[Disclaimer] 00:00:01.60\00:00:13.85 Coming up on Body & Spirit... 00:00:13.90\00:00:15.85 We're going to talk about 00:00:15.90\00:00:16.87 the grilling disease called "arthritis" 00:00:16.88\00:00:18.25 and how we can deal with it by excersice. 00:00:18.30\00:00:21.42 [ ] 00:00:21.47\00:00:49.72 Hello I'm Dick Nunez, Wellness Director of the 00:00:49.77\00:00:51.55 Black Hills Health and Education Center. 00:00:51.60\00:00:53.72 Welcome to Body & Spirit! 00:00:53.77\00:00:55.32 Today we're going to talk about a disease that 00:00:55.37\00:00:57.65 disables so many and that's arthritis. 00:00:57.70\00:00:59.88 I remember a time I was looking to pick up 00:00:59.93\00:01:02.98 some people at an airport, 00:01:03.03\00:01:04.08 -they were coming to our Wellness Program 00:01:04.13\00:01:05.88 and I didn't see them come off the plane 00:01:05.93\00:01:07.75 and all of a sudden some wheelchairs 00:01:07.80\00:01:09.65 rushed down the corridor 00:01:09.70\00:01:10.67 and pretty soon here comes the people! 00:01:10.68\00:01:12.92 In their wheelchairs! 00:01:12.97\00:01:14.45 And I asked them, I said, 00:01:14.50\00:01:15.47 "Well why are we in wheelchairs?" 00:01:15.50\00:01:16.62 And they said, "well, we all have rheumatoid arthritis." 00:01:16.67\00:01:18.68 So I knew we were going to be in for a tough haul! 00:01:18.73\00:01:20.42 We took them to the center and they all had their canes 00:01:20.47\00:01:22.32 and were hopping along and one of them had 00:01:22.37\00:01:24.78 a deformity in their hand so bad her hand was at a 00:01:24.83\00:01:27.12 permanent 45 degree angle but even still 00:01:27.17\00:01:29.42 she was so determined to get better! 00:01:29.47\00:01:30.98 During the two weeks they were out here 00:01:31.03\00:01:33.22 she tripled and quadrupled her strength! 00:01:33.27\00:01:35.22 It was an amazing transformation! 00:01:35.27\00:01:37.45 All the women got better! 00:01:37.50\00:01:38.85 Abandoning their canes 00:01:38.90\00:01:40.38 and walking much more cleanly. 00:01:40.43\00:01:41.85 And people are often times amazed at how fast 00:01:41.90\00:01:44.08 this can happen but when we look in the Bible 00:01:44.13\00:01:46.95 and we see that Jesus, 00:01:47.00\00:01:47.97 who spent so much time healing people. 00:01:48.00\00:01:49.42 There was a time when he was questioned by 00:01:49.47\00:01:51.68 John's disciples, 00:01:51.73\00:01:52.88 "Are you the one we're looking for 00:01:52.93\00:01:55.05 or should we wait for another?" 00:01:55.10\00:01:56.07 And Jesus said, 00:01:56.08\00:01:57.05 "Go back and tell John what you've seen." 00:01:57.06\00:01:58.98 He was healing people constantly! 00:01:59.03\00:02:00.32 In fact, out there at our center 00:02:00.37\00:02:01.75 and the other lifestyle centers in the country 00:02:01.80\00:02:03.45 I'm sure can echo with the same thing. 00:02:03.50\00:02:05.08 We see things happening on a daily basis 00:02:05.13\00:02:06.95 that are really miraculous! 00:02:07.00\00:02:08.18 People just applying natural remedies 00:02:08.23\00:02:10.02 to their life have seen just fantastic results! 00:02:10.07\00:02:14.45 I think we're ready now to get started... 00:02:14.50\00:02:16.78 And helping me today will be Miles and Scott. 00:02:16.83\00:02:21.05 When we deal with arthritis 00:02:23.17\00:02:24.85 we're gonna have to watch our range of motion 00:02:24.90\00:02:28.02 because often times 00:02:28.07\00:02:29.04 people who are arthritic have trouble doing even 00:02:29.05\00:02:30.85 some of the simplest things. 00:02:30.90\00:02:32.25 So we're going to start with 00:02:32.30\00:02:33.32 a little chest exercise here. 00:02:33.37\00:02:34.78 We're going to squeeze the hands together 00:02:34.83\00:02:36.98 and if you can't squeeze your hands together, 00:02:37.03\00:02:38.72 if you are arthritic you may just have to do 00:02:38.77\00:02:40.98 the best you can. 00:02:41.03\00:02:42.38 You may have to use your fist, 00:02:42.43\00:02:43.58 do whatever you can do to try to implement 00:02:43.63\00:02:46.08 some movement into your body and squeeze only to 00:02:46.13\00:02:49.18 the point where you feel that you're comfortable. 00:02:49.23\00:02:52.28 Do not make your joints hurt worse. 00:02:52.33\00:02:54.58 Okay we're going to rotate our hands, 00:02:54.63\00:02:57.38 and we're going to push all the way out 00:02:57.43\00:02:58.55 and try to keep them tense the whole time. 00:02:58.60\00:03:00.85 Now draw back in. 00:03:00.90\00:03:03.92 Push out 00:03:03.97\00:03:06.15 and draw in. 00:03:06.20\00:03:08.88 Push out. 00:03:08.93\00:03:11.32 Pull back. 00:03:11.37\00:03:13.88 Push out. 00:03:13.93\00:03:15.95 Pull back. 00:03:16.00\00:03:16.97 Remember don't make yourself hurt! 00:03:16.98\00:03:18.85 Just simply try to get the range of motion 00:03:18.90\00:03:20.98 that we need. 00:03:21.03\00:03:23.32 Okay, now we're going to go side to side 00:03:23.37\00:03:25.92 You wanna feel the muscles contracting as we're going. 00:03:28.73\00:03:32.92 Squeeze it across. 00:03:37.90\00:03:39.98 Again. 00:03:41.20\00:03:42.88 Okay let's do about three more! 00:03:42.93\00:03:47.08 1 00:03:47.13\00:03:50.72 2 00:03:50.77\00:03:52.05 One more time! 00:03:52.10\00:03:54.35 3 00:03:54.40\00:03:55.55 Now we're going to squeeze as hard as we can. 00:03:55.60\00:03:58.08 As hard as your body will allow. 00:03:58.13\00:03:59.68 For those who are not arthritic who are just 00:03:59.73\00:04:01.72 looking to get a good workout in by all means, 00:04:01.77\00:04:03.65 give it the best shot you've got! 00:04:03.70\00:04:05.22 Go right ahead and push really hard 00:04:05.27\00:04:06.95 and get the most out of the exercise you can! 00:04:07.00\00:04:09.62 Okay I see Miles is starting to shake 00:04:09.67\00:04:11.92 a little bit and that's good! 00:04:11.97\00:04:13.78 Alright, relax. 00:04:13.83\00:04:15.45 Reach back! 00:04:15.50\00:04:16.72 Just let the body stretch out. 00:04:16.77\00:04:18.48 Always is important to stay flexible. 00:04:18.53\00:04:21.65 If you lose that flexibility 00:04:21.70\00:04:23.28 you'll really regret it. 00:04:23.33\00:04:24.30 Especially in an arthritic condition. 00:04:24.31\00:04:26.95 Just bring it across. 00:04:27.00\00:04:31.48 Okay reach back again. 00:04:31.53\00:04:36.22 And across. 00:04:36.27\00:04:39.82 Okay if you can go ahead and get the towels Miles. 00:04:41.90\00:04:43.58 [clearing his throat] 00:04:43.63\00:04:49.25 Now my assumption needs to be that. 00:04:49.30\00:04:50.82 --go ahead and have a seat fellas! 00:04:50.87\00:04:52.12 ...is that a lot of people who are arthritic are 00:04:52.17\00:04:53.78 going to have problems standing 00:04:53.83\00:04:56.08 for long periods of time 00:04:56.13\00:04:57.25 so we're going to do a lot of the exercises 00:04:57.30\00:04:59.62 from a seated position. 00:04:59.67\00:05:00.64 I'll go ahead and stand here in the middle 00:05:00.65\00:05:02.38 and will somewhat try to coordinate this. 00:05:02.43\00:05:04.45 We're going to do an exercise for 00:05:04.50\00:05:06.18 the upper back where we're just going to 00:05:06.23\00:05:08.38 hold the towel up over our head 00:05:08.43\00:05:10.12 and we're going to go from side to side. 00:05:10.17\00:05:12.42 Now it might be difficult 00:05:12.47\00:05:13.52 to get your arms up over your head. 00:05:13.57\00:05:15.38 You might have to stay in this range at first 00:05:15.43\00:05:17.35 but keep working until we get a fuller range of motion. 00:05:17.40\00:05:20.72 Okay just keep doing some repetitions there. 00:05:21.27\00:05:23.25 Arthritis takes on various different forms. 00:05:23.30\00:05:26.08 In fact, 00:05:26.13\00:05:27.10 often times people come to me and they say 00:05:27.11\00:05:28.25 "I have arthritis." 00:05:28.30\00:05:29.27 My question usually is "what type of arthritis?" 00:05:29.28\00:05:31.08 and they say "I don't know." 00:05:31.13\00:05:32.95 Then my comment is 00:05:33.00\00:05:33.97 "well you probably have osteoarthritis." 00:05:33.98\00:05:36.02 "Well how do you know?" 00:05:36.07\00:05:37.12 Well most people who have rheumatoid arthritis 00:05:37.17\00:05:38.85 know that's an auto immune disorder that causes 00:05:38.90\00:05:41.12 a wide range of problems and a real deforming of 00:05:41.17\00:05:44.08 the joints and so forth over the course of time. 00:05:44.13\00:05:46.85 Where osteoarthritis is simply the bone on bone, 00:05:46.90\00:05:49.38 wear and tear and irritation that is so 00:05:49.43\00:05:51.22 accustomed to old age or sometimes athletes get it 00:05:51.27\00:05:55.52 especially if they've had surgeries, 00:05:55.57\00:05:57.42 cartilage removed and so on and so forth. 00:05:57.47\00:05:59.92 As they go through life they lose that padding 00:05:59.97\00:06:02.28 and they start to develop irritation in the joints. 00:06:02.33\00:06:05.12 And while the treatment for exercise is the same 00:06:05.17\00:06:07.98 although there are going to be some joints in areas 00:06:08.03\00:06:10.25 that are going to be more susceptible to pain 00:06:10.30\00:06:13.15 than others, okay? 00:06:13.20\00:06:14.82 Now from there let's go up and down with it. 00:06:14.87\00:06:18.02 Keep pulling it apart the whole time. 00:06:18.07\00:06:20.15 Reach way back. 00:06:20.20\00:06:25.65 And you want to pull hard on the towel, 00:06:25.70\00:06:28.35 as hard as you can, 00:06:28.40\00:06:30.32 if you have trouble gripping a towel 00:06:30.37\00:06:32.32 that could be a concern. 00:06:32.37\00:06:33.98 You'll just have to try and do the best you can. 00:06:34.03\00:06:41.18 On all the exercises that the one lady did at our center 00:06:41.23\00:06:44.58 she was determined to do everything! 00:06:44.63\00:06:45.85 Even if she just had to hook her wrist over a bar 00:06:45.90\00:06:48.92 in order to do it! 00:06:48.97\00:06:50.02 She would whatever she had to do! 00:06:50.07\00:06:52.65 And once again, it might be difficult for you to get 00:06:55.13\00:06:57.35 this full range of motion going up. 00:06:57.40\00:06:58.95 You may not be able to get quite that far. 00:06:59.00\00:07:00.32 Also, remember pull on the towel as hard as you can 00:07:00.37\00:07:03.98 and try to get as much effect as you can. 00:07:04.03\00:07:07.55 Good! 00:07:09.93\00:07:10.90 Okay let's do three more. 00:07:10.91\00:07:17.28 And last one coming up. 00:07:17.33\00:07:20.78 Okay good! Good job! 00:07:20.83\00:07:22.55 Alright, okay go ahead and set your towel down. 00:07:22.60\00:07:24.58 We're going to stretch that out now. 00:07:24.63\00:07:26.92 Put an arm up over the head. 00:07:26.97\00:07:31.52 Feel that stretch! 00:07:31.57\00:07:32.58 We're going to hold it for about 10 to 15 seconds. 00:07:32.63\00:07:36.18 Okay switch sides! 00:07:38.63\00:07:41.88 Feel that stretch! 00:07:41.93\00:07:49.98 Okay relax! 00:07:50.03\00:07:53.12 Okay we're going to take this again, 00:07:53.17\00:07:55.55 take our towels 00:07:55.60\00:07:57.32 and we're going to put it out in front of us 00:07:57.37\00:07:59.05 and now we're going to come side to side. 00:07:59.10\00:08:04.85 By using a towel we can keep the control of 00:08:04.90\00:08:08.25 what we're trying to accomplish here. 00:08:08.30\00:08:10.85 Okay you fellas, just keep it going on that! 00:08:10.90\00:08:13.62 The thing we deal with is that if somebody 00:08:13.67\00:08:16.75 becomes arthritic the joint is going to be painful 00:08:16.80\00:08:19.52 and the tendancy is 00:08:19.57\00:08:20.55 they're not going to want to move at all. 00:08:20.60\00:08:22.38 But the less we move 00:08:22.43\00:08:23.40 the more irritation that joint's going to take 00:08:23.41\00:08:26.62 because they're not doing anything! 00:08:26.67\00:08:28.25 So, we're much better off to get the exercise going, 00:08:28.30\00:08:30.68 strengthen the joint 00:08:30.73\00:08:31.70 and then that joint will take so much less stress. 00:08:31.71\00:08:35.98 Often times you see people who have arthritis 00:08:36.03\00:08:38.42 who don't want to bend down at all 00:08:38.47\00:08:41.08 because it hurts and the less they move, 00:08:41.13\00:08:43.62 the less it hurts but the weaker the joint gets 00:08:43.67\00:08:47.55 then the more stress it will be taking. 00:08:47.60\00:08:51.98 Okay go ahead and set it down. 00:08:52.03\00:08:55.08 Now put the arms out to the side. 00:08:55.13\00:08:56.10 Okay let's make some circles, real small circles. 00:08:56.11\00:09:02.32 Arthritis often times affects the shoulder region 00:09:02.37\00:09:05.42 and so the shoulders can be very affected by 00:09:05.47\00:09:08.92 the range of motion. 00:09:08.97\00:09:10.38 So we're just going to keep the circles small. 00:09:10.43\00:09:12.95 Let's reverse it now the other way. 00:09:13.00\00:09:14.12 Well we find that even still a person can often times 00:09:14.17\00:09:17.22 put their arms and get a little bit of motion 00:09:17.27\00:09:19.18 and even just that little bit of motion 00:09:19.23\00:09:20.88 will still be very helpful for them. 00:09:20.93\00:09:22.35 Okay let's go back the other way again. 00:09:22.40\00:09:24.68 Back to the front. 00:09:24.73\00:09:26.72 Okay keep those arms up nice and tight! 00:09:26.77\00:09:30.32 Okay and back again. 00:09:30.37\00:09:32.62 Remember if it starts to burn 00:09:32.67\00:09:33.75 and you feel uncomfortable you can go ahead 00:09:33.80\00:09:37.52 and put your arms down. 00:09:37.57\00:09:38.54 It's important to keep the palms down. 00:09:38.55\00:09:41.92 Okay reverse. 00:09:41.97\00:09:42.94 You don't want to do this with the palms up. 00:09:42.95\00:09:44.85 You want to keep the palms down and try to 00:09:44.90\00:09:46.25 keep the arms as straight as possible. 00:09:46.30\00:09:47.92 You want to maximize the benefit of the exercise 00:09:47.97\00:09:50.92 and not try to look for a short cut to 00:09:50.97\00:09:52.82 get through it. 00:09:52.87\00:09:54.25 Okay back again! 00:09:55.10\00:09:58.22 And back in front again. 00:10:00.50\00:10:03.92 Okay now we're just going to hold it 00:10:03.97\00:10:05.48 and we're going to try to hold that for 30 seconds. 00:10:05.53\00:10:08.25 Now if you need to put your arms down please do. 00:10:08.30\00:10:11.48 You wanna make sure you feel comfortable 00:10:11.53\00:10:13.68 with the exercise. 00:10:13.73\00:10:14.85 If exercise becomes too difficult 00:10:14.90\00:10:16.65 people don't want to stay with it. 00:10:16.70\00:10:17.67 So we wanna make it as comfortable as 00:10:17.70\00:10:18.82 we possibly can and still get the benefit 00:10:18.87\00:10:21.12 because then people will think 00:10:21.17\00:10:22.42 "Well I can do this and it's very helpful." 00:10:22.47\00:10:24.32 ...And they see the benefits and the results 00:10:24.37\00:10:26.62 so they keep it going! 00:10:26.67\00:10:28.48 Keep holding on there! 00:10:28.53\00:10:30.12 We've got five more seconds! 00:10:30.17\00:10:33.28 4, 3, 2, 1 Relax! 00:10:33.33\00:10:37.25 Good. 00:10:37.30\00:10:38.27 You should feel that nicely in the shoulder region. 00:10:38.28\00:10:40.45 You feel that in there? 00:10:40.50\00:10:41.98 Scott you feel that? 00:10:42.03\00:10:43.00 Okay let's bring an arm across and stretch. 00:10:43.03\00:10:45.88 Feel that work! 00:10:50.30\00:10:53.75 Switch again! 00:10:53.80\00:11:02.78 Okay good. 00:11:02.83\00:11:04.15 Alright while we're sitting in a chair there 00:11:04.20\00:11:06.78 often times it's difficult for somebody to do 00:11:06.83\00:11:09.55 the range of motions that we might need to get 00:11:09.60\00:11:12.95 a good bicep workout. 00:11:13.00\00:11:13.97 I just want you to put your arms down at your side 00:11:13.98\00:11:15.88 and we're just gonna curl your arms up 00:11:15.93\00:11:17.45 as if you have dumbbells in your hand but 00:11:17.50\00:11:19.65 you're going to use your own body's resistance 00:11:19.70\00:11:22.85 to make it work. 00:11:22.90\00:11:23.87 The key to this particular movement is keep the 00:11:23.90\00:11:25.45 palms up and actually turn the thumbs out a little bit. 00:11:25.50\00:11:30.08 As we turn the thumbs out 00:11:30.13\00:11:31.12 we get the maximum contraction in the bicep 00:11:31.17\00:11:33.08 which actually is involved in flexing of the elbow 00:11:33.13\00:11:35.58 and actually it flexes the humorous itself 00:11:35.63\00:11:40.22 but also supranates the wrist out. 00:11:40.27\00:11:43.68 So we want to focus on turning the wrist out 00:11:43.73\00:11:47.18 as we curl up. 00:11:47.23\00:11:48.68 Good! 00:11:48.73\00:11:49.82 And even if somebody is arthritic 00:11:49.87\00:11:51.18 this will allow them just to gently go 00:11:51.23\00:11:53.78 through the range of motions. 00:11:53.83\00:11:54.88 You may not be able to put much tension on there 00:11:54.93\00:11:57.88 but as you do it you should get better at it. 00:11:57.93\00:12:00.95 Okay now turn our arms out to the side like that 00:12:01.00\00:12:03.82 and keep doing the same type of thing. 00:12:03.87\00:12:06.15 Instead of an up position we're just going to 00:12:06.20\00:12:08.62 be doing curls out to the side. 00:12:08.67\00:12:10.55 And once again, you control how hard you work. 00:12:10.60\00:12:13.58 You wanna keep those palms up! 00:12:13.63\00:12:16.58 If you are very fit and want to use some dumbbells 00:12:18.03\00:12:20.88 then that's fine. 00:12:20.93\00:12:21.90 These are excellent exercises to keep you going through that! 00:12:21.91\00:12:26.68 Okay, let's do five more! 00:12:31.40\00:12:32.92 And two more! 00:12:38.47\00:12:42.15 Okay take your towel... 00:12:42.20\00:12:45.02 We're going to bring it up over your head 00:12:45.07\00:12:48.48 and we're going to work one arm at a time 00:12:48.53\00:12:52.02 pressing up like this. 00:12:52.07\00:12:56.35 Okay. 00:12:56.40\00:12:57.75 [whispering] 00:12:57.80\00:12:58.77 Try a little bit more bending on that arm...there we go! 00:12:58.80\00:13:05.12 Good! 00:13:05.17\00:13:06.14 You wanna focus on the tricep area. 00:13:06.15\00:13:09.42 Now if it's too difficult to get your arm up 00:13:09.47\00:13:11.42 over your head and you wanna do this same motion 00:13:11.47\00:13:14.92 down in this range that's okay. 00:13:14.97\00:13:16.25 The important thing is that you get that motion. 00:13:16.30\00:13:18.05 -Extending that tricep out. 00:13:18.10\00:13:20.58 So, we're doing these over the head 00:13:20.63\00:13:23.52 but this is alright as well. 00:13:23.57\00:13:25.08 --Whatever we can do to get that movement. 00:13:25.13\00:13:28.35 Okay let's go five more... 00:13:31.43\00:13:33.58 Good! 00:13:39.23\00:13:40.20 Two more! 00:13:40.23\00:13:42.75 Okay and switch! 00:13:42.80\00:13:44.68 Also, in arthritis often times 00:13:44.73\00:13:47.28 one side of the body will hurt more than the other. 00:13:47.33\00:13:49.38 So the tendency would be to only work on the area that 00:13:49.43\00:13:52.38 might be bad but it's very important to do both sides 00:13:52.43\00:13:55.72 because you want to keep a balance of the body 00:13:55.77\00:13:58.38 because keeping a balance will help us not to have 00:13:58.43\00:14:00.48 the injuries and the inflammation 00:14:00.53\00:14:02.65 that is so accustomed to bad posture 00:14:02.70\00:14:05.12 or just irritation of the joints. 00:14:05.17\00:14:07.32 And good posture will help us with 00:14:07.37\00:14:09.38 arthritic conditions because it'll prevent 00:14:09.43\00:14:14.88 all the stress from the joints that are happening 00:14:14.93\00:14:16.35 because the person's posture is improper. 00:14:16.40\00:14:20.52 Good! Good! 00:14:22.53\00:14:23.52 Okay let's do five more! 00:14:23.57\00:14:26.78 Okay good. 00:14:32.87\00:14:35.42 Alright, 00:14:35.47\00:14:36.92 I think we're done with the towels. 00:14:36.97\00:14:38.62 Miles you want to go 00:14:38.67\00:14:40.55 toss those off on the side there? 00:14:40.60\00:14:41.57 Okay, both of you I'd like you to stand up. 00:14:41.58\00:14:43.95 What we're going to do is in front of the chair 00:14:44.00\00:14:45.92 I'd like you to get into squat position. 00:14:45.97\00:14:48.38 Now what we're gonna do. 00:14:48.43\00:14:49.48 ...No you don't have to squat down yet... 00:14:49.53\00:14:51.52 What we're going to do is we're going 00:14:51.57\00:14:52.65 to do these in front of the chair. 00:14:52.70\00:14:53.68 I find it very important for people to 00:14:53.73\00:14:55.62 be able just to squat down the best they can 00:14:55.67\00:14:59.15 and to hold it statically. 00:14:59.20\00:15:01.38 Especially if they've got some discomfort 00:15:01.43\00:15:03.45 in the knee area. 00:15:03.50\00:15:04.58 With the chair you can use various height chairs 00:15:04.63\00:15:06.95 or you can put pillows on the chair 00:15:07.00\00:15:08.72 or books on the chair in order to make it higher. 00:15:08.77\00:15:11.78 These fellows won't need that! 00:15:11.83\00:15:13.22 They'll be able to do just fine without it 00:15:13.27\00:15:15.28 but I'd like you to get your arms crossed 00:15:15.33\00:15:17.75 and get into a good squat position 00:15:17.80\00:15:19.32 and I'd like you to squat down 00:15:19.37\00:15:21.38 until you are just barely above the chair 00:15:21.43\00:15:25.78 and hold it. 00:15:25.83\00:15:27.22 Okay squat down. 00:15:27.27\00:15:28.42 Okay we're going to hold that for a ten count! 00:15:28.47\00:15:31.42 1, 2, 3, 4, 5, 6, 00:15:31.47\00:15:39.38 7, 8, 9, 10 00:15:39.43\00:15:42.08 Now up slowly. 00:15:42.13\00:15:43.65 Don't go all the way up. 00:15:43.70\00:15:45.15 Okay back down again. 00:15:45.20\00:15:46.85 Okay and hold for ten seconds again. 00:15:46.90\00:15:48.78 For those at home even if you're only 00:15:48.83\00:15:50.85 going down this far that's okay 00:15:50.90\00:15:51.87 because we're just holding that contraction. 00:15:51.88\00:15:53.75 Letting the legs get stronger. 00:15:53.80\00:15:55.45 These fellows are going down quite a bit further! 00:15:55.50\00:15:57.92 Okay back up slowly. 00:15:57.97\00:16:00.55 Okay and down. 00:16:00.60\00:16:02.05 Realizing that when you do have arthritis 00:16:02.10\00:16:04.28 you're going to have a lot of pain 00:16:04.33\00:16:06.52 and inflammation in the joints 00:16:06.57\00:16:07.82 and so you're going to be hesitant to try and move 00:16:07.87\00:16:09.82 those a lot but still we can strengthen those muscles 00:16:09.87\00:16:12.58 around those areas without causing irritation. 00:16:12.63\00:16:15.88 Okay let's go back up slowly. 00:16:15.93\00:16:20.18 Now back down again. 00:16:20.23\00:16:22.82 Gonna hold for ten seconds again! 00:16:22.87\00:16:25.78 In fact, many times people can be in line for 00:16:25.83\00:16:28.45 a replacement surgery of some type of joint 00:16:28.50\00:16:30.98 and by simply getting stronger they've been able to 00:16:31.03\00:16:34.38 bypass having that surgery done 00:16:34.43\00:16:36.85 because their muscles have gotten strong enough 00:16:36.90\00:16:39.55 around that joint! 00:16:39.60\00:16:40.72 Oh! I forgot about you guys! 00:16:40.77\00:16:42.38 Stand up and back down again! 00:16:42.43\00:16:45.55 The joint gets stronger because now the muscles are strong 00:16:45.60\00:16:48.82 and that's what we're after. 00:16:48.87\00:16:50.95 Okay hold that one. 00:16:51.00\00:16:52.92 We're gonna do this one and then we'll do one more! 00:16:52.97\00:16:55.65 It's very important to keep your posture the whole time. 00:16:55.70\00:16:59.92 Okay back up, okay and down. 00:16:59.97\00:17:03.65 Keep the hips out. 00:17:03.70\00:17:04.78 Good! Good! 00:17:04.83\00:17:05.80 You're going to hold that nice and tight! 00:17:05.81\00:17:08.08 Hold it! 00:17:08.13\00:17:09.28 Hold it! 00:17:09.33\00:17:10.45 Hold it! 00:17:10.50\00:17:12.02 Good! 00:17:12.07\00:17:13.04 Keep holding it! 00:17:13.05\00:17:15.48 Okay good! 00:17:15.53\00:17:16.50 Go ahead and relax there. 00:17:16.53\00:17:18.15 Go ahead and sit down on the chairs there. 00:17:18.20\00:17:21.38 Okay, what I want you to do is just pull your 00:17:21.43\00:17:24.85 knee up towards your chest. 00:17:24.90\00:17:25.95 Feel that stretch, 00:17:26.00\00:17:26.97 go ahead and put your hands up behind your knee 00:17:26.98\00:17:29.15 you'll be able to pull up just a little bit better there. 00:17:29.20\00:17:31.82 Reach up underneath there. 00:17:31.87\00:17:34.22 There you go! 00:17:34.27\00:17:35.42 Okay pull up. 00:17:35.47\00:17:36.78 Okay let's switch sides now. 00:17:42.03\00:17:44.88 Now static movement is good like we just did. 00:17:51.00\00:17:53.65 We also want to try to do some range of motion 00:17:53.70\00:17:56.12 activity to try and stimulate a joint motion. 00:17:56.17\00:17:59.95 Okay relax. 00:18:00.00\00:18:00.97 Okay we're going to do one leg at a time 00:18:00.98\00:18:02.48 because the chair is a little bit low 00:18:02.53\00:18:04.22 we're going to have to put our hands underneath a leg, 00:18:04.27\00:18:06.58 -just one leg, to boost it up a little bit 00:18:06.63\00:18:10.08 and you're gonna need both hands. 00:18:10.13\00:18:11.38 Okay and I want you just to extend that leg up 00:18:11.43\00:18:16.35 and bring it back down. 00:18:16.40\00:18:18.52 Okay and up 00:18:18.57\00:18:20.95 and down 00:18:21.00\00:18:23.28 and up. 00:18:23.33\00:18:24.45 Now for those of you who are arthritic. 00:18:24.50\00:18:26.45 -okay back down, 00:18:26.50\00:18:27.65 go ahead and just do some repetitions. 00:18:27.70\00:18:29.78 ...you might have trouble with doing this much of 00:18:29.83\00:18:33.45 a range of motion. 00:18:33.50\00:18:34.58 You might only want to do just a portion of that. 00:18:34.63\00:18:36.45 So if we can have a focus on one of the fellows here 00:18:36.50\00:18:39.72 and we'll show you what I mean there. 00:18:39.77\00:18:43.35 Okay we've got Miles here... 00:18:43.40\00:18:44.85 ...okay if you can go partway down. 00:18:44.90\00:18:46.78 Now back up again. 00:18:46.83\00:18:48.25 If that's all you can do then that's okay! 00:18:48.30\00:18:50.32 It doesn't have to be a full range. 00:18:50.37\00:18:53.12 Okay go ahead and increase your range again. 00:18:53.17\00:18:56.28 Good! 00:18:56.33\00:18:57.30 Okay let's do five more! 00:18:57.33\00:19:01.72 Three more! 00:19:04.93\00:19:06.68 And last one! 00:19:10.20\00:19:13.25 Okay switch sides! 00:19:13.30\00:19:19.15 Okay, now when you extend the foot we want to 00:19:19.20\00:19:22.22 make sure to keep it nice and straight 00:19:22.27\00:19:23.98 but actually we can alter the turn of 00:19:24.03\00:19:25.78 our foot to stimulate one side or the other. 00:19:25.83\00:19:28.52 If you have a muscular imbalance in 00:19:28.57\00:19:30.02 your quadriceps you'll turn the toe in 00:19:30.07\00:19:32.25 and we're gonna put more emphasis on 00:19:32.30\00:19:34.65 the lateral aspect of the thigh. 00:19:34.70\00:19:35.67 If you turn the toe out you're going to feel it 00:19:35.68\00:19:38.25 on the medial side. 00:19:38.30\00:19:39.27 So, if you have an imbalance in there 00:19:39.28\00:19:41.22 we can correct that by just a foot positioning 00:19:41.27\00:19:45.45 or for just general conditioning you want to 00:19:45.50\00:19:47.62 put it straight out there. 00:19:47.67\00:19:51.08 Good! 00:19:51.13\00:19:52.10 Once again we're just trying to get 00:19:52.11\00:19:53.78 range of motion, up and down, 00:19:53.83\00:19:56.78 but if you can't do this much range of motion 00:19:56.83\00:19:59.42 that's okay. 00:19:59.47\00:20:00.58 If you need to rest while we're doing 00:20:00.63\00:20:02.72 the exercises that's fine too! 00:20:02.77\00:20:08.12 Okay, let's do three more! 00:20:08.17\00:20:16.42 Now I'd like you fellas to do is slide 00:20:16.47\00:20:17.98 your seat up so you're right on the edge there. 00:20:18.03\00:20:22.62 Good. 00:20:22.67\00:20:23.64 Good, okay put your toes in back under your chair. 00:20:23.65\00:20:29.02 Okay, so you force yourself 00:20:29.07\00:20:31.42 so your heels are off the ground. 00:20:31.47\00:20:33.38 Now what I want you to do is work on 00:20:33.43\00:20:35.35 pressing your heels back towards the ground. 00:20:35.40\00:20:37.48 Okay now push back up. 00:20:37.53\00:20:39.45 So we're doing a seated calf raise type effect 00:20:39.50\00:20:42.88 in a seated position. 00:20:42.93\00:20:45.35 Sometimes people who are arthritic will have 00:20:45.40\00:20:47.72 difficulty doing the standing calf raises 00:20:47.77\00:20:50.62 because of balance problems or they feel just 00:20:50.67\00:20:52.58 uncomfortable in that position going up on their toes. 00:20:52.63\00:20:55.82 So this will give you an alternative to do 00:20:55.87\00:20:58.55 and still be able to stimulate the calf muscles in 00:20:58.60\00:21:01.15 the Achilles tendon area without the fear of 00:21:01.20\00:21:04.32 falling down. 00:21:04.37\00:21:06.32 When we do the squatting that we did earlier 00:21:06.37\00:21:07.72 that's the another reason why we have the chair there 00:21:07.77\00:21:10.08 is sometimes when people are arthritic for 00:21:10.13\00:21:12.25 no real reason other than they just kind of get 00:21:12.30\00:21:14.45 themselves in a bad position they'll feel 00:21:14.50\00:21:16.48 their leg give out and down they'll go. 00:21:16.53\00:21:18.82 ...So if we have a chair there with... 00:21:18.87\00:21:21.22 ...and especially if it's built up high enough then 00:21:21.27\00:21:23.65 if somebody collapses down 00:21:23.70\00:21:24.82 they're simply sitting in a chair and they're not 00:21:24.87\00:21:27.42 going to fall down and hurt themselves. 00:21:27.47\00:21:29.42 Okay let's go ahead and do ten more. 00:21:29.47\00:21:33.45 Okay speed it up just a little bit. 00:21:39.17\00:21:41.65 4, 5, 6, 7, 8. 00:21:41.70\00:21:50.28 Two more! 00:21:50.33\00:21:51.78 9 and 10. 00:21:51.83\00:21:53.45 Okay now we're going to stand up 00:21:53.50\00:21:55.68 and we're going to stretch that area out. 00:21:55.73\00:21:57.42 So we're going to put a foot back, 00:21:57.47\00:21:59.28 press the heel into the floor. 00:21:59.33\00:22:01.92 Nice, steady contraction there. 00:22:05.47\00:22:11.28 Okay and switch sides! 00:22:11.33\00:22:14.02 It's so important to have the flexibility in 00:22:14.07\00:22:16.42 the back of your leg! 00:22:16.47\00:22:18.92 In the Achilles tendon area and in the calf area. 00:22:18.97\00:22:26.48 Okay good! 00:22:26.53\00:22:27.95 Okay have a seat back in the chair again. 00:22:28.00\00:22:30.28 We're going to work on doing abdominal contraction. 00:22:32.20\00:22:34.85 What I'd like you to do is have 00:22:34.90\00:22:36.88 -put your hands on your abdominal wall 00:22:36.93\00:22:39.32 and I want you to blow out 00:22:39.37\00:22:41.15 [exhaling] 00:22:41.20\00:22:42.65 and crunch over 00:22:42.70\00:22:43.68 and by doing that you want to keep your back up 00:22:43.73\00:22:46.68 against the chair at all times and try and emphasize 00:22:46.73\00:22:50.28 the pressing of the low back into the chair. 00:22:50.33\00:22:54.62 Okay, there, good! 00:22:54.67\00:22:56.88 And then back! 00:22:56.93\00:22:58.02 Try and go back as much as you can! 00:22:58.07\00:23:00.05 Push your upper back into the chair. 00:23:00.10\00:23:03.38 Good! 00:23:03.43\00:23:04.42 Crunch over. 00:23:04.47\00:23:05.68 Remember the abdominal only has a 00:23:05.73\00:23:07.75 four inch range of motion and although 00:23:07.80\00:23:09.48 we can get on the ground and do all sorts of crunches 00:23:09.53\00:23:11.52 or we can do a weight machine that's going to 00:23:11.57\00:23:13.22 give us resistance when we do our abdominal work; 00:23:13.27\00:23:15.62 the bottom line is just by doing these contractions 00:23:15.67\00:23:18.05 even fellows who have as good abdominal walls 00:23:18.10\00:23:20.92 as these guys are going to have 00:23:20.97\00:23:22.55 are still going to be able to feel 00:23:22.60\00:23:24.72 their abdominal working. 00:23:24.77\00:23:25.74 Now since we do not have resistance 00:23:25.75\00:23:27.22 we have to do a few more repetitions 00:23:27.27\00:23:29.32 but that's okay. 00:23:29.37\00:23:30.92 Each time you want to really make sure you 00:23:30.97\00:23:32.28 contract it as your tensing up as if 00:23:32.33\00:23:35.75 somebody's going to hit you right in the abdomen. 00:23:35.80\00:23:39.68 You wanna draw in as you contract, 00:23:39.73\00:23:43.35 draw in and then press back into the chair 00:23:43.40\00:23:46.15 when you come back up. 00:23:46.20\00:23:49.72 Good! 00:23:49.77\00:23:52.55 Okay let's do about ten more of those. 00:23:52.60\00:23:56.48 Good! 00:24:02.33\00:24:05.42 And five more times! 00:24:05.47\00:24:07.58 One more time. 00:24:14.57\00:24:15.98 Okay we're going to scoot the chairs 00:24:16.03\00:24:17.62 a little closer together here. 00:24:17.67\00:24:20.98 Okay, now, in your sitting position 00:24:21.03\00:24:23.08 I want you to spread your legs out 00:24:23.13\00:24:25.92 and up on your heels. 00:24:25.97\00:24:27.78 Legs straight. 00:24:27.83\00:24:28.88 Okay, now I want you to lean forward, 00:24:28.93\00:24:31.68 do a little stretch there. 00:24:31.73\00:24:33.65 Good! 00:24:33.70\00:24:34.67 You should be able to stretch some in 00:24:34.68\00:24:36.82 the back of the legs. 00:24:36.87\00:24:37.84 You might want to straighten your legs out 00:24:37.85\00:24:39.42 a little bit more Scott if you can. 00:24:39.47\00:24:41.95 Okay, now obviously, it's better if we can do this 00:24:42.00\00:24:46.75 from a seated position on the floor. 00:24:46.80\00:24:47.85 But once again, we want and try to modify this 00:24:47.90\00:24:50.65 for people who might have the 00:24:50.70\00:24:52.58 -not have the ability to do a full exercise. 00:24:52.63\00:24:56.02 Okay, let's sit back and relax for a moment. 00:24:56.07\00:24:59.82 Okay, let's go forward again! 00:24:59.87\00:25:02.92 Okay good! 00:25:09.60\00:25:10.68 Okay let's scoot towards the edge of the chair. 00:25:10.73\00:25:15.58 Now, what I want you to do is have your arms up 00:25:15.63\00:25:17.65 and we're going to do a trunk rotation. 00:25:17.70\00:25:19.75 Okay let's turn again! 00:25:23.23\00:25:25.85 And turn, 00:25:30.07\00:25:34.65 and turn, 00:25:34.70\00:25:38.62 and again, 00:25:38.67\00:25:42.25 and again! 00:25:42.30\00:25:43.98 When we do this, we're simply looking to 00:25:44.03\00:25:45.85 feel the stretch of the trunk as we do this. 00:25:45.90\00:25:48.25 A lot of people will develop arthritis in their back 00:25:48.30\00:25:53.02 and it's important to try and keep limber 00:25:53.07\00:25:55.28 so you'll be able to keep turning behind you! 00:25:55.33\00:25:59.65 Okay good! 00:25:59.70\00:26:00.67 Okay, now, while you're seated in the chair there 00:26:00.68\00:26:03.02 let's just turn our heads to the side 00:26:03.07\00:26:07.68 and turn! 00:26:07.73\00:26:10.58 Back to the other side again. 00:26:10.63\00:26:15.05 One more time! 00:26:15.10\00:26:17.35 Turn. 00:26:17.40\00:26:19.28 Okay good. 00:26:19.33\00:26:20.48 Okay thanks a lot fellas. 00:26:20.53\00:26:22.98 Arthritis is a condition that we see so much 00:26:24.53\00:26:27.08 and so many people have come to being helped by that. 00:26:27.13\00:26:30.92 I know that we regularly have people come out 00:26:30.97\00:26:33.32 for rheumatoid arthritis, 00:26:33.37\00:26:35.88 osteoarthritis 00:26:35.93\00:26:37.02 or even a gout condition and we always see 00:26:37.07\00:26:40.25 marked improvement. 00:26:40.30\00:26:42.02 No matter how bad they might be 00:26:42.07\00:26:43.88 or how deformed they can be, 00:26:43.93\00:26:45.28 the key point of this is "don't give up!" 00:26:45.33\00:26:47.35 Never give up! 00:26:47.40\00:26:48.37 You can always find some type of movement that 00:26:48.38\00:26:50.65 you can do regardless of how limited it might be. 00:26:50.70\00:26:52.98 That's alright because as you do it, 00:26:53.03\00:26:55.02 the more you do it, the more blood you bring in there 00:26:55.07\00:26:57.68 you're going to be increasing the circulation 00:26:57.73\00:27:00.35 and the healing process, bringing oxygen 00:27:00.40\00:27:03.32 and nutrients to that area 00:27:03.37\00:27:05.18 and taking waste bi-product out. 00:27:05.23\00:27:06.82 So, as we get stronger and the muscles react to 00:27:06.87\00:27:09.15 whatever you're doing, then those joints are going to 00:27:09.20\00:27:12.18 take so much less stress. 00:27:12.23\00:27:14.08 So always keep after it! 00:27:14.13\00:27:15.75 Don't let the pain discourage you. 00:27:15.80\00:27:17.75 Try and work through the gentle range of motion 00:27:17.80\00:27:19.48 that you can do and you'll find yourself getting 00:27:19.53\00:27:21.78 so much better that you'll be very surprised 00:27:21.83\00:27:24.58 at the things you'll be able to do that you thought 00:27:24.63\00:27:27.55 "there was no way you'd ever do it again!" 00:27:27.60\00:27:29.78 And as we keep focused on Christ 00:27:29.83\00:27:31.62 knowing that "we can do all things 00:27:31.67\00:27:33.35 "through Christ who strengthens us" 00:27:33.40\00:27:35.25 according to Philippians 4:13 00:27:35.30\00:27:36.92 And we claim the promises that 00:27:36.97\00:27:38.52 He wants us to be whole. 00:27:38.57\00:27:39.98 He wants us to feel good 00:27:40.03\00:27:41.00 and He doesn't want us to have the pain of arthritis. 00:27:41.01\00:27:43.05 Knowing that we do that 00:27:43.10\00:27:44.38 we'll have the total package there. 00:27:44.43\00:27:46.78 Thanks a lot and we'll see you next time! 00:27:46.83\00:27:49.18 God bless! 00:27:49.23\00:27:50.38