Hello and welcome to "Health for a Lifetime" 00:00:50.85\00:00:54.25 I'm your host Don Mackintosh, 00:00:54.28\00:00:56.66 and today we're delighted to have Dr. Phillip Mills 00:00:56.69\00:00:59.08 with us from Wichita, Kansas. 00:00:59.11\00:01:00.96 Dr. Mills is a specialist in physical medicine, 00:01:00.99\00:01:04.48 and today we're going to talk about joints... 00:01:04.51\00:01:07.11 the joints in the body. 00:01:07.14\00:01:09.76 Dr. Mills, what are the most common problems you see 00:01:09.79\00:01:13.25 dealing with joints? 00:01:13.28\00:01:14.29 Well actually, the MOST common problem... 00:01:14.32\00:01:16.90 Just about everybody sometime in their life has a problem 00:01:16.93\00:01:20.04 with the BACK joints, and yet because there are 00:01:20.07\00:01:25.92 various kinds of joint problems, a person might ask the 00:01:25.95\00:01:28.95 question, "Why did God give us 00:01:28.98\00:01:31.57 joints since we can have problems with joints?" 00:01:31.61\00:01:34.39 Actually, the question is not why we have so many problems 00:01:34.43\00:01:39.28 with joints, given the complexity of the body 00:01:39.31\00:01:43.15 and the joint, a better question would be... 00:01:43.16\00:01:45.37 "Why do we have so FEW problems with our joints?" 00:01:45.40\00:01:48.63 And every part of the joint is really quite interesting. 00:01:48.66\00:01:54.61 In fact, when you study the body 00:01:54.62\00:01:56.76 and I have a model of "Ernest" here... 00:01:56.79\00:02:00.73 Why do you call him "Ernest?" 00:02:00.76\00:02:02.35 Because when I'm studying him, I'm in dead earnest! 00:02:02.36\00:02:05.42 But when you look at the model of the body, 00:02:05.45\00:02:11.25 and you begin to discover the wisdom of the Creator, 00:02:11.26\00:02:16.42 every even bump on the bone tells an interesting story. 00:02:16.43\00:02:24.01 And many times, people think that their bones are just 00:02:24.04\00:02:27.80 sort of stationary; these are solid nothing changes. 00:02:27.83\00:02:31.03 But in actual fact, the bones of the body are constantly 00:02:31.06\00:02:35.25 being molded. 00:02:35.28\00:02:36.25 And if you look at the skeleton of somebody who is 00:02:36.28\00:02:40.88 20, 30, 40, 50, 60 years, 00:02:40.91\00:02:45.62 you can begin to see the story of their habitual 00:02:45.65\00:02:50.62 patterns of life, as well as some of the genetic aspects. 00:02:50.65\00:02:56.54 The joints are quite interesting. 00:02:56.57\00:03:00.80 If you want to have a lot of movement in a joint, 00:03:00.83\00:03:04.16 the problem with that, you can have a lot of 00:03:04.19\00:03:07.10 movement, but then you have difficulties with 00:03:07.13\00:03:10.64 stability of a joint. 00:03:10.67\00:03:12.77 On the other hand, if you need a stable joint, 00:03:12.80\00:03:16.17 then how do you have movement? 00:03:16.20\00:03:19.17 And God had to figure out ALL these problems. 00:03:19.20\00:03:22.40 And the result is this marvelous skeleton that He gave us 00:03:22.43\00:03:27.12 part of a human body. 00:03:27.13\00:03:29.09 Which one has the least amount 00:03:29.12\00:03:31.22 of stability, but the most movement? 00:03:31.26\00:03:32.64 The least amount of movement, I should say the least amount of 00:03:32.68\00:03:37.47 stability and greatest movement is in your shoulder. 00:03:37.50\00:03:39.85 And they probably have problems with that. 00:03:39.88\00:03:41.43 They do have a lot of problems with the shoulder, 00:03:41.46\00:03:43.65 although fewer than you would think. 00:03:43.68\00:03:45.43 It's VERY creative the way that God has done it, 00:03:45.46\00:03:48.55 but we'll look at some of those problems. 00:03:48.56\00:03:52.28 Another area that can develop problems for many people 00:03:52.31\00:03:55.93 is in the thumb. 00:03:55.96\00:03:57.12 This also has a great deal of movement. 00:03:57.15\00:03:59.57 The thumb is different from any other joint in the body. 00:03:59.60\00:04:02.97 And, in fact, your thumb is different from any other animal. 00:04:02.98\00:04:06.76 It's not only your brain that's different from the animals... 00:04:06.79\00:04:09.12 Even a monkey? It's different from any other primate. 00:04:09.16\00:04:11.74 You can do something that no other animal can do, 00:04:11.98\00:04:15.22 and that is, you have this type of pinch, that I'm doing here. 00:04:15.25\00:04:19.85 A monkey can do this maneuver, pinch like this, 00:04:19.88\00:04:22.71 but it cannot do this prehension pinch. 00:04:22.74\00:04:26.96 What do you call that? 00:04:26.99\00:04:28.30 The "prehension pinch. " Wow... Great! 00:04:28.33\00:04:34.31 Now, if you look at the elbow, 00:04:34.34\00:04:37.24 there's also some VERY interesting aspects of 00:04:37.27\00:04:40.52 movement of the elbow as well. 00:04:40.55\00:04:43.59 You look at the neck... 00:04:43.62\00:04:45.77 And here if you look at the neck you find that you have 00:04:45.80\00:04:50.07 greatest mobility up in the neck vertebrae. 00:04:50.10\00:04:56.47 They are also the smallest. 00:04:56.50\00:04:59.03 And so these are the weakest of your vertebral column. 00:04:59.04\00:05:03.91 If you look down at the very base of the back, 00:05:03.92\00:05:07.29 you find the biggest bones here. 00:05:07.32\00:05:10.83 You have the greatest strength, but you also have less movement. 00:05:10.86\00:05:15.01 So these are all part of this marvelous creation 00:05:15.04\00:05:20.08 of the vertebral column. 00:05:20.11\00:05:22.48 If you go down to the hip joints, 00:05:22.51\00:05:26.45 the hips are the equivalent in 00:05:26.48\00:05:29.29 the lower extremity of the shoulder. 00:05:29.32\00:05:31.37 However, because of the importance of stability, 00:05:31.41\00:05:34.01 they have much less movement than your shoulder joint, 00:05:34.04\00:05:37.91 but they also have much greater strength. 00:05:37.92\00:05:40.61 They kind of go in their little socket. Yes! 00:05:40.64\00:05:43.59 Then you come down to the knee and I think that the knee... 00:05:43.62\00:05:49.55 most interesting of all the joints. 00:05:49.58\00:05:52.08 And I'd like to tell you a little bit about the different 00:05:52.11\00:05:55.05 joints so that you can understand the knee. 00:05:55.08\00:05:56.96 If you look at the hinge of a door... 00:05:56.97\00:06:02.97 That is the type of joint in your fingers. 00:06:02.98\00:06:08.29 It can just go... You can move your fingers 00:06:08.32\00:06:12.75 down, up and down, no other movement... But not sideways. 00:06:12.76\00:06:16.74 You can't move the finger joints the proximal and distal 00:06:17.57\00:06:24.08 finger joints is what we call them... using a ten-dollar word. 00:06:24.11\00:06:28.45 You can't move them side ways in a normal joint. 00:06:28.48\00:06:31.30 You also have only 2 movements that is extension and flexion 00:06:31.33\00:06:39.61 in the knee. 00:06:39.64\00:06:40.65 However, the knee is not a hinged joint. 00:06:40.68\00:06:44.67 We use a big word for the knee joint. 00:06:44.70\00:06:47.30 It's called an "incongruous joint" 00:06:47.33\00:06:50.38 That is a big word, what does that mean? 00:06:50.41\00:06:51.63 Now, what is an incongruous joint? 00:06:51.66\00:06:53.24 If you look at the joint of the shoulder, 00:06:53.27\00:06:57.57 you find that the arm bone, 00:06:57.60\00:07:03.82 we call this the humerus bone, 00:07:03.85\00:07:06.67 goes into an area that is just designed for it. 00:07:06.70\00:07:11.35 If you look at the hip, it goes into a area, 00:07:11.38\00:07:15.24 a socket that's designed for it. 00:07:15.27\00:07:17.35 But in the knee joint, you have a joint that is 00:07:17.38\00:07:23.01 not exactly fitting; it doesn't fit. 00:07:23.04\00:07:27.05 It's called incongruous. 00:07:27.08\00:07:28.82 Is this the knee as well here? 00:07:28.85\00:07:31.26 This is another model of the knee, 00:07:31.29\00:07:34.96 and this has not just the bones, but it also has the ligaments, 00:07:34.99\00:07:43.09 and other aspects of the knee. 00:07:43.12\00:07:47.50 In fact, Don, if you would straighten you knee out, 00:07:47.51\00:07:50.84 you would see your toe tip in just a little bit. 00:07:50.85\00:07:56.85 What is happening is that the knee is not simply 00:07:56.88\00:08:01.23 going like a hinge up and down, 00:08:01.26\00:08:03.86 but it's actually locking into place... 00:08:03.87\00:08:06.79 And the way God designed the knee... is that at every 00:08:06.82\00:08:10.29 position, it has maximum surface area, 00:08:10.32\00:08:13.57 maximum stability, and he did that by inserting 00:08:13.60\00:08:17.86 between the bones, 2 meniscus that change shape 00:08:17.89\00:08:24.77 as your knee moves... 00:08:24.80\00:08:26.45 And so you have ALL the benefits of the congruous joint, 00:08:26.48\00:08:30.41 with ALL the benefits of an incongruous joint 00:08:30.44\00:08:33.54 because it's not simply bone on bone. 00:08:33.57\00:08:38.39 You're excited about this joint... 00:08:38.42\00:08:40.48 Is this the most exciting joint in the body to you? 00:08:40.51\00:08:42.61 Well it is right now, because just a week ago 00:08:42.64\00:08:45.59 we were climbing up in Rocky Mountain, 00:08:45.62\00:08:48.81 and my son, as we hit the summit, was struck by a 00:08:48.84\00:08:53.96 blast of wind up to approximately 90 miles an hour. 00:08:53.99\00:08:57.43 His foot was caught and it blew him over, 00:08:57.46\00:09:01.85 and tore his knee. 00:09:01.86\00:09:03.72 Now the reason that happens... 00:09:03.75\00:09:07.70 If the foot is fixed so that it cannot twist, 00:09:07.71\00:09:15.32 but your knee is bending, that's where you'll get 00:09:15.35\00:09:20.06 the meniscus caught, and other 00:09:20.09\00:09:23.04 aspects of the knee actually torn. 00:09:23.07\00:09:26.29 So it's very important if you're going to be moving 00:09:26.32\00:09:29.84 your knee back and forth, it's VERY important 00:09:29.87\00:09:32.70 for you to be able to have free mobility of the toes... 00:09:32.73\00:09:37.70 That's why a person should NEVER use cleats in sports 00:09:37.71\00:09:44.84 such as golf, baseball, or football 00:09:44.85\00:09:48.26 because the cleats keep the foot fixed. 00:09:48.29\00:09:52.55 And then when the knee is bending, it may not have 00:09:52.58\00:09:57.81 that little bit of play that's necessary, 00:09:57.82\00:10:00.21 and thus, the knee can become damaged. 00:10:00.24\00:10:03.42 So no cleats for even golf. 00:10:03.45\00:10:06.65 I wouldn't use anything that can fix my foot. 00:10:06.68\00:10:11.22 My son... he got into trouble because his foot 00:10:11.25\00:10:15.05 got caught in the rocks. 00:10:15.06\00:10:16.95 And that's where you get into knee problems. 00:10:16.96\00:10:19.92 If you can't move the foot while you're flexing the knee. 00:10:19.95\00:10:23.31 Are there any other joints on the body that people have 00:10:23.34\00:10:26.61 real problems with. 00:10:26.64\00:10:27.84 We talked about the vertebrae of the neck and of the back. 00:10:27.87\00:10:33.19 And we talked about the shoulder, 00:10:33.22\00:10:35.56 and we've talked about the knee, anything else? 00:10:35.57\00:10:38.77 Let me say a word about the shoulder. 00:10:38.78\00:10:40.86 If you look at my finger, you'll notice that it is 00:10:40.89\00:10:47.22 straight right now. 00:10:47.25\00:10:49.22 Now, if you look at the skin on the back of my finger 00:10:49.25\00:10:52.74 is there extra skin in play or is it just straight. 00:10:52.77\00:10:56.23 I hope that's not a trick question... It's not. 00:10:56.26\00:10:58.61 No, it looks like there's extra skin. 00:10:58.64\00:11:01.18 We call it redundant tissue. 00:11:01.21\00:11:02.61 Now if I bend my finger... 00:11:02.64\00:11:05.27 There goes the redundant tissue. 00:11:05.28\00:11:07.11 It stretches out and gets tight here, 00:11:07.14\00:11:09.76 but it's loose on this side. 00:11:09.77\00:11:13.75 Now in your shoulder, it has to move in many, many 00:11:13.78\00:11:17.78 different angles... 00:11:17.81\00:11:20.26 So that means the capsule has to 00:11:20.29\00:11:22.89 be able to allow for those movements... 00:11:22.92\00:11:25.49 That is... when I'm pulling it up, this would be called 00:11:25.53\00:11:30.11 abducting it, and that means it's being stretched underneath 00:11:30.14\00:11:36.29 and NOT on the top. 00:11:36.32\00:11:38.55 If I'm forward flexing it, it's being stretched from behind 00:11:38.58\00:11:43.25 but it's not from the front. 00:11:43.28\00:11:45.44 And so sometimes the capsule that covers the shoulder 00:11:45.47\00:11:50.69 can be contracted. 00:11:50.70\00:11:54.79 If I tightened up my skin muscle right here on my finger, 00:11:54.82\00:11:59.71 now I would have difficulty moving it, 00:11:59.74\00:12:03.78 and if that happens on your shoulder... 00:12:03.81\00:12:06.69 we call it a frozen shoulder, 00:12:06.72\00:12:08.52 and so then you have difficulty moving the shoulder. 00:12:08.55\00:12:11.86 So what can cause that? 00:12:11.89\00:12:13.29 What can cause a frozen shoulder ... That's kind of hard to say! 00:12:13.32\00:12:16.89 Well, there are several things that can cause it... 00:12:16.97\00:12:19.68 One, is just not using it sufficiently. 00:12:19.69\00:12:22.09 And in our society, we tend not to use our joints. 00:12:22.12\00:12:26.49 Every joint, every day, should have MANY times 00:12:26.52\00:12:31.64 the opportunity to go through its entire range of motion... 00:12:31.67\00:12:35.60 And because we DON'T do that, we try to avoid work 00:12:35.61\00:12:40.98 with our labor-saving devices... 00:12:41.01\00:12:42.94 We injure our joints because we don't put them through a 00:12:42.97\00:12:48.10 total range of motion. 00:12:48.13\00:12:49.50 So in our plan for our joint health, we should take 00:12:49.53\00:12:54.60 systematically, every joint of the body, every day, 00:12:54.63\00:12:57.53 and at least a couple of times, make sure they've gone through 00:12:57.54\00:13:00.78 EVERY range of motion in the shoulder... 00:13:00.81\00:13:03.59 That means putting them forward ALL the way to the top... 00:13:03.62\00:13:08.24 That means in the back, all the way to the back. 00:13:08.27\00:13:11.81 That means out to the side as far as you can UP 00:13:11.84\00:13:15.68 and that means out to the front as far as you can. 00:13:15.71\00:13:19.01 That means rotating them backward as far as you can, 00:13:19.02\00:13:23.00 and rotating this way as far as far as you can down, 00:13:23.03\00:13:26.77 internal rotation. 00:13:26.80\00:13:27.98 And so we need to go through ALL of those ranges of motion 00:13:28.01\00:13:31.84 in every joint if we want good joint health. 00:13:31.85\00:13:35.22 and protection of our joints. 00:13:35.23\00:13:37.64 Okay, so we've talked about the shoulder; 00:13:37.67\00:13:39.70 we've talked about the back; 00:13:39.73\00:13:40.86 we've talked about the neck; 00:13:40.89\00:13:42.25 and we've talked about the knee. 00:13:42.28\00:13:44.09 When we come back, I hope that you can share with us 00:13:44.12\00:13:48.23 some ways to keep those joints healthy... 00:13:48.26\00:13:50.00 you've started to talk about that already. 00:13:50.03\00:13:52.67 And, maybe we can have some practical pointers 00:13:52.70\00:13:55.20 on what to do to keep them in 00:13:55.23\00:13:56.72 optimal health that lasts for a lifetime! 00:13:56.73\00:13:59.35 We're glad that you've joined us. 00:13:59.38\00:14:00.62 We're talking to Dr. Phillip Mills 00:14:00.63\00:14:02.72 from Wichita, Kansas. 00:14:02.73\00:14:03.94 He's a specialist concerning the joints in physical medicine. 00:14:03.97\00:14:08.01 And when we come back, we'll learn more practical ways 00:14:08.04\00:14:11.17 to keep them in optimal health! 00:14:11.20\00:14:19.41 Have you found yourself wishing that you could shed a few pounds 00:14:25.59\00:14:28.76 Have you been on a diet for most of your life, 00:14:28.80\00:14:30.84 but not found anything that will really keep the weight off? 00:14:30.88\00:14:34.03 If you've answered "yes" to any of these questions, 00:14:34.06\00:14:36.73 then we have a solution for you that works! 00:14:36.76\00:14:39.22 Dr. Hans Diehl and Dr. Aileen Ludington 00:14:39.25\00:14:42.43 have written a marvelous booklet called... 00:14:42.46\00:14:44.65 "Reversing Obesity Naturally" 00:14:44.68\00:14:46.65 and we'd like to send it to you FREE of charge. 00:14:46.68\00:14:49.48 Here's a medically sound approach successfully 00:14:49.51\00:14:52.12 used by thousands who are able to eat more, 00:14:52.15\00:14:54.67 and lose weight permanently without feeling guilty or hungry 00:14:54.70\00:14:58.25 through lifestyle medicine. 00:14:58.28\00:15:00.09 Dr. Diehl and Dr. Ludington have been featured on 3ABN 00:15:00.12\00:15:03.52 and in this booklet, they present a sensible approach 00:15:03.55\00:15:06.55 to eating, nutrition, and lifestyle changes 00:15:06.58\00:15:09.05 that can help you prevent heart disease, diabetes, 00:15:09.06\00:15:11.51 and EVEN cancer. 00:15:11.54\00:15:13.24 Call or write today for your free copy of... 00:15:13.27\00:15:15.09 "Reversing Obesity Naturally" 00:15:15.12\00:15:16.86 and you could be on your way to a healthier, happier YOU! 00:15:16.89\00:15:20.17 It's absolutely free of charge, so call or write today! 00:15:20.20\00:15:25.53 Welcome back, we've been talking with Dr. Phillip Mills 00:15:37.82\00:15:41.05 from Wichita, Kansas. 00:15:41.08\00:15:42.60 He's a specialist in physical medicine. 00:15:42.61\00:15:45.87 He's been talking with us today about JOINTS... 00:15:45.90\00:15:48.85 about how to keep them in health... 00:15:48.88\00:15:50.90 what to DO with them, what NOT to do with them, 00:15:50.93\00:15:53.75 and if you were with us during the first part of the program, 00:15:53.78\00:15:56.54 we had an anatomy lesson, 00:15:56.57\00:15:58.21 and a physiology lesson about how these things work. 00:15:58.24\00:16:01.57 And it's really wonderful to see how the Lord has designed 00:16:01.58\00:16:04.20 our bodies. 00:16:04.23\00:16:05.32 But Dr. Mills, I have some questions for you... 00:16:05.35\00:16:06.89 Let's just go through your skeleton again, 00:16:06.92\00:16:08.67 and I want to ask you some questions; 00:16:08.70\00:16:10.17 maybe we can just go back and forth. 00:16:10.20\00:16:12.43 When you're looking down here at the fingers, 00:16:12.46\00:16:14.45 what happens if, for instance, your finger locks up? 00:16:14.46\00:16:17.10 I've heard of people having their fingers lock up. 00:16:17.13\00:16:19.23 It's a common problem, Don, and we call it trigger finger... 00:16:19.24\00:16:23.80 and, often, if you feel in the palm of the person's hand, 00:16:23.83\00:16:28.60 you can feel a little nodule. 00:16:28.63\00:16:30.25 You see, joints don't exist independent of muscles, 00:16:30.28\00:16:34.25 and ligaments, and there are little pulleys... 00:16:34.28\00:16:36.78 the ligaments that go from the muscles into the fingers 00:16:36.81\00:16:39.42 and they run through protective tubes. 00:16:39.45\00:16:42.26 Now if this pulley, because a person has been using it 00:16:42.29\00:16:46.69 repeatedly... it get's a little irritated, it may develop 00:16:46.72\00:16:51.08 a swelling, and so it pops into that tube, and then it pops out, 00:16:51.11\00:16:57.71 and in that process, we call that a "trigger finger. " 00:16:57.72\00:17:01.85 The first thing you do is quit using that joint until 00:17:01.86\00:17:07.39 the swelling goes down. 00:17:07.42\00:17:08.69 And how do you know when that swelling is down? 00:17:08.72\00:17:10.26 Well, it will start working again. 00:17:10.29\00:17:12.26 But you do not want to exercise through that 00:17:12.29\00:17:15.43 because that will just make the swelling and problem worse. 00:17:15.46\00:17:19.87 If just stopping exercise though... 00:17:19.90\00:17:24.49 rest doesn't solve the problem. 00:17:24.52\00:17:26.61 Then you have a little injection of cortisone into that pulley. 00:17:26.64\00:17:33.50 And if that doesn't alleviate the problem, 00:17:33.53\00:17:37.90 in some cases there may need to be actually 00:17:37.93\00:17:41.00 a surgical procedure to take care of that nodule. 00:17:41.03\00:17:44.59 What's that called? Surgery... Surgery, okay. 00:17:44.62\00:17:48.98 Not a special name for that though... 00:17:49.01\00:17:50.29 Well yes, they have special names for everything. 00:17:50.32\00:17:53.34 But the point of it is, it is in virtually all cases, 00:17:53.35\00:17:58.53 a fixable problem, either by rest, by injection, 00:17:58.56\00:18:03.32 or by a surgical procedure. 00:18:03.35\00:18:05.49 What's carpal tunnel syndrome? 00:18:05.52\00:18:07.63 Carpal tunnel is not really part of the joint. 00:18:07.66\00:18:10.72 It is where the median nerve 00:18:10.75\00:18:13.59 is pinched there in the wrist. 00:18:13.62\00:18:17.60 But that's another whole topic. 00:18:17.63\00:18:19.98 All right, what about... moving up here... 00:18:20.01\00:18:21.75 What about elbow? 00:18:21.78\00:18:22.76 I might sound naive, but is 00:18:22.79\00:18:25.07 tennis elbow a problem you deal with? 00:18:25.10\00:18:26.82 The most common problem in the elbow is actually tennis elbow. 00:18:26.85\00:18:31.20 And tennis elbow is a degenerative type or 00:18:31.21\00:18:35.64 wear-and- tear kind of problem with the muscle insertion 00:18:35.67\00:18:41.44 into the bone... So where the muscle hooks into bone. 00:18:41.47\00:18:44.86 Yes, we call it a... we like those ten-dollar words. 00:18:44.89\00:18:48.15 "The Enthesitis" 00:18:48.18\00:18:49.52 "Enthesitis" Yes, but all it means is 00:18:49.55\00:18:52.78 there is a problem where the muscle becomes a tendon 00:18:52.81\00:18:56.91 and then hooks into the bone... 00:18:56.94\00:18:58.89 and it begins to pull away slightly. 00:18:58.92\00:19:01.91 And that's where the pain comes from; but it's not 00:19:01.94\00:19:03.90 really a joint problem then, is it? 00:19:03.91\00:19:05.32 Well, it's around the joint, and what you find is 00:19:05.35\00:19:08.61 that it may come on with a person that's 00:19:08.64\00:19:11.93 squeezing out a mop. 00:19:11.96\00:19:13.94 He may not be used to this, 00:19:13.97\00:19:15.31 or he may be doing it all the time, squeezing out a mop, 00:19:15.34\00:19:18.33 or squeezing out a dish rag, or screwing in a screw. 00:19:18.36\00:19:27.41 OR, it does happen with people playing tennis, 00:19:27.44\00:19:30.57 where they're gripping... they have the tight grip. 00:19:30.58\00:19:36.35 I've seen it also with surgeons that are having to have a 00:19:36.38\00:19:40.45 tight grip on instruments. 00:19:40.48\00:19:42.97 But the problem is the muscle is slightly pulling away. 00:19:43.00\00:19:47.06 So how do you treat it? What do you do for it? 00:19:47.09\00:19:48.26 Well, first there are a lot of different treatments for it, 00:19:48.29\00:19:52.06 and that means that none of the treatments are ideal. 00:19:52.09\00:19:54.94 The prevention is to be in just general better health, 00:19:54.97\00:19:58.51 and avoid the degenerative problems. 00:19:58.54\00:20:01.66 But the first thing that many do, and that I do 00:20:01.69\00:20:04.86 is I'll rest it for a very short time, 00:20:04.87\00:20:07.77 and then once it's pain-free, 00:20:07.81\00:20:10.22 then I try to get it in condition by appropriate 00:20:10.26\00:20:13.19 exercises through physical therapy. 00:20:13.22\00:20:16.91 And then, you go from there if 00:20:16.94\00:20:18.35 those simple treatments don't work. 00:20:18.38\00:20:20.61 Let's move up here next to the shoulder. 00:20:20.64\00:20:23.13 If you have a frozen shoulder, 00:20:23.16\00:20:24.82 and that's probably the only 00:20:24.85\00:20:25.84 thing that we'll talk about today. 00:20:25.87\00:20:28.83 But a frozen shoulder where your shoulder is pain-free, 00:20:28.86\00:20:34.36 except when you move it, and you move it into a 00:20:34.39\00:20:37.32 certain position, and then you have real pain... 00:20:37.35\00:20:40.96 And then as soon as you quit moving it, 00:20:40.99\00:20:43.52 the pain goes away. 00:20:43.55\00:20:45.32 Often that is frozen shoulder, and that is treated 00:20:45.35\00:20:52.93 very aggressively. 00:20:52.96\00:20:54.10 It can be cured by, surprisingly, stretching. 00:20:54.13\00:20:59.77 Now, a person does not hurt themselves. 00:20:59.80\00:21:02.88 If this hurts for an individual to move their arm 00:21:02.91\00:21:07.23 in this position, they won't do it. 00:21:07.26\00:21:09.65 And so, you have to have a therapist who really 00:21:09.68\00:21:12.92 understands, and a physician who will order it, 00:21:12.95\00:21:15.67 not once or twice, or even three times a week, 00:21:15.70\00:21:17.79 it needs to be EVERY DAY for a couple of weeks, 00:21:17.82\00:21:20.78 and within 2 weeks, you'll feel some significant improvement, 00:21:20.81\00:21:26.41 if it's truly a frozen shoulder, 00:21:26.44\00:21:27.63 and then you can go to a less vigorous treatment. 00:21:27.66\00:21:29.48 So what do you do? How do they move that shoulder? 00:21:29.51\00:21:31.69 And it's the physical therapist that does that, I assume. 00:21:31.72\00:21:34.75 Yes, you have to have somebody else do it because 00:21:34.76\00:21:37.37 you won't tolerate the pain yourself... 00:21:37.40\00:21:39.13 How do they move it, up and down anyplace? 00:21:39.16\00:21:41.29 Well, there are some specific important exercises... 00:21:41.32\00:21:47.06 Not something you should try and do on your own... 00:21:47.09\00:21:48.64 No... this is something that you have your physician 00:21:48.67\00:21:51.30 send you to a physical therapist and the physical therapist 00:21:51.33\00:21:54.14 stretches it out, and again they may even have to be 00:21:54.17\00:21:57.30 stretching out those adhesions that we talked about earlier 00:21:57.33\00:22:00.24 that may be present, and stretch the capsule, 00:22:00.27\00:22:04.16 and within a short time, you may have much improved 00:22:04.17\00:22:08.99 range of motion and much LESS pain. 00:22:09.02\00:22:12.21 So don't just give up on it, make sure and take care of it. 00:22:12.24\00:22:14.58 It can be treated, and it can be treated very effectively. 00:22:14.61\00:22:18.34 What about down here, we talked about the knee... 00:22:18.37\00:22:20.62 Well in the knee, the important part to remember about the knee 00:22:20.65\00:22:27.01 is that you not only need to have good strong ligament, 00:22:27.04\00:22:33.39 but you also need to have muscles that are strong 00:22:33.42\00:22:38.10 and not only on the top; we call those the "quads," 00:22:38.13\00:22:41.52 but also on the bottom; the hamstring muscles. 00:22:41.55\00:22:44.61 Both of those need to be in balance, 00:22:44.64\00:22:47.03 and in a good exercise program 00:22:47.06\00:22:49.73 where if you're having knee problems, 00:22:49.76\00:22:51.54 and you have an exercise program, 00:22:51.57\00:22:53.24 it is important for you NOT to just exercise one or the other, 00:22:53.27\00:22:57.89 but both of them need to be exercised and strong. 00:22:57.92\00:23:00.34 So by walking, by jogging... 00:23:00.35\00:23:01.68 Is there any harm in jogging, running... what should we do? 00:23:01.71\00:23:04.30 In a person who is otherwise healthy, under 40, 00:23:04.33\00:23:08.90 and has no arthritic problems, jogging is an EXCELLENT exercise 00:23:08.93\00:23:13.59 If a person is over 40 and doesn't have any 00:23:13.62\00:23:19.41 arthritic-type of problems, jogging may be 00:23:19.44\00:23:22.30 a good exercise program for them. 00:23:22.31\00:23:25.18 But walking is safe for everybody. 00:23:25.21\00:23:27.85 And so I can, without hesitation recommend a walking program. 00:23:27.88\00:23:31.90 Now many people are concerned that in jogging, 00:23:31.91\00:23:34.93 you're going to put stress on your knee. 00:23:34.96\00:23:36.92 But as long as a person is not fatigued when they're running... 00:23:36.93\00:23:40.78 In fact, you are hitting without the knee being extended, 00:23:40.81\00:23:46.99 you're hitting in a slightly bent position, 00:23:47.02\00:23:49.19 and the forces bypass the knee. 00:23:49.22\00:23:52.65 So it's not really affecting the knee at all 00:23:52.68\00:23:55.08 unless you're very tired, 00:23:55.11\00:23:56.58 and how do you know if you're very tired? 00:23:56.61\00:23:57.74 If you're fatigued, if you begin to start striking 00:23:57.77\00:24:01.32 with the knee extended, and that's horrible, 00:24:01.35\00:24:03.90 and you shouldn't be jogging in that case. 00:24:03.93\00:24:06.60 And if a person has an underlying arthritic problem, 00:24:06.63\00:24:10.32 they may need to avoid the jogging as well. 00:24:10.35\00:24:13.65 In the case of an arthritic problem, 00:24:13.68\00:24:15.77 a severe arthritic problem, 00:24:15.80\00:24:17.54 If they still need to exercise, 00:24:17.57\00:24:21.10 and in that case, they may need to exercise in a pool, 00:24:21.13\00:24:24.98 aquatic-type exercise. 00:24:25.01\00:24:26.95 The other thing that they can do is to use a cane 00:24:26.98\00:24:31.16 on the opposite side of the knee or hip problem. 00:24:31.19\00:24:38.46 So don't use the crutch or the cane on that side, 00:24:38.49\00:24:40.71 and maybe not a crutch at all on the OPPOSITE SIDE. YES! 00:24:40.74\00:24:43.63 And a physical therapist can get the cane at the 00:24:43.66\00:24:46.68 proper length, and can also 00:24:46.71\00:24:48.73 instruct in a proper walking style. 00:24:48.76\00:24:53.26 These have been very helpful tips, but I don't want you to 00:24:53.29\00:24:56.46 leave without addressing another thing. 00:24:56.49\00:24:58.15 I know that you're a physician and one of the reasons 00:24:58.18\00:25:02.94 you're a physician is because Christ is a physician. 00:25:02.97\00:25:05.11 What lessons have your learned in studying the bones, 00:25:05.14\00:25:08.44 and helping people with these joint types of problem? 00:25:08.47\00:25:11.53 What spiritual lessons can you share with us as we close out? 00:25:11.56\00:25:15.77 The first lesson is that we have a WONDERFUL Creator! 00:25:15.80\00:25:19.81 We are fearfully and wonderfully made... 00:25:19.84\00:25:21.87 And the more I study, the more I am impressed with how He... 00:25:21.90\00:25:27.63 every time I move my joint, I can be grateful to a God 00:25:27.66\00:25:33.25 who was so thoughtful to design it in such a useful way to me. 00:25:33.26\00:25:39.93 There's another lesson that I've learned, and it's found in 00:25:39.94\00:25:45.14 Galatians 6:1, and it says this... 00:25:45.17\00:25:53.16 Paul says, "Brethren, if a man is overtaken in any trespass, 00:25:53.19\00:25:59.20 you who are spiritual restore such a one in a spirit of 00:25:59.23\00:26:04.95 gentleness considering yourself lest you also be tempted. " 00:26:04.99\00:26:10.71 Now that word, "restore" actually means 00:26:10.75\00:26:14.17 to put it back in joint. 00:26:14.20\00:26:16.58 It's the orthopedic word in Greek for putting it in 00:26:16.59\00:26:21.86 proper position, reducing it. 00:26:21.89\00:26:26.66 If a person comes into the emergency room, 00:26:26.69\00:26:29.72 and he has just injured his shoulder. 00:26:29.75\00:26:34.15 Let's say it's been pulled out of joint. 00:26:34.18\00:26:36.41 No one stands around and criticizes that man, 00:26:36.44\00:26:40.18 and says, "Well you made your bed, you better go walk in it. " 00:26:40.21\00:26:43.35 What they do is immediately come to his aid, 00:26:43.38\00:26:46.46 and do for him what the person isn't able to do for himself. 00:26:46.49\00:26:50.84 They try to restore that joint. 00:26:50.87\00:26:52.93 And all around us, we see people who are out of joint. 00:26:52.94\00:26:56.73 ...Out of relationship with God and with their fellow man, 00:26:56.76\00:27:00.21 and our job is to be spiritual orthopedists 00:27:00.24\00:27:05.27 whatever our profession, and restore these people 00:27:05.30\00:27:08.50 as Paul says, "in a spirit of gentleness considering 00:27:08.51\00:27:12.98 yourself lest you also be tempted. " 00:27:12.99\00:27:15.50 What a practical lesson, and a spiritual lesson, 00:27:15.53\00:27:18.64 and I would like to hear more stories about patients 00:27:18.67\00:27:22.40 who you've been able to help in those situations. 00:27:22.41\00:27:26.56 We're thankful that you've joined us today. 00:27:26.59\00:27:28.35 We've been talking with Dr. Phillip Mills 00:27:28.38\00:27:30.87 from Wichita, Kansas. 00:27:30.90\00:27:32.74 He is a specialist in physical medicine, 00:27:32.77\00:27:36.05 and we've been talking about joint pain. 00:27:36.08\00:27:38.85 We've been talking about the things that many of us 00:27:38.88\00:27:40.86 will experience some time in our life. 00:27:40.89\00:27:42.90 We hope that as a result of today's program, 00:27:42.93\00:27:45.99 you've found information that can help you not only protect 00:27:46.02\00:27:51.08 these valuable assets, your joints, 00:27:51.11\00:27:53.30 but also can help you assist others in a 00:27:53.33\00:27:55.91 spirit of gentleness, so that YOU and THEY 00:27:55.94\00:27:58.20 can have health that lasts for a lifetime! 00:27:58.23\00:28:00.46