integrity. Regular physical activity, including strength training and low-impact aerobic exercises, improves spinal stability and mobility. Proper posture, ergonomic practices, weight management, and safe movement techniques help reduce mechanical stress on spinal joints. Quality sleep, smoking cessation, and moderated alcohol intake further support spinal health by improving circulation and reducing inflammation. Adopting these evidence-based nutritional and lifestyle strategies not only mitigates disease progression but also enhances quality of life for individuals with facet joint arthropathy and spinal stenosis.