Welcome back to the program
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I'm Nick Evenson
here with Dr. Marcum.
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And today we're
discussing back pain
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and in the first
half of the show,
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in case you're just joining
us we talked about back pain,
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and how it can be
a issue that deals,
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comes from posture
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or maybe we'll
lift something wrong
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and often the
nerves send signals
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from our muscles to our brain,
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telling us hey,
there is a problem here.
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And sometimes we don't listen.
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And sometimes we
don't listen, that's right.
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And that's a bigger problem
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and we're talking
about pain all over the body,
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in most of time, back
pain is not life threatening,
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like we see in chest pain,
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but back pain is
not life threatening,
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but if it's not attended to
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it can become a chronic
problem which can be worse.
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That's right.
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And unfortunately too
many people with back pain
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don't rest and
get the attention to
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and at the cost,
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so they end up on
the medicine path.
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Right.
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They're on anti-inflammatories,
muscle relaxants,
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pain pills that really
don't solve the problem
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and there is still out
working and doing things
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where they just
had some posture,
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some exercises, some stretching,
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maybe work on their nutrition,
you know, for their muscles,
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maybe work on some
massage, maybe some heat,
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maybe something else,
then the problem would go away
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but I've seen so many
people with a little back pain
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that the don't
take it seriously,
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they just take the
medicines and it becomes big,
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and before long, it is possible
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to become addicted to
these pain medications.
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Right, yeah.
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The narcotics,
people start taking them
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and then all of a sudden
they had to have it to survive.
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And that's one of the
points we want to bring out
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is be careful with the
treatment for back pain,
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because if you're
chronic on narcotics,
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this can be
something that's addicted
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and what you're gonna do
Nick, if you're 30 years old,
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and taking narcotics,
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you're gonna take it
the rest of your life.
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I hope not.
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So that's why you know
we made the point is early
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if you're having
a little back pain
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don't put it off, even
though it's not life threatening
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get it looked at now.
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Learn the things
and take the time,
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take the time to
learn how to stretch
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to learn how to
take care of your body,
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and to eat a better diet
so we get better blood flow,
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to drink more water,
so our muscles hydrated,
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to stretch more, or if
you're working at a desk,
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every hour walk
around your desk,
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you know to stretch
before you lift up things,
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just throw something
up if you can't do it.
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Those are the type
of preventive measures
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that might save a
serious problem down the road.
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Now do we have some
questions that have come in?
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Yeah, yeah.
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If you go to our
website heartwiseministries.org
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there's a number of
things we want you to do there.
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If you have a pre-request,
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if you're
experiencing back pain,
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we want to hear
about it and pray for you.
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So go to our website
at heartwiseministries.org
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and ask for prayer there.
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You can also ask the
doctor for medical advice
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and we encourage you to do that.
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And we got a list
of questions today
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that have come from our viewers
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and the first one is
from someone who asks
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what is a
kyphoplasty, I don't even know,
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what that is, I
never heard of it.
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What is a kyphoplasty?
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I'm gonna sort
of make it simple,
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but sometimes as
people get older,
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everything in the body
gets old at different speeds,
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you know, some people.
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My feet are getting older
faster than the rest of me.
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Some people unfortunately
it's their brain gets older
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and they have,
you know, dementias,
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some people
their bones get older,
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and some people, the
bones of the back get old
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and if we don't watch it,
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if we don't take care of
our back well with nutrition,
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you know, sometimes if you heard
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this term osteoporosis
when the bones get old,
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they get weaker.
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In fact then
when the bones get old
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sometimes they can
crack and they break,
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and if they broken in the back,
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that can be very painful.
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Bone pain is some of the most
terrible pain there is Nick,
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it's just terrible pain,
and if the spine has bone pains
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because of osteoporosis,
if we have a fracture,
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some people, when they get older
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they do get osteoporosis,
the bones are weak.
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So, it's just little
movements, little trauma,
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that normally they do fine with
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can cause a micro
fracture of the spine.
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And if you have a
fracture of the spine,
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that's really painful situation.
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Well kyphoplasty okay,
is actually a procedure
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where a radiologists or
some type of interventions
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will go in and
help that fracture
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by pointing sort of like cement,
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like super glow so the
bones, sort of, comes together.
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So it's the procedure that
can help really compression
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fractures do a lot better.
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But I want people not to
have compression fractures
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and I'm gonna ask a question,
Nick, who do you, you know,
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fractures that causes
pain especially in the spine,
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and I'm what animal you think
has the most healthy bones?
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I'm gonna say the
elephant. Perfect.
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Elephants have
very healthy bones.
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What did elephants do?
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Okay, well elephants,
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they had these big strong tusks,
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they don't have
fractures in their back,
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they get out and
exercise, they move.
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They move all the time.
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They drink lots of water, okay.
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They eat lots of
greens, calcium, and magnesium.
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In fact they eat about
200 pounds of greens a day
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and they get
out in the sunshine,
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vitamin D helps the
bone, that's a prohormone.
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So, those things
keep the bones of the back
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of an elephant well also
helps the tusk and other things.
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So, if it's good
enough for an elephant
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these are some things that
people can do for their back,
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that might prevent
them in their lateral years
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from having osteoporosis,
and having a micro fracture
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and having the
knee for modern medicine
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which could be a kyphoplasty.
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But if you haven't done this,
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and you had
these micro fractures
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and it might be
genetic a kyphoplasty
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is a place for modern medicine,
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it's can help with chronic pain,
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'cause we don't
want chronic pain,
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'cause it makes adrenaline,
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and it makes inflammatory
markers in cortisol,
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which raises a chance
of us having heart attacks
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and weakens our immune system,
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hurts our brains,
effects our entire body.
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So chronic pain
is not good either.
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So that's what a
kyphoplasty is, big name,
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basically thinking
about putting glue,
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glue the back together.
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Super glue for
the vertebra, huh?
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Super glue for the vertebra
so it doesn't hurt as much.
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And really the
procedure has very few risks,
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so it's a good procedure.
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Good, good.
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We've got
somebody else writes in,
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"I have had two
surgeries on my back
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and now take
chronic pain medications,
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how can I get off
of these medications?"
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Well, first I want
to applaud that person
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for wanting to
come off medications.
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And chronic back pain
is one of the worst causes
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of chronic pain there is,
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especially they've
had couple of operations,
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sometimes the cause
might not have been addressed
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whether that be nerve
damage or vertebral damage.
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And if that's the case
sometimes there's scar tissue
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that forms around the
nerves and things hurt a lot.
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But a couple of things you know
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most doctors don't want
you to be on narcotics forever.
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And so if you're
willing to do it, they say,
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listen maybe you can
try some physical therapy,
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maybe there is a device
that they put in the back
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called a TENS Unit
that's electrical stimuli
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that takes some pain
away from the nerves.
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Sometimes it can do things
like anti- inflammatories,
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there's an anti-inflammatory
that we can actually a cream
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that we can rub on the back
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and it doesn't get
into the blood stream,
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which make it less risky.
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There are some foods that have
anti-inflammatory properties,
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you know, especially
we heard about ginger,
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they might be able to
have improve back pain
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by improving their blood vessels
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by getting on a
whole food plant based diet
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get some greens
which makes nitric oxide,
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which makes our arteries bigger,
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so they get a better
blood supply to that area.
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Right, yeah.
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They might do some exercises
with the physical therapist
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or chiropractor that
might help their back
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and their doctor might be able
to taper down some medications.
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And I tell people sometimes
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it's better to
have a little pain
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than have no pain and
be on too much medication
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'cause all the medicines
you have to balance the risk
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versus the benefit.
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I don't know if any
medication or procedure
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that doesn't have
at least some risk.
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And you have to balance
the risk versus the benefit.
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So it sounds like,
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if we do things
like the elephant,
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get some light, eat foods
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that don't
increase inflammation,
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these are lot of
things that are found
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in God's original
design for our lives, right?
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Yup, and guess what,
more people than ever
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are sitting at computer desks,
00:08:05.45\00:08:07.25
more people that ever
have these cell phones
00:08:07.28\00:08:09.12
and are doing this.
00:08:09.15\00:08:10.59
And they're bending
over, and as they put strain
00:08:10.62\00:08:12.99
on their spinal cord
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and on the
muscles of their back,
00:08:14.56\00:08:15.89
they're gonna
have chronic back pain.
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And then if they don't
deal with it so much better
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to nip it in the bud
and not let it progress.
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But I see our
society doesn't do things
00:08:24.20\00:08:26.40
that promote back health.
00:08:26.43\00:08:28.10
So we're gonna
have more problems
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and that's why it's so important
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to educate on prevention
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as well as what
to do in emergency.
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Right, we got someone
else who wrote in and asks,
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"Is there a difference
between Oxycodone and Fentanyl?"
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Yeah, those are both
narcotic pain medications.
00:08:40.32\00:08:43.28
Okay.
00:08:43.32\00:08:44.85
And those are
used for extreme pain,
00:08:44.89\00:08:47.69
and both of them have
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their very
effective in taking away pain.
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Fentanyl was one
that can come in a patch,
00:08:51.93\00:08:54.46
so you don't
necessarily have to swallow it,
00:08:54.50\00:08:57.07
Oxycodone is a pill.
00:08:57.10\00:08:58.43
But they're both very strong
narcotic pain medications.
00:08:58.47\00:09:02.07
And if you are on those,
00:09:02.10\00:09:03.54
hopefully your
doctors talk to you
00:09:03.57\00:09:05.34
about how to take them correctly
00:09:05.37\00:09:07.24
about the risk and benefits.
00:09:07.28\00:09:08.84
But these are very
strong pain medicines.
00:09:08.88\00:09:11.11
We frequently see them
used in people with bone pains,
00:09:11.15\00:09:14.92
people with advanced cancers,
00:09:14.95\00:09:17.29
people with pain that
we can't do anything with.
00:09:17.32\00:09:19.95
And in that case,
sometimes these narcotics,
00:09:19.99\00:09:22.72
the benefits are worth the risk.
00:09:22.76\00:09:24.56
Yeah.
00:09:24.59\00:09:25.93
Because sometimes
the pain is so bad
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and the stress
from the pain is so bad
00:09:27.53\00:09:29.66
and damaging to the body
00:09:29.70\00:09:31.03
that is worth taking the
risk with these pain medicines.
00:09:31.07\00:09:33.03
Right.
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So there's some people
that benefit from them.
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Now there are other new
classes of the medicines,
00:09:35.87\00:09:38.64
I don't know if you
heard for chronic cancer pain
00:09:38.67\00:09:41.38
some people around the
world are using marijuana now,
00:09:41.41\00:09:44.38
some people are using
other deep breathing techniques.
00:09:44.41\00:09:47.12
So there's other
ways to look at it
00:09:47.15\00:09:49.48
and you have to
talk to your provider
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and who knows your
whole medical history
00:09:51.29\00:09:53.52
and they will decide
00:09:53.56\00:09:54.89
what is the
best regiment for you
00:09:54.92\00:09:57.66
and if the risk is worth
the benefits of each of these
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powerful pain pills.
00:10:00.13\00:10:01.46
Yeah.
00:10:01.50\00:10:02.83
You know we have
somebody else write in and ask
00:10:02.86\00:10:04.20
about the side effects.
00:10:04.23\00:10:05.57
"What are the side effects
of these narcotic medications?"
00:10:05.60\00:10:07.44
Yeah, and there are many.
00:10:07.47\00:10:09.04
Okay, I had someone come to me
00:10:09.07\00:10:11.47
that's been on some narcotics
for a long period of time
00:10:11.51\00:10:14.28
and now he's
having bowel problems,
00:10:14.31\00:10:16.75
the bowel slow
down the bacterial floor
00:10:16.78\00:10:19.31
has changed, he
subject to more infections
00:10:19.35\00:10:22.28
like diverticulitis,
the bowels can slow,
00:10:22.32\00:10:25.59
you can just get a
small bowel obstruction
00:10:25.62\00:10:27.49
it can depress
your respiratory system,
00:10:27.52\00:10:30.69
okay, so you
don't breathe as well,
00:10:30.73\00:10:32.59
some people that are on
really, really high doses,
00:10:32.63\00:10:35.03
can actually quit breathing.
00:10:35.06\00:10:36.87
It effects your brain Nick,
00:10:36.90\00:10:38.33
Narcotics effect
the way you think
00:10:38.37\00:10:40.30
and everyone
that's been on narcotics,
00:10:40.34\00:10:42.54
you know, even if
they're just done little bit
00:10:42.57\00:10:44.04
it does affect
the way you think.
00:10:44.07\00:10:45.74
And mix and match
and it can effect,
00:10:45.77\00:10:47.44
it lowers your blood pressure,
it slows your heart rate down,
00:10:47.48\00:10:50.71
it slows that and sometimes
00:10:50.75\00:10:52.41
another thing about narcotics is
00:10:52.45\00:10:54.45
if you have pain
from another source,
00:10:54.48\00:10:56.58
that you need to recognize,
00:10:56.62\00:10:58.05
all the sudden you
say, I don't recognize it,
00:10:58.09\00:11:00.26
because you're
on pain medicines.
00:11:00.29\00:11:01.62
Covered up.
00:11:01.66\00:11:02.99
Yeah, like, if you're
on so much pain medicine,
00:11:03.02\00:11:04.36
guess what, you
have a heart attack
00:11:04.39\00:11:05.73
and you might not
notice it as much,
00:11:05.76\00:11:07.10
'cause you're on so much
chronic back pain medicine.
00:11:07.13\00:11:09.60
So that's another
thing that's a risk,
00:11:09.63\00:11:11.77
but these medicines
have risk, I'm not saying
00:11:11.80\00:11:13.47
that they never should be used.
00:11:13.50\00:11:15.67
But we should be smart about
and if we can get it the cause,
00:11:15.70\00:11:19.24
and use less of that
00:11:19.27\00:11:20.61
and if there is other
modalities natural remedies,
00:11:20.64\00:11:23.38
different diets, we can induce
to use as little as possible
00:11:23.41\00:11:26.92
that I think is
gonna be the best plan.
00:11:26.95\00:11:29.22
And as you know what,
00:11:29.25\00:11:30.59
there are a lot
of people out there
00:11:30.62\00:11:31.95
that are in chronic pain.
00:11:31.99\00:11:33.32
That their pains
never gonna go away
00:11:33.36\00:11:34.92
and that they do need
to take these medicines
00:11:34.96\00:11:37.16
and that's why I'm so
glad that we can have a healer,
00:11:37.19\00:11:41.26
we can have a
relationship with Christ
00:11:41.30\00:11:43.10
who will bring us to
healing in our lives.
00:11:43.13\00:11:45.53
So we always have that hope
00:11:45.57\00:11:46.90
that no matter
how bad our pain is,
00:11:46.94\00:11:48.50
no matter how
bad our suffering is,
00:11:48.54\00:11:50.54
that some day
that will be better.
00:11:50.57\00:11:52.81
In fact, you know,
00:11:52.84\00:11:54.58
I think of the study in
the Bible about Stephen,
00:11:54.61\00:11:57.08
remember him?
00:11:57.11\00:11:58.45
Okay, at the end of his
life they were stoning him,
00:11:58.48\00:12:00.98
and I don't think he
was feeling a lot of pain,
00:12:01.02\00:12:03.99
because his
worship was so good, okay,
00:12:04.02\00:12:06.82
he up shifted his brain
00:12:06.86\00:12:08.19
turned down some of those
inflammatory stress mediators
00:12:08.22\00:12:11.09
triggers of pain,
00:12:11.13\00:12:12.46
so I definitely think
everyone in chronic pain
00:12:12.49\00:12:15.20
needs to be on a
good worship regiment.
00:12:15.23\00:12:18.10
And I think I
can make an argument
00:12:18.13\00:12:19.73
that worship is
a great treatment
00:12:19.77\00:12:21.84
for chronic pain.
00:12:21.87\00:12:23.20
whether that worship be
enviable study and prayer
00:12:23.24\00:12:25.97
by singing and praising
God, by serving other people,
00:12:26.01\00:12:29.34
there's many ways to worship.
00:12:29.38\00:12:30.71
But I think worship should be
00:12:30.75\00:12:32.58
a treatment of
every chronic pain,
00:12:32.61\00:12:34.58
especially back pain regiment.
00:12:34.62\00:12:36.12
Yeah.
00:12:36.15\00:12:37.49
Now if people want to learn
more about that idea of worship
00:12:37.52\00:12:40.66
and maybe nutrition,
00:12:40.69\00:12:42.52
and other things
that are from the Bible.
00:12:42.56\00:12:44.93
What's your thoughts on that?
00:12:44.96\00:12:46.39
I know you have new program
called Biblical Prescription.
00:12:46.43\00:12:47.76
Yeah, we had just
finished Heart Wise Ministries,
00:12:47.80\00:12:50.57
a new seven week
Bible study program
00:12:50.60\00:12:53.57
called Biblical
Prescriptions for Life.
00:12:53.60\00:12:56.64
And what we do is we take
the biblical prescription,
00:12:56.67\00:12:59.71
we find the science behind it,
00:12:59.74\00:13:01.81
and teach people how
to apply it to their lives
00:13:01.84\00:13:04.41
one step at a time.
00:13:04.45\00:13:06.31
And a biblical
prescription of life
00:13:06.35\00:13:08.68
will help every chronic pain,
00:13:08.72\00:13:10.65
you know no matter
where it's from the body,
00:13:10.69\00:13:12.02
because it treats every
cell, it improves every cell.
00:13:12.05\00:13:15.29
And we talk in that
series about how to drink water,
00:13:15.32\00:13:18.36
and then we
focus on living water.
00:13:18.39\00:13:20.10
But the exciting
thing is at the end,
00:13:20.13\00:13:21.73
we show the
physiology of worship.
00:13:21.76\00:13:24.23
How worship
independent of anything else
00:13:24.27\00:13:26.70
changes the brain,
turns down inflammation,
00:13:26.74\00:13:30.21
turns down adrenaline,
and things that cause pain
00:13:30.24\00:13:32.81
and help create us a new mind
00:13:32.84\00:13:34.61
which can
retrain neuron- pathways,
00:13:34.64\00:13:36.64
that maybe deal
with pain better.
00:13:36.68\00:13:38.58
So I think it's a great series
00:13:38.61\00:13:40.45
for people that
have pain in the back,
00:13:40.48\00:13:42.35
that have pain anywhere.
00:13:42.38\00:13:43.72
Now acute pain in the chest,
00:13:43.75\00:13:45.25
we know we get
the help right way,
00:13:45.29\00:13:46.76
then we fall back
but chronic back pain,
00:13:46.79\00:13:48.96
for chronic anything pain,
00:13:48.99\00:13:50.33
this is another
treatment regiment
00:13:50.36\00:13:52.16
that I think is very valuable.
00:13:52.19\00:13:53.53
Yeah.
00:13:53.56\00:13:54.90
Doing these lifestyle changes
00:13:54.93\00:13:56.26
and doing them not
just for ourselves,
00:13:56.30\00:13:58.30
if we're doing them,
00:13:58.33\00:13:59.67
because this is the way
that God designed us to live
00:13:59.70\00:14:01.10
and we want to honor him,
00:14:01.14\00:14:02.47
that's the best
path to heal, anyway.
00:14:02.50\00:14:04.67
Yeah, and I think, you
know, yes it is the best path,
00:14:04.71\00:14:07.24
and getting back to
original design, moving,
00:14:07.28\00:14:09.48
if we do have back pain,
00:14:09.51\00:14:10.85
get it treated right
away, get it evaluated,
00:14:10.88\00:14:12.71
if you need
special testing, do that,
00:14:12.75\00:14:15.15
and if we do that early on
00:14:15.18\00:14:16.52
we might save ourselves
some grief down the road,
00:14:16.55\00:14:19.02
I think it's very important.
00:14:19.05\00:14:20.39
Well, Dr. Marcum,
thank you for sharing.
00:14:20.42\00:14:21.76
My pleasure.
00:14:21.79\00:14:23.12
If you have questions,
please visit our website
00:14:23.16\00:14:24.49
at heartwiseministries.org
00:14:24.53\00:14:26.56
where you can learn more about
00:14:26.59\00:14:27.93
Biblical Prescriptions for Life,
00:14:27.96\00:14:29.30
you can request prayer,
00:14:29.33\00:14:30.67
and you can ask your
health questions to the doctor.
00:14:30.70\00:14:32.53
We'll be back in just a moment.
00:14:32.57\00:14:33.90
I hope no one out
there is having a back pain,
00:14:44.08\00:14:46.72
but if you are
get treatment early,
00:14:46.75\00:14:48.85
get some help
00:14:48.88\00:14:50.22
and try to do some
of the natural things
00:14:50.25\00:14:52.05
you heard about today
00:14:52.09\00:14:53.42
to maybe not need
as much medication.
00:14:53.46\00:14:55.69
Let me pray for you right now.
00:14:55.72\00:14:57.73
Father God, we want to pray
for all those that are in pain,
00:14:57.76\00:15:00.20
whether it'd be the
back pain or anywhere else
00:15:00.23\00:15:02.26
that you'd be close to them
00:15:02.30\00:15:04.10
and enhance their worship Father
00:15:04.13\00:15:06.03
because worship is
a treatment for pain.
00:15:06.07\00:15:09.00
Be close to them Father
00:15:09.04\00:15:10.44
and thank you for your promises
and for being our friend.
00:15:10.47\00:15:13.61
These things we
ask in thy name, Amen.
00:15:13.64\00:15:17.85
Well, if you have
more questions about pain,
00:15:17.88\00:15:20.05
I want you to go to our
website heartwiseministries.org
00:15:20.08\00:15:23.99
wishing you the best of health.
00:15:24.02\00:15:26.05