The following program
present principles designed
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to promote good health
and is not intended to take
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the place of
personalized professional care.
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The opinions and ideas expressed
are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Ask anyone who is
suffering from it.
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And they will tell
you the chronic pain
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is like nothing else on earth.
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It takes on a life of its own.
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Stay tune.
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I am Dr. James Marcum.
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Are you
interested in discovering
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the reason why
you want solutions
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to your healthcare problems?
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Are you tired of
taking medications?
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Well, you're about to be
given the Ultimate Prescription.
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It is a most unwelcome guest,
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a bothersome
visitor that won't go away.
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It can bring about many
physical and mental changes
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equally unwelcomed.
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If you're one of
the millions of people
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living with persistent
pain or debilitating condition,
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you might want to
stop what you're doing
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and pay close
attention the next 30 minutes.
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Chronic pain is real.
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It's no respecter of person
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and its
prevalence is on the rise.
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The good new is, it can be
mitigated, sometimes a lot.
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Dr. Marcum, what do we
need to know about chronic pain?
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Well, that's a
big question, Charles.
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There's a lot we
need to know about it.
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And I'm just glad
everyone is tuned in today
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because chronic pain in America
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affects about
100 million people.
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That's one in three. Wow.
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And I guess everyone has
heard about the epidemic now
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and the
treatment for chronic pain.
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Unfortunately,
we're not finding out
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like we have talked
about before the reason why.
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Yes. We're just given medicines.
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And unfortunately, narcotic
addiction is on the rise.
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Now some people,
for with chronic pain
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do need narcotics.
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But in so many other
peoples, there is other options.
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Narcotics, a little bit
becomes a little bit more,
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becomes a little bit
more and addiction forms
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and these medications are now
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one of the leading
causes of death in America.
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Yeah, I mean it's just scary,
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so we need to talk about
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the different
pharmacological treatments.
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We need to talk about
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the different
causes of chronic pain.
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The different treatments
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that can be given
for chronic pains.
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So it's a big subject.
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We're gonna sort of
hit on the highpoints.
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We're also going to
answer some questions about it.
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But the reason we talk about it
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and I try to talk about subjects
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even though I am a cardiologist,
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I did take some
internal medicine.
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But I do talk to
people with all these problems
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and we do a
research and we do know
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that we need to talk about
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the things that happen most.
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Depression, chronic
pain, heart disease,
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cancer these are things that
it touches everyone's lives.
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And someone out there
might not have chronic pain
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but I am sure you know someone
that does have chronic pain.
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And if you can
help share with them,
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help serve them,
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you're improving
your own chemistry
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when you serve someone else.
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But you might help
them out of a tough spot.
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You might keep them away
from the dangerous medication,
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which cause
downhill consequences.
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Now we are 6000 years
from the hand of the Creator.
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We're long way from Eden
and we've a lot of sin in us.
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Pain of course is
connected directly to sin,
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without sin you don't have pain.
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Can we reasonably think
that we're going to completely
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eliminate pain from our lives?
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I don't think so Charles.
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I think there is always
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going to be pain
in a sinful situation.
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And when you talk about
100 million people having pain.
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Chronic pain is
not like the pain
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I am having in my
ankle occasionally
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because I sprained it.
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Chronic pain is define of pain
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that it goes on
beyond six months.
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So six months. Yeah, six months.
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Now some people do
three, some people do six,
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but pretty much the
standard definition of pain
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that goes on beyond six months.
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So the first thing we have,
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when we have chronic
pain that doesn't go away is.
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One of the best treatments
for chronic pain is to rest
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the part that has pain.
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And I see this in back
over and over and over.
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A guy hurts his back.
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And he needs to go back to work,
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and instead of
letting the back heal,
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may be letting it rest,
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may be doing
some physical therapy.
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The body can heal
itself many times. Yeah.
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Instead of doing that he
says I got to back to work.
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I got to have
something to relieve the pain,
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so I can work, okay.
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So he goes back to
work, doesn't have the pain,
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so he doesn't feel it.
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But he keeps on
working, and guess what?
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In the process 'cause
he can't feel the pain,
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pain is something
God gives us to say,
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listen you
shouldn't be doing that.
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Because he is
taking pain medication.
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Right, he doesn't feel the pain.
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All right, he
has taken medicine.
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But he should be
feeling the pain.
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Yes, he should be.
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But he has not
been feeling the pain,
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so he keeps
working harder and harder
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and he is lifting and
pulling and guess what?
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Whatever is bad gets worst.
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Yes, It's like, you know,
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if you had a broken arm.
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You'll put in a cache.
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You wouldn't keep
throwing fast balls
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because it
wouldn't be allowed to heal.
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So sometimes chronic
pain can be simple as,
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listen I have pain and
if I don't take care of it
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and listen to it, something
worst is going to happen.
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So sometimes when
you rest chronic pain
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will get better
in and of itself.
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You know, I thought
about this because sometimes
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if I injure my arm or my leg
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and I want to take
an aspirin or a Tylenol,
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I want to get rid of the pain.
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I certainly say to myself.
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Now, wait a
minute, if I do this,
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I am not going to feel the pain
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and I could do
more injury to myself
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because I can
just walk and work.
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So when do we
know to take the pill,
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when do we know not to
take the pill for pain,
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this over-the-counter things.
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Should we just learn
to live with the pain
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and then be aware as
the body heals itself
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and the pain slowly goes away.
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Well, first of all.
Which is hard to do.
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Yeah, first of all if
the pain is not going away,
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it's a problem, okay.
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For six months.
Well that's a problem.
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You have pain that
goes on for six months.
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It's the pain that keeps
going on is the problem. Okay.
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And the first part
in evaluation of pain
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is to find out what
is causing the pain.
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And when you know
what's causing the pain,
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you're more likely to
be able to fix the pain.
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Yeah. Okay, for
instance I give this analogy.
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You know, quite a bit.
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If you're, you
know, if you're hitting
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your thumb with a hammer, okay.
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You can take pain
medicine for that but as long as
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you're hitting
it with the hammer,
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something is
gonna still hurt, okay.
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So you want to find the cause
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and if you think
going from top to bottom,
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what are some of the
causes of chronic pain.
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Well, let's start with our feet.
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One of the most
common causes of foot pain
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is having foot malalignment.
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If the foot is misaligned
you're wearing bad shoes.
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If there is not enough
arch support, if there is,
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if you're in
high heels everyday,
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you can have chronic
pain just from your footwear.
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You might be having
things displaced in the foot,
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you might have
fasciitis and the treatment
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for that is not to
take a lot of medicines
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but to correct the foot pain.
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And this pain
travels, what I have discovered
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in my own life,
this pain travels.
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I had what I
discovered was an arch
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that was not supporting
me and I did not know that.
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And I was
walking around for years
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and I had back pains. Exactly.
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And it was not, then I
said what's wrong with my back.
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But what I
discovered was that my arches
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weren't
supporting me as they should.
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When I got those little
lifts they put in there,
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little things in the
shoes, my back pain went away.
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Yeah. So sometimes pain is not
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where you think
it's going to be.
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It reverts. It reverts,
something hurts in the valve
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which is causing the
pain in that location.
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Remember pain comes
from the nervous system.
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And these nerves come from
the head to the toes. Yeah.
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You know, so you know some
people might be having pain
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in the lower back,
sciatica, a pinch nerve.
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The treatment for that
might just be some exercise,
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some massage,
even chiropractic care
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can release the
pressure on that nerve.
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Exercise, rest that might be
better than taking a medicine
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and so doing the
things that make it worst.
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Okay. Other
types of chronic pain.
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If you've been in an
accident having trauma,
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having the nerves damage.
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That's severely pain.
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Sometimes cancer
can cause chronic pain.
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Irritable bowel can cause it.
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Any joints, arthritis is a very
common cause of chronic pain.
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You heard the word fibromyalgia,
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pains throughout the body.
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You know that can
cause chronic pain,
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chronic headaches, okay.
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Now chronic headaches
for instance can be simple
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as having a TMJ
syndrome, where your joint,
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your joints in your jaw
is stimulating the nerves
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which cause headaches.
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Nowadays dentists have fittings
that can help with that.
00:08:13.86\00:08:16.81
Sometimes chiropractic
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can release the
pressure on the nerves.
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That might be a better option
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than taking a lot
of pain medicines.
00:08:21.57\00:08:23.53
So when you have chronic pain,
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if possible find
out the reason why
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and that's going to help you.
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Physicians for instance
there is a lady the other day,
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I saw that had a
compression fracture
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on her back of the spine.
00:08:33.57\00:08:35.19
That's where one
of the spinous process
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has just deteriorated.
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Well, in that way
she was taking narcotics.
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Well, she wasn't
going to the bathroom,
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she is having
lot of side effects
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with her other medicines,
she was thinking herself.
00:08:43.70\00:08:46.42
A good physician got
hold of her and said, listen.
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You know there is some cement
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we can put into
that called kyphoplasty
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that might help
with this fracture,
00:08:52.40\00:08:54.36
they put the kyphoplasty in.
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Her pain went away,
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so she needn't take the
chronic pain medication.
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Modern medicine at its best.
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Yes, so there is a place where
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if you can fix some things
with modern medicine do that.
00:09:02.01\00:09:04.78
Another lady that this
happened a couple months ago,
00:09:04.81\00:09:07.24
she was in the hospital Charles.
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And she was having
pain everyday in her back,
00:09:09.39\00:09:11.61
my back hurts, my back hurts.
00:09:11.64\00:09:13.13
And guess what?
00:09:13.16\00:09:14.19
They kept giving
her pain medicines.
00:09:14.22\00:09:15.65
My back still hurts.
00:09:15.68\00:09:16.87
Well, we rolled her
over and pulled the syringe,
00:09:16.90\00:09:19.94
the needle out of her back,
00:09:19.97\00:09:21.65
and guess what,
her pain went away.
00:09:21.68\00:09:23.85
She had a needle
that had got in her back
00:09:23.88\00:09:26.18
that was sticking her in back.
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No one even cared to look or
evaluate the pain. Have mercy.
00:09:27.67\00:09:30.70
So the first thing in chronic
pain is have the pain evaluated.
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Yes. Let's see what
it is and what it isn't.
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You know sometimes even
medicines can cause pain.
00:09:36.81\00:09:39.56
A fellow came to
me the other day,
00:09:39.59\00:09:41.11
he was having pain
in all of his muscles.
00:09:41.14\00:09:42.81
You know, I just
touched his muscles
00:09:42.84\00:09:44.29
and he would jump in pain.
00:09:44.32\00:09:45.50
He says it hurts all time.
00:09:45.53\00:09:46.57
I don't even feel like living.
00:09:46.60\00:09:47.84
Well, he happened to be on
a medicine called the statin
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which can cause
Myositis inflammation
00:09:50.77\00:09:53.18
of all the joint pains.
00:09:53.21\00:09:54.52
He had that and he
got that out of his life
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and he got lot better.
00:09:56.60\00:09:58.25
Another lady came
to me not too long
00:09:58.28\00:10:00.03
that had severe arthritis,
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that's
inflammation of the joints.
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And you know, she
just did some simple things
00:10:04.17\00:10:06.07
like drinking some
more water which helps,
00:10:06.10\00:10:08.67
which helps
joints have lubrication.
00:10:08.70\00:10:11.41
She did another simple thing
00:10:11.44\00:10:12.69
like she took some
alpha omega-3 fatty acids,
00:10:12.72\00:10:15.18
which she got in
almonds and walnuts.
00:10:15.21\00:10:17.21
She started doing that.
00:10:17.24\00:10:18.46
She started doing
some simple exercises
00:10:18.49\00:10:20.66
which raised endorphins.
00:10:20.69\00:10:22.69
And her pain was
controlled enough,
00:10:22.72\00:10:24.43
so she didn't have
to take the narcotic.
00:10:24.46\00:10:26.33
She was able to move
down to something less
00:10:26.36\00:10:29.38
called acetaminophen or Tylenol.
00:10:29.41\00:10:31.52
What I hear you saying is
that when pain is present,
00:10:31.55\00:10:35.77
we need to start our search.
00:10:35.80\00:10:37.00
We need to start
looking for the cause
00:10:37.03\00:10:38.87
and if we don't
start looking for the cause
00:10:38.90\00:10:41.22
chances are we're not going
to find the solution. Right.
00:10:41.25\00:10:44.67
And don't jump on the
narcotic bandwagon right away.
00:10:44.70\00:10:47.99
Too many people are
taking chronic narcotics, okay.
00:10:48.02\00:10:51.33
There are-- there
is a place for them
00:10:51.36\00:10:53.38
but they have to be
watched very closely
00:10:53.41\00:10:55.29
because they are addictive.
00:10:55.32\00:10:56.78
And you see all
these pain clinics
00:10:56.81\00:10:58.69
and all these
overuse of narcotics,
00:10:58.72\00:11:00.96
all the deaths from
narcotics we see in the news.
00:11:00.99\00:11:03.47
Heath Ledger, Whitney Houston
all of them had narcotics.
00:11:03.50\00:11:07.06
Now did they have
physical pain or mental pain?
00:11:07.09\00:11:09.91
Some people are taking narcotics
00:11:09.94\00:11:11.44
for mental pain to
escape from all the stress
00:11:11.47\00:11:14.19
that their body is under,
00:11:14.22\00:11:15.25
because they want to escape this
00:11:15.28\00:11:16.81
and that's not
the solution at all.
00:11:16.84\00:11:18.58
There's other
great treatments for pain
00:11:18.61\00:11:20.51
that people don't
think about like music.
00:11:20.54\00:11:22.62
Music is a treatment for pain.
00:11:22.65\00:11:24.80
Worship is a treatment
for pain as well as prayer.
00:11:24.83\00:11:28.59
There's just tons of
ways we can treat chronic pain
00:11:28.62\00:11:31.52
if we can find
out the reason why.
00:11:31.55\00:11:34.08
Do not be satisfied
until you know the reason,
00:11:34.11\00:11:37.72
why I hear you say. Right.
00:11:37.75\00:11:38.78
Do not just say,
okay, I have a pain,
00:11:38.81\00:11:41.57
I want a pill
and I'll pay the bill
00:11:41.60\00:11:43.53
and everything will be fine.
00:11:43.56\00:11:45.07
Don't be satisfied with that.
00:11:45.10\00:11:46.83
When you have that pain,
go searching for the reason.
00:11:46.86\00:11:49.84
And a lot of lifestyle
issues are connected with pain.
00:11:49.87\00:11:53.31
A lot of them,
Charles. We know--
00:11:53.34\00:11:55.32
Doesn't cost you anything
to make those kind of changes.
00:11:55.35\00:11:57.23
No, no, we know that
people that don't exercise
00:11:57.26\00:11:59.99
and move their body
parts have higher chances
00:12:00.02\00:12:02.67
of having joint and body pains.
00:12:02.70\00:12:04.65
Yeah. We know that
they also have a chance
00:12:04.68\00:12:06.51
of having higher
risk of fractures.
00:12:06.54\00:12:08.80
So there is some things you
can do to prevent chronic pain.
00:12:08.83\00:12:12.30
We know that people
that don't drink enough water
00:12:12.33\00:12:15.08
can have more headaches
00:12:15.11\00:12:16.40
which it can be turn
into be a chronic nature.
00:12:16.43\00:12:19.41
We can also can
have more joint pains.
00:12:19.44\00:12:22.43
So there's so many
lifestyle things that we can do.
00:12:22.46\00:12:25.19
I mean there's so many,
00:12:25.22\00:12:26.25
you know, other
interventions we can do.
00:12:26.28\00:12:27.97
Just having a good belly laugh
00:12:28.00\00:12:29.41
occasionally makes
up your endorphins.
00:12:29.44\00:12:31.10
We know that
people who are depressed
00:12:31.13\00:12:32.43
that makes all pains worst.
00:12:32.46\00:12:34.06
That's right, that's right.
00:12:34.09\00:12:35.53
Well, we're gonna take a
break and when we come back,
00:12:35.56\00:12:37.50
we're gong to
address some of the questions
00:12:37.53\00:12:39.11
that have come into
heartwiseministries.org.
00:12:39.14\00:12:41.68
This is an important tool
for you listener and viewer.
00:12:41.71\00:12:45.15
To go to heartwiseministries.org
00:12:45.18\00:12:46.97
and enter your question,
00:12:47.00\00:12:48.49
so that we can address
them right here on the program
00:12:48.52\00:12:50.53
and we'll do that
when we come back.
00:12:50.56\00:12:52.43
There is no
reason on this earth,
00:12:52.46\00:12:54.04
why we should not
know something, not today.
00:12:54.07\00:12:57.25
We have
programs and the internet
00:12:57.28\00:12:58.95
and books and
magazines and radio shows
00:12:58.98\00:13:01.53
that can give us the answers
and we'll find the answers
00:13:01.56\00:13:03.40
for your questions on
our return, so stay put.
00:13:03.43\00:13:05.84