The following
program presents principles
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designed to
promote good health and
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is not intended
to take the place of
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personalized professional care.
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The opinions and
ideas expressed are those
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of the speaker.
Viewers are encouraged
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to draw their own conclusions
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about the information presented.
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Hello, my name is Stoy Proctor,
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I am here today
hosting 'Wonderfully Made.'
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We are
wonderfully made but sometimes
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things go wrong.
Today we're gonna be
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talking about
arthritis. Different types of
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arthritis, in fact
there is 100 varieties of
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arthritis we're not
gonna talk about all
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one hundred today
but we're gonna talk
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about some of the
things we might be able
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to do to ease the
pain and may be even
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make life a little
easier as my guest today
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I have Dr. Allan
Handysides, Allan,
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welcome and
you're gonna be our guest
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today and I'd like to
ask you first what is it?
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What is
arthritis? What is arthritis?
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Well it's a simple
word, it really means
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inflammation of a
joint, and as such there
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are many as you've already said,
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many different
kinds of arthritis.
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A joint is classically
made of, is the place
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where two bones
come together and the
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good Lord made us
in such a way that the
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surfaces of those
bones are covered with
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cartilage which
allows there to be a
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movement that slips
and slides rather easily.
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A lubricant is
provided to that joint by
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what is called
Synovium or the Synovial
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membrane. Now, this is
a specialized structure
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that lines the joint
but not over this surfaces
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that rub together
but on the inside of the
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capsule that holds the
joint together and this
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membrane secretes a
lubricating fluid that
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actually gives a nice
smooth gliding surface.
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Around the the
Synovium is the capsule and
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then supporting
the joint are various
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ligaments and
tendons and then the muscles
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and so we find
that we have this very a
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compact place
between bones that gives
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both strength and
support and yet at the
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same allows for
flexibility and therefore
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for movement. We
usually define joints
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small joints and large
joints the large joint,
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the largest joint
of course there is the
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hip joint. We have
knee joints, we have
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then smaller joints,
the smaller ones which
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are in our
fingers and in our feet.
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And we can get
arthritis, different forms
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of arthritis
effect different joints
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predominantly so
there are patterns of
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arthritis. Now, my grandmothers,
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I've got two
grandmothers as most
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people, and both of
them had rheumatise,
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what do you think this was?
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Well, what is
rheumatise? Well, rheumatise,
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I heard many
years ago. And my family
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use to be lumbago,
and okay, rheumatism,
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and so forth. That
term is a term that has
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been used over
generations and it's a lay
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term that refers to arthritis.
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Usually it's
referred to the form of
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arthritis that
came with aging which is
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osteoarthritis,
but any of the forms of
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arthritis that
might have been called
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rheumatise you know
according to the old
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time treatment.
Now, I'd like to ask
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you something
because my grandmother
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used to be able to
forecast the weather,
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is that
possible? You know this is,
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it's a very
interesting thing and we don't
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quite understand
why that is, but many
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people who have
arthritis are sensitive to
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possibly
barometric changes, pressure
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changes. And we'll
be able to say there
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is bad weather coming
along. Interestingly my
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wife she doesn't have
arthritis that I've been
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able to define but
she has had over the
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years joint pains of
various variety and she
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will sometimes say
I think we're going to
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have a storm
because my knees are aching
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and I think that's a
fairly common feeling
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among different
people that they can
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sense weather
changes probably barometric
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changes. Now,
there's many kinds of
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arthritis as I
mentioned earlier but we're
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gonna have to limit
ourselves to may be a
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couple of kinds. Tell
me about osteoarthritis?
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Well, we can, if we
have time we can talk
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about some of the other forms.
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Osteoarthritis is
the commonest form of
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arthritis, its
probably going to affect,
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maybe 60 percent
of people are going to
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have trouble with
osteoarthritis people
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who have a family
history of osteoarthritis
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again are more
prone to develop it.
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And people who
are have some of the
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predisposing
factors such as heavy manual
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labor. Well,
osteoarthritis is not an
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arthritis that is a
disease caused by living
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in an improper way
or anything like that.
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Except that it is
brought on by heavy
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physical labor.
So somebody who works
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a jackhammer for
instance or somebody
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who is working as
a stone mason with a
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hammer hammering
away at rock corner
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with a chisel,
chiseling rock. Somebody who
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maybe lifting
heavy weights, a minor.
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Well, those kind
of people do tend to
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get osteoarthritis,
although one can get
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osteoarthritis even
doing relatively light
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work and sedentary
work. if it's a repetitive
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type of motion, now I
myself have osteoarthritis
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in my hands which
surprised me because
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having been a
physician, I didn't think that
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I was doing a lot of
strain. A lot of work,
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but I was doing
a lot of surgery,
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I used to operate
may be for 12 or 15
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hours a week and
using even though
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there's small
instruments but I was using
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a repetitive type
of motion with sowing
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and cutting and
repairing tissues and so forth.
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And I have a little
arthri-d in my hands.
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You'll notice my
finger, this little finger has
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arthritis. And that
may have also have been
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just. One second,
what did you call it?
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Stuck, yeah stuck
together, arthri-d.
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Yes, you look you
see well I can close this
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finger those that
joint there has kind of
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stuck up and what's
happen with the joint is
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that there has been
an overgrowth of bony,
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little tuberosities
around the joint the fibrous
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tissue of the
capsules become stiffened and
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at a point in
time, it was painful.
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I think I sustained an
injury actually to this
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little finger as
well which has speeded up
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the process, but
that's a classic situation
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for osteoarthritis.
Many people get hip,
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osteoarthritis of the
hip, that can be a very
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serious problem.
And osteoarthritis then
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is a wear and
tear type of problem,
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on the joints.
Now, occasionally I have
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fallbacks, years
ago I watched Roger
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Staubach, he was a
quarterback for the
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Dallas Cowboys and
heard him advertising
00:07:56.10\00:07:58.91
pain killers. Well,
are sports like contact
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sports like football,
are those players have to
00:08:02.26\00:08:06.59
suffer arthritis?
Yes, osteoarthritis later
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on in life, they
are indeed, particularly
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players that get
tackled are likely to have
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the joints
traumatized and trauma just
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like hard work
trauma can predispose.
00:08:20.66\00:08:24.11
So, sports as well
as some of the manual
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professions could
be a danger, one of the
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most severe
anthracitic situation that I
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remember
encountering was in a former
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hockey player.
You know, sometimes we
00:08:34.39\00:08:37.83
look at the stars
of hockey or the stars
00:08:37.86\00:08:40.77
of sports and we
think wow! What a
00:08:40.81\00:08:43.02
wonderful thing,
but we don't understand
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that they are very
many casualties along
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the way and for every big price.
00:08:48.08\00:08:49.45
Every star there
are hundreds of people
00:08:49.70\00:08:52.29
who played hard
may be enjoyed it very
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much and I'm not
against good athletic
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activities, but do
sustain severe injuries and
00:08:57.75\00:09:02.51
we need if our
children and young people are
00:09:02.70\00:09:05.16
playing sports we
need to be careful that
00:09:05.28\00:09:07.93
they're not putting
themselves at undue risk.
00:09:07.96\00:09:10.71
For instance the
pictures in baseball,
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that repetitive
strain many of them have
00:09:14.16\00:09:16.87
problems with
shoulders and elbows,
00:09:16.97\00:09:19.01
arthritis because
of repetitive throwing,
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you know that ball
time after time after time,
00:09:23.00\00:09:26.28
that's not what
we were made for.
00:09:26.55\00:09:28.21
We were made to
function in a balanced way,
00:09:28.43\00:09:31.11
not in a sort of
highly focused way that
00:09:31.21\00:09:34.49
stresses one
joint to the, you know
00:09:34.68\00:09:38.33
to out of
proportion to all the others.
00:09:38.44\00:09:40.29
After listening my
grandmothers for years
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complaining about
their arthritis is there
00:09:43.89\00:09:46.71
anything I can do
or may be its too late
00:09:46.78\00:09:48.99
for me but some
people can do to prevent
00:09:49.16\00:09:50.92
it? Well, of course
we've already been touching,
00:09:50.95\00:09:54.06
talking about
preventing these strains and
00:09:54.13\00:09:56.69
these injuries. So,
don't play contact sports.
00:09:56.76\00:09:59.20
Avoid these excessive
activities, if we can.
00:09:59.62\00:10:03.26
So, there is
anyway though like I'm,
00:10:03.33\00:10:04.81
say I'm a stone
mason. Is there anyway
00:10:04.90\00:10:07.55
to avoid this kind of
strain? It might be very
00:10:07.65\00:10:10.80
difficult, it
might be very difficult,
00:10:10.96\00:10:12.97
one can of
course if you have knee
00:10:13.16\00:10:15.06
troubles or hip
troubles look to your shoes,
00:10:15.15\00:10:19.01
we need to have
cushioned shoe and
00:10:19.38\00:10:21.76
there's been a
great advance in the last
00:10:21.79\00:10:23.88
25-30 years since
all the different shoe
00:10:23.98\00:10:27.21
manufactures
have given comfortable
00:10:27.28\00:10:29.40
springy shoe,
that's going to be very
00:10:29.53\00:10:31.78
beneficial to the
knees and the hips of
00:10:31.92\00:10:34.11
people who wear
those type of shoes.
00:10:34.14\00:10:35.95
When I was a boy we used to wear
00:10:36.19\00:10:37.68
you know stiff hard
heels and soles people
00:10:37.97\00:10:43.03
wore boots,
sometimes steel heels were
00:10:43.15\00:10:46.13
put on those and
that transmitted a lot of
00:10:46.19\00:10:48.57
force through the
limbs, so good cushioned
00:10:48.63\00:10:51.56
footwear is a very
important thing for
00:10:52.33\00:10:54.95
protecting and then
of course it's important
00:10:55.11\00:10:57.41
to wear supportive
gloves and protective
00:10:57.77\00:11:00.86
gear in certain
activities. You know,
00:11:00.89\00:11:03.82
I occasionally on
my lawn tractor I wear
00:11:03.87\00:11:06.67
earmuffs to
protect my ears, yes.
00:11:06.70\00:11:08.89
And when I get off
the tractor and start
00:11:09.01\00:11:10.78
walking it feels
like the sound come in my
00:11:10.94\00:11:15.05
ears, it feels
like somebody's pounding
00:11:15.16\00:11:17.81
my ears. Now, when
you take the protective,
00:11:17.84\00:11:20.81
no, when I put them on and walk,
00:11:20.88\00:11:23.24
which explains to me
that even when I walk
00:11:24.17\00:11:28.03
there is a pounding
going on in my joints,
00:11:28.71\00:11:31.71
I can hear it. Were
these from the earmuffs,
00:11:31.77\00:11:33.46
it's just amplifies
it, it amplifies it.
00:11:33.98\00:11:36.11
You're cutting off
all the other sound,
00:11:36.17\00:11:38.02
you're cutting off
the external sound and
00:11:38.18\00:11:39.76
then you're aware
of, if you were eating
00:11:39.79\00:11:42.63
your honey nut.
So, shoes I think it
00:11:42.84\00:11:45.23
would be
important wouldn't it be?
00:11:45.26\00:11:46.41
Very important,
because you do transmit
00:11:47.06\00:11:49.75
forces through
that. Now, there are some
00:11:49.87\00:11:51.26
other things that
might increase the risk of
00:11:51.32\00:11:53.80
osteoarthritis
and that is obesity,
00:11:55.04\00:11:57.44
is that true? It
certainly is. Obesity imagine
00:11:57.72\00:12:02.48
we've talked about
work, now imagine that
00:12:02.51\00:12:04.76
you carry a 50 pound
sack of potatoes or grain
00:12:04.79\00:12:08.47
or whatever else you want to do.
00:12:08.60\00:12:10.01
Everywhere you go,
are extra calories,
00:12:10.25\00:12:12.86
well if you have 50
pounds of overweight
00:12:13.71\00:12:15.58
that's what you
do. Yeah! That's right.
00:12:15.67\00:12:16.80
Yeah you're carrying
that all the time and
00:12:16.88\00:12:19.30
that's a major strain
on your joint and obesity
00:12:19.70\00:12:23.37
being such a common problem.
00:12:23.44\00:12:24.91
Now, there is a
definite thing that we can
00:12:25.57\00:12:27.11
do is to take
control about our weight.
00:12:27.22\00:12:29.49
Easier said of course than done,
00:12:29.85\00:12:31.31
because you know I
feel myself I've got
00:12:31.83\00:12:34.29
this little thing
here, it's not because
00:12:34.33\00:12:36.27
I don't know
what to do its because
00:12:36.34\00:12:38.83
we need to be
motivated, to be have the
00:12:38.86\00:12:42.11
will power not to
eat so much. So, how does
00:12:42.14\00:12:45.68
the obese, is that
just mean there is extra
00:12:45.88\00:12:48.05
pressure on the
joints? Yes, extra pressure
00:12:48.18\00:12:50.23
on the joints,
extra wear and extra tear.
00:12:50.26\00:12:52.80
Alright, go on.
Sometimes you know we're
00:12:54.32\00:12:56.99
going to have to
address osteoarthritis
00:12:57.04\00:13:00.62
though with surgery, you are?
00:13:00.68\00:13:04.30
Yeah, my father had
osteoarthritis in the
00:13:04.40\00:13:06.50
knees, as a boy
he suffered rickets.
00:13:06.60\00:13:09.65
He was brought up
in Newcastle on Tyne,
00:13:10.14\00:13:13.81
its an mining and
cold city in Northern
00:13:13.90\00:13:17.87
England. Very cold,
very dark, not a lot
00:13:17.90\00:13:20.74
of sunshine and of
course they're dressed
00:13:21.28\00:13:23.32
from here right
down the toes, they had
00:13:23.35\00:13:25.30
a big hat on as
well. Very little sunshine,
00:13:25.33\00:13:27.48
vitamin D
deficiency developed and he
00:13:27.91\00:13:30.84
became, he had
bowlegs and we used to
00:13:30.91\00:13:33.85
tease him about his
bowlegs but it was a
00:13:33.94\00:13:35.36
sad thing really
because it was a fact
00:13:35.39\00:13:37.02
that he had rickets
as a child. That meant
00:13:37.11\00:13:40.54
that as he walked
the pressure on his knee
00:13:40.57\00:13:44.05
joints were
transmitted not evenly across
00:13:44.08\00:13:47.16
the joint but to
one side of the joint.
00:13:47.19\00:13:49.56
That's right, okay,
and so when he got to
00:13:49.59\00:13:51.44
be about 18 years
old he was having a
00:13:51.47\00:13:53.71
lot of trouble with
his knees and the doctor
00:13:53.74\00:13:56.15
said what we could do is to cut,
00:13:56.20\00:13:57.51
do an osteotomy, cut
your bone and realign
00:13:57.77\00:14:01.27
them, so that the
weight will be disturbed
00:14:01.30\00:14:02.90
to the other side
of the joint and that
00:14:03.05\00:14:04.82
would free you
of some of the pain.
00:14:04.85\00:14:06.99
Now, today maybe
they would have said
00:14:07.63\00:14:09.37
to him, maybe you can
have a joint replacement,
00:14:09.40\00:14:11.92
replacement. Where
they take the joint out
00:14:11.95\00:14:13.64
and we will replace
the joint, they have
00:14:13.91\00:14:17.04
done surgeries
like putting caps on the
00:14:17.08\00:14:19.47
joint, just on the
ends of the bones so
00:14:19.50\00:14:22.03
that the surfaces
that are rubbing against
00:14:22.11\00:14:23.66
each other are
metallic. And we have
00:14:23.69\00:14:26.06
of course
arthroscopic surgery which is
00:14:26.09\00:14:28.13
very interesting
surgery because you take
00:14:28.21\00:14:30.02
the little tiny tube
like thing through which
00:14:30.10\00:14:33.20
you can look and see
and they can look inside
00:14:33.23\00:14:36.09
a joint, that's very
useful sometimes if a
00:14:36.12\00:14:39.12
joint's damaged
with osteoarthritis,
00:14:39.24\00:14:40.72
got little chips of
cartilage or bone inside
00:14:40.75\00:14:43.62
that, they can
take those out through
00:14:43.70\00:14:45.59
little tiny cuts
maybe quarter or half an
00:14:45.62\00:14:48.23
inch in size. People
can have that surgery
00:14:48.26\00:14:50.89
done and go away
very, very readily.
00:14:50.92\00:14:54.11
Are these surgeries
quite successful or do
00:14:54.31\00:14:56.52
they have to be done over again?
00:14:56.57\00:14:57.99
Some times will,
replacement surgery will
00:14:58.07\00:15:00.14
have to sometimes
to be done over again.
00:15:00.22\00:15:02.51
Maybe what ten
years? May be 10-15 years
00:15:02.56\00:15:05.43
and there is a time
with the improving joints
00:15:05.46\00:15:09.06
that is getting to
be longer and longer
00:15:09.27\00:15:12.26
time that a joint
will last. That is why we
00:15:12.46\00:15:14.81
used to say to
people well maybe put up
00:15:14.97\00:15:17.36
with your pain a
little longer because we
00:15:17.39\00:15:19.11
didn't want to really
do a joint replacement
00:15:19.14\00:15:21.85
too soon.
Especially if a person was say,
00:15:22.63\00:15:27.96
60 or may be if he
could put up with him for
00:15:28.28\00:15:30.52
5 years. What's
the problem with having
00:15:30.62\00:15:32.20
replacement, the
replacement? Well, the
00:15:32.23\00:15:35.00
problem with the
replacement is nothing,
00:15:35.03\00:15:36.47
nothing is as
good. Except expense.
00:15:36.94\00:15:38.64
As nothing is as
good as what God gave us.
00:15:38.77\00:15:41.71
We are indeed as our
program says wonderfully
00:15:41.87\00:15:44.83
made, beautifully
made and when you replace
00:15:44.90\00:15:48.44
a joint with a
manufactured joint it
00:15:48.47\00:15:51.40
works fine but
I've seen them when
00:15:51.50\00:15:53.36
they've been
taken out and the ground
00:15:53.39\00:15:55.66
up edges and the
ground up surfaces,
00:15:55.69\00:15:58.09
the wear and tear
that the joint undergoes
00:15:58.24\00:16:01.92
and our normal
joints repair themselves.
00:16:02.17\00:16:05.18
Self-reparative
joints and so, marvelous,
00:16:05.31\00:16:07.70
marvelous, it's
absolutely fantastic that that
00:16:07.73\00:16:10.30
can take place. So
yes, it's good that there
00:16:10.33\00:16:14.53
is a hip or a joint replacement,
00:16:14.56\00:16:16.78
knee replacement
but it would be so much
00:16:16.83\00:16:19.50
benefit to
preserve what God has given
00:16:19.53\00:16:21.74
us if we could.
Now, my grandmother,
00:16:21.77\00:16:23.98
one of my grandmothers
was told that if she can
00:16:24.11\00:16:26.48
get relief by
standing, now in Texas we
00:16:26.51\00:16:29.70
have red ants,
red ants about a half
00:16:29.73\00:16:32.47
inch long and they
are sting and they're
00:16:32.50\00:16:35.62
very painful but
she was told if she went
00:16:35.65\00:16:38.11
out on this bed and
got stung by ants that
00:16:38.14\00:16:40.92
would relief her
arthritis. I don't think
00:16:40.95\00:16:43.51
it did, you know
anything about this?
00:16:43.54\00:16:45.11
Well, of course I
am, that's an alternative
00:16:45.62\00:16:48.18
remedy. What I am
going, leading at is that
00:16:48.23\00:16:51.10
are there some
kind of relief, is there
00:16:51.23\00:16:54.01
something that we
can do to relieve somes
00:16:54.13\00:16:55.26
of this pain in
a little surgery.
00:16:55.35\00:16:57.05
Well, of course the
simple pain relievers
00:16:57.39\00:17:00.21
have worked well and
continue to work well.
00:17:00.70\00:17:03.67
Aspirin as you know
is an extract of willow
00:17:04.19\00:17:06.06
bark and was,
quite natural, right?
00:17:06.12\00:17:09.82
It was natural
originally and then it's been
00:17:09.85\00:17:12.14
synthesized and so
Aspirin is a very good
00:17:12.25\00:17:15.58
pain reliever, of
course it's hard on the
00:17:15.61\00:17:17.26
stomach, it may
cause bleeding in some
00:17:17.40\00:17:19.46
individuals so it's
not something that you
00:17:19.60\00:17:20.83
can take easily.
Tylenol is less irritative
00:17:20.86\00:17:26.05
to the stomach and
it metabolizes to some
00:17:26.21\00:17:28.48
of the similar
ingredients. So, Tylenol
00:17:28.51\00:17:30.67
will work. Then we
have a whole class of
00:17:30.75\00:17:32.34
medications called non-steroidal
00:17:32.49\00:17:34.42
anti-inflammatory and
they've been used with
00:17:34.45\00:17:37.11
some degree of
benefit but they also are
00:17:37.14\00:17:39.76
irritated to the
stomach. The latest ones
00:17:39.79\00:17:43.28
which have been in
the news are Vioxx and
00:17:43.31\00:17:45.57
we've also seen some
problems with that they
00:17:46.88\00:17:49.93
are what you
call COX-2 inhibitors.
00:17:50.00\00:17:52.44
The COX-2
inhibitor interfere with the
00:17:52.95\00:17:55.68
inflammatory
process in the different
00:17:55.75\00:17:57.41
place but they have
been found, Vioxx has
00:17:58.13\00:18:01.45
been found to
increase your risk of heart
00:18:01.56\00:18:03.31
attack. So, when we
talk about treatment
00:18:03.34\00:18:06.80
for arthritis, yes we
really do want to avoid
00:18:06.92\00:18:10.74
it if at all possible
and then we want to use
00:18:10.77\00:18:13.56
as mild the
medication as we possibly can.
00:18:13.59\00:18:15.76
It's important not to
forget some very simple
00:18:15.86\00:18:18.78
things that can
help for arthritis.
00:18:18.83\00:18:21.00
Heat and cold you
know is something that will
00:18:21.65\00:18:24.92
very often help, now
we don't usually heat
00:18:24.95\00:18:27.33
and inflame joints,
so we can talk about
00:18:27.40\00:18:29.25
rheumatoid
arthritis, we don't heat and
00:18:29.28\00:18:31.69
inflame joint but
osteoarthritis may benefit
00:18:31.80\00:18:34.03
from warm and we can
also alternate that with
00:18:34.08\00:18:36.82
warm and cold.
Alright, now, get into the
00:18:37.03\00:18:39.91
details how long if
I have a joint that's
00:18:40.13\00:18:44.22
inflamed and
hurting how much cold what
00:18:44.25\00:18:47.93
kind of, how do
we put cold on that?
00:18:47.96\00:18:49.47
Ice pack. Well, yes
an ice pack would be a
00:18:49.55\00:18:51.87
good way, a
heating pad will be fine,
00:18:51.90\00:18:53.94
heating pad that we
mild, or if you're using,
00:18:53.97\00:18:56.37
you you must be
very careful using hot
00:18:56.42\00:18:58.89
water bottles and
those sort of things
00:18:58.92\00:19:00.49
because it's
gonna burn the skin.
00:19:00.52\00:19:01.88
And if there is a
diabetic that's being
00:19:02.23\00:19:03.78
treated or if there
is any evidence of nerve
00:19:03.84\00:19:06.54
insensitivity
there, got to be very,
00:19:07.25\00:19:09.62
very careful with
heat. But you can put
00:19:09.73\00:19:11.74
warm packs around
you, usually put a
00:19:11.85\00:19:14.68
warm packet
something that you may heat
00:19:14.81\00:19:16.70
or if it can be an
electrical pad that you
00:19:17.35\00:19:19.50
heat. You apply
that around the affected
00:19:19.61\00:19:21.76
area or over the
affected area usually
00:19:21.83\00:19:24.19
for five, six,
seven minutes, then you
00:19:24.29\00:19:27.17
remove it and then
you can have an ice
00:19:27.29\00:19:28.93
pack. And an ice
pack you can make by
00:19:28.97\00:19:31.40
crushed ice
inside a towel or, okay,
00:19:31.50\00:19:34.49
a plastic bag first
and then, and you apply
00:19:34.56\00:19:37.31
that and then you
just cool the joint,
00:19:37.34\00:19:39.35
you then alternate
the hot, you can do
00:19:39.48\00:19:41.59
it with water.
Actually very, very good
00:19:41.62\00:19:45.11
way to heat and
cool if you can immerse
00:19:45.14\00:19:47.78
if its an ankle
or something you can
00:19:47.86\00:19:49.46
immerse it in
warm water then in cold
00:19:49.58\00:19:51.31
water. Again for
five minutes-ten minutes
00:19:51.34\00:19:53.87
you always want
to end up with a cold
00:19:53.95\00:19:56.37
application, good,
for osteoarthritis because
00:19:56.64\00:19:59.09
the cold chills it
out and the warm brings
00:19:59.12\00:20:02.19
more blood there so
it improves the healing.
00:20:02.22\00:20:04.67
Now, the, I have a
brother-in-law that
00:20:05.22\00:20:07.40
took one of these thermal foils,
00:20:08.08\00:20:09.55
these heating pads?
Yes. That they have a
00:20:09.58\00:20:11.52
cut off switch on
them, which is automatic,
00:20:11.55\00:20:13.31
but he was very
clever he propped
00:20:13.96\00:20:15.92
something up
against that cut off switch
00:20:16.00\00:20:18.05
and left it on and
went to sleep and he
00:20:18.35\00:20:20.09
couldn't leave
himself with a big burn
00:20:20.12\00:20:21.52
on his skin, and
when woke up his fingers
00:20:21.55\00:20:24.39
were very inflamed
and they had to remove
00:20:24.66\00:20:27.31
one of this fingers
and half of the other.
00:20:27.51\00:20:29.23
I've seen people
with burns the size of
00:20:29.42\00:20:31.29
saucers because of heating pads,
00:20:31.32\00:20:33.40
be very careful.
These automatic cut off
00:20:33.43\00:20:35.28
switches are there
for a purpose, very,
00:20:35.35\00:20:37.91
right, and so don't
try to outsmart them.
00:20:37.94\00:20:41.57
You know, I've seen
that we are going to
00:20:41.79\00:20:43.52
not have a lot of
time, some people will
00:20:43.58\00:20:45.21
be suffering with
rheumatoid arthritis
00:20:45.24\00:20:46.59
that's exactly
right and that's our next
00:20:46.62\00:20:47.72
topic. Next part of
our topic what about,
00:20:47.94\00:20:50.04
now what's the
difference between
00:20:50.21\00:20:51.22
rheumatoid and
osteo? Rheumatoid is not
00:20:51.37\00:20:54.85
a wear and tear
situation, you know the
00:20:54.88\00:20:57.27
Adventist health
study showed that people
00:20:57.30\00:20:59.05
who were
vegetarians actually had less
00:20:59.08\00:21:02.01
rheumatoid
arthritis not the other kinds
00:21:02.88\00:21:04.98
of arthritis not
gouty arthritis not,
00:21:05.01\00:21:06.97
we are not talking
about that. But vegetarians
00:21:07.21\00:21:09.37
had less rheumatoid
arthritis then did the
00:21:09.40\00:21:12.45
others, it wasn't
a very, very major
00:21:12.48\00:21:14.70
reduction because
some of the rheumatoid
00:21:15.45\00:21:16.83
arthritis is
hereditary, it occurs much more
00:21:16.86\00:21:20.49
in women then it
occurs in men. But it's an
00:21:20.55\00:21:23.47
inflammatory form of
arthritis, the synovial
00:21:23.53\00:21:28.48
membrane which I
mentioned at the beginning
00:21:28.52\00:21:30.03
becomes inflamed
and it becomes inflamed
00:21:30.55\00:21:33.86
probably because
antibodies are attacking
00:21:33.89\00:21:36.39
it. Now, what
triggers that immune response
00:21:36.46\00:21:41.60
that the body is
rejecting its own joint
00:21:41.63\00:21:44.13
we're not sure about
it, it may be that there
00:21:44.24\00:21:46.28
are infectious
agents that are doing that,
00:21:46.31\00:21:48.23
it may be that
there are something in the
00:21:48.56\00:21:50.74
environment there
maybe some toxic or
00:21:50.79\00:21:53.26
something that we
are eating that is
00:21:53.40\00:21:56.22
stimulating this and
it may not be the same
00:21:56.92\00:21:59.10
factor for
everybody, but the end
00:21:59.13\00:22:01.34
result is that the
joint membranes become
00:22:01.37\00:22:04.53
very inflamed and
those inflammatory
00:22:05.03\00:22:07.64
products that are
poured into the joint
00:22:07.70\00:22:09.86
damage the
cartilage. So, people who have
00:22:10.19\00:22:13.15
rheumatoid
arthritis are subject to joint
00:22:13.54\00:22:16.78
damage as a result
of inflammatory process
00:22:16.81\00:22:19.55
and today we're
much more aggressive
00:22:20.04\00:22:22.15
in treating
rheumatoid arthritis than we
00:22:22.51\00:22:24.30
used to be because
it's recognized that,
00:22:24.35\00:22:27.13
that joint damage
can take place early
00:22:27.40\00:22:30.18
in the onset. So,
lets suppose I've been
00:22:30.42\00:22:34.22
diagnosed with
rheumatoid arthritis but
00:22:34.27\00:22:37.26
I've heard from the
supplement people that
00:22:37.29\00:22:41.25
they are some
alternatives out there,
00:22:41.42\00:22:43.53
is it wise to
experiment with some of those
00:22:43.93\00:22:46.21
alternatives while
that process is going
00:22:46.24\00:22:48.80
on damaging my
joints. Chondroitin has been
00:22:48.83\00:22:53.46
recommended as a
treatment, some of
00:22:54.99\00:22:58.39
those alternatives,
"alternatives" may not
00:22:58.50\00:23:03.34
be alternatives for
too long because once
00:23:03.57\00:23:06.60
they are shown to
work they will then be
00:23:06.69\00:23:09.99
incorporated into
the normal treatment.
00:23:10.02\00:23:13.21
But, a person who
has an acute flare-up,
00:23:13.70\00:23:15.71
for instance
somebody may start with
00:23:15.80\00:23:18.01
rheumatoid
arthritis in a very, very
00:23:18.04\00:23:20.44
dramatic way.
Rheumatoid arthritis
00:23:21.89\00:23:24.22
usually tends to
be bilateral in its
00:23:24.25\00:23:26.10
distribution, it may
effect the joints of the
00:23:26.13\00:23:29.57
hands, the elbow,
knees, it doesn't usually
00:23:29.60\00:23:32.31
effect the
vertebral column, the spinal
00:23:32.38\00:23:33.92
column. But if
you have a very sudden
00:23:33.98\00:23:37.10
onset of rheumatoid
arthritis then that is
00:23:37.18\00:23:41.52
probably not the
way for alternatives.
00:23:41.62\00:23:44.53
How are they treated? Well they,
00:23:44.56\00:23:45.84
what do they do
for, if you got it?
00:23:45.87\00:23:47.21
They have many
different treatments,
00:23:47.43\00:23:49.33
some of the newer
treatments that have
00:23:49.81\00:23:52.01
been used
actually interfere with the
00:23:52.12\00:23:56.40
immune process
itself, and so what they
00:23:58.07\00:24:01.40
do as they try to
intercept one of them
00:24:01.45\00:24:04.93
is called Etanercept,
it tries to intercept
00:24:04.96\00:24:08.80
this reaction of
rejection of your own
00:24:09.34\00:24:13.14
synovial tissue and
these are very, very
00:24:13.55\00:24:17.16
interesting
medications, they are working
00:24:17.60\00:24:20.97
well, but I don't
believe personally that
00:24:21.00\00:24:24.69
we have had a long
enough experience to
00:24:24.84\00:24:27.80
be able to say
definitively that they
00:24:27.83\00:24:29.96
can't have some
serious side-effects
00:24:30.25\00:24:32.56
and so, since
they is a cure insight?
00:24:32.99\00:24:35.07
I don't know that
there is a, that we
00:24:35.53\00:24:37.83
could say that at
this point in time we have
00:24:37.92\00:24:39.90
a cure insight, I
think our understanding
00:24:39.93\00:24:42.30
of rheumatoid
has become very, very
00:24:42.33\00:24:44.57
profound.
Rheumatologist understand in a,
00:24:44.60\00:24:48.21
to a great extend
and it could well be
00:24:48.34\00:24:51.20
that research into
rheumatoid is going to
00:24:51.31\00:24:53.75
give us a benefit. I
think I'd like to sort
00:24:53.85\00:24:57.60
of rather than
focus on the drug therapy
00:24:57.72\00:24:59.85
and people are
gonna have to see their
00:24:59.89\00:25:00.93
doctor for the
drug therapy. I get that
00:25:00.99\00:25:02.16
yeah. I would
like to talk about some
00:25:02.19\00:25:05.50
of the things
that people can do who
00:25:05.56\00:25:07.68
have rheumatoid
arthritis. Yes, some of
00:25:07.77\00:25:09.15
the treatments,
some of the home,
00:25:09.18\00:25:11.50
type of, some of the
methods of management,
00:25:11.84\00:25:13.93
okay. It's very, very
important for a person
00:25:14.13\00:25:16.86
with rheumatoid
arthritis to avoid trauma
00:25:16.93\00:25:19.03
to the joints and
yet, like lifting heavy
00:25:19.14\00:25:22.07
weights, like lifting
heavy weights, running,
00:25:22.22\00:25:24.01
straining, running
putting damn, putting
00:25:24.07\00:25:26.80
excessive
pressure and yet it's very,
00:25:27.03\00:25:29.94
very important that the range of
00:25:30.04\00:25:32.63
movement of that joint should be
00:25:32.68\00:25:34.77
maintained. So,
lifting weights is probably,
00:25:34.80\00:25:39.16
need to be
maintain. We need to maintain
00:25:39.24\00:25:41.53
the range of
movement, we need to
00:25:41.68\00:25:44.38
maintain the
strength, we need to protect
00:25:44.43\00:25:48.15
from trauma, so
this is a situation where
00:25:48.51\00:25:51.10
we need gentle
exercise, not, not a
00:25:51.13\00:25:55.57
strenuous exercise
and the strengthening,
00:25:55.68\00:25:58.40
the muscle
strengthening may be done
00:25:58.52\00:26:00.48
through isometric
type of exercises.
00:26:00.71\00:26:02.84
You all remember
Charles Atlas, I'm sure
00:26:02.92\00:26:04.95
you don't
remember, some of the older
00:26:05.71\00:26:07.31
people remember
Charles. I saw ads that
00:26:07.34\00:26:08.87
actually its
Charles Atlas method, that's
00:26:08.90\00:26:11.18
where we flex our
muscles but we don't
00:26:11.21\00:26:13.08
move the joint,
that can maintain the
00:26:13.16\00:26:15.37
strength without
traumatizing the joint.
00:26:15.41\00:26:19.15
So that is very
important, swimming is a
00:26:19.60\00:26:22.59
weight less
situation but you can go
00:26:22.67\00:26:26.27
through the full
range of exercise, now you
00:26:26.35\00:26:28.57
always remember,
the rheumatologist when
00:26:28.68\00:26:30.13
I was in Edinburgh
Medical School there,
00:26:30.19\00:26:32.63
he said if you
ever grow and you guys
00:26:32.87\00:26:34.68
are going to grow in
prestige in the medical
00:26:34.71\00:26:37.83
fashion one day you
might be incharge of a
00:26:37.94\00:26:39.96
rheumatology
unit, remember the most
00:26:40.36\00:26:42.80
important piece
of equipment is a
00:26:43.20\00:26:44.78
therapeutic
swimming pool, and whirlpools
00:26:44.81\00:26:47.73
and swimming
pools are a very, very
00:26:47.77\00:26:49.66
useful way for
people with arthritis to be
00:26:49.69\00:26:52.12
able to exercise
and yet not to damage
00:26:52.15\00:26:55.16
their joints. Well,
this has been a pleasure
00:26:55.27\00:26:58.87
today, discussing
this topic I think this
00:26:58.90\00:27:02.90
condition is wear
and tear our human
00:27:03.12\00:27:05.19
body certainly
effects a lot of people and
00:27:05.35\00:27:08.80
lets just, in
about 30 seconds recap of
00:27:09.31\00:27:12.84
some of the things
that we can do ourselves.
00:27:12.98\00:27:15.29
Increase our
flexibility, increase our
00:27:16.02\00:27:18.82
strength gently,
gently, because we don't
00:27:18.96\00:27:22.20
want to put any
pressure right on our
00:27:22.23\00:27:24.19
joints. Is that we
can apply hot and cold,
00:27:24.25\00:27:28.96
yes that, mild
hot, hydro therapy,
00:27:29.54\00:27:31.36
hot and cold and
watch the thermo for,
00:27:31.59\00:27:33.28
don't let that
automatic thing work,
00:27:33.47\00:27:35.98
'cause you're
gonna burn yourself,
00:27:36.07\00:27:37.25
you don't want to
loose your fingers like
00:27:37.89\00:27:39.29
I have? Not for
that reason, for another
00:27:39.32\00:27:41.29
reason but, so
these are some of the
00:27:41.32\00:27:44.00
things we can do
and be sure you get
00:27:44.03\00:27:46.80
good health. Dr.
Handysides I thank
00:27:48.50\00:27:50.81
you very much
today for being with us.
00:27:50.84\00:27:52.56
People who have
arthritis and other
00:27:52.85\00:27:54.01
causes that we
didn't have time to talk
00:27:54.12\00:27:55.71
about. Yeah, it's a
serious thing, go see
00:27:55.79\00:27:58.85
your medical
profession, an expert in this
00:27:58.88\00:28:02.52
particular area. So
that you can get help
00:28:02.63\00:28:06.24
as soon as possible,
so this damage to your
00:28:06.29\00:28:09.77
joints can certainly be able to
00:28:09.88\00:28:12.05
reduce and you can live happily.
00:28:12.50\00:28:14.60