Welcome back to
Ultimate Prescription.
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I'm your host Nick Evenson
here with Dr. James Marcum.
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And we've been
talking about pain
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and today specifically
we're talking about joint pain.
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And Dr. Marcum,
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we covered a lot
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of the
introductory topics last time.
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Yeah.
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But we're gonna
get to some questions
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that people
asked in just a moment.
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But I want to talk to you
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about something that
is weighing on my mind.
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Okay.
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I've got a couple of young
boys and having a couple of kids
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just makes
realize I'm getting older.
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Yep.
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And when I get even older,
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say my grandparents' age
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things are going to be
lot different in my body.
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Right.
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And hopefully
my mind and my body
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age at the same rate,
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so I know what's appropriate
to be doing and what's not.
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But as we get older
we need to manage risk
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because getting up on ladders
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or climbing up on the roof
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at older ages
like you mentioned.
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Yeah.
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It's kind of a not so
smart thing to do, right?
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No, we've talked about
how our joints just wear out.
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And everything at
the body gets older
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at a different speed.
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Right.
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And one of the key things,
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we have to keep our
joints healthy as we age
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because that's
one of the key things
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for our independence.
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You know when the
hips and the knees,
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we can't move to the bathroom,
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we can't take care of ourselves,
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guess what happens.
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We have then someone
else take care of us.
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So that's why joint care
is so crucial at younger ages.
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Some people say, oh, I
don't have to do anything,
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you know.
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I can abuse my joints
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when I'm younger
and when I get older
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and those are the people
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that end up not
being able to move
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when they're older.
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It's right.
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And heavy people,
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you just can't lug
them to the bathroom
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if they can't move their parts.
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So joint care is very important
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in realizing being smart enough
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and wise enough to say listen,
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I have to take care of my joints
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not only when I'm
young but when I'm older,
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I might have to take
care of them even more.
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And some people don't
like to have extra things
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to help their joints do better.
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But I would rather have
someone have a walking stick
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or a walker and
move around slowly
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than sit in a chair all
day and not move at all.
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Yeah.
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'Cause movement is very helpful,
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keep the joints going.
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But sometimes people
have to be more careful,
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I mean, some people
I've noticed as they age
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and I take care
of a lot of people
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between 85 and 100.
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They say well, I
can't walk as much
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and I'm embarrassed to
have a walker or a device.
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Well, I would
rather them do that
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and keep moving than
sitting at in a chair all day.
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Yeah.
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We know that
sitting would, you know,
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causes the joints
to get older quicker
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and keeps us from moving as well
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and we lose our
independence sooner.
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So I'd rather
have someone get up
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and move every hour
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and protect their joints
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by either a cane
or walking stick.
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Some joints need
stability with a device
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to help stabilize
that joint as we get older.
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But that's important
for older people to do that,
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but it's also important
for the younger persons
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like you're to start thinking
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about what can I do
now to protect my joints
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when I get older.
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Right.
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That's like not
doing crazy things
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like we've talked about
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like if you're tennis player
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and this is wearing out
will quit wearing it out.
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Yeah.
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You know, if
you're a football player
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and you're
wearing out your knees,
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maybe you should
quit playing football.
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Long distance runners you know,
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God never made us to
pound the knees and hips
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26 miles at a time.
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Long term of
that if we don't take
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really good care of hydration
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and we don't get
really good nourishment,
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if we don't
listen to our bodies,
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we can wear out
those joints as well.
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Yeah.
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And it's a balance,
Nick, because exercise is good,
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it brings
nutrition to the joint,
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it brings oxygen to the joint,
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it helps keep the muscle
and other functions well,
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but you can literally wear
out a joint if you overdo it.
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So I think
that's a very important
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both for the young as you think
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about this as you
get older and also...
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I have problems with
my feet joints, okay.
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And I know if I do too much,
guess what's going to happen?
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I'm going to be out of
it for long time on a boot,
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I mean, because
I've lot of inflammation
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plantar fasciitis.
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So I've learned to
be smart about that
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so I can do the basics.
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Right, yeah.
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And like for instance
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last night I was
doing some exercise.
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Well, rather than
running on my joints
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I decided to
sit and do a bicycle
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where I didn't
put as much pressure.
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Where I might swim you know,
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that's being intelligent
about taking care of your joints
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because you don't
want to wear them out.
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That's right.
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And that's something I had
to do recently too, I used to,
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you know, the decade
ago I was doing activities
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that were much more high
impact on my knees and what not,
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but I've to eliminate those
because I've decided you know,
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it's just really not worth in.
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Yeah, it's not worth
in. Let's do some questions.
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Yeah, let's get
in some questions.
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And if you have some questions,
please visit the website
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heartwiseministries.org
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and we'd love to hear from you.
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Hear what you're going through
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and see if we can
provide some easy advice for you
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to help make
those situations better.
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And it's free.
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And it's free, we're not
charging anything for it.
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We just want to help
people live more in harmony
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with the way God designed us.
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But you know
occasionally I have to consult
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someone else to
help me answer questions.
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That's right, we
can't know everything.
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That's why we have a lot
of different volunteer doctors
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that have given their expertise
to us about it so I can't,
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if joint problems I
frequently ask an orthopedic.
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But a lot of the joint problems
if it's not common sense,
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they have to
really see a physician.
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Yeah.
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An orthopedic doctor. All right.
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Well, our first
viewer writes in and asks
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what is the most
common cause of joint problem?
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Okay, I think we've covered
that pretty much all ready.
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Trauma, overuse,
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here is one that we don't
like to talk about too much,
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if you carry too
much weight on the body,
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it wears out the joints sooner.
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Right.
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So just getting down
to ideal body weight.
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I mean other cause of
joint problems is inactivity,
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not using the joint,
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if you don't
use it, you lose it,
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and lack of stretching.
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People don't warm up
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before they get
the joint moving,
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especially as we age
we need more stretching,
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more moving of the
joints on a regular basis,
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we have to protect it more,
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but those are the most
common causes of joint.
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Trauma, too much weight,
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not moving and
not stretching enough.
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All right, we got
another question here.
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What is the difference between
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osteoarthritis and
rheumatoid arthritis?
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You touched on
that earlier but...
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Now, arthritis just
means inflammation of a joint.
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So anything that can
have inflammation of a joint
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is a cut off, right,
sometimes it can be bones,
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sometimes it could
be connective tissue,
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different things have
inflammation of the joint.
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Right.
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Osteoarthritis is just usually
from the wear and tear, okay.
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And we do that with the history,
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we can actually take
x-rays and we look at the x-rays
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and they can, here we can notice
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that the joints
space is becoming less,
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we look for things
called osteophytes on the bones,
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different bone cyst,
different things like that.
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Very common to have
osteoarthritis in the fingers,
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knees, hips and spines.
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We have pain and stiffness,
decrease range of motion.
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Morning
stiffness are very common.
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Now rheumatoid arthritis is
when the body attack itself.
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And usually you can have some
of the same type of symptoms
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but you also notice
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that when you look at the blood,
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you notice some
inflammatory markers
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where the body is
actually attacking itself.
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So it can have some of
the similar symptoms of it
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but the cause
of it is different.
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One is the body's wearing out,
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the other one's the body
is actually attacking itself.
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So what causes the
body to attack itself
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as in the case of
rheumatoid arthritis?
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It can be lots of things
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and lot of times
we don't even know,
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if we know what was
causing rheumatoid arthritis
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we would treat
it, but it's my theory
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that lot of these things
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when the body attacks
itself is its genetics
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or we bring in
some type of antigen
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in the body
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that the body doesn't
know what to do with it.
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And certain bodies say,
I don't know, what is this?
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And then it attacks the
joint, it attacks what's there,
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and it does run in
families, arthritis does.
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All right, let's
talk about another issue.
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Where is the place
for physical therapy
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when it comes to joint pain?
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I mean, I know I've
visited a physical therapist
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for a lot of different pains
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and it's been very beneficial...
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Yeah.
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Does it help with joints?
Yes, it helps with joint pains.
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It's something
that I would recommend,
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you see a physical therapist
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because they help
correct posturing,
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You might not be
moving correctly,
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it's not uncommon
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if you're favoring one
part that has a problem
00:07:57.97\00:07:59.97
that the muscles on
the other side overdo it.
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Muscle imbalance.
Yes, muscle imbalances.
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The physical
therapist can train you
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to do specific exercises
00:08:06.78\00:08:08.68
that helps
specific muscle groups.
00:08:08.72\00:08:10.05
Right.
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Now I know you can go
to the gym and do exercises
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but sometimes those
exercises might not be effective
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where you might need
more time on this than that,
00:08:16.12\00:08:18.29
because remember we're
not trying to just get strong,
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we're trying to
treat a joint problem.
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You can make the
muscle imbalance worse
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rather than
equalizing it I guess.
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Yeah, I think
physical therapist are...
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If you're having joint problems,
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I think everyone should
see a good physical therapist
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and get evaluated
and see the things
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that they can
do 'cause you know,
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most of the things that they do,
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they don't have
lots of side effects,
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they get to causes or problems
and help your body heal itself.
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Yeah, and a good
physical therapist,
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they will work with
you for a number of weeks
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and then say, you know what,
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if we're not
seeing an improvement,
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you know, we need to send
you on to someone else, right?
00:08:46.42\00:08:48.09
Yeah, exactly.
They know what to do.
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All right,
00:08:50.03\00:08:51.36
so we talked a little
bit about this already,
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but how do we
prevent joint problems?
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Well, that's a great question.
00:08:55.16\00:08:56.83
I guess one of the most
common things is stretching.
00:08:56.87\00:09:00.37
If you sit at a
desk every hour move it,
00:09:00.40\00:09:03.20
move every part every hour.
00:09:03.24\00:09:04.84
You know, we should get up
and move everything every hour.
00:09:04.87\00:09:07.58
You know, if you don't
use it, you'll lose it.
00:09:07.61\00:09:08.94
Right.
00:09:08.98\00:09:10.31
If you don't use it,
the parts can get stiff,
00:09:10.35\00:09:12.58
especially if the
parts been damaged before.
00:09:12.61\00:09:15.38
So damage part
gets stiff a lot quicker
00:09:15.42\00:09:17.49
when you don't move and
that can be very painful,
00:09:17.52\00:09:20.16
when they don't move enough.
00:09:20.19\00:09:21.52
So that will help it
but what moving does it,
00:09:21.56\00:09:23.36
guess what moving does?
00:09:23.39\00:09:24.73
It brings a new
blood supply into the area,
00:09:24.76\00:09:26.66
gets more oxygen
to the joints gets,
00:09:26.70\00:09:28.90
you know, some of these joints
00:09:28.93\00:09:30.43
don't have a
very big blood supply,
00:09:30.47\00:09:32.97
so just moving
increases the blood supply.
00:09:33.00\00:09:36.91
Other things to
prevent joint problems
00:09:36.94\00:09:38.37
if you have a weak
joint you might want supports.
00:09:38.41\00:09:40.98
Some people wear
braces, if it's a foot you know,
00:09:41.01\00:09:44.31
some people wear
supportive shoes,
00:09:44.35\00:09:47.05
on the knees
you can have braces,
00:09:47.08\00:09:49.15
on the hips you can
move with walkers or pads,
00:09:49.18\00:09:53.36
of course we have braces
for the joints here, the elbow.
00:09:53.39\00:09:58.19
And these braces are
usually just for a short term...
00:09:58.23\00:10:00.50
Hopefully. Right?
00:10:00.53\00:10:01.86
But sometimes people
have to wear them long term
00:10:01.90\00:10:03.26
if the joint is
irreparably damaged.
00:10:03.30\00:10:05.87
Of course,
hydration is so important,
00:10:05.90\00:10:08.37
good nutrition is important
and also eating healthy foods,
00:10:08.40\00:10:11.97
you know, healthy food
00:10:12.01\00:10:13.34
is important to how
the whole body works,
00:10:13.38\00:10:15.48
so these are some of few things
00:10:15.51\00:10:16.91
that people can do to
prevent joint problems.
00:10:16.95\00:10:19.75
Now what about medications?
00:10:19.78\00:10:21.12
So there are medications
that can damage the joints
00:10:21.15\00:10:22.65
or there are
some that could help?
00:10:22.68\00:10:24.02
Well, you know, it's a
query, if you have a joint...
00:10:24.05\00:10:27.02
Certain medications can cause
00:10:27.06\00:10:28.62
side effects to
the joints, okay.
00:10:28.66\00:10:30.39
It sort of rare but it could be.
00:10:30.43\00:10:33.16
But certain
medications help with joint,
00:10:33.19\00:10:35.43
of course if it's
infections you need antibiotics,
00:10:35.46\00:10:37.90
if it's a bacterial infection,
if there is inflammation,
00:10:37.93\00:10:41.00
sometimes you need a
short course of medicines
00:10:41.04\00:10:43.27
to settle down the inflammation
to give the joint time to heal.
00:10:43.30\00:10:46.71
Okay, right.
00:10:46.74\00:10:48.08
So sometimes
there is a need for that
00:10:48.11\00:10:49.48
as long as a risk that
will worth the benefit.
00:10:49.51\00:10:51.91
And then like we talk today
00:10:51.95\00:10:53.72
surgery is usually
sort of a last resort.
00:10:53.75\00:10:56.55
Right, right.
00:10:56.58\00:10:57.92
Now here is an easy one for you.
00:10:57.95\00:10:59.29
You've had a situation
similar to this I think,
00:10:59.32\00:11:00.92
how do you know if you
have a rotator cuff problem?
00:11:00.96\00:11:04.23
Yeah, well, you know,
00:11:04.26\00:11:05.63
there is lots of tendons
up here the supraspinatus,
00:11:05.66\00:11:08.36
the bicipital and they
all have poor blood supply.
00:11:08.40\00:11:12.30
Sometimes
insertions become frayed
00:11:12.33\00:11:14.54
and overtime it
becomes the problem.
00:11:14.57\00:11:16.84
But one of the big things
00:11:16.87\00:11:18.24
is if you can't
raise it very high,
00:11:18.27\00:11:21.11
and like I said
and there could be
00:11:21.14\00:11:22.48
so many causes of it.
00:11:22.51\00:11:24.65
And what you need to do
really if you have you it,
00:11:24.68\00:11:27.12
you can't raise it
very high, it hurts a lot,
00:11:27.15\00:11:28.98
it doesn't go away fairly quick,
00:11:29.02\00:11:30.75
you need to see your physician,
00:11:30.79\00:11:32.35
get some imaging done
00:11:32.39\00:11:33.92
'cause there are so
many parts in that joint.
00:11:33.96\00:11:36.26
There is tendons,
there is ligaments,
00:11:36.29\00:11:37.76
there is glenoid,
there is joint itself.
00:11:37.79\00:11:40.00
Any of that could be affected,
if it happens right away,
00:11:40.03\00:11:42.60
that's usually trauma,
00:11:42.63\00:11:44.13
and if the
trauma doesn't go away
00:11:44.17\00:11:45.60
then that could
be a serious problem.
00:11:45.63\00:11:47.30
Needs to see your doctor,
00:11:47.34\00:11:48.67
do some imaging to see exactly
00:11:48.70\00:11:50.51
where the physical
therapy needs to be done
00:11:50.54\00:11:52.81
with special exercises
00:11:52.84\00:11:54.24
or if you might
even need surgery.
00:11:54.28\00:11:56.28
All right, well, Dr. Marcum,
thank you for those insights.
00:11:56.31\00:11:58.48
And thank you
viewers for joining us today
00:11:58.51\00:12:00.02
as we've talked
about joint pain.
00:12:00.05\00:12:02.32
There is a lot
more we can talk about
00:12:02.35\00:12:03.85
but if you're experiencing pain,
00:12:03.89\00:12:05.22
see your physician.
00:12:05.25\00:12:06.59
Thanks for watching
00:12:06.62\00:12:07.96
and Dr. Marcum will
close in just a moment
00:12:07.99\00:12:09.32
with prayer.
00:12:09.36\00:12:10.69
I hope everyone has
learned something useful today
00:12:17.53\00:12:21.00
about joint pains.
00:12:21.04\00:12:23.37
We all have joints
00:12:23.41\00:12:24.74
and
unfortunately through the years
00:12:24.77\00:12:26.11
they wear out.
00:12:26.14\00:12:27.48
I know I've had
problems with my own joints.
00:12:27.51\00:12:30.28
If you're
having a joint problem,
00:12:30.31\00:12:31.68
we want you to see help
about it, get some help,
00:12:31.71\00:12:34.48
especially see a
physical therapist,
00:12:34.52\00:12:36.12
your doctor they
might be able to figure out
00:12:36.15\00:12:38.49
what to do so you don't
have any more joint problems.
00:12:38.52\00:12:41.09
If you're older you
might want to make sure
00:12:41.12\00:12:42.72
you protect your joints,
00:12:42.76\00:12:44.09
don't be too
proud to move around
00:12:44.13\00:12:45.79
with the walker
or some other device
00:12:45.83\00:12:47.86
that helps protect your joints.
00:12:47.90\00:12:50.57
I like to have a prayer
00:12:50.60\00:12:52.00
for all of
those with joint pains
00:12:52.03\00:12:53.50
and other pains at this time.
00:12:53.54\00:12:55.40
Let's bow our heads.
00:12:55.44\00:12:57.24
Heavenly Father, we know
you're the great physician,
00:12:57.27\00:12:59.57
and you know you've promised
to heal us in your time.
00:12:59.61\00:13:02.78
Those are out
there with joints pains
00:13:02.81\00:13:04.51
and pains anywhere
in the body, Father,
00:13:04.55\00:13:06.25
we want to pray for them
00:13:06.28\00:13:08.38
that you help them to be
relieved of their suffering.
00:13:08.42\00:13:12.02
Thank you for the opportunity
00:13:12.05\00:13:13.49
we have to serve you
and please be with us
00:13:13.52\00:13:16.56
as we move forward in our lives
00:13:16.59\00:13:18.53
and we look so much
forward to your second coming
00:13:18.56\00:13:20.96
when there will be no
pain is our prayer, amen.
00:13:21.00\00:13:25.30
If you have questions,
00:13:25.33\00:13:26.67
I want you to go to our website,
00:13:26.70\00:13:28.04
that's heartwiseministries.org.
00:13:28.07\00:13:30.71