The following program presents
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principles designed
to promote good health
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and is not intended
to take the place of
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personalized professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are
encouraged to draw their own
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conclusions about the
information presented.
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Hello and welcome to
Health for a Lifetime.
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I'm your host Don
Mackintosh, and today
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we're gonna be
talking about Back Pain.
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I know everyone
watching today has
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either had back
pain or knows someone
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that is maybe
experiencing it right now.
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And we hope that as a
result of today's program
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you're going to have
some real helpful tips.
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Talking with us about
this is Dr. Philip Mills.
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He is a
specialist in Rehab Medicine
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and you've been doing
that for about 20 years
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and I imagine one of
the big things that you
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see day in, day out is
people with back problems.
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Back Pain is so
endemic. In fact, less than
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20 percent of people
will go through life without
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a problem sometimes in
their life with their back.
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Well that's job
security for you.
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It is job security for anybody
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who takes care of backs.
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And that's just
about every doctor, because
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the problem
with back cuts across
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every medical
specialty, virtually anybody
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who sees patients
will see someone with
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back pain it is
just everywhere, in fact
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statistically 40
percent of the people
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listening to this
program are suffering
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from back pain right now.
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You don't have any pain
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do you in your
back right now? I don't.
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And neither do I, so
we're not in the 40 percent.
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Why are people so
susceptible by this though,
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it seems like just
you know like you said,
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I mean 40 percent
are having it right now,
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just all kinds of
people, why is this like a flaw?
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Why are people so
susceptible to it?
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No, it's not a flaw.
The back was designed
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in a very elegant fashion, okay.
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But, if you look at
the basic back kinesiology,
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you realize that
there is a lot of weight
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yet there has to
be some movement.
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So God had to design
the back in a way that
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would provide motion,
you could just have a pipe,
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right just, and
then you wouldn't have
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any back problem,
but you wouldn't have
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any back movement either.
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So, the back was
design to have this mobility
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but also provide great strength.
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And so that
puts it at some risk.
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Now the way God
designed to decrease
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the risk is the back is
buttrest with guy wires,
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that's the muscles
that come from our abdomens,
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that's muscles in the
back, muscles down the side,
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those function as back supports.
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So it's a very wonderful system
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that we call the back.
So whether you're sitting,
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you're standing,
you're walking, you're lying,
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you're running, you're
jumping, you're laughing,
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you're sneezing,
whatever you're doing
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you need to use your
back? Yes, and in fact,
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most people don't
know this, but the greatest
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pressure on your disk
is when you're sitting,
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is when you're
sitting? Not when you're
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standing or when you're lying.
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The least of all
is when you're lying,
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but the greatest is
when you're sitting.
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So it's must
better to stand up or walk
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if you have back problems.
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Well, you wanna have
good support when you're
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sitting and you also want
to move from time to time.
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So, you said that
this back is a very
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amazing you know thing.
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It's got guy wires
and all this stuff,
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could you explain
to me, give me a little
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anatomy lesson on the back.
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Well, its not so
easy to do, it's taken
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some of the very
best minds to figure out.
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All the physical
things, the physics and that,
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what's called the Kinesiology,
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that's the movements
of the back, it's taken,
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as I said some of
the best scientists,
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some very
sophisticated computer modeling
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courses that have
helped elucidate these
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the way it works
and I've always wondered
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if it takes our best
minds just to kind of
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understand what's
going on, what must it would
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have taken as far
as a mind to design.
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It's really
wonderful. You don't think this
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evolved, it did
not evolve, noway.
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This is not a testimony
to the power of nature;
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this is a testimony
to the wisdom of God.
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Okay so, take this
into the mind of God here
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a little bit and
describe it if you can,
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so maybe we can
understand a little bit of it.
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Well, your tough part
of the back is your bones,
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and they make up
this skeletal anatomy,
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that's where the muscles attach,
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that's where you have
good solid strong support,
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but then between the
bones there are what are called
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disks and you can
think of a disk as a liquid
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filled golf ball
and it's smashed down
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like a plate it has
a hard outer covering,
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okay, and gelatinous inner core.
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So it's like a doughnut
maybe, this is the disk.
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Well it's a filled doughnut,
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filled doughnut, like
a filled doughnut, okay.
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And so except the
hard outer core is
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much stronger then a doughnut,
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you wouldn't wanna bite
into this doughnut, okay.
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And so this gives
it this movement and
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flexibility and yet the
disk itself has strength.
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However over time, the
outer layer of the disk
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becomes brittle, it
loses its elasticity
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and become, anybody for anybody,
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yes, overtime it
becomes hard, okay.
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And so because
of that it becomes
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more subject to tear,
and there are certain places
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that it can tear
easier then others and certain
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movements that we
can make that put it at
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more risk then
others, because of all the
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back problems that I
see I am contumelious,
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continuously
aware of my back and the
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importance to lift
right and to move right,
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so that I don't put
the disk at a mechanical
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disadvantage
where it would burst
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and cause a ruptured disk.
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So, it kind of
curves, you've got the,
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what do you called
these cervical ones,
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what are they, seven of those
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that I think I remember.
There's eight cervical,
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eight of those and
then you've got the ones
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in the middle
anything different between the,
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thoracic, you have
the, thoracic vertebrae
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and then the ones down
at the bottom I don't know
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what they're, I
can't remember what they're
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called but those going
all the way down to the bone.
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Did I say there are
eight, seven cervical vertebrae
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but there is eight
nerves because you count
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the top and the
bottom of the nerves, okay,
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but there's actually
seven bones then you have
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twelve one for
each rib those are the
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thoracic and then
you have in normal people
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there are variations
of this you have five
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lumbar vertebrae
and then you have at the
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very bottom you have
the sacrum, which is the,
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like the tail bone, tail bone,
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and then the
coccyx at the very tip.
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Okay, and any part of
that goes wrong and it
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affects all of it?
It affects all of you
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if you feel it,
because you need your back
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to make virtually any
activity even if you're
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rolling in bed and so if your
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back is bothering
you, it's pretty apparent,
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and I'm sure everybody
out there that has back pain
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and saying yeah, that
you're stating the obvious.
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Now you even said in
your notes that I looked
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over for this
program that the abdominal
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muscles are involved in
this? Yes, your abdominal
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muscles are very
important and that's why
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it's important to keep
strong abdominal muscle,
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do sit ups, sit
ups, actually I prefer
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sit backs, where you
go from a sitting position
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down to approximate 30
degrees and then back up,
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if you have back
problems and do a sit up
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in some cases the
first movement can
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actually
increase your discomfort.
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So you're actually better
to just sit from a sitting
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position back 30
degrees back up to
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strengthen these
abdominal muscles.
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Also, obviously if
a person is obese then
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that, it adds more
weight, really it increases
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a problem with that
muscle pulling strongly,
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I see right so it kind
of knocks it out of kilter.
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So it's all just kind
of designed for someone
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that has optimal
weight and everything,
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when you add different things
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that can really mess it up, yes.
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So what causes
actually the back pain and says,
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those nerves you
were talking about?
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Well for most cases
we never really know and
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that's why there
are so many wastebasket
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categories when you see
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a physician about back problems.
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You have the
wastebasket category of low back
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strain, low back
sprain, dyskinetic back.
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All these are because we really,
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there are so many
components that in
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very few cases can
you really determine
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which of the components it is?
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Okay, so they just
say this or say that,
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but you're kind
of specialty has been
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actually talking to
people and to see whether or not
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it's really a
significant problem or not and
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you're always put on
the hot seat about that.
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Yes, the first
thing of course you wanna
00:10:01.72\00:10:03.41
make sure of is there is
no underlying significant
00:10:03.42\00:10:09.34
back disease maybe cancer,
00:10:10.48\00:10:12.99
okay, or a
serious medical problem,
00:10:13.39\00:10:16.22
like a referred pain
from your pancreas or
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your kidneys or
something else, that could be
00:10:17.98\00:10:19.83
a cause or you
could actually have a
00:10:19.84\00:10:23.21
frag tumor in the back itself.
00:10:23.22\00:10:25.07
Now those are rare, that
be less then one percent,
00:10:25.60\00:10:28.30
the majority of
back problems are simple,
00:10:28.31\00:10:30.53
they're self
limited less then six weeks
00:10:30.54\00:10:33.08
will go away, but
in that one percent
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you don't want to miss it.
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That's generally a
person who is older,
00:10:37.72\00:10:39.49
generally a person
who has weight loss,
00:10:41.41\00:10:44.40
other medical
problems and so that's
00:10:46.44\00:10:49.83
what you're going
to be alert to so that
00:10:49.84\00:10:53.26
you don't miss a
major problem while you're
00:10:53.27\00:10:56.70
thinking it's what's
called a "simple back ache."
00:10:56.71\00:10:59.78
So when you say
what causes back pain
00:11:00.00\00:11:02.08
what you're
saying is you got to,
00:11:02.09\00:11:03.16
don't just say
well it's just the
00:11:03.17\00:11:04.81
back strain or this
or that, you got to check
00:11:04.82\00:11:06.88
all these things out
if you really want to know
00:11:06.89\00:11:08.81
and rule out those
significant things and
00:11:09.17\00:11:11.73
hopefully you're
dealing with a more minor
00:11:11.74\00:11:13.65
problem that
maybe you can help with.
00:11:13.66\00:11:16.31
Yes, the second
thing you wanted to
00:11:16.32\00:11:18.37
eliminate is, is
it a pinch nerve.
00:11:18.38\00:11:21.54
So if it's either a
significant occult medical
00:11:21.94\00:11:28.38
problem I just
talked about, right,
00:11:28.39\00:11:31.20
or the second issue
is, is it a pinch nerve?
00:11:31.21\00:11:35.04
Now the way you can
tell if it's a pinch nerve or
00:11:35.44\00:11:40.07
it might be a pinch
nerve, is the distribution of
00:11:40.08\00:11:42.93
the pain, whether there
is actual muscle weakness,
00:11:42.94\00:11:46.02
going down your leg,
your arms or something,
00:11:46.03\00:11:48.24
if there is muscles
weakness in a particular
00:11:48.25\00:11:50.76
pattern in your leg or
if it's from the neck in
00:11:50.77\00:11:53.05
your arm or if
it's in a particular
00:11:53.06\00:11:56.87
pattern of
referred kind of pain.
00:11:56.88\00:12:02.36
So you look at
the referral pattern,
00:12:03.15\00:12:05.93
you look at the sensory loss,
00:12:06.21\00:12:08.44
you look at the muscle
weakness and that's how
00:12:08.45\00:12:12.83
you determine whether
there maybe nerve injury,
00:12:12.84\00:12:17.50
if it's a nerve injury
you'll probably want to
00:12:17.87\00:12:19.65
have other testing like
electroneurodiagnostics,
00:12:19.66\00:12:23.64
where they actually
see if the nerves to
00:12:24.11\00:12:28.59
particular muscles are working,
00:12:28.60\00:12:30.32
are working, and
pauses going there.
00:12:30.33\00:12:32.26
Now you talked to me
about those disk again
00:12:32.27\00:12:35.24
and you were telling
me that the nutrition
00:12:35.25\00:12:38.26
that gets to the disk
it's a very interesting
00:12:38.27\00:12:40.10
process what was it,
the imbibition or something,
00:12:40.11\00:12:44.30
imbibition, imbibition yeah.
00:12:44.31\00:12:45.72
Well the word
comes from, what is that?
00:12:45.73\00:12:47.05
Well the word
comes from imbibe, okay.
00:12:47.44\00:12:49.54
Now if you were
imbibing, and maybe some
00:12:49.55\00:12:52.97
substance you should
or should not imbibing,
00:12:52.98\00:12:54.91
correct, you're imbibing.
00:12:54.92\00:12:56.24
That is you're
bringing something in.
00:12:56.25\00:12:58.22
Now in most places of
the body the way you get
00:12:59.19\00:13:02.87
nutrition is through
circulation, but in the
00:13:02.88\00:13:06.10
disk is really no circulation,
00:13:06.11\00:13:08.70
no circulation,
no, so not normally.
00:13:08.71\00:13:11.95
So, if you're
going to get nutrition,
00:13:12.45\00:13:14.58
still needs some
nutrition how does it get it,
00:13:14.59\00:13:17.03
it gets it like a
sponge gets nutrition you
00:13:17.39\00:13:22.11
squeeze the sponge
down underneath water
00:13:22.12\00:13:26.62
and then you let it up
and it sucks up the water,
00:13:27.03\00:13:31.34
imbibes, it imbibes
it, that's imbibition.
00:13:31.72\00:13:34.07
And in your back
if you squeeze down
00:13:34.46\00:13:38.45
the disk and then
they let up, they move down
00:13:38.46\00:13:42.07
just a little bit they
led up then it takes the
00:13:42.08\00:13:46.35
nutrition from the
cell fluids around it.
00:13:46.36\00:13:51.12
Now, the way you
squeeze it down is exercise
00:13:51.51\00:13:54.73
walking is
probably the very best way
00:13:55.16\00:13:58.45
because as you walk
there is this rhythmic pattern.
00:13:58.46\00:14:01.91
So in another words if
you wanna have a healthy
00:14:03.53\00:14:06.45
back you better find a
way to walk, find a way
00:14:06.46\00:14:09.65
to get that weight
going down and up and down
00:14:09.66\00:14:13.39
so it can squeeze in
and squeeze out. Yes,
00:14:13.40\00:14:15.93
you wanna have, have
that imbibition take place.
00:14:15.94\00:14:20.17
Now, in the bones
themselves when you're
00:14:20.18\00:14:24.62
doing activity and
exercise most people
00:14:24.63\00:14:27.69
don't know it but
bones themselves have some
00:14:27.70\00:14:29.69
squeezing down, in
a healthy young person
00:14:29.70\00:14:32.40
a bone a can
actually squeeze down by about
00:14:32.78\00:14:35.92
25 percent without breaking,
00:14:35.93\00:14:37.71
if you go more then
that you'll have a fracture,
00:14:37.72\00:14:39.66
but there is, there
is flexibility in the way
00:14:40.06\00:14:44.52
God designed the
components of the back.
00:14:44.53\00:14:46.73
We're talking with Dr. Mills,
00:14:47.11\00:14:48.24
we're talking about back pain,
00:14:48.25\00:14:49.56
when we come back
we're gonna talk about some
00:14:49.57\00:14:51.40
common causes of back
pain and what you can do
00:14:51.41\00:14:53.75
about them, join
us when we come back.
00:14:53.76\00:14:55.51
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Welcome back, we're talking with
00:15:55.22\00:15:58.65
Dr. Philip Mills,
we're talking about back pain
00:15:58.66\00:16:00.99
and I hope that you
will hear good news,
00:16:01.00\00:16:03.49
maybe you're going
through back pain right now.
00:16:03.50\00:16:05.61
We're gonna talk
about some of the common
00:16:05.62\00:16:06.82
causes of back pain
you have them listed here.
00:16:06.83\00:16:08.77
What's the,
what's the most common
00:16:08.78\00:16:11.35
cause of back pain?
Well, the most common
00:16:11.36\00:16:13.62
cause is what's
called a simple back ache
00:16:13.63\00:16:15.69
and we really don't
know. So it's a sprain
00:16:16.03\00:16:18.35
or a strain or
this, you don't know.
00:16:18.36\00:16:20.81
There are 80 percent of
the back problems we are
00:16:21.18\00:16:26.87
unable to find a
specific reason for them.
00:16:26.88\00:16:31.03
Now you say there is
sometimes the strain is
00:16:31.42\00:16:32.85
caused by lifting
bulky object or something,
00:16:32.86\00:16:35.13
30 pounds or more?
What, what it is clear is that
00:16:36.15\00:16:42.19
people whose jobs
entail repeated rapid
00:16:42.20\00:16:46.21
lifting of greater
then 30 pounds have a
00:16:46.22\00:16:48.85
slightly increased
risk of back problem,
00:16:49.49\00:16:51.56
the reason is simple.
As you lift repeatedly
00:16:51.57\00:16:56.56
your muscles which
provide some protection
00:16:56.57\00:16:59.76
for your disk begin to fatigue,
00:16:59.77\00:17:01.36
as they fatigue
there's gonna be more
00:17:01.99\00:17:03.83
pressure on the ligaments.
00:17:03.84\00:17:05.62
And so if you do any
lifting that's wrong you
00:17:06.38\00:17:10.72
have no margin of
safety, no margin of error.
00:17:10.73\00:17:13.62
And so if you're in
a job that is 30 pounds
00:17:14.02\00:17:18.14
and really
fatiguing the back muscles day
00:17:18.50\00:17:20.85
after day that is a
slightly increased risk.
00:17:20.86\00:17:24.03
Okay, we're going to
look at some of the other
00:17:25.22\00:17:27.24
causes you have
here, you say one causes
00:17:27.25\00:17:29.20
osteoporosis, is that
when the bones of course
00:17:29.21\00:17:33.28
get pores, is that
the, the issue there? Yes,
00:17:33.29\00:17:35.86
and that occurs with
age and also nutritional
00:17:35.87\00:17:39.13
aspects, genetic
factors, all have a part to play
00:17:39.14\00:17:44.24
with osteoporosis but
if your bones get real
00:17:44.25\00:17:47.05
brittle then even
slight types of movement,
00:17:47.06\00:17:51.17
slight types of
pressure can actually
00:17:51.18\00:17:52.90
cause a bone
fracture that's a bad thing.
00:17:52.91\00:17:55.45
Herniated discs, disk
tears, herniated disks
00:17:56.69\00:18:00.07
can come
particularly if you're bending
00:18:00.57\00:18:03.08
forward and
sideways. So you have a forward
00:18:03.09\00:18:07.08
plus a twist and that is a,
00:18:07.50\00:18:10.46
a high risk
back injury movement.
00:18:10.97\00:18:15.10
So when you pick
something up even if you
00:18:15.43\00:18:18.43
just bend over
simply to pick up a penny,
00:18:18.44\00:18:20.59
pretend that it was
a 100 object and you'll
00:18:22.53\00:18:25.72
pick it up right
you'll bend right and so you
00:18:25.73\00:18:28.23
don't put your disk at
as much risk, if you're
00:18:28.84\00:18:32.61
lifting to put something
into a trunk that can be
00:18:32.62\00:18:36.73
a problem because you're
00:18:36.74\00:18:37.73
at a mechanical disadvantage.
00:18:37.74\00:18:39.58
So what you want to
do is put your knees up
00:18:40.32\00:18:43.34
against the bumper, I
see, to support you thighs,
00:18:43.35\00:18:47.07
so that when you're
doing the lifting you're
00:18:47.43\00:18:51.35
lifting through your body
rather than just your back.
00:18:51.36\00:18:57.23
Okay. You know you
hear different things like
00:18:58.93\00:19:00.86
slipped disk,
bulging disk, this and that
00:19:00.87\00:19:02.85
depending on who
you're talking to,
00:19:02.86\00:19:04.11
what do these terms
mean? Well, that can be
00:19:05.22\00:19:08.35
confusing to
patients because they'll go to
00:19:08.36\00:19:11.35
their maybe their
primary care physician
00:19:12.13\00:19:15.20
and he's concerned
that they've injured
00:19:15.21\00:19:16.90
their back, he orders an MRI.
00:19:16.91\00:19:19.22
The radiologist
sends the MRI report back
00:19:20.00\00:19:23.06
and says it's a
herniated disk. Okay.
00:19:23.07\00:19:25.71
so he's told then that
he has a herniated disk.
00:19:25.72\00:19:30.09
He's sent to a
neurosurgeon or an
00:19:30.82\00:19:32.71
orthopedics surgeon,
those are the ones that
00:19:32.72\00:19:34.53
usually do surgery
on the back for disk and
00:19:34.54\00:19:38.86
he takes a look at the
MRI, takes an examination
00:19:38.87\00:19:42.18
of the patient history
and all and he tells him,
00:19:42.19\00:19:46.02
well this is a
bulging disk, okay, and he
00:19:46.03\00:19:51.32
and so the patient
is confused, one doctor
00:19:51.33\00:19:53.84
told him that it
was a herniated disk
00:19:53.85\00:19:56.06
and one says
it's a bulging disk,
00:19:57.05\00:19:58.36
and one says it's a bulging.
00:19:58.37\00:19:59.35
But it's the
difference of perspective
00:19:59.74\00:20:03.08
any of these a
disk doesn't just bulge
00:20:03.47\00:20:07.14
a certain amount
come out boom, boom, boom
00:20:07.15\00:20:09.92
and discrete
amount, but it can be any
00:20:09.93\00:20:13.04
amount along a continuum.
00:20:13.05\00:20:15.44
And so the question is
at what point do you call it
00:20:16.27\00:20:19.75
a frank
herniation versus a bulge.
00:20:19.76\00:20:23.73
And so, in my
experience a radiologist use it
00:20:24.20\00:20:28.28
based on a measured
amount and they'll say
00:20:28.29\00:20:31.79
this is a
herniation because it passes
00:20:31.80\00:20:33.80
this amount, okay.
But a orthopedic or a
00:20:33.81\00:20:38.42
neurosurgeon will say
it's a bulge if he doesn't
00:20:38.43\00:20:43.05
feel it's one that
would benefit from surgery
00:20:43.06\00:20:45.52
and if they think
it's a surgical bulge
00:20:46.36\00:20:50.84
then they will
say it's a herniation,
00:20:51.25\00:20:52.91
so in surgeons in
my experience a surgeon
00:20:53.39\00:20:57.96
will differentiate
the difference between
00:20:57.97\00:21:01.53
a bulge and a herniation on
00:21:01.54\00:21:04.72
the basis of
surgical indications.
00:21:04.73\00:21:06.80
And so that can be
confusing to patients
00:21:07.27\00:21:09.02
but really they're
saying the same thing,
00:21:09.03\00:21:11.02
they're the same
thing. There is no reason
00:21:11.03\00:21:12.87
to be or bulging
saying the same thing,
00:21:12.88\00:21:14.79
then slipped, does that mean
00:21:14.80\00:21:16.43
they think one of
the bones slipped?
00:21:16.44\00:21:17.79
No you can have slip,
the slip disk can be a
00:21:17.80\00:21:20.45
bulge disk, okay,
but now there is such a
00:21:20.46\00:21:23.02
thing as a slip in the
back and that's actually
00:21:23.03\00:21:27.38
spondylolisthesis
where your bones actually
00:21:27.39\00:21:31.32
have some movement
and there if it's severe,
00:21:31.33\00:21:35.01
if it's causing
nerve damage then you would
00:21:35.31\00:21:37.71
have to have a fusion
or at least consideration
00:21:37.72\00:21:41.15
for a fusion, if
this process continues.
00:21:41.16\00:21:43.84
Once they slip can
they go back on their own?
00:21:44.23\00:21:46.21
In
spondylolisthesis no, no, okay.
00:21:47.14\00:21:51.28
Now, in when you're
stalking about these
00:21:51.29\00:21:54.56
spondylolisthesis
that is where the bone
00:21:54.57\00:21:57.44
is actually moving
relative to another
00:21:57.45\00:22:00.68
bone that's seen in
a very high frequency
00:22:00.69\00:22:07.68
in professional
football players.
00:22:07.69\00:22:09.85
So evidently
football is very bad on backs.
00:22:09.86\00:22:13.90
Well I had one of
those too, and I'm not a
00:22:13.91\00:22:16.06
professional football
player, maybe it's just
00:22:16.07\00:22:17.65
because I am, look like one.
00:22:17.66\00:22:19.27
Okay, what are
some of the, what are
00:22:20.17\00:22:22.82
some of the thing
that we can do to avoid
00:22:22.83\00:22:24.84
having back pain,
having back problems?
00:22:26.21\00:22:28.44
Well surprisingly
enough smoking, stopping
00:22:28.45\00:22:32.32
smoking is an important way
00:22:32.33\00:22:33.71
to avoid back problems.
00:22:33.72\00:22:35.19
Smoking increases the
risks of disk problem,
00:22:35.58\00:22:38.29
it increases the risk
of arthritis in the back
00:22:38.30\00:22:41.24
and it also increases
the risk of needing surgery,
00:22:41.95\00:22:46.35
but it has a much poor
prognosis if surgery is
00:22:46.36\00:22:52.11
necessary and
performed, just from
00:22:52.12\00:22:54.32
smoking, from smoking.
00:22:54.33\00:22:55.42
So the reason is
probably related to oxygen
00:22:55.43\00:23:01.27
carrying capacity of
the blood so you have
00:23:01.64\00:23:04.19
relative over a
long period of time,
00:23:04.20\00:23:06.65
less oxygen then
optimal to the back and
00:23:07.01\00:23:09.92
so it increases the
problems again overtime.
00:23:09.93\00:23:12.57
So a person should not smoke,
00:23:12.93\00:23:14.94
if they want to
avoid back problems.
00:23:15.29\00:23:18.23
So yeah, because I
guess the back gets bad
00:23:18.24\00:23:20.21
in the
different way then vessels
00:23:20.22\00:23:21.65
so if it's really
compromise that really,
00:23:21.66\00:23:24.31
really can affect the bones.
00:23:24.32\00:23:26.40
Well, we can
explain it in an interesting
00:23:26.41\00:23:29.82
way out of your back
you have blood vessels
00:23:29.83\00:23:35.68
that come straight
off the descending order.
00:23:35.69\00:23:41.38
So these blood
vessels come straight out and
00:23:42.09\00:23:44.80
that means the
blood has to go through an
00:23:44.81\00:23:46.86
acute angle, not a
smooth bend but a tight curve,
00:23:46.87\00:23:51.86
and so if there is
any atherosclerosis,
00:23:52.86\00:23:56.13
that is if there is any
deposits, can't get there,
00:23:56.14\00:23:59.32
that makes a real
problem with the blood flow,
00:23:59.33\00:24:03.49
I see, and so your back
is going to be the single
00:24:03.92\00:24:07.89
most senses, impact, sensitive
00:24:07.90\00:24:10.98
to vascular programs.
00:24:11.44\00:24:14.50
Wow, even more so
than you, maybe your lungs.
00:24:14.51\00:24:17.53
You mentioned some
other things that seem
00:24:17.97\00:24:19.41
pretty obvious,
obesity, lose 25 pounds.
00:24:19.42\00:24:22.20
Now let me just stop
you on that, a pound on the
00:24:22.61\00:24:27.28
stomach is four
pounds on the back,
00:24:27.29\00:24:31.30
wow, the reason is
there is a mechanical
00:24:31.31\00:24:34.48
lever affect your
weight is out in front of you
00:24:34.49\00:24:40.20
and it's moving over a lever
00:24:40.21\00:24:42.62
arm so if you lose
one pound, four pounds,
00:24:42.63\00:24:45.72
it's 25 to be 100, if
you lose 25 pounds you've
00:24:45.73\00:24:48.53
actually lost a 100
pounds of pressure on your back.
00:24:48.54\00:24:52.12
Wow, well and you
think about it the back
00:24:52.98\00:24:56.93
can handle about
1,400 pounds of pressure
00:24:56.94\00:25:02.58
and so obesity can add
quite a bit of pressure
00:25:03.02\00:25:09.17
on the back and decrease
again your level of safety.
00:25:09.18\00:25:12.49
So get rid of that
weight, exercise, we've only
00:25:13.31\00:25:16.16
got about two-and-half
minutes but we wanna get
00:25:16.17\00:25:18.13
some hope here so
you say don't be angry
00:25:18.14\00:25:20.60
that would be interesting
to talk about but angry
00:25:20.61\00:25:22.76
you say specifically
related to back pain.
00:25:22.77\00:25:24.87
And the reason is
people if they're angry
00:25:24.88\00:25:28.62
and their job involves
lifting, they'll angrily
00:25:28.63\00:25:31.79
go down and lift
something up they'll jerk,
00:25:31.80\00:25:34.54
okay, and because of
that jerk they increase
00:25:34.98\00:25:38.34
their risk of back
injury. And then age, you can't
00:25:38.35\00:25:42.55
do anything about
that, but try and be healthy
00:25:42.56\00:25:44.89
with your nutrition and
all those different things.
00:25:44.90\00:25:47.03
You can lower your
speed of aging now.
00:25:47.04\00:25:51.22
Okay, what are some
of the things just some
00:25:51.23\00:25:54.20
quick things in about
the last two minutes that
00:25:54.21\00:25:56.23
people can do to
have this back pain,
00:25:56.24\00:25:57.73
what should they do.
00:25:57.74\00:25:58.71
Well the first
thing is walking, walk,
00:25:58.72\00:26:01.37
we've already mentioned that.
00:26:01.38\00:26:02.62
Walking is the
single best treatment
00:26:02.63\00:26:04.82
for the back,
okay, walk, another
00:26:04.83\00:26:08.55
good treatment for
the even of its real
00:26:08.56\00:26:10.88
slow you can't
walk very fast walk.
00:26:10.89\00:26:12.47
Well you're better
off if you can have some
00:26:12.48\00:26:15.78
faster walking,
okay, if you can't tolerate
00:26:15.79\00:26:19.51
walking because of
some other arthritic or
00:26:19.52\00:26:22.70
neurologic
problems swim, okay swim,
00:26:22.71\00:26:25.41
so these are good
exercises for the back.
00:26:25.42\00:26:30.24
Okay, what about surgery
you didn't mentioned that?
00:26:30.66\00:26:33.02
Well, surgery it
has a very limited place
00:26:33.03\00:26:36.06
but it does have an
important place that
00:26:36.42\00:26:38.43
would be if you have a
very severe and increasing
00:26:38.44\00:26:42.62
spondylolisthesis
that slippage or if you
00:26:42.63\00:26:46.15
have neurologic
damage you need to
00:26:46.16\00:26:50.03
remove pressure on
a nerve or if you have
00:26:50.04\00:26:52.78
what's called spinal
stenosis, that is not
00:26:52.79\00:26:55.72
enough space for the
blood, for the nerves
00:26:55.73\00:27:01.23
to go through in the back.
00:27:01.24\00:27:02.78
Posture, posture
is an important one;
00:27:02.79\00:27:07.73
it's easier to take
care of posture in younger
00:27:07.74\00:27:10.96
people then
older because sometimes
00:27:10.97\00:27:12.52
you have fixed posture deficits
00:27:12.53\00:27:14.48
that we can't do too much about.
00:27:14.49\00:27:16.06
One of your favorite
text you mentioned here
00:27:16.52\00:27:18.43
also in your notes
about angels helping us
00:27:18.44\00:27:21.34
walk correctly,
you want to share that?
00:27:21.35\00:27:23.32
Yes, every morning if we
trust in the Lord it says
00:27:24.28\00:27:29.19
He portions angels
to guide us, as we walk,
00:27:29.20\00:27:33.25
as we go around our
daily task and we have angels
00:27:33.71\00:27:37.01
with us and to me
that's a wonderful
00:27:37.02\00:27:39.21
blessing that we
can trust God for.
00:27:39.22\00:27:41.86
Thank you so much
Dr. Mills for joining us
00:27:42.28\00:27:44.00
and I'm glad the
angels are with us,
00:27:44.01\00:27:45.87
they can help us
not have those problems
00:27:45.88\00:27:48.00
and also the tips
you've learned today
00:27:48.01\00:27:49.90
we hope that they're
helpful for you and for
00:27:49.91\00:27:51.62
your back or those that
you love and as a result
00:27:51.63\00:27:54.68
that you'll have
health that lasts not just for
00:27:54.69\00:27:56.36
now, but for a
lifetime, thanks for watching.
00:27:56.37\00:27:59.69