Welcome back to the program.
00:00:01.36\00:00:02.70
I'm Nick Evenson
here with Dr. James Marcum
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and before the break, we
were talking about nerves...
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and Dr. Marcum, explain a
little bit more to me about
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how the nerves
affect our pain signals.
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Well this is going to be
a very important point for
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each of our viewers to
understand, as we talk about
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pain in this series - remember,
when a person has pain,
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there's a reason why and
we want to understand why.
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Pain creates stress on the
system and just that stress
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makes pain more dangerous
because it affects the brain.
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So stress affects every cell
in the body including the brain.
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How our brain perceives
and what it knows about pain,
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you know, it talks
about a response...
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For instance, if we know
this pain is not a big deal,
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if it's not going to kill
us, if we have that knowledge,
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we can handle pain much better.
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The body goes, "No, this is
just a little bitty ant bite,
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it's not going to kill
you, I can sort of turn off all
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all this effort
that I'm doing the pain,
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and then it
turns off the stress.
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So that's a
very important thing.
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Your brain is involved in pain.
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So the more you know about pain,
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the better you're
going to deal with pain.
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Then you'll want to think about,
"Well how does my provider
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deal with pain?"
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And the first thing
he's going to do is,
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hopefully, he is going
to say, "Well let's find
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the cause of pain - so
we're not treating a symptom."
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We want to treat a
cause and not a symptom.
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And, unfortunately,
modern medicine treats
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symptoms and not...
it's a money-maker. Yeah
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And we see all the
people that are taking pills,
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4 billion written
in the United States,
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more than all the
world combined. Wow!
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That's big time! Yeah
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And narcotics, the
death rate keeps going up
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because they're not
getting at causes and pain
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medicines, it's all
about risks and benefits.
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And sometimes, there
is a benefit to taking
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medicines for
the short-term. Right
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But if we can get
off it, that's the key.
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And then the next thing
is find the cause and then
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understand whether the
nerve itself is damaged.
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We call that a neuropathy.
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If the nerve itself is damaged,
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it's going to
experience pain differently.
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You know, for instance...
you don't get enough oxygen;
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you don't get enough water;
you don't get a right nutrient;
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you don't get enough rest.
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That nerve function is
going to be compromised.
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So the way it perceives pain is
going to be different as well.
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So those are all some
things that I really wanted
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our audience to understand.
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This will help
them as we move forward
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especially if they have
pain or if they want to help
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their neighbors
who have pains. Right
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Now, we have a lot of questions
that have come into our website,
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haven't we? Yeah, we sure do!
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The first one that
someone writes in is:
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"What is the
definition of chronic pain,
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and how to differentiate
acute pain from chronic pain?"
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Well, acute pain is
pain that goes away, okay?
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You find the
cause, it goes away.
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You sprained your
ankle, you rest it,
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eventually it goes away.
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That's more of an acute pain.
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We call that a nociceptive
pain because the nerve is fine,
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if you can get at the
cause which is usually
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resting it and let
it heal on it's own.
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That pain usually gets better!
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Chronic pain is a pain,
no matter where it's from,
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that goes on for a
long period of time
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or it's a pain that we
can't identify the etiology.
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Now when a person has pain,
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if a doctor can't
find out what it is,
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that doesn't mean
there's not a cause. Right
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He just hasn't
found out what it is.
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Many times the doctor
can't find out what the cause is
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because pain is
very complicated.
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Pain not only has to
do with what causes it,
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but how your
brain perceives pain;
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how your
emotional system is working;
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how your stress
system is working.
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You can have pain
just from chronic stress
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and emotional problems.
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You know, so pain is a very
complicated disease process.
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Right, and a lot
of different causes
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that could be playing a role.
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Yeah, and the most
common causes of pain are...
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There's chronic back
pain that's probably the #2.
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Chronic pain where we don't
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know the cause -
that's probably #1.
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Arthritis is
high up on the list.
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Headaches that's a
very common cause of pain.
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Nerve pain - you know
people have chronic nerve pain,
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these neuropathies that occur.
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And those are probably the
most common causes of pain.
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So chronic pain, pain
that goes on for a long
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period of time where we
don't know what the cause is,
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those are the
most common causes.
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And if they want to know,
they can go to our website:
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heartwiseministries.org
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we'd be happy to
answer their questions,
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and also, we have a
prayer page there, Nick,
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where we
actually pray for people
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because we believe
in the power of prayer.
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God can do things miraculously.
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Sometimes He helps us
through prayer right away.
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Sometimes He
teaches us how to take care
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of our body better, so
there are many ways that
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God can help in
this healing process.
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You know, on the
topic of chronic pain
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we have another
person who wrote in and asks:
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"What is the role of a
chronic pain specialist?"
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Well, we saw Dennis Ford and
he is a chronic pain specialist,
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and you want to pick someone
that's good like Dr. Ford.
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You don't want to
pick someone that will just
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give you a medication and how
do you know if someone is good?
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Well, they are usually board
certified in pain medicine.
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That's usually all they do.
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A lot of times, they
have specialties like Dr. Ford
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had a specialty in
anesthesiology which is
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so he knows how to inject
the pain medicines chronically,
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but I think a couple of
good things when you interview
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a pain specialist...
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You want a pain specialist
that will get at the cause,
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to teach you about
pain and the complexities
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like we've talked about.
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How the mental
status affects the pain.
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Also, I think it's
very important that you want
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someone that will get
at the cause of the pain,
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and try to minimize
the risks of the treatment.
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And there are many different
treatments for chronic pain,
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and we're going to get
into those as the series goes,
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but we want to minimize
the dangers and sit there and
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explain, you know, and
it's not a long-term thing.
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We just want to use this
until we can get at the cause,
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and I think cognitive
therapy is very important
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in the
treatment of chronic pain.
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What is cognitive therapy?
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Well that's
teaching a person's brain
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how to deal with chronic
pain because the more the
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brain knows, the less
stress and inflammation
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it turns on, the less it
makes the pain - it deactivates
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some of the
chronic pain stimuli.
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So to summarize that, it
sounds like cognitive therapy
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helps train the brain
how to respond appropriately
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to different levels of pain.
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For instance, it might
be whenever you have pain,
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take 10 deep breaths
because that turns down stress.
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It might be that
whenever you start having pain,
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maybe you laugh or
pray or turn on some music.
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Do something in the
brain that will help it
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turn on endorphins;
some of the chemicals...
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Oxytocin - that's another
chemical that helps fight
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chronic pain that
your brain turns on.
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And if you can start learning
your brain to turn on this,
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and handle the pain better,
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it's going to make it
less pronounced. Right
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So that's why I say a good pain
doctor will do all of those.
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So those are just some
general tips for someone.
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So who would go
to a pain doctor?
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Well, someone that usually they
can't find the cause of pain.
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You know, they
need a little expertise,
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and it's a lot of
people that go there,
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they're in chronic pain,
they can't find the cause
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of pain or they
have chronic back pain
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that no one seems to understand
how to solve it or arthritis.
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Those are the most common
referrals to a pain physician.
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You know, we've got
another question here,
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someone write in: "I've
taken narcotics for pain,
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is there any possible way to
get off of these medications?"
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You know, a lot of
people get hooked on these,
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and it's a real problem.
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Yeah and narcotics, you know,
there's a place for narcotics,
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and I've taken care of
patients with cancer pain,
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and that can be very
painful and sometimes
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the risk of a narcotic
is worth the benefits...
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But if someone is on a narcotic
and they have to stay on it
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because you can't get
at the cause of the pain,
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you want to take it very safely.
00:08:03.85\00:08:06.01
You want to try to
use other treatments
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so you don't have to escalate
the dose to keep the dose
00:08:08.82\00:08:11.42
as low as possible and you want
to tell them of the side effects
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especially it can turn
off the respiratory system;
00:08:14.96\00:08:17.83
it can slow the bowels...
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And then if you
can get at the cause,
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then you have a chance of
coming off the narcotics...
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And sometimes, if a
person has chronic back pain,
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sometimes there are other
modalities that can be used
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like a TENS Unit,
physical therapy, heat,
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the cognitive
ways that we mentioned,
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and sometimes they can be
turned down on the medications.
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Sometimes you can mix and match.
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You can use maybe a narcotic
with an anti-inflammatory.
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But the first thing we want
in the approach to pain, Nick,
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is we want, if possible,
to get at the cause of pain,
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and just the fact that
this person is on chronic
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pain medicines for
a long period of time,
00:08:55.56\00:08:57.80
just the fact that they want
to get off of the medication
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is a good sign. A step
in the right direction.
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A lot of people
take pain medications
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and they really
aren't in chronic pain.
00:09:05.47\00:09:07.74
They do it because of
that feel-good, that buzz.
00:09:07.78\00:09:11.05
They use it to block
out some of the world,
00:09:11.08\00:09:14.15
and if they keep
getting more and more,
00:09:14.18\00:09:15.62
that's when we
see the overdoses,
00:09:15.65\00:09:17.52
the real
problems that we get into.
00:09:17.55\00:09:19.49
So we're going to put this
person on our prayer list, Nick,
00:09:19.52\00:09:22.92
and we're going to pray
for them that they'll help
00:09:22.96\00:09:25.29
find the right people that will
00:09:25.33\00:09:27.03
help them get off this medicine,
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but I applaud them for
trying to work on this,
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and the first place I would
go, I'd say, "Yes, there's a way
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to get off pain medicines
and the first place to go
00:09:33.80\00:09:36.20
is the Ultimate Physician.
00:09:36.24\00:09:37.77
Ask God to help you find
the right people to help you
00:09:37.81\00:09:41.81
figure out ways you can
do this because sometimes
00:09:41.84\00:09:43.68
you're your own
best doctor. Yeah
00:09:43.71\00:09:45.61
Now, there's a lot of folks
that are always interested in
00:09:45.65\00:09:48.58
natural remedies
and I think that's a
00:09:48.62\00:09:50.39
great solution
when it's appropriate.
00:09:50.42\00:09:52.19
Is chronic pain a place where
00:09:52.22\00:09:54.82
natural remedies
can be appropriate?
00:09:54.86\00:09:56.32
Well, it is and sometimes
people with chronic pain
00:09:56.36\00:10:00.23
have chronic pain because
they're hurting themselves.
00:10:00.30\00:10:04.13
So one of the natural remedies
if you are hurting in the
00:10:04.17\00:10:08.77
arm is maybe to
quit using the arm.
00:10:08.80\00:10:10.97
You know, maybe rest and that's
one of the Biblical treatments
00:10:11.01\00:10:14.81
for life is, you
know, God taught us to
00:10:14.84\00:10:17.05
work 6 days and take a
day off and rest. Right
00:10:17.08\00:10:19.58
When we rest, the
body heals better.
00:10:19.61\00:10:21.92
Another thing is
nightly rest, Nick.
00:10:21.95\00:10:24.59
You know, we were
supposed to work in the day
00:10:24.62\00:10:26.59
and rest at night
because we can heal.
00:10:26.62\00:10:29.02
The circadian rhythms go down.
00:10:29.06\00:10:30.63
Some of the stress
chemistry goes down.
00:10:30.66\00:10:32.79
So we heal better
when we rest better.
00:10:32.83\00:10:35.23
So one of the best
natural remedies is just rest.
00:10:35.26\00:10:38.53
We talked about the nerves...
00:10:38.57\00:10:40.34
The nerves have to be
happy so they can heal.
00:10:40.37\00:10:43.51
And some of the
things that help nerves
00:10:43.54\00:10:45.51
are things just simple as water.
00:10:45.54\00:10:47.41
And getting
appropriate nutrition...
00:10:47.44\00:10:49.34
There are certain diets that
cause inflammation in the body.
00:10:49.38\00:10:52.41
We know that high fat and high
00:10:52.45\00:10:54.08
protein diets
cause inflammation.
00:10:54.12\00:10:56.28
We also know that
people that eat more whole food
00:10:56.32\00:10:58.72
plant-based nutrition, they
do better with inflammation.
00:10:58.75\00:11:02.62
There are natural things like
physical therapy that helps.
00:11:02.66\00:11:06.83
There is natural ginger
that is one of the things
00:11:06.86\00:11:10.50
that works for
chronic pain because
00:11:10.53\00:11:11.93
it is an anti-inflammatory,
sometimes that helps.
00:11:11.97\00:11:15.64
There are natural
things like prayer and worship.
00:11:15.67\00:11:19.54
Worship turns down
the stress chemistry,
00:11:19.57\00:11:22.04
that helps with chronic
pain, decreases inflammation.
00:11:22.08\00:11:25.31
Having healthy relationships,
00:11:25.35\00:11:27.45
one of the best
ways is laughing. Really?
00:11:27.48\00:11:30.52
Yeah, if I had a good
joke, I'd tell it to you,
00:11:30.55\00:11:33.22
but I'm not a funny person,
Nick, are you a funny person?
00:11:33.25\00:11:36.39
Do you have a joke
you could throw out?
00:11:36.42\00:11:37.76
I don't, I don't.
00:11:37.79\00:11:39.13
You know, I used to
do jokes with my kids,
00:11:40.13\00:11:43.20
but they never
thought it was funny.
00:11:43.23\00:11:44.77
Did you hear the
joke about the rope?
00:11:44.80\00:11:47.40
Uh uh... "Skip
it" - do you get it?
00:11:47.44\00:11:49.60
"Skip it," but anyway
the point is, Nick, is
00:11:49.64\00:11:52.51
laughter is the best medicine.
00:11:53.21\00:11:55.08
Chemically, it makes a
chemical called "endorphins,"
00:11:55.11\00:11:58.41
so there are a lot of
things that we can do.
00:11:58.45\00:12:00.95
Did you know that
when you have a pet,
00:12:00.98\00:12:02.48
that can help with
chronic pain. Really?
00:12:02.52\00:12:04.32
Yeah, you can look
at the pet and the pet
00:12:04.35\00:12:06.32
looks back at you... we
call that "eye-hugging."
00:12:06.35\00:12:09.29
And when you
eye-hug a pet like that,
00:12:09.32\00:12:11.06
you make a
chemical called "Oxytocin,"
00:12:11.09\00:12:13.36
go up in your
body... that helps with
00:12:13.40\00:12:15.40
inflammation and
chronic pain. Sure
00:12:15.43\00:12:17.13
Now those are all
little natural remedies.
00:12:17.43\00:12:20.07
Did you know that
getting out in the sunshine
00:12:20.10\00:12:21.94
helps with chronic pain?
00:12:21.97\00:12:23.67
Vitamin D can
help with chronic pain,
00:12:23.71\00:12:25.87
especially if it has to
do with bones and muscles.
00:12:25.91\00:12:28.34
So there's a host
of different things
00:12:28.38\00:12:30.15
that can treat chronic pain.
00:12:30.18\00:12:31.95
It sounds like the more we live
in harmony with God's design
00:12:31.98\00:12:35.12
and His plan for our lives,
00:12:35.15\00:12:36.48
the better off
we will be. Exactly!
00:12:36.52\00:12:38.02
We want to thank you
for joining us today.
00:12:38.85\00:12:40.79
If you have more questions,
Dr. Marcum would be happy to
00:12:40.82\00:12:43.32
answer them if you go
to: heartwiseministries.org
00:12:43.36\00:12:46.26
and visit the
"Ask the doctor page."
00:12:46.29\00:12:48.43
We will be back in just a moment
00:12:48.46\00:12:49.80
as Dr. Marcum
leads us with prayer.
00:12:49.83\00:12:51.17
Well I hope everyone has
learned at least a little bit
00:13:01.24\00:13:04.21
about pain today and I hope
no one is experiencing pain.
00:13:04.25\00:13:09.02
And we think about what
we learned today is that
00:13:09.05\00:13:11.45
if you have pain,
the key is to understand
00:13:11.49\00:13:14.29
the reason why
because long-term pain
00:13:14.32\00:13:17.46
creates stress on the
body which is so damaging.
00:13:17.49\00:13:20.50
Long-term stress hurts
every cell in our body.
00:13:20.53\00:13:24.30
So the key is to find
out why we're having pain,
00:13:24.33\00:13:27.54
and we want to always
turn to God for solutions...
00:13:27.57\00:13:31.84
especially when we're
having pain and I hope we've
00:13:31.87\00:13:34.01
learned a few
things about chronic pain;
00:13:34.04\00:13:36.18
the most common
causes of chronic pain.
00:13:36.21\00:13:38.41
We've talked about
arthritis and back pain,
00:13:38.45\00:13:41.92
and all these types of pain...
00:13:41.95\00:13:43.52
I'm hoping you're
not having that pain,
00:13:43.55\00:13:45.45
but if you are having
pain, we want to spend some time
00:13:45.49\00:13:48.56
and turn to the
Ultimate Physician who will heal
00:13:48.59\00:13:51.63
us in His time - so
let's bow our heads together...
00:13:51.66\00:13:54.96
Father in Heaven, We
want to pray for those
00:13:55.00\00:13:57.50
out there that are in
pain, Father, that You guide
00:13:57.53\00:13:59.97
them to people that can
help them and also we pray
00:14:00.00\00:14:03.24
for Your healing.
00:14:03.27\00:14:04.74
Please be with those
people that are having pain
00:14:04.77\00:14:07.44
and suffering today,
Father, and help them to find
00:14:07.48\00:14:10.05
peace and hope and
realize that You are the
00:14:10.08\00:14:12.78
Ultimate Physician who will
take away all pain in Your time.
00:14:12.81\00:14:16.58
This is our
humble prayer... Amen
00:14:16.62\00:14:20.26
Well, if you might
have more questions,
00:14:20.29\00:14:22.89
I invite you to go to
our website and that's
00:14:22.92\00:14:26.53
heartwiseministries.org
and I'd be happy to
00:14:26.56\00:14:29.76
answer your
questions about chronic pain.
00:14:29.80\00:14:32.40
We also have a prayer
section, and I think this is
00:14:32.43\00:14:35.50
the most important section
there is because if you have a
00:14:35.54\00:14:38.57
pain that you'd
like us to pray for,
00:14:38.61\00:14:40.74
we are there to help pray
for you, to encourage you,
00:14:40.78\00:14:44.71
and to give you hope and
let you know that there's
00:14:44.75\00:14:46.92
a God in heaven that wants
to be a part of your treatment.
00:14:46.98\00:14:49.95
Now we've started a pain
series, we've given the general
00:14:49.98\00:14:52.95
introduction today and our
next program we're going to be
00:14:52.99\00:14:56.09
talking about
specific parts of pain,
00:14:56.12\00:14:59.36
specific ways to deal
with specific etiologies.
00:14:59.39\00:15:02.03
So stay with us on
"The Ultimate Prescription,"
00:15:02.06\00:15:05.03
and we'll be back next time
wishing you the best of health!
00:15:05.07\00:15:09.17