Hello, welcome to
"Help Yourself to Health"
00:00:01.98\00:00:04.37
I'm Agatha
Thrash, a staff physician
00:00:04.40\00:00:06.70
from Uchee Pines Institute
00:00:06.73\00:00:08.61
and we're going to be talking
with you today about the back
00:00:08.64\00:00:12.92
and some things that
can go wrong with the
00:00:12.93\00:00:14.86
back and make it hurt...
00:00:14.89\00:00:16.10
So we hope you will
join us for this program and
00:00:16.13\00:00:19.01
that it will be
a blessing to you.
00:00:19.05\00:00:20.76
Welcome to "Help
Yourself to Health"
00:00:41.76\00:00:44.06
with Dr. Agatha Thrash
of Uchee Pines Institute
00:00:44.09\00:00:47.57
and now, here's
your host, Dr. Thrash
00:00:47.60\00:00:52.39
You know, the back has
such a wonderful design.
00:00:52.42\00:00:57.50
When you look at it, and you
know that our Heavenly Father
00:00:57.53\00:01:01.63
designed it... you
know that it was made well.
00:01:01.64\00:01:05.13
Some people say that
the reason we get backaches
00:01:05.17\00:01:08.78
is because we are still
in the process of evolving...
00:01:08.81\00:01:13.70
and that we haven't fully
achieved proper back support.
00:01:13.73\00:01:20.62
But I think, it's the
way we live and what happens
00:01:20.65\00:01:24.54
to us here during our lifetime
that makes us have a problem.
00:01:24.57\00:01:29.40
Now there are some back
problems that are serious
00:01:29.43\00:01:32.72
and some back problems
that are not so serious.
00:01:32.73\00:01:35.76
One of the not-so-serious
ones is the backache that
00:01:35.79\00:01:40.59
we get when we've
been tense all day.
00:01:40.62\00:01:42.94
And I'd like to have
some help by my granddaughter.
00:01:42.97\00:01:47.10
This is Melissa Thrash and this
is her friend, Shannon Jenkins.
00:01:47.13\00:01:52.34
And they're going to show
you how, when you've had a
00:01:52.37\00:01:56.42
tense day, or you're
very tired and your back aches
00:01:56.45\00:02:00.17
somewhere back
there or somewhere up here
00:02:00.20\00:02:02.86
and you feel very tired.
00:02:02.89\00:02:04.87
Melissa is going to show
you how you can do something for
00:02:04.90\00:02:09.23
a friend, or for a family
member that will make them
00:02:09.26\00:02:12.32
feel a lot better.
00:02:12.35\00:02:13.57
Melissa, who do you have here?
00:02:13.60\00:02:16.13
I have Shannon Jenkins...
00:02:16.16\00:02:20.83
Okay, we're going to start
by doing some neck kneading
00:02:20.86\00:02:25.53
and when you do this,
just support the head and
00:02:25.56\00:02:28.86
have them relax their neck and
then slowly knead the muscles
00:02:28.89\00:02:33.61
in their neck.
00:02:33.62\00:02:39.37
Oh, that looks relaxing and
good just to see it, doesn't it?
00:02:39.40\00:02:43.84
All the way up to
the base of their skull.
00:02:43.87\00:02:50.04
You can do this several times.
00:02:50.05\00:02:52.05
And once you're done with
that, you can do some squeezing
00:02:52.08\00:02:55.06
and hold the
muscle and let go...
00:02:55.09\00:02:59.39
squeeze the
muscle, hold it, let go...
00:02:59.42\00:03:09.21
and do this again up
to the base of the neck
00:03:09.24\00:03:11.99
And then do some lifting
at the base of the neck as if
00:03:12.02\00:03:14.56
you were going to
lift their head...
00:03:14.59\00:03:23.01
all the way around.
00:03:23.04\00:03:26.45
It looks as if Shannon is about
to go to sleep with this nice
00:03:26.48\00:03:29.16
relaxing massage...
00:03:29.17\00:03:31.15
You can do some squeezing of
the shoulder muscles as well.
00:03:31.18\00:03:34.65
This will relax...
00:03:34.68\00:03:37.46
That helps to relax the
neck and to make the whole
00:03:37.49\00:03:41.55
neck and head feel good.
00:03:41.58\00:03:44.71
Well let's say you've
got a headache or feel
00:03:44.74\00:03:48.46
strange in the head,
what can you do for that?
00:03:48.49\00:03:50.97
You can use a head massage...
00:03:51.00\00:03:53.45
just put your fingers on
the scalp and make some slow
00:03:53.46\00:03:58.86
circular movements on
the scalp, near the temples
00:03:58.89\00:04:07.29
I see you're working up to
the temporal muscles there.
00:04:07.32\00:04:11.36
Um hm... That's good.
00:04:11.37\00:04:14.08
They often get VERY tense...
00:04:14.13\00:04:16.25
And also in the back,
near the occipital muscles
00:04:16.29\00:04:22.26
you can do some of the same...
00:04:22.29\00:04:23.57
Ah ha... occipital
muscles get very tense
00:04:23.61\00:04:26.92
And then even where
there are no muscles...
00:04:26.96\00:04:30.24
The scalp itself gets tense.
00:04:30.27\00:04:31.75
Sure, cover the whole head.
00:04:31.76\00:04:33.71
I knew a masseuse one
time, who would actually
00:04:33.74\00:04:37.71
sort of scratch the
scalp a little bit and it
00:04:37.74\00:04:40.90
was very relaxing.
00:04:40.93\00:04:43.07
She would do the same
thing for the back and
00:04:43.10\00:04:45.29
the back would
relax very nicely.
00:04:45.32\00:04:49.69
Okay, so those are some
things that you can do for just
00:04:49.72\00:04:52.52
ordinary fatigue and tension.
00:04:52.55\00:04:55.61
Now, there are some serious
back problems that we treat
00:04:55.64\00:04:59.33
with an ice massage.
00:04:59.36\00:05:00.65
Can you show us, with Shannon,
00:05:00.68\00:05:02.84
just what is
involved with an ice massage.
00:05:02.88\00:05:06.04
And I see you've got
some ice here already.
00:05:06.08\00:05:09.21
And, let's see what's
going to happen here with...
00:05:09.24\00:05:12.47
Can you get your
sleeve up so that she can show
00:05:12.50\00:05:15.01
the ice massage on her arm.
00:05:15.04\00:05:18.20
Of course, we would not
do it on the back right now,
00:05:18.23\00:05:22.04
but you can
certainly do it on the arm.
00:05:22.07\00:05:24.58
What is your technique for that?
00:05:24.61\00:05:26.38
It is possible to
take a Styrofoam cup and
00:05:26.41\00:05:30.03
freeze water in it and then
just cut the base of the cup
00:05:30.06\00:05:33.06
and use that as a nice little
handle, and as that melts,
00:05:33.09\00:05:36.01
the ice will come
down in and you can ice
00:05:36.04\00:05:38.77
and massage with that...
00:05:38.81\00:05:39.83
But if you don't have that,
you can use just regular ice
00:05:39.87\00:05:42.85
that you'd get
out of the freezer...
00:05:42.88\00:05:44.20
just little cubes of ice.
00:05:44.24\00:05:45.51
And realistically, most
of the time, in the home,
00:05:45.55\00:05:47.71
you probably wouldn't
have a Styrofoam cup frozen
00:05:47.74\00:05:50.22
with ice... that's right.
00:05:50.25\00:05:51.47
So you'd need to
use the ice cubes...
00:05:51.50\00:05:54.80
Underneath her arm, we
have some towels here because
00:05:54.83\00:05:59.92
it tends to melt
and get everywhere.
00:05:59.95\00:06:06.74
Now notice that she is
just rubbing the ice directly
00:06:06.77\00:06:11.55
on the skin and you can
see there how she is doing that
00:06:11.58\00:06:15.04
At first, I can tell you what's
going to happen to Shannon
00:06:15.07\00:06:19.40
Her skin is, at first,
going to feel very, very cold
00:06:19.43\00:06:22.61
then unpleasantly
cold... then it begins to sting
00:06:22.64\00:06:25.91
and then it begins to burn...
00:06:25.94\00:06:27.69
and after a while, that occurs
over the first minute or so...
00:06:27.72\00:06:33.15
And after a little bit,
she is beginning to think...
00:06:33.18\00:06:36.08
"Well I really wish
this ice massage would stop"
00:06:36.11\00:06:39.12
But just about the time
she's ready to say that,
00:06:39.15\00:06:42.43
then the whole area
turns a very beefy red
00:06:42.46\00:06:47.24
And, I think I can see
just a little bit of whitening
00:06:47.27\00:06:50.69
that precedes the reddening.
00:06:50.72\00:06:52.54
You first see the
constriction of blood vessels
00:06:52.57\00:06:56.42
and then you see the
dilation of blood vessels
00:06:56.45\00:06:59.43
and when you see that dilation,
then you're beginning to get
00:06:59.46\00:07:03.05
a very nice treatment.
00:07:03.08\00:07:05.92
See the blanching there...
of the skin that comes from
00:07:05.95\00:07:10.39
the first whitening... that's
the thing that comes first,
00:07:10.40\00:07:14.36
and then, shortly on the heels
of that, will come the reddening
00:07:14.39\00:07:18.49
And that's what
you're looking for.
00:07:18.52\00:07:20.54
You just keep moving it.
00:07:20.57\00:07:21.82
Don't let the ice stay still,
or that might cause a little
00:07:21.85\00:07:26.30
frostbite... it's
unlikely but it might.
00:07:26.33\00:07:30.23
But just keep it
moving and pretty shortly,
00:07:30.26\00:07:34.35
you'll start
getting a little reddening.
00:07:34.36\00:07:36.77
You can see already...
a beginning of reddening
00:07:36.80\00:07:39.61
around the edges.
00:07:39.64\00:07:41.20
Now on the arm where Shannon
doesn't have any pain or ache,
00:07:41.23\00:07:45.70
it's not likely to cause
her to have much relief of any
00:07:45.73\00:07:50.11
kind of symptom but if
she were having a problem with
00:07:50.12\00:07:53.18
her back or an acute back
strain, or acute backaches,
00:07:53.21\00:07:58.07
or sprain, a sprained ankle,
or something of that nature
00:07:58.10\00:08:02.76
then what Melissa is doing
for Shannon, would indeed be
00:08:02.79\00:08:08.68
a very fine treatment.
00:08:08.71\00:08:11.01
All right... thank you, girls.
00:08:11.04\00:08:12.67
That's a very
nice demonstration.
00:08:12.70\00:08:15.57
You can already see
it getting nice and pink,
00:08:15.58\00:08:18.97
and it will turn beefy red
in the area where the ice is
00:08:19.00\00:08:22.86
and that's nicely cold!
00:08:22.87\00:08:26.49
All right... thank
you girls, so much.
00:08:26.52\00:08:28.26
I appreciate your showing
us this nice little massage.
00:08:28.29\00:08:33.29
Back massage, or an
ice massage anywhere
00:08:33.30\00:08:36.91
can be MOST beneficial,
and people who get it
00:08:36.94\00:08:40.77
can often be
almost cured with just one
00:08:40.80\00:08:44.44
application of the ice.
00:08:44.47\00:08:46.06
The length of time to continue
with rubbing with the ice
00:08:46.09\00:08:49.67
is about 12 to 15 minutes
for injuries that musicians
00:08:49.70\00:08:55.69
get... such as
people who play a harp,
00:08:55.72\00:08:58.36
or people who do plucking
of strings such as those who
00:08:58.39\00:09:05.05
play a guitar or a
mandolin, or one of those
00:09:05.08\00:09:10.99
kinds of instruments.
00:09:11.02\00:09:12.23
They often get injuries of
the hands and the hand will
00:09:12.27\00:09:15.83
swell and be very painful.
00:09:15.86\00:09:18.42
Sometimes they will
even get a trigger finger,
00:09:18.45\00:09:20.49
and for them, you can
also use ice in the form of
00:09:20.52\00:09:24.93
an ice water bath with
ice actually floating in it.
00:09:24.96\00:09:29.15
And the length of time then,
is 20 minutes in the ice water.
00:09:29.18\00:09:33.27
And because it isn't
pleasant to hold your hand in
00:09:33.30\00:09:35.58
ice water that long, the
person who is going to do it
00:09:35.59\00:09:38.63
actually needs to set
a timer because they'll
00:09:38.66\00:09:41.68
begin to think... "Well,
I've been in this ice water
00:09:41.71\00:09:43.61
for an hour or more...
00:09:43.64\00:09:45.20
when it's only been
about 10 or 12 minutes.
00:09:45.23\00:09:48.42
Now, a specialist in this kind
of thing is Dr. Winn Horsley
00:09:48.45\00:09:52.41
and he's one of our
staff physicians at Uchee Pines
00:09:52.44\00:09:55.57
and I have asked him to
help me talk with you about
00:09:55.60\00:09:59.42
backaches.
00:09:59.45\00:10:02.06
Dr. Winn, I was just looking
at this model of the vertebrae
00:10:02.09\00:10:08.33
and I am amazed at its design.
00:10:08.36\00:10:10.79
It is PERFECTLY designed to
do what our Creator intended
00:10:10.82\00:10:15.25
that it would do...
for man to walk ERECT...
00:10:15.28\00:10:18.09
in the ERECT position.
00:10:18.12\00:10:19.63
We don't walk on all 4's but
walk in the erect position and
00:10:19.66\00:10:23.71
this is so situated, that it's
just ideal for us to do that.
00:10:23.74\00:10:27.76
You know, when you
look at the human skeleton,
00:10:27.79\00:10:30.71
the human spine, you
get a quite marked change
00:10:30.74\00:10:35.60
in the size of the
vertebrae when you come down
00:10:35.63\00:10:37.80
from the neck, down to the
low spine... the lumbar spine.
00:10:37.83\00:10:43.00
They become quite a lot more
massive and it fits perfectly
00:10:43.03\00:10:50.15
with the fact that it's going
to be carrying more weight. Yes.
00:10:50.18\00:10:53.72
I don't think that you get
that same kind of gradation
00:10:53.75\00:10:57.07
in size... say, in a dog,
who's always got his spine
00:10:57.08\00:11:00.62
horizontal.
00:11:00.65\00:11:01.96
Yeah, they're much more
delicate in a dog. Um hm
00:11:01.99\00:11:04.96
And much more uniform.
00:11:04.99\00:11:06.84
Yes, that's what I was thinking.
00:11:06.87\00:11:09.33
Now, you know, it's interesting
the demands that are placed
00:11:09.36\00:11:13.74
on the spine.
00:11:13.77\00:11:15.50
As in all the body, you
want the bone to be tough
00:11:15.51\00:11:19.11
It's the material that
handles weight and handles
00:11:19.14\00:11:22.76
the forces of the muscles
and tendons to allow good
00:11:22.79\00:11:25.90
movement to take place.
00:11:25.93\00:11:27.41
In the spine, of
course, the bones, the vertebrae
00:11:27.44\00:11:32.19
must be able to
handle all that weight...
00:11:32.22\00:11:36.33
As a matter of fact, all
the way to the body above any
00:11:36.36\00:11:38.13
vertebral level must be
handled by that vertebra.
00:11:38.16\00:11:41.24
Well that's true
of this vertebra...
00:11:41.27\00:11:43.02
Let's say that we've
got it set upright here like
00:11:43.05\00:11:46.28
it would in my spine.
00:11:46.31\00:11:48.67
And then, of course,
this next vertebral level
00:11:48.70\00:11:51.67
must handle all the
weight above it, plus
00:11:51.70\00:11:56.10
this new added vertebra...
00:11:56.13\00:11:57.18
I mean we're further
down, so we've got more weight.
00:11:57.21\00:11:59.17
But what about the disk?
00:11:59.20\00:12:00.33
Ah ha... I see immediately...
00:12:00.36\00:12:02.56
It's got to handle
all that same weight
00:12:02.59\00:12:05.44
And so, the demand
that we put on disks
00:12:05.47\00:12:08.92
is equal in terms of strength
to what we expect in the bones.
00:12:08.95\00:12:15.06
BUT, we don't expect our whole
spine to act like one bone.
00:12:15.09\00:12:18.99
We expect to be
able to bend and move...
00:12:19.02\00:12:21.94
And all that movement...
it doesn't come from the bones
00:12:21.97\00:12:24.74
It all comes from the disks.
00:12:24.77\00:12:26.55
So we've got 2 rather
demanding requirements
00:12:26.58\00:12:29.30
on that disk material.
00:12:29.33\00:12:31.04
It must be
strong... Weightbearing
00:12:31.07\00:12:33.22
Secondly, it must be flexible.
00:12:33.25\00:12:35.79
It's got to move... It does.
00:12:35.82\00:12:37.40
So those 2 demands make
for kind of a special situation
00:12:37.43\00:12:44.77
for disk material...
00:12:44.80\00:12:46.48
And we should maybe get
into that in some detail
00:12:46.51\00:12:51.59
a little further along.
00:12:51.60\00:12:53.29
I've been looking at
these drawings that you've got
00:12:53.32\00:12:55.11
here on the board with great
interest... I'll be glad when
00:12:55.14\00:12:57.10
you get to that.
00:12:57.13\00:12:58.18
Well, I just wanted to say a
word about back pain in general.
00:12:58.21\00:13:01.24
In fact, this shows one
of the issues of back pain...
00:13:01.27\00:13:05.39
Do you see this
little reddish bulging area?
00:13:05.42\00:13:09.92
This is to symbolize that
some of this disk material
00:13:09.95\00:13:13.58
has bulged out of place.
00:13:13.61\00:13:16.45
It's now displaced and
you can see what it's putting
00:13:16.48\00:13:19.72
pressure on... this
yellow material is a nerve root.
00:13:19.75\00:13:24.41
We all know that in the spine,
you've got the spinal cord
00:13:24.44\00:13:28.87
running through behind
the vertebral bodies...
00:13:28.90\00:13:32.90
And the spinal cord is there
precisely to be able to give
00:13:32.93\00:13:37.01
nerve roots to go to
all the areas of the body.
00:13:37.04\00:13:39.14
Well this nerve root, in this
model, is going to be getting
00:13:39.17\00:13:43.02
pressure from
that bulging disk...
00:13:43.05\00:13:46.78
I'd like to point out some of
the beauty of the design of this
00:13:46.81\00:13:50.27
...that the spinal cord
is TOTALLY surrounded by bone
00:13:50.30\00:13:56.91
and yet this bone back
here, in the back part,
00:13:56.94\00:14:02.19
is not as massive as this that
is going to be weightbearing
00:14:02.22\00:14:06.17
And then these little
facets here, have mobility in
00:14:06.20\00:14:11.01
them too so that
they can move nicely.
00:14:11.04\00:14:15.80
And actually, you pointed
out this is not so massive here
00:14:15.83\00:14:20.52
but there is plenty of
protection for the spinal cord
00:14:20.53\00:14:22.59
because this is all
filled with muscle...
00:14:22.62\00:14:24.60
This is only a rather
limited model and the muscle
00:14:24.63\00:14:29.16
here fills in and
is a tremendous padding
00:14:29.19\00:14:31.92
for all the
underlying structures.
00:14:31.93\00:14:34.02
And then, in addition to that,
while we're on the topic of
00:14:34.05\00:14:38.14
structure, inside this canal
the spinal cord is not just
00:14:38.17\00:14:43.65
thrown in there
right next to bone,
00:14:43.68\00:14:45.82
it has 2 layers of
meninges and a layer of dura
00:14:45.85\00:14:51.11
on top of that, and then
the bone has its periosteum.
00:14:51.14\00:14:55.25
So, it is WELL insulated
and BEAUTIFULLY designed.
00:14:55.28\00:15:00.20
I'm just always
amazed at the design of bone
00:15:00.23\00:15:05.03
that shows Divine engineering.
00:15:05.06\00:15:07.74
There's no way that the limited
intelligence of a human being
00:15:07.77\00:15:13.44
could make something so
small and yet so functional...
00:15:13.47\00:15:17.33
and so varied and
everything that it has to do.
00:15:17.36\00:15:20.24
Well this topic of back
pain is a very practical one.
00:15:20.27\00:15:25.60
Back pain is such a big issue...
00:15:25.63\00:15:29.77
I don't think
most people realize it.
00:15:29.80\00:15:31.48
Most people have an episode
of back pain in the lives.
00:15:31.51\00:15:34.08
They say that 80% of people
are going to be incapacitated
00:15:34.11\00:15:38.60
for maybe a day or 2, so
that they might not even be able
00:15:38.63\00:15:42.42
to go to work
during their lifetime.
00:15:42.45\00:15:45.12
But, I don't know that
people realize what a tremendous
00:15:45.15\00:15:48.75
impact it has,
even on the economy.
00:15:48.78\00:15:50.86
Fifty percent of
workers' compensation
00:15:50.89\00:15:55.83
payments go out to low back
pain problems. Is THAT right?
00:15:55.86\00:15:59.09
So it's not just the
#1 cause, it's as much as
00:15:59.84\00:16:02.22
everything else put
together... I'm amazed.
00:16:02.25\00:16:05.44
We're talking about
something that's a terribly
00:16:05.47\00:16:07.57
practical problem.
00:16:07.60\00:16:09.88
Well, let's take a
look at what we have then...
00:16:09.91\00:16:16.47
in the back.
00:16:16.50\00:16:17.71
I think we could
go to the board here.
00:16:17.74\00:16:26.15
This gives a little bit more
of an idea of the structure...
00:16:26.18\00:16:30.98
Here are the 2 bones that
we showed in the model there...
00:16:31.01\00:16:34.87
the 2 vertebrae.
00:16:34.90\00:16:36.16
And here is the
disk in between them.
00:16:36.19\00:16:40.58
Now the disk is very
tough material on the outside
00:16:40.61\00:16:46.78
and then, it's kind
of creamy in the center.
00:16:46.81\00:16:50.09
Around the disk, I should
say in front of the whole spine,
00:16:50.12\00:16:56.46
you have a layer of material
that functions like a capsule
00:16:56.49\00:17:01.81
to the whole joint, and its
periosteum here in the spine
00:17:01.84\00:17:06.70
And then in back, you
have another structure...
00:17:06.71\00:17:12.62
Actually in front of
that periosteum, I should have
00:17:12.65\00:17:14.84
put other material...
it's a big heavy ligament
00:17:14.87\00:17:19.08
that's running up and down here,
00:17:19.11\00:17:21.33
and there's another one...
00:17:21.36\00:17:22.71
I couldn't show
it as heavy there...
00:17:22.72\00:17:25.07
I didn't leave myself enough
space, but if you can see the
00:17:25.08\00:17:27.35
green, that's
another firm ligament.
00:17:27.36\00:17:31.42
And, in behind that, I
put in red, are spinal cord.
00:17:31.45\00:17:37.45
Now let's go over here to
this cross section that I've
00:17:37.48\00:17:42.59
drawn of a disk...
00:17:42.62\00:17:44.37
Basically, this is what you
would see if you were to cut
00:17:44.38\00:17:49.05
straight through a
disk... like that. Um hm
00:17:49.08\00:17:52.42
So, here we see the tough
material... kind of layered...
00:17:52.43\00:17:57.15
several layers like
so, and then in the center,
00:17:57.18\00:18:01.94
you have this jelly-like center.
00:18:01.97\00:18:05.56
Now, someone may wonder...
00:18:05.59\00:18:07.48
We just talked about how
it's supposed to be so strong...
00:18:07.52\00:18:09.61
Why would the Lord
make it like a cream puff?
00:18:10.19\00:18:12.21
With a center like that...
00:18:12.24\00:18:14.95
Well, a person needs to
realize what human engineers
00:18:14.98\00:18:19.61
have been doing for
a long time and that is
00:18:19.64\00:18:22.13
...when you
contain liquid completely,
00:18:22.16\00:18:25.43
then it can
withstand tremendous pressures.
00:18:25.46\00:18:27.20
A hydraulic lift that lifts
a whole car or heavier vehicle
00:18:27.23\00:18:30.67
it's doing it with oil... Um hm
00:18:30.70\00:18:32.85
And the only thing you have
to have is a container that's
00:18:32.88\00:18:35.32
completely closed in.
00:18:35.35\00:18:36.38
Well here, the Lord
used that same principle.
00:18:36.41\00:18:38.65
You've got this tough material
that's all surrounding the
00:18:38.68\00:18:44.82
jelly-like center.
00:18:44.85\00:18:45.83
Well why have
something creamy in the center?
00:18:45.86\00:18:48.65
Well, there's
nothing more flexible
00:18:48.68\00:18:50.02
than liquid... That's true!
00:18:50.06\00:18:51.43
And so everyway we
turn, this central part has
00:18:51.46\00:18:53.90
no trouble at all adapting
completely to the shape.
00:18:53.93\00:18:56.80
Now this is a normal disk.
00:18:56.83\00:19:00.06
This is the way we would
like to see it always stay.
00:19:00.09\00:19:02.93
But what happens is, we
get some bad changes that occur
00:19:02.96\00:19:11.46
and here, really, we're talking
about a problem that happens
00:19:11.49\00:19:16.49
not only to disks, but to
all the material that's like
00:19:16.52\00:19:20.04
disks in the body.
00:19:20.08\00:19:21.19
And, now, the
disks are cartilage...
00:19:21.22\00:19:24.22
You may have, in your
work as a pathologist,
00:19:24.25\00:19:27.30
looked at
cartilage a fair bit...
00:19:27.33\00:19:29.74
And this is a special
cartilage, a fibrocartilage!
00:19:29.77\00:19:32.95
Fibrous tissue plus cartilage.
00:19:32.98\00:19:35.28
Okay... I think it
makes it particularly tough.
00:19:35.31\00:19:38.34
Ah ha... very tough.
00:19:38.37\00:19:39.56
But mobile too, but moveable
00:19:39.59\00:19:43.23
Yeah, it's a little pliable.
00:19:43.26\00:19:45.05
It's not
absolutely rigid. Right!
00:19:45.08\00:19:47.50
Well, the topic of
cartilage degenerating is really
00:19:47.53\00:19:53.30
a topic of osteoarthritis.
00:19:53.33\00:19:56.28
Really, the same kind of
problems that we're talking
00:19:56.31\00:19:58.70
about here in the
back, are going on in
00:19:58.73\00:20:02.26
all the other joints
in the body of many people
00:20:02.29\00:20:04.91
One of the things that
one sees, when we start
00:20:04.94\00:20:11.63
getting this degeneration
is cracks in this cartilage
00:20:11.66\00:20:15.13
and they'll run like so...
00:20:15.16\00:20:23.19
We can actually SEE that
under the microscope in a
00:20:23.22\00:20:26.03
degenerated disk. Interesting!
00:20:26.06\00:20:27.79
We can actually see
those tiny, little cracks.
00:20:27.82\00:20:30.44
Now, you may wonder...
00:20:30.47\00:20:32.15
why does that
kind of thing happen...
00:20:32.19\00:20:34.10
Well, you know, when you
talk about osteoarthritis,
00:20:34.13\00:20:37.50
a lot of doctors say it's
the wear and tear of years.
00:20:37.53\00:20:40.73
You know... as though
it's totally inevitable...
00:20:40.76\00:20:43.34
there's nothing
you can do about it.
00:20:43.37\00:20:44.71
But there really ARE
some things that we could say
00:20:44.74\00:20:48.37
that have been found to
point to the fact that it's
00:20:48.40\00:20:50.71
not just inevitable...
there are things in our life
00:20:50.74\00:20:54.91
that we have as habits
that lead us into that problem.
00:20:54.94\00:20:59.93
One of the points to note
is that smokers get a lot more
00:20:59.96\00:21:06.29
of these disk
problems than nonsmokers.
00:21:06.30\00:21:10.14
It's amazing! They get a
lot more skin wrinkling too.
00:21:10.17\00:21:14.91
Skin deterioration...
00:21:14.94\00:21:16.34
You know, some
people might wonder why...
00:21:16.37\00:21:19.58
It's kind of obvious that
if you're taking smoke into
00:21:19.61\00:21:22.56
your lungs, you're going
to be ruining your lungs.
00:21:22.59\00:21:24.72
Why would it affect
the rest of the body?
00:21:24.75\00:21:26.48
I think we can explain it
because it makes blood vessels
00:21:26.51\00:21:29.51
constrict... Blood
flow is not as good.
00:21:29.54\00:21:32.59
Another factor involved in
this kind of degeneration...
00:21:32.62\00:21:36.33
is the main disease that
afflicts us in this country
00:21:36.34\00:21:41.46
which is arteriosclerosis!
00:21:41.49\00:21:43.93
Where are your blood
vessels there in the disks?
00:21:43.96\00:21:46.69
Well, this is the
kind of subtle aspect
00:21:46.72\00:21:51.64
to all the joints in the body.
00:21:51.68\00:21:52.91
They have no blood
going inside the joints.
00:21:52.94\00:21:56.76
Cartilage in the one
tissue in the body that has no
00:21:56.79\00:21:59.30
blood flow.
00:21:59.31\00:22:00.42
Now of course, it, like
every other tissue depends
00:22:00.45\00:22:03.77
on the nourishment the
blood gives but the blood
00:22:03.80\00:22:06.21
ONLY gets to this
tissue that's on the outside...
00:22:06.24\00:22:10.91
Here, it would be
this periosteum...
00:22:10.94\00:22:15.52
this capsule around the joint.
00:22:15.55\00:22:17.44
And from there, it must
just seep in to basically the
00:22:17.47\00:22:21.23
watery type of fluid
that takes care of the joint.
00:22:21.26\00:22:24.51
Only the blood plasma ever
gets to the disk... That's it.
00:22:24.54\00:22:30.36
And it gets all of its
nourishment from the blood
00:22:30.39\00:22:33.50
plasma that comes to
it from a distance...
00:22:33.53\00:22:36.14
And, therefore, in a sense
it's more dependent on that
00:22:36.17\00:22:41.47
blood... if there's any
problem interrupting that chain,
00:22:41.48\00:22:44.64
it's going to be complaining
even sooner than other tissues.
00:22:44.67\00:22:48.44
Now, let me just finish
here what would happen if
00:22:48.47\00:22:56.96
let's say someone
is in this situation...
00:22:56.99\00:22:59.12
We've drawn one
here... one of these cracks
00:22:59.15\00:23:01.50
that only has a hair of tissue
holding it together at the end.
00:23:01.53\00:23:04.80
And so this person then leans
over maybe to pick up something
00:23:04.83\00:23:08.06
...a piece of
paper... A piece of paper!
00:23:08.09\00:23:10.22
This terrible, heavy work
injury appears... OOH OHH!
00:23:10.25\00:23:13.36
And he doesn't even
want to straighten up...
00:23:13.39\00:23:16.44
He doesn't want
to bend further...
00:23:16.47\00:23:17.48
He doesn't want to
move in any direction.
00:23:17.51\00:23:19.78
And, what we have is...
00:23:19.81\00:23:22.38
We've opened up this
crack and I think it's clear
00:23:22.41\00:23:28.44
to anyone looking at this...
00:23:28.47\00:23:29.65
Well now, the jelly-like
center can just go straight out
00:23:29.68\00:23:34.79
and, furthermore, this rather
tough material of the disk
00:23:34.82\00:23:40.83
is also now free
to make a move out...
00:23:40.86\00:23:44.05
It's not held in place.
00:23:44.08\00:23:45.80
So now, we can push...
first of all directly against
00:23:45.83\00:23:49.99
the ligament here in
back or the ligament in front
00:23:50.02\00:23:53.15
and that can be painful.
00:23:53.18\00:23:54.29
I could've said here,
that there really are no major
00:23:54.32\00:23:57.70
nerves... There
aren't a significant
00:23:57.73\00:23:59.85
amount of nerves in the disk.
00:23:59.88\00:24:02.01
So the person that
had... before we did this break,
00:24:02.04\00:24:04.96
final break, the person may
have been totally unaware that
00:24:04.99\00:24:07.32
he has a back problems.
00:24:07.33\00:24:08.61
But now, the ligament
definitely is sensitive
00:24:08.64\00:24:13.50
...He'll have pain
00:24:13.53\00:24:14.82
And then, of course, we could
get, what we showed on that
00:24:14.85\00:24:17.66
model, where it goes right
out against the nerve root.
00:24:17.69\00:24:20.02
He'll be VERY aware of pain
along the distribution where
00:24:20.05\00:24:22.97
that nerve goes... it
could be right down the leg.
00:24:23.01\00:24:27.09
Well, when this happens,
we could tell the person,
00:24:27.13\00:24:31.18
Well, he, you know, should
have been doing the right things
00:24:31.21\00:24:36.46
to avoid arteriosclerosis...
and some of those things of diet
00:24:36.49\00:24:40.69
Or, that he shouldn't
have been smoking, etc.
00:24:40.72\00:24:44.71
It might be a little
unkind to be rubbing all
00:24:44.74\00:24:46.85
that in at that time.
00:24:46.88\00:24:48.13
Is there something we can
do for a person that's in that
00:24:48.17\00:24:51.18
situation right
now? Well, there is!
00:24:51.21\00:24:55.72
And, just before calling on
someone to demonstrate this,
00:24:55.75\00:25:02.05
I want you to look again
at this picture here of the
00:25:02.08\00:25:06.67
spine...
00:25:06.70\00:25:08.22
I would like to just
turn to the side and show you
00:25:08.25\00:25:11.30
that this is actually showing
the spine the way I'm standing
00:25:11.33\00:25:14.77
now, the skin of
the back is here,
00:25:14.80\00:25:17.45
and I'll put that
up on the board...
00:25:17.48\00:25:19.92
Here is the skin of the
back running along here,
00:25:19.95\00:25:22.38
and, in fact, you can even
feel the bumps that correspond
00:25:22.41\00:25:25.18
to these bony
projections on your back...
00:25:25.21\00:25:27.52
if you don't have
too much padding there.
00:25:27.55\00:25:30.31
And, what we want to do
is somehow open up this space
00:25:30.34\00:25:38.86
a little
further... I'll show you why
00:25:38.89\00:25:43.47
These 2 vertebrae have
compressed this disk, so now
00:25:43.50\00:25:48.90
it is actually PUSHING OUT...
I hope this is clear enough
00:25:48.94\00:25:54.39
We're getting this disk pushing
out where it shouldn't be...
00:25:54.42\00:25:57.15
And we would like to
nudge that back forward and
00:25:57.18\00:25:59.83
OPEN up that space so that
it will all come back into place
00:25:59.86\00:26:05.76
We'll show that
with the girls, will we?
00:26:05.79\00:26:08.36
That's right... Let's
have them to come forward and
00:26:08.39\00:26:11.32
the last 1-1/2 minutes, we'll
show these nice little maneuvers
00:26:11.35\00:26:17.25
that they can do.
00:26:17.28\00:26:20.55
Okay. How do you position?
00:26:20.58\00:26:24.40
The first point would be
that we do it on a pillow
00:26:24.43\00:26:27.72
because the person might
not even want to straighten up
00:26:27.75\00:26:30.10
Now, as she gets more used
to lying down and there's no
00:26:30.13\00:26:32.87
weight on her spine,
we'll pull the pillow away.
00:26:32.90\00:26:34.93
Can we do that for you, Shannon?
00:26:34.94\00:26:36.65
Now this would have taken,
perhaps, many minutes to do.
00:26:36.68\00:26:39.95
Maybe 15... Might
be 15 or even more.
00:26:39.98\00:26:43.55
Now the next thing to do...
00:26:43.58\00:26:44.94
Notice we've got
some... just a minute Melissa,
00:26:44.97\00:26:48.73
we're going to just watch here
the position is, with a bit of
00:26:48.76\00:26:52.74
arching of the back
which tends to open this space.
00:26:52.75\00:26:56.02
Now the NEXT thing we'll
do, after a couple of minutes
00:26:56.05\00:26:58.64
at least in this position, will
be propping up on the elbows
00:26:58.65\00:27:03.85
Good... and that arches
the back further which opens
00:27:03.88\00:27:09.44
up this disk space more.
00:27:09.47\00:27:12.08
And then, finally,
we will be pushing UP,
00:27:12.11\00:27:16.19
and arching even further.
00:27:16.22\00:27:18.60
Okay, we might do several
repetitions of that. Okay...
00:27:18.63\00:27:26.25
Now, one further thing
that can be done is a person
00:27:26.28\00:27:30.46
can actually do some
work directly with pressure
00:27:30.49\00:27:33.23
on the spine,
right at the center...
00:27:33.26\00:27:35.29
Just apply and sort
of doing it oscillating
00:27:35.32\00:27:40.87
and doing several repetitions
of pushing, maybe 6, 8, 10 times
00:27:40.90\00:27:46.22
And that will open up
those disk spaces very nicely
00:27:46.25\00:27:50.56
so that, hopefully, the person
will not have a backache anymore
00:27:50.59\00:27:54.28
And we hope that you
will be blessed by the Lord!
00:27:54.31\00:27:56.49