Participants: Don Mackintosh (Host), John Clark
Series Code: HFAL
Program Code: HFAL000198
00:01 The following program presents principles
00:03 designed to promote good health and is not 00:05 intended to take the place of personalized 00:07 professional care. The opinions and ideas 00:10 expressed are those of the speaker. Viewers 00:13 are encouraged to draw their own conclusions 00:15 about the information presented. 00:16 Hello and welcome to health for a lifetime. 00:51 Today we are gonna talking with Dr. John Clark, 00:53 he is an orthopedic surgeon and 00:56 one of the things you see a lot 00:58 Dr. Clark and by the way thank you for being here. 01:00 Oh you bet, thanks for having me. 01:02 I know you have a very busy schedule 01:04 and of course because so many 01:05 people have orthopedic problems, 01:06 I mean back pain, arthritis, all 01:09 these things they come to see you, 01:10 osteoporosis, but we're talking about carpal tunnel, 01:14 what exactly is carpal tunnel syndrome? 01:16 Well you know carpal tunnel syndrome is a 01:19 name we gave to a set of symptoms people 01:22 come presenting to us with, 01:24 it's usually numbness in the thumb, 01:28 index finger, long figure and this part 01:31 of the ring finger. So the thumb, 01:33 the ring finger, or the, then. Index finger, 01:37 long finger, and this part of the ring finger. Okay. 01:42 And this numbness often wakes them up 01:45 at night they will tell me about 3:00 am 01:47 I wake up and my hands are just numb 01:49 and they hurt, they say they have to 01:51 shake him to try to get them wake up 01:54 they find they tend to drop things, 01:56 they can't feel things as well as 01:58 they should and so they can't work 02:01 with fine objects as well, it often hits 02:03 them when they're driving, when their wrists 02:05 are up like this on the steering wheel 02:07 or when they hold a paper they'll drop it. 02:10 A lot of different things happen to them 02:12 as a result of basically losing feeling 02:15 in those fingers and thumb. Not good for a 02:19 violinist, not good for a flutist, not good 02:21 for a computer operator, not good for 02:22 any thing with those fine motor movements. 02:24 That's right. So you know I like to 02:27 kind of know how things works and you're 02:28 kind of a handy man, always have been. 02:30 That's right. How does this happen, 02:33 is there some impingement on a nerve, 02:35 what happens? That's right. 02:37 It all has to do with what we call the median nerve 02:40 and the median nerve travel's up 02:43 the forearm and goes into the palm 02:45 through this area right in the center. Okay. 02:48 There is a canal there and that canal 02:51 houses all the tendons that work your fingers 02:54 and your thumb to flex them. 02:56 That's like your like your, like your little 02:58 piece of conduit. A piece of conduit, 03:00 that's right. It's only has so much room 03:02 though and if the room for all these 03:06 structures starts to decrease, 03:08 it's usually the nerve which begins to complain 03:12 about it. I see, so that's what happens, 03:16 any other causes for that, I mean what causes it to 03:20 shrink. The tissues here are especially vulnerable 03:25 to different types of activity at work, 03:28 one of things we found although 03:32 some what debated is that repetitive motion 03:35 tends to cause carpal tunnel 03:38 and that is using the wrist a lot, 03:40 doing the same thing putting the same screw, 03:43 in the same hole, on the same object 03:45 time after time, assembly line work. 03:47 I see. And then they are certain positions 03:50 we call them ergonomics that are prone 03:54 to carpal tunnel syndrome. Like? Where you have 03:56 your wrist, bent way over when you to work or way back. 04:01 And so where would that be? Tennis. 04:02 Well, not necessary tennis, but if you're 04:05 running a screw driver like this or maybe 04:08 you're working a knob like this, 04:10 or you have to have your wrist back like 04:12 this or you're working on the ceiling 04:14 or something, any place where your wrist 04:15 is way flexed or way extended. 04:19 Tends to decrease the space in the carpal canal 04:22 causing pressure on the median nerve, 04:25 and you get the carpal tunnel syndrome. 04:27 So, I mean my sister had carpal tunnel 04:30 and but you know she's like a, she does, 04:32 you know, parties where she prepares a lot food, 04:36 she does a lot of mixing, she does all this 04:39 so that's probably maybe related to the situation. 04:42 It can be, it very much can be. 04:46 There's also other factors that are related, 04:49 people who have stress on their job 04:51 are more apt to get carpal tunnel. Why is that? 04:54 That's because this is a nerve and of course 04:56 stress affects your nerves and some times 05:00 we are not exactly sure why it 05:03 happens that way, there is one hypothesis 05:06 out there and that is that the sympathetic 05:08 and parasympathetic systems which control 05:11 the blood supply of the nerves shutdown the 05:15 blood supply to the nerve as a result of stress. 05:17 The body is shutting off the blood to 05:19 periphery, and we kind of see that, 05:21 people who are stressed out might have 05:23 white fingers or cold hands, 05:25 it's because the blood supply has been shutdown 05:27 to those areas. So you're saying that the, 05:30 in other words some emotional 05:31 or stress related factors ergonomics, 05:34 or in other words positions at work, 05:35 repetitive trauma and then you mentioned also 05:40 confounding diseases what do mean by that? 05:42 There are diseases that due tend to effect 05:45 the tissues and thus they effect the tissues 05:49 surrounding the carpal tunnel. Diabetes is a 05:52 well known confounding diseases, 05:54 it creates the environment for carpal tunnel 05:58 it makes the tissues themselves stiffer they get 06:01 glycosylated, or either they got 06:03 lot of sugar stuck in them. Okay. 06:05 And then that also effects little vessels 06:09 small vessels they go to the nerve, 06:11 they go to the tissues and so the tissues 06:14 become stiff they become glycosylated, 06:18 they become hypoxic and as result they become stiffer, 06:23 they become more acidotic and that 06:26 is a problem for those tissues 06:27 that surround the carpal canal. 06:29 There's other diseases, one associated 06:31 with drinking too much and that is amyloidosis, 06:35 it is the deposition of a extra tissue elements 06:38 in the area we're talking about 06:41 and when the canal which is only so big 06:43 has to have something besides nerve and 06:45 tendon, the space for each structure become smaller. 06:50 So how does that alcohol lay that deposit down 06:53 and go through the blood stream and then that 06:55 just kind of goes into the third space 06:57 and there and leaves a refused, is that 06:58 what you mean? No it's actually 07:01 related more to the kidneys and effective 07:02 alcohol in the rest of the body, 07:04 amyloid is kind of a material that, that is 07:09 collected in the tissues as a result of breakdown 07:12 in other body parts. Okay so it's secondary 07:15 to drinking and it's impact on the kidney and all that 07:19 That's right. Alright, so how can I know 07:22 for sure maybe you know, some people have 07:23 diabetic neuropathy which is probably 07:26 different than carpal tunnel or maybe they have 07:28 other reasons that they have numbness, 07:30 maybe they have some kind of impingement 07:31 in the joint or something. But how can 07:33 you tell for sure that it's that it's a conduit 07:36 here you're talking about of carpal tunnel. 07:38 First thing you want to do is go see your 07:40 doctor and they'll do a diagnoses on you, 07:44 there is a number of different tests 07:45 they use, physical exam test that help them 07:48 decide if what you're feeling is really 07:50 carpal tunnel or not and when they get 07:54 through with all those physical exams 07:55 they will also if they want to know for sure 07:58 order what's called an EMJ this is a test 08:03 that usually a neurologist performs 08:04 where they study the nerve conduction 08:08 across the carpal canal, this test tells 08:12 him if it's a slowed nerve response 08:15 or a normal nerve response, if it's slowed 08:18 across the carpal canal, pretty sure, then they know 08:22 that it's carpal tunnel syndrome. 08:24 Have you ever had carpal tunnel syndrome? 08:27 Well you know one day I was 08:29 working out in garage and I started 08:31 feeling a little bit of numbness in my fingers 08:33 and I was wondering if I was getting it. 08:35 Of course if you just have one incident where 08:37 this happens we don't call it carpal tunnel syndrome 08:39 but I have had that feeling before. 08:42 So you know it's like in being, you know, 08:45 an orthopedic surgeon that would be concerning. 08:47 It sure is, I sure was, I began to wonder 08:50 what I should do and, you know I had 08:52 treated a number of patients with this 08:54 and so I tried doing a few things 08:57 that I teach them to do to see if it work. Okay. 09:00 And what I teach patients to do who come 09:03 to me with carpal tunnel I tell them 09:05 okay we have a procedure we can do, 09:07 we can do an operation on you, 09:08 but a lot of patients I can cure using 09:12 some more natural methods, not so invasive, 09:16 the first thing I tell them to do is to drink 09:19 lots of water, you want to keep these tissues 09:22 well hydrated, keep the blood flowing to 09:24 them very well and so I teach them to drink 09:26 plenty of water, the second thing I had them 09:29 to do is stretches. Now when I have them 09:32 do the stretches, I have them do three stretches 09:35 in particular, the first stretch is one 09:39 where they put their elbow out straight 09:41 and they grab the last three fingers 09:45 of the hand and they bend those fingers 09:48 back as far as they can when you do 09:51 that you're stretching, yeah, it's good. 09:55 It's something feel like sticking needles in my hand 09:59 at the same time, you know. Keep your elbow 10:01 real straight while your, alright done. Like that? 10:03 That's right. And when you're doing that you feel the 10:05 stretch. I do. All the way up here. 10:07 And that is important for the muscles through 10:11 which the median nerve travels up in the forearm 10:14 and also for stretching out the ligaments and 10:17 tendons as they go through the carpal canal. Okay. 10:20 So that stretch I'll have them hold. For, how long? 10:24 For two minutes. Two minutes It's a long time. 10:27 Oh Man. And they do it twice a day. 10:31 Well you know. We can stay here for two minutes. 10:35 I am gonna go on to the next one. Okay. 10:38 It's basically the opposite, again we're 10:40 keeping the arm out straight, alright, and 10:43 I am grabbing the last three fingers again 10:45 and I am bringing them as close as I can 10:49 to the wrist, I am bending the wrist as far 10:53 as it'll go, I am bending the first joint 10:56 of the fingers as far as it will go and I'm trying 10:59 to get the fingers to actually touch the wrist 11:02 and you feel the stretch up here and curl up here. 11:04 So I know it's usually not touching your wrist. 11:07 I am not as flexible as you I guess. 11:10 Well, I'm like some kind of freak of nature 11:14 or something you know. I won't call them that, 11:18 but go ahead and pull those three fingers 11:19 toward you a little further, there you go. Alright. 11:22 Alright. So that's the second one. Okay. 11:24 Hold it for two minutes. Two minutes. Twice a day. 11:27 Twice a day. And that's a stretch, 11:29 now the third one is probably the most important, 11:31 I guess I saved the best till last and 11:33 maybe we say the third is the charm. 11:35 Put the hand out like this, grab the thumb 11:39 with from underneath. Underneath. 11:41 It's kind of a, this isn't yoga. Okay. 11:44 But I am grabbing the thumb and then I am 11:47 pulling the thumb. 11:50 Now you gonna say this was all a joke 11:52 right after this turns here, okay. Good. Alright. 11:58 This is like carpal tunnel twister alright. 12:00 And again for two minutes twice a day 12:05 and now in that stretch you're stretching out the 12:07 carpal tunnel. Okay. Which is very important, 12:09 you're stretching out a muscle up here, 12:13 pronator which the nerve passes through 12:16 also and so you're doing two things 12:19 that are very important, for getting more 12:21 space for the median nerve and so in studies 12:26 of patients who are given stretches to do, 12:29 if they'll do their stretches about of half of 12:33 them who'd otherwise have had surgery can avoid 12:35 surgery. Really? Yes. Now do most 12:38 orthopedic surgeons share this with people 12:40 before surgery? No they don't. 12:43 Lot of time they'll send him to a therapist 12:46 who are supposed to share some of these things 12:48 with them. So a physical therapist only 12:49 will share this. Well I, not always, 12:53 no I don't think this is generally thought 12:56 across the board but physical therapist that 12:58 I have had in my centers I have trained them 13:01 to show patients this but there are 13:03 some physical therapists that will do this. 13:05 It's called in some other terms tendon gliding 13:09 and nerve gliding exercises. So those three, 13:13 is there been any sturdy says to the effectiveness 13:16 of those exercises, that you gave us? 13:19 Yes, and patients are given these exercises, 13:22 about half of them can avoid surgery by 13:25 doing these exercises, it decreases the number 13:29 that have carpal tunnel syndrome. 13:30 So when I was out working in my garage 13:33 I started getting that tingling, I thought okay 13:36 I better do my own stretches and so I went 13:38 to doing my own stretches for two minutes 13:41 and the reason I did it for two minutes is because 13:44 if you do it for less than a minute it 13:45 tends to rebound get tighter. I see. 13:49 But two minutes gives it a chance to totally 13:51 stretch out, relax and have the ability 13:54 to give more space for the median nerve. 13:57 Wow I mean these are the things you would try 14:00 and should try before you contemplate surgery. 14:05 That's right. I've been talking with Dr. John Clark, 14:08 we're talking about carpal tunnel syndrome 14:10 but we're gonna talk about some other things too, 14:12 have you ever heard of tennis elbow 14:14 we are gonna talk about when we come back. 14:18 Are you confused about the endless stream of 14:20 new and often contradictory health information 14:23 with companies trying to sell new drugs 14:26 and special interest groups paying for studies 14:28 that spin the fact, when can you find a 14:31 common sense approach to health. 14:32 One way is to ask for your free copy of 14:35 Dr. Arnott's 24 realistic ways to improve your 14:38 health. 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Just log on 15:08 to 3abn.org and click on free offers or call us 15:12 during regular business hours, you'll be glad you did. 15:17 Welcome back we've been talking with 15:19 Dr. John Clark, we've talked about carpal tunnel syndrome 15:23 and during the break you were saying to 15:25 me you had a man that came and 15:26 just wouldn't do those exercises 15:29 he said he couldn't do them and you know, they 15:31 are you know, you have to have discipline to do that, 15:36 but he wouldn't do them. That's right. 15:38 And the therapist I sent him to 15:42 was also supposed to teach him the 15:43 exercises and the therapist was kind of 15:45 being you know very interested in the outcome 15:48 of this case he showed up at my clinic 15:50 and so when I went into see this patient 15:53 in the room the therapist came with me 15:55 and we both walked in the room 15:58 I am the patient was like okay, okay I didn't 15:59 do my exercises I am sorry I am sorry I am 16:01 sorry and I told him it's not a problem, I can 16:05 forgive you but that won't make your 16:08 carpal tunnel better, if you don't do 16:10 your part of the work you won't get better 16:14 and I kind of thought, you know as a 16:15 spiritual lesson to it you know God can 16:18 forgive us only once he's very forgiving 16:20 and unless we take hold of Jesus Christ 16:23 for strength and go and sin no more 16:25 we are gonna have carpal tunnel syndrome 16:28 or worst things. Interesting, those exercises 16:32 by the way I know are gonna be a great 16:34 help but there is another problem people develop, 16:37 I wanna talk about two of them, 16:38 tennis elbows and ankles, lets start with tennis elbow. 16:41 Okay. Tell us about tennis elbow, 16:44 why do people get it? How they know 16:45 they really have it, how you rule it out, 16:48 about what kind of things, you probably have 16:49 some more exercises, tell us about it? 16:52 Sure you know just because we call it tennis elbow, 16:55 it doesn't mean only tennis player will get it. 16:57 Tennis elbow is pain in what we call the lateral 17:02 aspect of the elbow is over here where the 17:06 muscles that extend your wrist. 17:09 You will feel them when you do it like this. 17:11 Yeah exactly Don, you can feel them right 17:14 there, you can feel the bony prominence of your elbow. 17:17 I got it. On this side. Where those 17:20 muscles are hooked to the bone. Alright. 17:22 That is where the tennis elbow takes place, 17:25 we call it in scientific term or medical terms, 17:28 lateral epicondylitis. No wonder, we 17:32 call it tennis elbow. Let's call it tennis elbow. 17:34 And what happens there is the patient gets 17:38 pain there, now we would think it would 17:41 be from inflammation or something like 17:43 that, but actually scientific studies 17:46 have shown that the pain is due to a lack 17:49 of blood supply, we call it ischemic pain, 17:54 kind of like pain you get in your heart 17:56 when you lose blood supply to your heart, 17:58 a heart attack or a myocardial infarction. 18:01 This area is especially prone to that 18:06 because the vessels there aren't very big 18:08 there is not a good blood supply, 18:10 and so a area of the tissue tends to be 18:15 vulnerable what happens is a person over 18:18 uses that area, the body's ability to keep up 18:21 with this pain. The lactic acid that build up there. 18:24 Yeah, the lactic acid, the pain, the strain, 18:27 and pretty soon you end up with the sore area. 18:30 Now it's not necessarily easy to treat, 18:36 and there's a lot of things in the 18:38 literature that have discussed thing, 18:40 anything from injections of both steroids 18:43 or even blood to doing surgery on 18:46 the area. I see these people who 18:48 wear these big bands. Yes and the bands are 18:52 also used. So, talk about those different things 18:55 with us, you know you have listed hydro therapy, 18:58 stretching, icing, all these different things. 19:00 That's right, when a patient comes to me 19:03 and they have a pain in their elbow 19:06 that I decide is tennis elbow, I put them on 19:09 a program designed to re-establish good blood 19:13 supply to that area. Okay. And so I will do 19:16 the stretching just like we talked about 19:19 for carpal tunnel, but mainly the one 19:21 where you're taking the fingers and pulling them 19:24 to the wrist. Okay, this is causing the stretch on 19:28 the muscles that's attached to the lateral epicondylitis. 19:31 Right. The area, where the. Two minutes again. 19:34 Two minutes again. Okay, but then 19:36 I have them do what the therapists call contrast bath. 19:42 Contrast bath. We call it hydrotherapy 19:45 or hot and cold. What that consists of is I have them 19:49 put their elbow in a bucket of hot water, 19:52 get up as high as I can. How long? For two, 19:56 for three minutes. How hard? As hard as they can 19:59 stand or if you want to check the temperature, 20:02 somewhere around 104 degrees is fine. 20:04 Okay, just don't burn the elbow. 20:06 Don't burn the elbow. Right. 20:07 And then after it's been in there for three minutes, 20:21 I'll turn around and have them put it 20:22 in a bucket of ice water, Oh! Preferably 20:23 with a few ice cubes floating around. 20:24 Okay. And then back to hot water again 20:25 for three minutes, cold water for one, 20:27 hot water for three, cold water for one 20:28 and they end with the cold water, and they do that, 20:29 For three times? Three times,. Okay. 20:32 And do it two or three times a day. 20:34 So, how many minutes again in the hot? 20:36 Three minutes on the hot. 20:38 And, how many in the cold? One minute on the 20:39 cold. Three, one, three, one, okay, that's three time. 20:43 Yeah, okay three times a day. 20:45 Three times a day would be good, 20:47 at least twice a day. Okay, and then what 20:50 next you do? Well, let me talk a little bit 20:53 about why that works because it's important 20:55 to understand, so that people don't think 20:57 this is hocus pocus, and that is because 21:00 when you put your elbow in the hot water, 21:02 it tends to turn red, it brings the blood 21:06 to that area, it washes out the inflammation 21:09 and it tends to bring in the healing factors. 21:12 Okay, when you switch over to cold 21:15 for a shorter amount of time, 21:17 it tends to construct the surface vessels, 21:19 driving the blood deep, down where the 21:23 avascular tissue is, down where you need the 21:25 blood supply, down where that sore 21:27 tendon insertion is. When you go back 21:31 and forth, it tends to pump the tissue a bit, 21:34 hot, the vessels expand, cold, they constrict, 21:38 hot, they expand, cold, they constrict, 21:40 also it wakes up the white blood cells. 21:42 In fact, Mayo Clinic showed, if you did this 21:45 to your whole body, you could raise your 21:48 white count to four times normal, 21:51 that's quite high. So, you could really fight 21:56 the infections off. That's right, that's kind of like 21:58 the polar bear club you know, the guys that 22:00 get in the sauna and then go jump in the lake 22:02 that has ice on it. Well, and that's getting their 22:04 white count up, but the white cells 22:06 are ones that help reduce inflammation, 22:09 they control inflammation, they work with healing, 22:12 they recruit fiber glass, which are the healing cells 22:15 that come in and work on that area. 22:17 And then when you end in cold, 22:20 the body goes Oh! It's cold down here, 22:22 and it goes and warms that area up. 22:25 And all of that process stimulates 22:28 vascular activity, and that's what you need 22:32 for lateral epicondylitis 'cause that's an 22:35 avascular, a problem without vessels. 22:37 The vessels have not covered that area well. 22:40 And the majority of patients I've never 22:42 had operate on a patient, who is willing 22:45 to follow these instructions, and do the hot 22:48 and cold stretching, so it's very effective 22:50 at dealing with lateral epicondylitis. 22:53 Now, the bands there they work for some people. 22:57 And why do they work? There's a couple 22:59 different reasons why they work? 23:01 One is that if I put a band here then I can reduce 23:06 the amount of tension back here at the elbow, 23:08 when I move my fingers, it basically reduces the 23:11 length of the tendon or the muscle. 23:15 I see. It's like putting your finger on a violin string. 23:17 The part between the point that you put 23:20 your finger on and the top of the violin 23:22 doesn't vibrate, the part over there. Right. 23:24 Yeah, so you have this whole area that is 23:27 isolated. The other thing is, when you put a 23:28 band here, it may serve to back up the blood 23:31 into this part of the arm, getting more blood 23:34 supply to that area. We may not know all the 23:37 reasons why that band works? 23:39 Now, if you have tennis elbow truly have it, 23:42 should you keep playing with it or doing 23:45 repetitive motions with it, if no why not, 23:48 if yes, why? Good question, Don. 23:50 You know, it would be good to give it a rest, 23:52 if you have been playing tennis and that's what's 23:54 stressing it, you might try playing some other 23:56 game for a while. And then you know, 24:01 if you have trouble still after that, then you 24:04 might try changing occupations? 24:06 Or if you want, you can have somebody operate on it, 24:08 but doesn't always guaranteed to fix the problem. 24:11 What about injections? Injections have been tried; 24:16 there's been a lot or discussion about that. 24:19 They've tried steroid injections, sometime it 24:22 works, sometimes it doesn't, it hasn't had a great 24:24 deal of success. And then some people 24:26 knowing that it was ischemic, i.e., 24:28 wasn't a good blood supply there, started taking 24:31 a patient's blood and shooting some of the 24:33 patient's blood in there. In order to stimulate vessels 24:37 to grow into the area. And that' had limited 24:40 success also. So, I mean if I'm a 24:44 professional tennis player watching and I, 24:46 you know, don't want to switch jobs and 24:48 different things and maybe prevention, 24:49 if I know how to get out of this, would it be 24:52 good to every, so often be doing these exercises 24:55 and what not so, it doesn't comeback on? 24:56 That's right, it will be good to do the stretching, 24:59 but even as important, the more important 25:02 in that is keeping well hydrated. Okay, 25:05 we don't have much time two minutes or three 25:08 to talk about my ankle that's sprained. 25:10 Well, it's not really sprained, but let's say, 25:12 what do you do for the sprained ankle? 25:14 Well, when you sprain your ankle, you know, 25:16 Don I sprained my ankle a few months ago. 25:18 And I thought I had broken it, 25:21 I could not walk, I was crawling around 25:24 the house, I'm thinking oh no, 25:26 I'm gonna be in a cast, what am I gonna 25:28 do? I got to work, well there was a problem. 25:32 So, I started doing the same thing of hot 25:36 and cold we just described on the ankle. 25:39 I put it in hot water for three minutes, 25:41 ice water for one minute, back and forth 25:44 three times. Okay. You know, I did that 25:46 for couple days, and it felt so good, 25:49 I could walk on it. I turned around 25:51 sprained it again. So, I went back to 25:53 the hot and cold again, but it worked. 25:55 The same principles applied there as well. 25:57 Of course the best thing is probably 26:00 not to sprain your ankle to begin with. 26:02 That's right. What about ACE bandages, 26:05 anything else like that? ACE bandages are alright, 26:08 they tend to put a little back pressure on 26:10 the ankle and give you a little bit more insulation. 26:12 The hot and cold is probably the best thing 26:16 you can do. Some people wonder if you should do 26:18 hot and cold, if it's really swelling bad and 26:21 looking purple. Then you might just wanna ice it, 26:24 and if you ice it, what you wanna do is take a 26:26 large chunk of ice that you can hold in your hand 26:28 and put ice right on the bare skin. 26:32 And rub it over the most swollen areas 26:35 for 12 to 20 minutes. And this is very effective 26:39 for the first little bit, it'll hurt, it'll feel 26:42 a lot of aching pain, but when you get out about 26:45 12 minutes, it will totally go numb. 26:47 And it'll bring back and then we'll have 26:51 to rebound circulation to the area to help heal it. 26:54 And ice massage is very effective for a sprained 26:58 ankle. Fascinating, we've talked about 27:02 carpal tunnel, we've talked about tennis elbow, 27:04 we've talked about sprained ankles, 27:06 we have got, you know, a few seconds left, 27:10 is there any parting thought you would like to 27:12 leave, any spiritual lesson you've learned 27:14 in dealing with these bone issues? 27:17 You know Don, the biggest thing 27:20 I want to say here. Is that God does not 27:23 want us to suffer; often I tell my patients 27:27 especially when I pray for them before surgery. 27:29 God doesn't want you to suffer, we want you to, 27:32 God wants you to get back to doing the things you 27:35 enjoy doing without pain. What a wonderful thought, 27:39 we're glad that you have been with us today; 27:42 whether you have carpal tunnel syndrome, 27:43 or know someone who does, you have a game 27:45 plan for that. Tennis elbow the same thing, 27:47 sprained ankle, the same thing what a 27:49 useful program this has been, but it's only useful, 27:52 if you do it. So, we encourage you to do that, 27:55 try these things out and as a result 27:56 we hope you have health that lasts for a lifetime. |
Revised 2014-12-17