Welcome back to the program.
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I'm Nick Evenson,
here with Dr. James Marcum.
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And on today's program
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we're discussing
muscle aches and pains.
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You know, there's a
lot of different reasons
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as we discussed
before Dr. Marcum
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overuse, stress, lack of water,
those can all be common causes
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and we've had a lot of people
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write in with
questions to our website.
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And if you have a question,
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we want you to visit at
heartwiseministries.org.
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You can ask the
doctor your questions.
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You can submit prayer
requests for your health issues,
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and we encourage
you to visit the website
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and give us some feedback.
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Dr. Marcum...
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Before you go to those,
I'm gonna interrupt you here.
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Okay, let's hear it.
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I just got an
epiphany, a thought
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which just crossed my brain.
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You know we
talk a lot about pain
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and a lot of people are
out there that have pain.
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But I really think
if you break it down
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and you think about it logically
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and you understand a
little bit about pain
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where it's coming
from, what's causing it,
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I think that
lowers your stress level.
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Yeah.
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You know, it turns off those
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what we call worry,
stress, anxiety type pain.
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Remember that text
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the biblical
prescription in Philippians,
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"Be anxious about nothing."
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When we're anxious,
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it creates all
of these chemicals
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that make it more
likely to have pain,
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and if we have pain it
makes it that much worse.
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Yeah.
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And then we don't think
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with the higher
part of our brain
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which actually has more control
over pain than the lower part.
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See, if you were really tuned
into the higher parts of brain,
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we can understand and we
can actually turn off pain.
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Have you ever seen
people that are so focused
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that on something's
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that they turn
off pain pathways.
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I don't know if
I recognize that.
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Okay, okay, but anyway,
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you know, we think
in the Bible about,
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you know, how God
worked with people.
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And you know, I do
think that the people
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that are so tuned in
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and they have
really good brain health,
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really good worship health,
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I think that only
helps deal with chronic pain
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including all these pains
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we've been talking
about, muscle pains.
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And as they learn more about
it and they know how to avoid it
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and how, what to
do if they get it
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and what the
algorithm is in knowing.
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And then there're some people
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that will never get
rid of all their pain.
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Right.
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But that's why we're
so glad that we have a God
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that's a ultimate
physician that's gonna heal us,
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it's just where, when and how.
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And everyone out
there can have hope
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that there's a God,
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that if you have a
relationship with Him,
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He's gonna work things
out for you in your life.
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And that gives such
hope and just that hope
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and that reassurance helps
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cope with the pain
we might be having.
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And we just talked about
some of the physical pains,
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but there's mental pain
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that's a real
issue as well, Nick.
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Yeah, that's right.
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So now we can
get to the questions.
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All right now...
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The epiphany,
the epiphany is over.
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That was a good epiphany.
That was a good epiphany.
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Yeah, just hit me there,
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you know I don't
know where it came from.
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So yeah, it's a good
thought because sometimes
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when we're not in control
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and we don't
know what's going on,
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it's easy to just
get more stressed out
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on the whole just
causes worse problems.
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It's like a snowball. Yeah.
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A snowball, but
when we, our brain,
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we let our brain control
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and we turn it over
to God right up front...
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That's right.
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Say God, you
know, we worship You,
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I know that worship's
gonna help me get through this.
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I know there's real
chemistry behind worship
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that deals with
stress and chronic pain.
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Let me jump in that
first and get that going.
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Because even if we
can't understand it,
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if we just trust in
God and have peace...
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Yes.
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That will help
us physiologically.
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A healing belief. That's right.
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A healing belief.
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There's real
chemistry even though
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we can't explain it.
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That's right, that's right.
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Well, let's get to a
few of these questions
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on muscle pain.
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The first one is
from a viewer who asks,
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what is the
treatment for a muscle spasm?
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Okay.
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So first, what is a muscle spasm
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and what causes the spasms?
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Yeah.
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You know, muscle
spasms is just what it says,
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the muscle spasm, it contracts
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when you're not
telling it to contract.
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Okay, it usually
balls up and it hurts.
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Yeah. Okay.
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The first thing is you
know, if you have it, you know,
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you're not gonna say,
well, what's causing my...?
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No, you want to do
something right now.
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Right, yeah.
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And the things that you
can do right now is usually
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stretching it into a position.
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You know, you've
seen in the leg cramps
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how you change the
position of the foot.
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A massage helps with that. Yeah.
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Ice will also help with that.
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And then once you get
it to go away, you know,
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fluids will help.
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Then you say what
caused it to happen,
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overuse,
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I'm not having enough water,
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I'm not having
enough electrolytes,
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those are some of
the more common causes
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of acute spasm.
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So is the spasm the
some thing as a cramp?
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Yes. Okay.
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Cramp, spasm,
we're talking the same...
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Same kind of thing.
The same verbiage, Nick.
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Except one's a little bit higher
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and you know spasm.
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You know, and the other one's
a little bit lower in cramp.
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And we're counting.
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But it's the same verbiage.
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But those are the, you
know, the stretch to relieve
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that spasm to take
pressure off the muscle.
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And then of course, you know,
massage to sort of work that,
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you know, that muscle,
you know, that's contracting,
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work that contraction out.
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Yeah.
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You know, some can be so bad,
it's like a really solid muscle
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that's like really
cramping so you can feel
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a ball of muscle
there that's contacting.
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It's kind of a knot.
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Well, it's not
supposed to be doing that.
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Right, right. Yeah.
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Another viewer
writes in and asks
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when should muscle pain
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prompt a visit to
the emergency room?
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Yeah, that's a good question,
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I think we
alluded to that earlier.
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If you have, you
know, severe, you know,
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these severity
hydration, you going on a walk,
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you pass out.
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But you know people are
gonna take you there anyway.
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Yeah.
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If you find grandma that's been
on the floor for three days,
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you know that's a trip
to the emergency room to see
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if they have muscle breakdown.
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Right.
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But as usually the bane
what I wanna tell people
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is if you find someone
with a stick stiff neck,
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muscle pain in
the neck and a fever,
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that could be a
serious infection
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called meningitis.
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So that's muscle pain,
stiff neck and a fever,
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that could be a
meningitis type situation.
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That would be a trip
to the emergency room
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to get that treated right away.
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Right, right.
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What are some...
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So that's a trip
to the emergency room.
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That's right.
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There're different places to
go when you have muscle pains.
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That's right. That's ER.
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So I was gonna ask, if
you're gonna stay at home,
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what are some of the things
you can do if your situation
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is deemed not serious
enough to go to the ER?
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What are some things
you should try at home?
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Okay.
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Well, you know to self
treat it rest it, massage it.
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Hydrate it.
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Hydrate it, put some ice on it,
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compression and we have this
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and we call it
the RICE treatment.
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Okay, the RICE treatment
rest, ice, compress, elevate.
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Okay.
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Okay, if that, now what
would require muscle pain
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and a trip to
the doctor's office?
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Now I'm not telling
you the emergency room,
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a doctor's office.
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If you have a rash with
it with muscle aches, okay,
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a tick bite, you've
heard of rickettsia and lymes
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that can sometimes a tick
bite can cause muscle aches.
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Okay.
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If the muscle aches
lasts longer than a week, okay.
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If it's a combination of
the muscles red and has pain
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those might be the
trips to the doctor
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to dilate a little bit more.
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Okay.
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So that sort of let you
know which one should you do it
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at home RICE, what you do
if it's little more involved
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because of the doctor and
then if it's a lot involved
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you know, this extreme weakness,
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stiff neck then maybe
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that's a trip to
the emergency room.
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Right, so another viewer asks,
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what tests might
help diagnose muscle pain,
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say at the doctor's office?
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Yeah.
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Well, one of the
test that help a lot.
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When a muscle breaks down,
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it spits out
protein into the blood
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because the
muscle is breaking down.
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Okay. Mm-hmm.
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And so we can measure
the muscle products in it,
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and one of the ones
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we measure is
creatine phosphokinase or CPK.
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Okay.
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Sometimes we can have,
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when we have muscle break down,
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we can have
elevated inflammation.
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We can measure
that with a sed rate.
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If we think the
muscle is breaking down
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for lots of overuse,
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we can see if there's
lactic acid doses developing.
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But that is
severe, a severe case.
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Sometimes when
there's cancer in the body
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and the cells are metabolically
turning over quickly.
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Uric acid in the blood
might be a clue for that.
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If we think that the body
is attacking itself, you know,
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fibromyalgia or some of those.
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We can measure
chemicals like that.
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One that we measure is
called "antinuclear antibody,"
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ANA we can do that too.
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And then there are some diseases
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we haven't talked
about where the muscles aches
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and there's
diseases in the muscle.
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You've heard and we
haven't talked much about these
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conditions like
muscular dystrophy.
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You know, other
things that are going on
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where the brain
can't control the muscles.
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We can diagnose those things
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with test like electromylogram.
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We measure how
the muscle contracts,
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where we can do a biopsy
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to see if there
is some inherit thing
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wrong with the muscle.
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Some infections can make
the muscles very, very weak.
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I wrote a paper
years ago about a patient
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that presented
with polymyositis, okay.
00:08:43.49\00:08:46.76
He was a young person that
was, his muscles were so weak
00:08:46.79\00:08:50.33
that he couldn't
even brush his hair.
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That's how weak
all his muscles were.
00:08:52.79\00:08:54.46
And we went
through all of these causes
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and they were weak
and they were sore.
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And usually they're not
sore, they're just weak.
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And his cause was he had
AIDS, he had an HIV infection
00:09:00.54\00:09:04.07
and that was
causing all these muscles
00:09:04.11\00:09:05.71
all over the body.
00:09:05.74\00:09:07.08
He wasn't sore
but they were weak.
00:09:07.11\00:09:08.44
Right, yeah.
00:09:08.48\00:09:09.81
So those are some simple things
00:09:09.84\00:09:11.18
that we can do
to sort of diagnose
00:09:11.21\00:09:13.15
what these muscle problems
00:09:13.18\00:09:14.52
and whether they're real serious
00:09:14.55\00:09:15.88
or it's something
that's gonna pass.
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Now you mentioned
lactic acid doses earlier.
00:09:17.59\00:09:20.36
I ride bikes a lot
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and we always
hear about something
00:09:21.76\00:09:23.26
called lactic threshold
and it's usually associated
00:09:23.29\00:09:25.79
where your heart rate
gets up to a certain number
00:09:25.83\00:09:29.56
where you're
producing more lactic acid
00:09:29.60\00:09:31.50
than your blood
stream can clear.
00:09:31.53\00:09:33.23
Is that same thing?
00:09:33.27\00:09:34.60
That's the same
thing and then guess what?
00:09:34.64\00:09:35.97
And why is that dangerous?
00:09:36.00\00:09:37.34
Well, because you
change the pH in your body.
00:09:37.37\00:09:40.08
Yeah, more acid.
00:09:40.11\00:09:41.44
Yes, more acidic, sometimes
you can't breathe fast enough
00:09:41.48\00:09:44.68
to burn off the acid.
00:09:44.71\00:09:46.05
And then the muscle
can actually break down
00:09:46.08\00:09:48.52
under acidotic conditions.
00:09:48.55\00:09:50.45
So you can't exercise too much.
00:09:50.49\00:09:53.82
Yeah. And it's sort of rare.
00:09:53.86\00:09:55.59
But for instance,
00:09:55.62\00:09:56.96
that's why people that exercise,
00:09:56.99\00:09:58.33
they have to make sure
they get their glucose,
00:09:58.36\00:10:00.80
they have to make
sure they get their water,
00:10:00.83\00:10:02.56
they make sure
that there's a rest.
00:10:02.60\00:10:03.93
And if they
start having symptoms
00:10:03.97\00:10:05.53
just stop, don't do it.
00:10:05.57\00:10:07.20
Don't do it, it's not
worth becoming dehydrated,
00:10:07.24\00:10:09.57
because a lot of
people don't realize it, Nick,
00:10:09.60\00:10:11.21
but when their
extreme exercises,
00:10:11.24\00:10:13.27
your temperature
00:10:13.31\00:10:14.64
because your metabolism goes up.
00:10:14.68\00:10:16.01
Right.
00:10:16.04\00:10:17.38
And that high metabolism
starts to break down things.
00:10:17.41\00:10:19.35
Remember the body operates
00:10:19.38\00:10:20.98
under a fairly
narrow temperature range.
00:10:21.02\00:10:23.35
Hmm, right.
00:10:23.39\00:10:24.72
So when you go above 102 degrees
00:10:24.75\00:10:26.09
above that hyperthermia, okay.
00:10:26.12\00:10:27.96
If you, your body can't
regulate that temperature,
00:10:27.99\00:10:30.59
you start breaking down.
00:10:30.63\00:10:32.19
Your brain doesn't think well,
00:10:32.23\00:10:33.90
you start breaking
down the body parts...
00:10:33.93\00:10:35.86
Your organs will
quit functioning as well.
00:10:35.90\00:10:37.30
Acid doses, it
could be real serious
00:10:37.33\00:10:39.07
because hyperthermia is
not a good thing to have.
00:10:39.10\00:10:41.90
Yeah.
00:10:41.94\00:10:43.27
But a little bit of rest
00:10:43.30\00:10:44.64
before you get to
those serious stages.
00:10:44.67\00:10:46.01
A little bit of rest will help
reduce that lactic acid doses.
00:10:46.04\00:10:47.84
Yes, rest,
hydration get your body,
00:10:47.88\00:10:51.38
give it what it needs basically.
00:10:51.41\00:10:52.75
All right. All
right. Don't abuse it.
00:10:52.78\00:10:54.32
All right, let's talk about
00:10:54.35\00:10:55.68
just a few general
suggestions for muscle health.
00:10:55.72\00:10:57.72
We've talked about rest
and trying not to overuse them,
00:10:57.75\00:11:00.06
what are some of
the few other things.
00:11:00.09\00:11:01.42
We talked about water.
00:11:01.46\00:11:02.79
Yeah, water, resting,
00:11:02.82\00:11:04.16
don't overdo it, lots of greens,
00:11:04.19\00:11:06.23
greens and beans,
muscles like that...
00:11:06.26\00:11:08.33
Mmm, Good nutrition.
00:11:08.36\00:11:09.70
Kind of stuff, stretching
as we go through life.
00:11:09.73\00:11:11.63
Simple things like making sure
00:11:11.67\00:11:13.23
your hormonal levels are
good especially vitamin D level,
00:11:13.27\00:11:16.17
all the things of that.
00:11:16.20\00:11:17.54
Those are just
some general things
00:11:17.57\00:11:19.27
that might help.
00:11:19.31\00:11:21.31
Some people get
severe muscle pain
00:11:21.34\00:11:23.24
and they need something
to help them over the hump.
00:11:23.28\00:11:25.18
And I think an occasional
use of a non steroidal
00:11:25.21\00:11:28.78
like you might get
at over the counter
00:11:28.82\00:11:30.49
just for one or two
doses might help that as well.
00:11:30.52\00:11:33.76
And then if pain
doesn't go away, you know,
00:11:33.79\00:11:35.76
like the times we
cause, see your doctor.
00:11:35.79\00:11:38.09
Yeah, sound like
some good advice,
00:11:38.13\00:11:40.16
and I'm gonna try
and take it to heart
00:11:40.20\00:11:41.53
and make sure I
don't overuse my muscles.
00:11:41.56\00:11:43.67
Thank you for joining
us on today's program.
00:11:43.70\00:11:46.17
Visit our website at
heartwiseministries.org.
00:11:46.20\00:11:48.84
There's a lot of
good health articles
00:11:48.87\00:11:50.21
that Dr. Marcum
has written there,
00:11:50.24\00:11:51.57
radio programs,
00:11:51.61\00:11:53.44
prayer form where
you can ask for prayer,
00:11:53.48\00:11:55.01
and you can also ask
the doctor your questions.
00:11:55.04\00:11:57.78
Visit the website
00:11:57.81\00:11:59.15
and we'll be
back in just a minute
00:11:59.18\00:12:00.52
with Dr. Marcum's
closing with prayer.
00:12:00.55\00:12:01.88
I hope you've been learning
00:12:12.53\00:12:13.86
a little bit about
pain in this pain series.
00:12:13.90\00:12:16.30
We've been talking about
pain from all over the body.
00:12:16.33\00:12:19.33
After you have made a
lot of programs about health,
00:12:19.37\00:12:21.80
sometimes it's little
bit more challenging to find
00:12:21.84\00:12:24.17
something that's interesting
and helps our viewers,
00:12:24.21\00:12:26.71
but I hope this is helping you
00:12:26.74\00:12:28.21
and I hope you learned a
lot about muscle pains today.
00:12:28.24\00:12:31.95
Now what are the
take home points?
00:12:31.98\00:12:33.88
Well, lets prevent muscle pains
00:12:33.92\00:12:36.52
and the way we do
that is by drinking water,
00:12:36.55\00:12:39.32
eating a healthy diet,
00:12:39.35\00:12:40.69
lots of greens,
moving our parts,
00:12:40.72\00:12:43.36
making sure we
don't overuse them
00:12:43.39\00:12:45.99
and taking good care of them
00:12:46.03\00:12:47.43
making sure we
don't put toxins on them.
00:12:47.46\00:12:50.23
Well, if we have
muscle pains it's unexplained,
00:12:50.27\00:12:52.97
we need to see the doctor.
00:12:53.00\00:12:54.54
Specific pains
that are worrisome,
00:12:54.57\00:12:56.30
if pain with
fevers, pain with rashes,
00:12:56.34\00:13:00.14
those are things that
we want to look at sooner.
00:13:00.18\00:13:03.35
You might want even go
00:13:03.38\00:13:04.71
to the emergency
room if you have pain
00:13:04.75\00:13:07.32
and you're passing
out or you can't breathe.
00:13:07.35\00:13:10.05
Those are some big time pains.
00:13:10.09\00:13:12.62
We've learned a lot today.
00:13:12.65\00:13:13.99
Let me say a
prayer for all those
00:13:14.02\00:13:15.72
that might need
a special blessing.
00:13:15.76\00:13:17.33
Let's bow our heads.
00:13:17.36\00:13:18.69
Heavenly Father,
00:13:18.73\00:13:20.20
thank You for being
our ultimate physician.
00:13:20.23\00:13:23.37
And for healing us, Father,
00:13:23.40\00:13:24.73
and for giving us love and care,
00:13:24.77\00:13:26.43
and thank You as we've
learned about our bodies
00:13:26.47\00:13:28.84
and how we can honor You
00:13:28.87\00:13:30.57
and worship You better
00:13:30.61\00:13:32.11
by taking care of our
body that You've given us.
00:13:32.14\00:13:35.21
Now go with us and stay
and be with those Father,
00:13:35.24\00:13:38.11
especially those that need
an extra help and extra boost,
00:13:38.15\00:13:41.65
extra encouragement
is our prayer, amen.
00:13:41.68\00:13:45.99
I want you to
join me at the website,
00:13:46.02\00:13:47.69
if you have a question,
heartwiseministries.org.
00:13:47.72\00:13:51.49