Participants:
Series Code: UP
Program Code: UP180109B
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00:01 Welcome back to the Ultimate Prescription.
00:02 If you're just joining us, 00:04 today's discussion is about movement, 00:05 and the things that we get from it, 00:06 the benefits and also the risks involved. 00:08 Sometimes Dr. Marcum, there're situations 00:11 where we probably shouldn't move, is that right? 00:14 Yeah, there are a few, Nick. 00:15 But, believe me, 00:17 there is more reason to move than not to move. 00:19 Most people don't have that problem. 00:21 But let's talk about some, 00:22 if you have an acute problem, okay. 00:25 Okay, what's an acute problem? 00:27 Let's say, you're out and you get hit by a truck, 00:31 okay, and you're bleeding, 00:33 okay, that would not be a time to go exercise. 00:35 An emergency situation. 00:37 An emergency situation, 00:38 that's not the time to keep 00:39 on your regular exercise program, 00:41 so most people understand that. 00:43 Let's say you have a medical condition 00:44 like anemia, 00:46 where you don't have enough blood cells. 00:47 Well, if you exercise 00:49 you might get short of breath quicker, 00:51 so that might not be the best, 00:52 if you have a medical condition that's active. 00:55 Thyroid disease is another one, 00:57 'cause thyroid regulates your metabolism. 00:59 If you're having a heart attack or active heart symptoms, 01:03 usually when you exercise, you have a problem 01:05 'cause you're not, your circulation stopped, 01:07 you have a blockage, it hurts, 01:08 you have angina, right, your pain, 01:10 extreme shortness of breath. 01:11 If you have an active medical problem, 01:13 that's not the time to exercise. 01:16 If you have angina, if you have a heart attack, 01:18 if you're in heart failure, 01:19 we have to get you out of heart failure 01:22 before we treat their acute before we work on the chronic. 01:26 Okay, so if you have an acute medical problem, 01:28 that's not the time to do it. 01:30 When is another time not to exercise? 01:31 Well, let's say... 01:33 Now these are extreme situations. 01:35 Let's say, 01:36 you haven't had anything to eat in two or three days, 01:38 okay. Sure, you're running on empty. 01:39 Yeah, you're running on empty, 01:40 and the food's not coming for a while. 01:42 You know, that might a time you hold off on your movement 01:45 or exercise a little bit, conserve your energy until. 01:48 So most of the time that people cannot move, 01:51 use common sense. 01:53 Now, here's the big one, 01:54 okay, that I see people make the mistake on. 01:56 Now, most people don't make the mistakes on those. 01:59 But I have a group of patients that have joint pains, 02:04 okay, that have a bad joint, 02:05 whether it be a knee, an elbow, or something, 02:08 and they continue to exercise. 02:10 And it continues to hurt, 02:11 and it continues to be inflamed, 02:13 and it continues to get worse. 02:15 The most common part of the body 02:17 that does that is the low back. 02:19 I see people have low back pain, 02:20 oh, I can go to work, I can keep working, 02:23 I can do this, I can do this, 02:24 so it never heals, it never heals. 02:27 It has this chronic inflammation, 02:29 sooner or later the muscles shift, 02:30 the nerves become aggravated, 02:32 and then it makes a little problem a big problem. 02:35 Whereas they just would've rested the part a while, 02:38 it would've healed on its own. 02:40 Joint problems, you know, 02:42 oh, my knee is gonna get better tomorrow, 02:44 I could go on that run today. 02:45 You know, oh, I'm training for this Olympic type event, 02:49 I got to train today, I got to train today. 02:51 But they are having some type of pain, 02:53 either in the hip, or the leg, 02:54 that if they would just wait till that would heal, 02:56 then they wouldn't make it worse than it already was. 02:59 So people that want to do better, 03:01 that are a little bit stubborn, 03:02 they won't listen to their body. 03:04 Remember, a body is having a symptom of pain 03:07 or shortness of breath for a reason, 03:10 and if you can understand the reason why, 03:11 and let the body heal, a lot of times a joint, 03:14 where the low back pain will heal on its own. 03:17 Now there's some situations 03:18 where it's not gonna heal on its own, 03:20 and then you shouldn't be using it 03:22 because you just gonna make it worse 03:23 and destroy that body part sooner, 03:25 especially in joint pains. 03:27 You know, if you have a bad joint, 03:28 you keep using it over and over, 03:30 you can actually accelerate wearing that joint out. 03:33 So joint pain, 03:34 you shouldn't keep working on it 03:36 and working out, needing rest. 03:38 It's the pain what's causing it. Right. 03:39 But how about things like, 03:40 let's say, you have some congestion, 03:42 or sinuses, or sore throat, or cough, 03:44 or maybe a little of bit flu, 03:45 are those, this is what my wife and I talk about. 03:47 Is it okay to do some exercise? 03:48 Is it good for you for a little movement? 03:50 Yes, to a certain degree. 03:52 Now, if it's making you feel terrible, 03:53 now there is no guidelines on this, 03:55 but the recommendations are when you exercise 03:58 you get better flow of oxygen to the body, 04:00 you get better circulation, 04:02 you aid some of things you need. 04:04 But also sometimes you do need rest, 04:06 the body needs physical rest too, 04:08 so that's the balance. 04:09 Now, I don't think someone's sick 04:11 needs to be on their back all day, 04:13 if they can get up 04:14 and move the parts and move around, 04:15 that helps other things stay functional. 04:17 So we wanna stay functional, 04:19 now whether you should do a little bit light exercise, 04:21 that's what I recommend, light stuff like moving around, 04:24 still do the stretching, as much as you can 04:26 before you have a symptom. 04:28 But always check with your physician, 04:30 who knows your overall medical condition. 04:32 Yeah, I kind of relate to the joint pain a little bit. 04:34 When I was in high school, I was on the acrobatics team, 04:37 and I had an injury to my knee. 04:40 And I didn't do the proper physical therapy 04:42 like my therapist told me I needed to unfortunately. 04:44 And so I just kept re-injuring it over and over, 04:47 and I never gave it the proper attention it needed, 04:49 and it just got worse and worse. 04:51 So I've really learned 04:52 to really how to take care of those things. 04:54 Yeah, and I see people a lot, 04:55 they say, "Oh, I have a little bit of back pain," 04:57 and yet they won't rest it. 04:58 I got to go to work, I got to do the lifting, 05:01 I got to help, 05:02 you know, unload, I got to help my family move, 05:04 or whatever, and they never let it heal. 05:06 And then a little problem becomes a big problem. 05:10 So there are situations, but most of those situations, 05:13 Nick, just require some common sense. 05:15 Yeah, we've got a question from a viewer 05:18 that's kind of related to this discussion. 05:20 They're having severe pain in their knee, 05:22 and their doctor wants them 05:23 to have a knee replacement surgery. 05:26 Is there any way around having the surgery? 05:28 Well, it's really according to the reason 05:30 why the knee is having so much pain. 05:33 Remember, a knee has muscles, bones, cartilage, ligaments, 05:38 blood supply, many things make up a knee. 05:41 For instance, if you tear your anterior cruciate ligament, 05:45 okay, then that's gonna need to be repaired. 05:47 'Cause that's gonna continue to hurt, 05:48 you gonna lose mobility. 05:50 So at that time the benefit of fixing the problem 05:53 and relieving the pain 05:54 and bringing back mobility for the future, 05:56 so you can't exercise 05:59 overcomes the risk. 06:01 As we age, sometimes we lose cartilage, 06:04 and we get this condition called bone on bone. 06:06 You know, where we have osteoarthritis in the joints, 06:09 they rub each other and they hurt a lot. 06:12 Well, again, some people can put up with that 06:14 for several years, 06:15 some people get so bad that they can't walk. 06:18 So remember, not moving is a stressor, 06:21 having pain is a stressor. 06:23 So when the benefits outweigh the risk, 06:26 then it's time to consider, 06:28 I'm having some type of joint procedure. 06:30 Now, there are many out there now. 06:32 They do partial joint replacements, 06:34 they do total joint replacements, 06:36 there's some things they can do, 06:38 they can fix it now with arthroscopes, 06:40 the ligaments, and different things. 06:41 So there's a lot of different things 06:43 that a specialist in this called orthopedics can do 06:46 that we can never do before. 06:47 Hundreds and hundreds years ago, 06:49 your joint wore out, you were crippled, okay. 06:52 Nowadays we can keep people moving later in life, 06:55 so this is a great place for modern medicine, 06:58 'cause it keeps you moving, 06:59 so you can continue therapy on the rest of your body, 07:02 so that's one of the places 07:03 where I think modern medicine really helps 07:05 is keep people ambulating, moving, 07:07 so they improve their circulation. 07:09 Now think about it just a second, 07:11 we talked about movement. 07:12 Movement helps oxygen get everywhere in the body, 07:14 which helps every organ, it helps your moving. 07:17 When you're moving the bones and muscles, 07:20 it prevents the muscle from breaking down as much, 07:23 so you don't lose as much muscle breakdown. 07:25 It helps as a treatment for osteoporosis, 07:28 it helps your muscle stay strong, 07:29 so you don't lose as much muscle, 07:31 it helps every metabolism in the body. 07:34 If you need to lose weight, movement helps you lose weight. 07:37 If you need to control the blood sugar, 07:38 movement helps you control blood sugar. 07:40 Movement helps lower the blood pressure, 07:42 movement helps slow down that changes the dementia. 07:45 It can actually improve dementia. 07:47 So movement is a biblical prescription 07:50 that you can use for every part of your body. 07:53 Isn't that pretty cool? 07:54 And yet we don't stress that, when someone comes in, 07:56 if you write down on the prescription pad. 07:58 Movement, 07:59 45 minutes of rope exercise, 15 minutes... 08:01 If you write that, sometimes people don't take it seriously, 08:04 you know, but if I charge them for that, 08:06 and if I can help them understand the importance 08:09 like we're doing today, 08:10 that movement is very important. 08:12 So some people they come and they say, 08:14 I just can't do anything. 08:16 You know, what do you do with that person? 08:17 You know, I can't even do anything, 08:19 I just wanna sit at the couch all day long, 08:21 and not move at all. 08:23 What do you do with those people? 08:24 If you could tell me about the guy 08:26 who's doing four steps at a time, 08:28 you know, that's pretty inspiring to me. 08:30 You know, I'm in pretty good health, 08:31 but this guy is in really bad shape, 08:33 but he's just doing four steps at a time, 08:34 and then five steps at a time, and then six steps at a time. 08:37 And that's what I tell, I try to be positive about, 08:40 I'd say, listen, you know, 08:41 we have a savior that saves you, 08:43 and He makes up for our weaknesses, okay. 08:46 Ask Him, as you move with Him every day, 08:49 ask Him for a little help. 08:50 You know, there's something that He'll help you with 08:52 if you ask Him, and have faith to move forward, 08:54 you know, and just doing that. 08:57 One person I had even started 08:58 with just deep breathing ten times, three times a day. 09:02 So you start somewhere 09:03 and you build on it and you grow. 09:06 Now we'll talk just for a second, 09:08 we're talking about movement and a lot of the discussion 09:10 has been about kind of low intensity movement, 09:12 what do you tell the folks 09:14 who are maybe addicted to exercise? 09:15 Some people they like to do super long endurance events, 09:19 you know, ultra marathons 09:21 and century bike rides all the time, and it's kind of, 09:23 maybe it's somewhat kind of their therapy. 09:25 Is that healthy or what do you say? 09:27 Those are sometimes the hardest ones to treat, 09:29 because movement and exercise is so beneficial, 09:32 okay, it's beneficial. 09:34 But at some points they can overdo it. 09:36 And some athletes, 09:38 the high level athlete's 09:40 movement and exercise can be addictive. 09:43 They need that dopamine rush 09:45 that happens from exercising and even competing. 09:48 And for them, 09:49 I have to tell people it's about a balance. 09:51 You know, life is about a balance, 09:53 you know, there's a place for modern medicine, 09:55 there's a place for lifestyle, but in finding that balance, 09:59 the only person that can really change 10:01 someone's heart is Christ. 10:03 You know, I can't do it for them. 10:05 I can just turn them and say, listen, I know somebody 10:07 that if you spend time with Him every day, 10:09 He's gonna help you understand balance. 10:11 But if you're breaking down muscles, 10:13 if you feel like you have to exercise 40 hours a day, 10:17 you know, that's way more than 24. 10:18 You know, if you're overdoing it, 10:20 and it becomes in excessive, it becomes a God to you, 10:24 then for sure that's too much. 10:26 But only God can help people see those truths. 10:28 I guess the reason 10:30 why we're doing something is really the key, 10:31 because if we're doing it just for our own glory, to say, 10:34 "Oh, look what I can do. Look what I've accomplished. 10:36 Look how healthy and fit I am. 10:38 That's the wrong reason. 10:39 Right, and remember that text in Bible, it says, 10:41 "Do all to the glory of God." 10:44 You know, 10:45 so if we're exercising and moving, 10:46 we want to do that to His glory. 10:48 If we're doing it to our glory, then that's not a good thing. 10:51 Now some people use athletics as their platform 10:54 to witness to other people. 10:55 So that might be a good thing, 10:57 and then some people need extra exercise 11:00 to prevent chronic medical problems, 11:02 for them it might be a good thing. 11:04 So it's individual, 11:05 and there's no rule black or white, 11:07 there's a grey area 11:09 based on each individual's overall situation. 11:11 Yeah, but in all things, I liked that, 11:13 in all things to the glory of God, 11:15 that should be our focus. 11:16 You know, what I like is, play. 11:18 Make exercise play, make it fun. 11:20 You know, find some way to make it fun, 11:22 and stay plugged into it. 11:23 That's right. 11:24 Well, I wanna mention our free offer here, 11:26 as were coming to the close of the program. 11:28 The Biblical Prescriptions for Life Bible study program 11:30 is a seven week small group Bible study. 11:32 It's a great resource, 11:33 but if you want just a sample of that, 11:35 go to BiblicalPrescriptions.com /Movement, 11:39 and you can download our free guide 11:40 to "Walking with God." 11:41 There's a lot of great resources 11:43 in that document, 11:44 they'll help you remember to make movement part 11:46 of your regular routine, 11:47 as well as doing for the right reasons, 11:49 building on that relationship with God 11:50 and walking down your life 11:52 in your path with Him towards eternity. 11:55 Dr. Marcum, thank you so much for your thoughts on movement, 11:57 and also cautions 11:59 about when we should maybe take it easy and rest. 12:01 I think those are very important. 12:02 Okay, my pleasure, Nick. 12:04 All right. 12:05 I hope you enjoyed the program, and stay with us. 12:07 Dr. Marcum's gonna close with prayer in just a moment. 12:17 We've been talking about the importance of movement, 12:21 but I also want you to keep 12:22 in mind the importance of moving with God. 12:26 And as we move with God each day in our relationship, 12:29 He can help us see truth, 12:30 and He can help us start moving. 12:32 And I want each one of you to think, well, 12:35 what's something I can do 12:36 to improve my movement each day? 12:38 Can it be getting out of this chair 12:40 and walking around? 12:42 Can it be a walking program? 12:43 What can I do to improve my movement? 12:46 I wanna pray for your movement program today. 12:48 So let's bow our heads. 12:50 Dear Heavenly Father, as we bow before You, 12:53 we wanna thank You 12:54 for being a Lord that's created movement, 12:56 created a universe that moves, and created our bodies to move. 13:00 And we wanna thank You, and praise you. 13:02 Thank you for moving in our hearts today, 13:04 and having a relationship with us, Father. 13:06 And some of us need to improve in moving, 13:09 please show us how to do it one step at a time. 13:11 And as we move, 13:12 help us to also think about moving with You, 13:15 as we move through light to our ultimate destination. 13:18 Thank You so much for being with us 13:20 and I pray for each of our listeners today. 13:22 This is my prayer, amen. 13:26 Wow, we heard a lot about moving today. 13:28 I hope it's inspired you. 13:30 If you wanna get hold of me, 13:32 feel free to contact me at my website, 13:34 that's HeartWiseMinistries.org. 13:38 And I'll be happy to pray for you, 13:39 or to encourage you on your movement program. 13:42 So until next time, keep moving those body parts. |
Revised 2019-03-11