The following
program presents principles
00:00:01.36\00:00:02.70
designed to promote good health
00:00:02.73\00:00:04.07
and is not intended
00:00:04.10\00:00:05.43
to take the place of
personalized professional care.
00:00:05.47\00:00:07.87
The opinion and ideas expressed
are those of the speaker.
00:00:07.90\00:00:10.87
Viewers are encouraged to
draw their own conclusions
00:00:10.91\00:00:13.34
about the information presented.
00:00:13.38\00:00:16.81
Joints are the very important
connections between our bones
00:00:16.85\00:00:20.22
that allow us to
move the way that we do.
00:00:20.25\00:00:22.72
And damage to
our joints can lead
00:00:22.75\00:00:24.49
to difficult health conditions.
00:00:24.52\00:00:26.52
Join us as we learn
how to best manage pain
00:00:26.55\00:00:29.12
right here on the
Ultimate Prescription.
00:00:29.16\00:00:31.76
I'm Dr. James Marcum.
00:00:31.79\00:00:33.80
Are you interested in
discovering the reason why?
00:00:33.83\00:00:37.17
Do you want solutions to
your healthcare problems?
00:00:37.20\00:00:39.93
Are you tired of
taking medications?
00:00:39.97\00:00:42.70
Well, you're about to be
given the Ultimate Prescription.
00:00:42.74\00:00:48.44
Welcome to the program.
00:00:48.48\00:00:49.81
I'm you host, Nick Evenson,
00:00:49.84\00:00:51.18
and here with my good
friend Dr. James Marcum.
00:00:51.21\00:00:53.45
And, Dr. Marcum,
00:00:53.48\00:00:54.82
today we're talking about
pain specifically in the joints.
00:00:54.85\00:00:57.29
Yeah, and some principles
on joint pains that hold true
00:00:57.32\00:01:01.42
as whenever we have a pain
00:01:01.46\00:01:02.86
that doesn't go
away it's a problem.
00:01:02.89\00:01:06.59
If it lasts for
long periods of time
00:01:06.63\00:01:08.26
we call that chronic pain.
00:01:08.30\00:01:10.53
And the specialists
that deal with joint pains
00:01:10.57\00:01:13.40
are usually
orthopedic physicians.
00:01:13.44\00:01:15.50
You know, orthopedic doctors,
they specialize in joint...
00:01:15.54\00:01:18.07
If you think
about joint pains, Nick,
00:01:18.11\00:01:20.41
we have lots of
different joints in our body.
00:01:20.44\00:01:22.44
Yeah, I was gonna ask... Yeah.
00:01:22.48\00:01:24.18
How many joints, do you
know? Well, we have lots.
00:01:24.21\00:01:26.21
There are lots of them.
We have joints in our hands.
00:01:26.25\00:01:28.42
You know, in our
fingers, our wrists, our elbows,
00:01:28.45\00:01:31.79
our shoulders, our
hips, and the knees.
00:01:31.82\00:01:35.32
Those are the most common.
00:01:35.36\00:01:36.69
We also have joints in our feet.
00:01:36.73\00:01:38.33
We've already
spoken about the feet pain.
00:01:38.36\00:01:39.83
Yeah.
00:01:39.86\00:01:41.20
And getting a
diagnosis on joint pain
00:01:41.23\00:01:43.77
is very important, you know.
00:01:43.80\00:01:46.70
Probably the most
common causes of joint pain,
00:01:46.74\00:01:49.70
regardless of the
joint is trauma and overuse.
00:01:49.74\00:01:54.74
When was the last
time you had a problem
00:01:54.78\00:01:56.78
with one of your joints?
00:01:56.81\00:01:58.15
And was it trauma or overuse?
00:01:58.18\00:02:00.25
You know, recently I have
had some knee pain going on
00:02:00.28\00:02:04.29
and there's, it's a
trauma from long time ago.
00:02:04.32\00:02:07.26
Okay. Yeah.
00:02:07.29\00:02:08.62
And when we have
trauma to a joint,
00:02:08.66\00:02:11.19
of course if it's
just localized trauma
00:02:11.23\00:02:13.93
in the joint area
and is made of muscles
00:02:13.96\00:02:16.23
and ligaments and bones.
00:02:16.26\00:02:17.83
If it's localized
and it's not too severe,
00:02:17.87\00:02:20.24
usually just
immobilization and it goes away.
00:02:20.27\00:02:23.14
For instance,
you broke your arm,
00:02:23.17\00:02:24.81
you put it in a cast,
00:02:24.84\00:02:26.17
you wouldn't keep
throwing fast balls.
00:02:26.21\00:02:27.54
That's right.
00:02:27.58\00:02:28.91
So let's say you have,
00:02:28.94\00:02:30.28
you know, a
problem in your knee.
00:02:30.31\00:02:31.65
Would you keep running races?
00:02:31.68\00:02:33.18
No. No, you would let it heal.
00:02:33.21\00:02:34.55
Yes.
00:02:34.58\00:02:35.92
Because pain tells you
that something's not wrong.
00:02:35.95\00:02:38.85
Something's not
right. Something's not right.
00:02:38.89\00:02:40.39
Not something's not wrong.
00:02:40.42\00:02:41.76
I need to learn to speak English
00:02:41.79\00:02:43.12
on these programs.
00:02:43.16\00:02:44.49
But anyway, so if the
pain is bothering you,
00:02:44.53\00:02:47.30
and it doesn't go away,
and you're mobilizing it,
00:02:47.33\00:02:50.03
that could tell you
00:02:50.07\00:02:51.40
that there's a
structural problem
00:02:51.43\00:02:52.77
with the joint.
00:02:52.80\00:02:54.24
And that could be a sign
00:02:54.27\00:02:55.60
that you need to
see a specialist.
00:02:55.64\00:02:57.37
And when you go,
00:02:57.41\00:02:58.74
they'll do some
examining on you.
00:02:58.77\00:03:00.24
Sometimes they
can figure it out with
00:03:00.28\00:03:01.71
which is examining the joint
00:03:01.74\00:03:03.08
to see if there's
cartilage problem with that.
00:03:03.11\00:03:04.61
Right.
00:03:04.65\00:03:05.98
Usually they'll need to do
an x-ray to see if the bones,
00:03:06.01\00:03:08.32
x-rays are great to see
if the bones are damaged.
00:03:08.35\00:03:10.42
Right.
00:03:10.45\00:03:11.89
X-rays don't really
look at the soft tissue
00:03:11.92\00:03:13.86
and the connection.
00:03:13.89\00:03:15.22
Sometimes they'll have
to get more information
00:03:15.26\00:03:16.83
and they might order an MRI.
00:03:16.86\00:03:18.96
Now can an MRI see the ligaments
00:03:18.99\00:03:20.40
and the tendons and all that?
00:03:20.43\00:03:21.76
Yeah, it can
see a lots of stuff.
00:03:21.80\00:03:23.13
Okay.
00:03:23.16\00:03:24.50
And if you get
used to looking at them,
00:03:24.53\00:03:25.87
you can tell what's
normal and what's abnormal.
00:03:25.90\00:03:28.17
Sometimes in a need,
00:03:28.20\00:03:29.60
they might have
to do a procedure
00:03:29.64\00:03:31.64
called an arthroscopy,
00:03:31.67\00:03:33.98
where that's
actually they can go inside
00:03:34.01\00:03:35.91
and see what's
going on in the joint.
00:03:35.94\00:03:38.18
And if you get you can see
00:03:38.21\00:03:39.55
whether things are
where they should be,
00:03:39.58\00:03:41.22
if there's a tear,
00:03:41.25\00:03:42.58
if there's a break of
all these different causes.
00:03:42.62\00:03:44.95
So the two most common
causes are trauma and overuse.
00:03:44.99\00:03:50.63
Trauma, you know,
00:03:50.66\00:03:51.99
I had some traumatic
thing one time to my shoulder,
00:03:52.03\00:03:54.43
and I had what
they call a SLAP tear.
00:03:54.46\00:03:56.50
Actually I had a tear
in one of my ligaments.
00:03:56.53\00:03:59.67
And what happened was,
00:03:59.70\00:04:01.04
I was trying to
fix my car, okay,
00:04:01.07\00:04:03.17
and I was trying
to lift it up one day.
00:04:03.20\00:04:05.07
And I wasn't strong
enough to lift up the car
00:04:05.11\00:04:06.88
and it tore my shoulder.
00:04:06.91\00:04:08.24
Okay.
00:04:08.28\00:04:09.61
So I went to an
orthopedic doctor
00:04:09.64\00:04:10.98
because it didn't go away.
00:04:11.01\00:04:12.35
It kept bothering me.
00:04:12.38\00:04:13.72
In fact I couldn't
sleep well at night.
00:04:13.75\00:04:15.08
And that's one problem
00:04:15.12\00:04:16.45
if your joints
keeping you from sleeping.
00:04:16.48\00:04:17.82
that's a pretty
significant problem.
00:04:17.85\00:04:19.19
Yeah.
00:04:19.22\00:04:20.56
If a joint swelling
and it won't go away,
00:04:20.59\00:04:21.92
that's a significant problem.
00:04:21.96\00:04:23.73
If you're having a
fever with a joint,
00:04:23.76\00:04:25.73
that's a very
significant problem.
00:04:25.76\00:04:28.36
So anyway I
figured out, you know,
00:04:28.40\00:04:29.90
this is not the
way I want to go.
00:04:29.93\00:04:31.90
So I went and
saw the orthopedic,
00:04:31.93\00:04:33.27
and of course he did
his testing and he says,
00:04:33.30\00:04:35.80
"you have two options," okay,
00:04:35.84\00:04:37.71
"you can either do
surgery on it" okay,
00:04:37.74\00:04:40.18
"or you can do,
learn these exercises
00:04:40.21\00:04:42.38
which will help it heal."
00:04:42.41\00:04:43.75
Some physical therapy. Right.
00:04:43.78\00:04:45.11
So I went to the
physical therapy,
00:04:45.15\00:04:46.48
did my exercise
faithfully and guess what,
00:04:46.51\00:04:48.75
my shoulder
healed up on its own.
00:04:48.78\00:04:50.12
Yeah, that's great.
So it really worked well.
00:04:50.15\00:04:52.95
What are some other,
00:04:52.99\00:04:54.32
there's other
causes besides trauma
00:04:54.36\00:04:55.86
and overuse on our joints.
00:04:55.89\00:04:57.56
Okay.
00:04:57.59\00:04:58.93
Sometimes we can
have the tendons,
00:04:58.96\00:05:00.30
the tendons get inflamed.
00:05:00.33\00:05:01.90
We call that tendonitis.
00:05:01.93\00:05:04.17
That could be overused
usually things of that.
00:05:04.20\00:05:06.23
Sometimes we can get the
bursa, these are sacks of fluid.
00:05:06.27\00:05:09.70
Sometimes those
could be at play,
00:05:09.74\00:05:11.07
we call that bursitis, okay.
00:05:11.11\00:05:14.68
There's also things like we
can have different diseases,
00:05:14.71\00:05:17.71
disease states that
can affect the joints.
00:05:17.75\00:05:20.42
And this is
usually the disease states
00:05:20.45\00:05:21.95
where the body attacks itself.
00:05:21.98\00:05:24.05
We call that
autoimmune diseases.
00:05:24.09\00:05:26.65
The most common one
00:05:26.69\00:05:28.02
is probably
rheumatoid arthritis.
00:05:28.06\00:05:29.99
The body attacks itself.
00:05:30.03\00:05:31.83
But other conditions
00:05:31.86\00:05:33.19
where the body can
attack the different joints,
00:05:33.23\00:05:34.73
things like lupus,
the body can attack.
00:05:34.76\00:05:37.63
There's another
condition called scleroderma.
00:05:37.67\00:05:40.57
One called polyarteritis nodosa.
00:05:40.60\00:05:44.37
Sometimes even infections
can cause damage to the joints.
00:05:44.41\00:05:49.11
Sometimes we get
infections from a tick.
00:05:49.14\00:05:52.11
You know, Lyme disease
and that can hurt our joints.
00:05:52.15\00:05:55.32
Other different joints can be
infected by infections as well.
00:05:55.35\00:05:59.75
That's probably the
most serious acute cause
00:05:59.79\00:06:02.32
of joint pain.
00:06:02.36\00:06:03.69
So if you're having joint pain
00:06:03.73\00:06:05.06
that didn't have
trauma and overuse,
00:06:05.09\00:06:07.16
and you've never
had a chronic disease,
00:06:07.20\00:06:09.06
that's something you
need to get evaluated
00:06:09.10\00:06:10.57
to make sure you
don't have an infection.
00:06:10.60\00:06:13.17
That's a very
serious cause of joint pain.
00:06:13.20\00:06:16.47
Sometimes you can have,
00:06:16.50\00:06:17.84
we've talked before
about metabolism being off
00:06:17.87\00:06:20.18
and sometimes if
your metabolism is off,
00:06:20.21\00:06:22.31
you can make extra
stones or crystals.
00:06:22.34\00:06:24.61
Okay. Okay.
00:06:24.65\00:06:25.98
Everyone's heard of GALT.
00:06:26.01\00:06:27.52
GALT sometimes
make extra crystals,
00:06:27.55\00:06:29.45
they can get deposited in joints
00:06:29.48\00:06:31.49
and cause pain as well.
00:06:31.52\00:06:33.32
Certain medications
can cause joint problems,
00:06:33.36\00:06:36.83
as side effects.
00:06:36.86\00:06:38.19
Chemotherapeutic agents
are very common, penicillin,
00:06:38.23\00:06:41.93
certain other
agents like chemotherapy
00:06:41.96\00:06:45.03
that can also cause it.
00:06:45.07\00:06:46.40
Right.
00:06:46.43\00:06:47.77
So when, so we want to know,
00:06:47.80\00:06:49.14
you know, these
are some general terms.
00:06:49.17\00:06:50.94
When a person comes
in with a joint pain,
00:06:50.97\00:06:53.34
one of the first thing
the doctor wants to know,
00:06:53.38\00:06:54.98
is this something
that's happened overtime
00:06:55.01\00:06:57.38
or have you, it's something
that's happened right away.
00:06:57.41\00:06:59.68
Right.
00:06:59.71\00:07:01.05
So he thinks about
that he says, well,
00:07:01.08\00:07:02.45
if it happened right away,
00:07:02.48\00:07:03.89
then he's going to go through
is it trauma, is it overuse?
00:07:03.92\00:07:07.42
Could it be an infection?
00:07:07.46\00:07:09.39
Could it be one of
these rheumatologic diseases?
00:07:09.42\00:07:12.46
What's gonna happen? Right.
00:07:12.49\00:07:14.33
Or then he might say,
well, if it didn't happen
00:07:14.36\00:07:16.06
suddenly like that
00:07:16.10\00:07:17.43
if it's
happened slowly overtime,
00:07:17.47\00:07:20.14
chronic causes.
00:07:20.17\00:07:21.77
And one of the
most common causes
00:07:21.80\00:07:23.51
of chronic joint pain is
just guess what, we get old.
00:07:23.54\00:07:27.58
You're right, right.
00:07:27.61\00:07:28.94
And when we get
old, things wear out.
00:07:28.98\00:07:31.51
The cartilage wears
out, the ligaments wear out,
00:07:31.55\00:07:33.88
things get wear out.
00:07:33.92\00:07:35.25
They don't work as good.
00:07:35.28\00:07:36.62
That's why it's so
important for our joints
00:07:36.65\00:07:39.19
to keep that from
happening by using our joints
00:07:39.22\00:07:41.76
when we're young appropriately.
00:07:41.79\00:07:43.59
Okay.
00:07:43.63\00:07:44.96
You know, prevent joint problems
00:07:44.99\00:07:46.33
you know, that's why
stretching, and exercise,
00:07:46.36\00:07:48.90
and good nutrition, and water,
00:07:48.93\00:07:51.33
and not doing crazy
things is important.
00:07:51.37\00:07:54.17
Now crazy things... Yeah.
00:07:54.20\00:07:55.67
Let's qualify for that minute.
What are we talking about?
00:07:55.70\00:07:58.27
Well, you know,
00:07:58.31\00:07:59.87
sometimes the brain
is younger than the body.
00:07:59.91\00:08:02.74
Okay. Okay.
00:08:02.78\00:08:04.11
I had a 94 year
old fellow come in,
00:08:04.15\00:08:06.51
his brain was 64, okay.
00:08:06.55\00:08:08.48
Good for him, right. And
his joints though were 94.
00:08:08.52\00:08:11.55
And he decided, he
could get up on his,
00:08:11.59\00:08:14.06
is his house and clean
the leaves in the gutter.
00:08:14.09\00:08:16.83
His brain said he could do that.
00:08:16.86\00:08:18.46
Probably not a good point
in your life to be doing that.
00:08:18.49\00:08:20.43
So he went up and did
that and guess what happened?
00:08:20.46\00:08:23.37
He fell off the
ladder and broke his pelvis.
00:08:23.40\00:08:25.30
Oh, that's bad. Okay,
he almost died from that.
00:08:25.33\00:08:27.54
Wow. Okay.
00:08:27.57\00:08:28.90
So I will say that
that is a crazy thing to do.
00:08:28.94\00:08:32.01
There are some risk takers,
00:08:32.04\00:08:33.68
younger people that
do all sorts of things.
00:08:33.71\00:08:35.48
They jump off
cliffs and parachutes
00:08:35.51\00:08:37.71
and they live for the thrill.
00:08:37.75\00:08:39.21
Sure. Okay.
00:08:39.25\00:08:40.58
Well, sometimes that
can put strain on the joints
00:08:40.62\00:08:43.39
quite a bit.
00:08:43.42\00:08:44.75
Sometimes you can
have damages and injuries.
00:08:44.79\00:08:46.55
If you look at
the football players,
00:08:46.59\00:08:48.09
their joints
what they go through.
00:08:48.12\00:08:49.66
Yeah.
00:08:49.69\00:08:51.03
Sometimes there is
this common sense says,
00:08:51.06\00:08:52.39
our joints
aren't made to do that.
00:08:52.43\00:08:53.90
And if we, if we
abuse them at a younger age,
00:08:53.93\00:08:57.97
when we get older
they wear out quicker.
00:08:58.00\00:09:00.27
We really experience
those consequences really,
00:09:00.30\00:09:02.60
really badly in our old age.
00:09:02.64\00:09:03.97
Your joints get better mileage
if you go at 40 instead of 80.
00:09:04.01\00:09:07.94
Yeah.
00:09:07.98\00:09:09.31
And just common
things that wear out joints
00:09:09.34\00:09:10.75
is besides overuse
and doing crazy things,
00:09:10.78\00:09:12.91
as not drinking enough water,
not getting good nutrition.
00:09:12.95\00:09:16.75
These are the
basics of joint care.
00:09:16.79\00:09:19.09
But so chronic it might,
00:09:19.12\00:09:20.46
the most common is it
just wears out overtime.
00:09:20.49\00:09:22.99
The cartilage wears
out, these things get old,
00:09:23.02\00:09:25.53
but other
diseases that can do that.
00:09:25.56\00:09:28.13
Arthritis is
probably the most common.
00:09:28.16\00:09:30.57
Arthritis over
long periods of time,
00:09:30.60\00:09:32.70
either rheumatoid
arthritis or osteoarthritis.
00:09:32.73\00:09:36.57
Osteoarthritis is just the
body wearing out basically.
00:09:36.60\00:09:39.61
Rheumatoid is where the
body attacks the joints.
00:09:39.64\00:09:42.44
And those are the things
00:09:42.48\00:09:43.81
that happen over
long periods of time
00:09:43.85\00:09:46.08
and it's very, very serious.
00:09:46.11\00:09:48.25
Now so if you
have a joint problem
00:09:48.28\00:09:50.09
and it doesn't go away,
how does a doctor evaluate it?
00:09:50.12\00:09:53.42
You know, what are the
specific things he does?
00:09:53.46\00:09:56.26
Well, we talked about the MRI.
00:09:56.29\00:09:58.49
If it's an infection,
they can put a needle in it.
00:09:58.53\00:10:00.63
If there's fluid, to see
what type of fluid it is.
00:10:00.66\00:10:02.63
Okay.
00:10:02.66\00:10:04.00
Sometimes things like
these fancy diseases you know,
00:10:04.03\00:10:06.10
all those ones I said
scleroderma, rheumatoid, lupus,
00:10:06.13\00:10:09.04
if the body's attacking itself,
00:10:09.07\00:10:10.67
usually find out
that in the blood work.
00:10:10.71\00:10:13.64
Now let's talk about
these infections for a minute.
00:10:13.68\00:10:15.74
If you have an infection
and it's attacking a joint,
00:10:15.78\00:10:18.01
what does that look like
on the physiological level,
00:10:18.05\00:10:20.12
is that the
ligaments or the bones or what?
00:10:20.15\00:10:22.12
Well, usually what
happens is you get an infection
00:10:22.15\00:10:24.55
in the joint space
and it starts forming pus.
00:10:24.59\00:10:28.02
Okay, so just there's a
fluid that fills the joint
00:10:28.06\00:10:29.99
that shouldn't be there.
00:10:30.03\00:10:31.36
Pass your infection
00:10:31.39\00:10:32.73
and whenever an
infection goes somewhere,
00:10:32.76\00:10:34.10
it starts to get
big and you know,
00:10:34.13\00:10:35.46
it starts to grow.
00:10:35.50\00:10:36.83
Well.
00:10:36.87\00:10:38.20
And everyone says, hey,
let's come and join me here.
00:10:38.23\00:10:39.57
And one becomes two,
00:10:39.60\00:10:40.94
two becomes a
hundred and whatever.
00:10:40.97\00:10:42.30
And then it starts and
then the body says, guess what?
00:10:42.34\00:10:43.67
There's a
bacteria in a joint space
00:10:43.71\00:10:45.81
that's not supposed to be there.
00:10:45.84\00:10:47.18
Yeah. Okay.
00:10:47.21\00:10:48.54
And sometimes that
can happen spontaneously,
00:10:48.58\00:10:50.45
sometimes it's
after a procedure is done,
00:10:50.48\00:10:53.01
so when it starts
happening guess what?
00:10:53.05\00:10:55.42
The body says, "Let's
get the immune cells in,
00:10:55.45\00:10:57.52
let's try to treat it our
self, then it gets swollen.
00:10:57.55\00:11:00.22
And guess what?
00:11:00.26\00:11:01.59
When the immune cells
get there, it gets red.
00:11:01.62\00:11:03.12
You might run a fever
because of this attack.
00:11:03.16\00:11:05.93
And then sometimes your body
can take care of the infection,
00:11:05.96\00:11:08.86
sometimes it can't.
00:11:08.90\00:11:10.23
Right.
00:11:10.27\00:11:11.60
Well, if you, if
I saw a warm joint
00:11:11.63\00:11:12.97
that had fluid in
it, you having a fever
00:11:13.00\00:11:15.47
and maybe there's a
reason we put a needle in it
00:11:15.50\00:11:17.67
if we needed to and
we'd see if it was pussy.
00:11:17.71\00:11:20.14
So then you'd analyze
that fluid and figure out
00:11:20.18\00:11:22.48
what was the best
treatment from there.
00:11:22.51\00:11:24.11
Yeah.
00:11:24.15\00:11:25.48
Sometimes joints
that are worn out overtime
00:11:25.51\00:11:27.55
tend to have inflammation.
00:11:27.58\00:11:29.18
Inflammation tends
to have infections.
00:11:29.22\00:11:31.59
Infections and part of the body
00:11:31.62\00:11:32.95
can sometimes get a
little bit out of control.
00:11:32.99\00:11:35.62
So these are some basic,
00:11:35.66\00:11:37.29
you know,
principles to help people
00:11:37.33\00:11:38.99
understand our
joints in general.
00:11:39.03\00:11:41.70
Right.
00:11:41.73\00:11:43.40
So you got to
summarize if you have a problem,
00:11:43.43\00:11:44.90
see if you think it's
due to wear and tear, okay.
00:11:44.93\00:11:48.07
If the wear and
tear won't go away,
00:11:48.10\00:11:50.17
you need to see someone to see
00:11:50.21\00:11:51.54
if it's a
structural problem, okay.
00:11:51.57\00:11:53.91
We see this a lot
in the shoulder neck.
00:11:53.94\00:11:55.41
You know... Right.
00:11:55.44\00:11:56.78
You know, structural
problems in the shoulder,
00:11:56.81\00:11:58.18
you can't even comb your hair.
00:11:58.21\00:11:59.91
Right.
00:11:59.95\00:12:01.28
That's something
that needs to make sure
00:12:01.32\00:12:02.65
you didn't tear
something or rip something open.
00:12:02.68\00:12:04.02
And that's when modern
medicine helps the best.
00:12:04.05\00:12:06.09
Right.
00:12:06.12\00:12:07.46
Now for chronic wear and tear,
00:12:07.49\00:12:08.82
there are some just
common sense things,
00:12:08.86\00:12:10.59
you know, if you're older,
00:12:10.63\00:12:11.96
you might have to
admit you're older
00:12:11.99\00:12:13.50
and move around
with a walker or a cane,
00:12:13.53\00:12:15.56
so you don't fall down.
00:12:15.60\00:12:17.23
If you're having extreme pain,
00:12:17.27\00:12:19.10
sometimes we can
actually replace the joints.
00:12:19.13\00:12:22.60
Sometimes we need
00:12:22.64\00:12:24.57
anti-inflammatory
natural remedies,
00:12:24.61\00:12:26.41
sometimes we
need some medicines,
00:12:26.44\00:12:27.91
if it's severe pain
00:12:27.94\00:12:29.28
because I'd
rather you have less pain
00:12:29.31\00:12:30.65
than have so much
pain that you can't walk
00:12:30.68\00:12:32.25
and go to the
bathroom and fall over.
00:12:32.28\00:12:34.22
So sometimes we have to
admit that we're getting older.
00:12:34.25\00:12:37.09
We need a little
extra help, you know,
00:12:37.12\00:12:39.02
we can't do
everything that we used to do.
00:12:39.05\00:12:41.06
Right.
00:12:41.09\00:12:42.42
And just being careful
and not letting your body
00:12:42.46\00:12:43.86
talk you into doing crazy thing
00:12:43.89\00:12:45.59
is one of the most
useful things we can do
00:12:45.63\00:12:47.63
when it comes to that.
00:12:47.66\00:12:49.16
You mentioned
joint replacements.
00:12:49.20\00:12:50.70
Would you say that's
kind of the last, last effort?
00:12:50.73\00:12:52.87
Always a last
resort. Last resort.
00:12:52.90\00:12:54.87
We can replace shoulders,
00:12:54.90\00:12:56.24
we can replace
knees are very common,
00:12:56.27\00:12:58.07
hips are very common
joint that we replace too.
00:12:58.11\00:13:01.24
Right.
00:13:01.28\00:13:02.61
Because hip
fractures are very common,
00:13:02.64\00:13:04.08
because that bone gets old.
00:13:04.11\00:13:05.75
You know, something
we've talked about osteoporosis
00:13:05.78\00:13:07.62
before and good bone health.
00:13:07.65\00:13:09.48
And we probably talk to that
after the break a little bit
00:13:09.52\00:13:12.02
about how we can
keep our bones healthy
00:13:12.05\00:13:14.26
that the joints are made off.
00:13:14.29\00:13:15.99
That's right.
00:13:16.02\00:13:17.36
But these are
some just basic things
00:13:17.39\00:13:18.73
that we can do if we
have pain that won't go away.
00:13:18.76\00:13:20.90
It needs to be evaluation,
00:13:20.93\00:13:22.26
these are some basic
things that cause it.
00:13:22.30\00:13:23.87
But a lot of times people just
00:13:23.90\00:13:25.50
don't take good
care of their joints,
00:13:25.53\00:13:27.27
they overdo it,
they don't stretch,
00:13:27.30\00:13:29.74
they abuse their
joints at younger ages
00:13:29.77\00:13:31.74
or when they get older,
they do things that are risky
00:13:31.77\00:13:34.54
that their body
can't do anymore.
00:13:34.58\00:13:35.94
Right.
00:13:35.98\00:13:37.31
Well, Dr. Marcum, thank
you for the introduction.
00:13:37.35\00:13:38.68
We've got to take a short break,
00:13:38.71\00:13:40.05
but we want you
to visit our website
00:13:40.08\00:13:41.42
at Heartwiseministries.org.
00:13:41.45\00:13:42.78
You can submit
your health questions,
00:13:42.82\00:13:44.25
requests prayer,
00:13:44.29\00:13:45.62
and you can also find a
bunch of health articles
00:13:45.65\00:13:47.96
in different resources there
00:13:47.99\00:13:49.32
to help you live more in harmony
00:13:49.36\00:13:50.69
with the way God
designed us to live.
00:13:50.73\00:13:52.09
We're going to be back k
on the Ultimate Prescription
00:13:52.13\00:13:53.56
so stay with us.
00:13:53.60\00:13:54.93