Latest / Conversations: Special Guests with Preston Scott / Think There's Nothing You Can Do About Arthritis In Your Joints? Think Again.
Transcript
- 0:01Speaker 1: Welcome friends, our number three morning show with Prestin Scott
- 0:06Speaker 1: Show fifty five thirty two. But who's counting? Oh well
- 0:11Speaker 1: I am that's O say over there at Studio one A.
- 0:15Speaker 1: I'm Aaron Studio one B, and I'm back in studio
- 0:18Speaker 1: with a good friend. Chad Gray is co founder of
- 0:22Speaker 1: Jointstrong dot com. And We've had Chad on a couple
- 0:26Speaker 1: times over the years and we work together. I've worked
- 0:31Speaker 1: with Chad on a personal level on a lot of
- 0:34Speaker 1: different challenges that I've faced. As I'm aging, hello, sir,
- 0:38Speaker 1: how are.
- 0:38Speaker 2: You good morning? Doing well? How are you today?
- 0:40Speaker 1: I'm doing good. You know, it seems like I can't
- 0:43Speaker 1: run into many people without finding somebody that isn't talking
- 0:50Speaker 1: about a knee replacement, a hip replacement. There's a lot
- 0:52Speaker 1: of replacement surgery going on. What's going on? Why are
- 0:56Speaker 1: so many people having this done?
- 0:58Speaker 3: Yeah, we've seen a remarkable increase and the frequency of
- 1:02Speaker 3: these procedures, especially in the under fifty five year old crowd.
- 1:06Speaker 2: Really in the last decade.
- 1:08Speaker 3: When I first started out in this profession, I'm in
- 1:11Speaker 3: the physical therapy profession, it was unheard of to see
- 1:15Speaker 3: somebody under the age of sixty with a hip or
- 1:18Speaker 3: knee replacement, and now that's become almost kind of the standard.
- 1:21Speaker 2: Of the norm.
- 1:22Speaker 3: The challenge really comes down to this, and if you
- 1:25Speaker 3: look at around society and our culture, especially in the
- 1:28Speaker 3: westernized parts of the world, we've changed our movement patterns.
- 1:31Speaker 2: We don't move naturally anymore.
- 1:34Speaker 3: As I say sometimes in the clinic, you go to
- 1:37Speaker 3: other kind of less industrialized, less westernized portions of the world.
- 1:41Speaker 3: They still squat, they still kneel, they still lift and
- 1:44Speaker 3: strain and climb and push and pull, and they move
- 1:46Speaker 3: in ways we don't move here in our country. The
- 1:49Speaker 3: vast majority of positions and jobs are sitting jobs. You're
- 1:52Speaker 3: sitting in a chair all day long. You're not moving,
- 1:54Speaker 3: you're not stressing, you're not loading the joint systems to
- 1:56Speaker 3: their endpoints. And over time that has a constant the
- 2:01Speaker 3: failure to move the joint system to the end of
- 2:03Speaker 3: its range emotion, especially under load, because the hip and
- 2:07Speaker 3: the knee are load bearing joints. They're designed to be
- 2:10Speaker 3: compressed and then designed to be bent or hinged or
- 2:14Speaker 3: moved to their endpoints. And when you don't do that,
- 2:18Speaker 3: stiffness ensues and sets in. And when stiffness sets into
- 2:22Speaker 3: a joint system, it alters the mechanics of that joint.
- 2:25Speaker 3: It alters the loading that's put through the articular cartilage,
- 2:28Speaker 3: the smooth, silky stuff that allows us to easily move
- 2:33Speaker 3: without discomfort or strain. Those cartilage get soft, and then
- 2:38Speaker 3: they begin to degrade and break down when they aren't
- 2:41Speaker 3: loaded or stressed and moved once again to their endpoints.
- 2:44Speaker 3: And what is everybody doing nowadays as a profession? You know,
- 2:48Speaker 3: the vast majority of us are sitting in chairs all
- 2:51Speaker 3: day long in front of screens. We get done sitting
- 2:53Speaker 3: in front of screens all day long at work, we
- 2:55Speaker 3: go home, we sit in front of other screens, our phones,
- 2:58Speaker 3: our televisions, iPads or tablets, and all of a sudden
- 3:01Speaker 3: you look up and you go, wow, I've spent the
- 3:03Speaker 3: vast majority of the last decade or two or three
- 3:06Speaker 3: of my working life not moving, not loading the joint systems,
- 3:11Speaker 3: not doing what they were intended to do. And as
- 3:14Speaker 3: a result of that, they get stiff, they start to
- 3:16Speaker 3: wear out, and they start to become painful as a
- 3:20Speaker 3: result of that. And then, of course, the natural decision
- 3:23Speaker 3: at that point becomes, well, let me just go in
- 3:25Speaker 3: and take it out of there and put a new one.
- 3:26Speaker 1: It before that happens. What I'm noticing happens because you
- 3:32Speaker 1: and I have had some brutally candid conversations about myself,
- 3:36Speaker 1: and one of the things I noticed happening to me
- 3:39Speaker 1: was that I would start compensating for being uncomfortable doing
- 3:43Speaker 1: certain things, and that made things worse.
- 3:45Speaker 2: Yeah. No, we're master compensators.
- 3:47Speaker 3: I mean we can adapt and change how we move
- 3:51Speaker 3: if we can't perform the normal functions or movements of
- 3:55Speaker 3: the joint systems. So if I can't squat anymore with
- 3:58Speaker 3: my knees because they've gotten stuff, they won't let me
- 4:00Speaker 3: get there anymore, then my remedy is, well, I'll just
- 4:03Speaker 3: bend at the waist. I'll lean over and lift from
- 4:06Speaker 3: the ground with my hands without bending.
- 4:08Speaker 2: Money is that much?
- 4:09Speaker 3: And then ultimately what that does is it puts additional stress.
- 4:11Speaker 2: On the lower back.
- 4:12Speaker 3: Next thing, you know, you've got to earn needed disk in
- 4:14Speaker 3: the lower back as a result of that poor mechanics.
- 4:17Speaker 1: It just gradually gets worse and worse and worse. Correct
- 4:27Speaker 1: joints that start going south. Joining me Chad Gray of
- 4:32Speaker 1: jointstrong dot Com and the progression of what we're talking
- 4:37Speaker 1: about leads to a very common malady in our culture. Arthritis, right, ye.
- 4:45Speaker 3: Most common condition I think we have in the face
- 4:47Speaker 3: of the earth, especially once again in the westernized parts
- 4:51Speaker 3: of the world. The frequency of that diagnosis is, you know,
- 4:55Speaker 3: skyrocketed in the last few decades of our existence. Arthritic
- 5:01Speaker 3: changes in the joint are you know, a big challenge
- 5:04Speaker 3: for most of our population over the age of thirty
- 5:08Speaker 3: five or forty.
- 5:09Speaker 1: Now, are there is fact and fiction myth versus reality.
- 5:14Speaker 1: Are people predisposed to have arthritis because of the family tree?
- 5:18Speaker 2: No?
- 5:19Speaker 3: No, the condition itself. Once again, we kind of understand
- 5:24Speaker 3: from the science clearly. Now the problem lies in the
- 5:26Speaker 3: fact that we don't do two things well. We don't
- 5:29Speaker 3: once again, move to endpoint in the joint systems. We
- 5:32Speaker 3: don't keep the joint limber and loose. The ligaments that
- 5:34Speaker 3: support and hold the joint together have to be fully
- 5:37Speaker 3: stressed and loaded to their endpoint for them to remain
- 5:40Speaker 3: elastic and supple.
- 5:41Speaker 1: Can you define endpoint for our listeners? What is in
- 5:45Speaker 1: the end point?
- 5:46Speaker 3: Grab your finger bended all the way back as far
- 5:48Speaker 3: as it will go. When you feel that strain at
- 5:50Speaker 3: the end of the movement, that kind of strain pain
- 5:52Speaker 3: if you will, Yeah, that's endpoint, okay, And that endpoint
- 5:55Speaker 3: can change.
- 5:56Speaker 2: By the way, over time.
- 5:57Speaker 1: I was going to say that endpoint can almost diagnose.
- 6:01Speaker 3: It diagnoses quite effectively. Actually, we do this clinic all
- 6:04Speaker 3: the time. We look at the range of motion, of
- 6:06Speaker 3: the quality of movement in that joint system, how much
- 6:08Speaker 3: mobility is there, how much is restricted or limited compared
- 6:11Speaker 3: to say a norm. And what you will see in
- 6:14Speaker 3: almost every episode we meet in the clinic is there
- 6:17Speaker 3: is a loss of movement that generally precedes the onset
- 6:20Speaker 3: of the pain. And it is the defining characteristic of
- 6:23Speaker 3: the arthritis, the loss of mobility in the joint system.
- 6:26Speaker 3: It is what creates the pain in the ache.
- 6:29Speaker 2: There are three.
- 6:29Speaker 3: Changes that occur within arthritic joint. You get thinning of
- 6:35Speaker 3: the cartilage, you get a little bit of spurring, and
- 6:38Speaker 3: some additional bone growth around the perimeter edge of the joint.
- 6:41Speaker 3: Those two changes, by the way, are easily spotted on
- 6:43Speaker 3: X ray, but they're painless. They've been classified by most
- 6:47Speaker 3: of medicine as the reason for the ache and the pain.
- 6:49Speaker 3: But the science is abundantly clear on this. Now that
- 6:51Speaker 3: is not what causes the pain. The thinning of the cartilage,
- 6:54Speaker 3: the wearing down of the cartilage, and the spurring around
- 6:56Speaker 3: the joint is not a painful episode or symptom. The
- 7:00Speaker 3: thing that causes the pain is the gradual shortening and
- 7:03Speaker 3: then adaptation of the ligamentostructures around the joint. When they
- 7:06Speaker 3: stiffen or fibrose, they do two things. They limit motion
- 7:10Speaker 3: of the joint system. They will change your endpoints, and
- 7:14Speaker 3: they create remarkable pain because that's the primary structure that
- 7:18Speaker 3: has all the nerves apply in it around the joint system.
- 7:21Speaker 3: The interior of the joint, the cartilage, the structures inside
- 7:24Speaker 3: the joint system, the bone don't have nerve ending in them.
- 7:27Speaker 3: The nerve ending lies in the ligament, the capsules, the
- 7:32Speaker 3: synovial membranes that surround and encapsulate the joint and hold
- 7:35Speaker 3: the joint together. Those structures are highly innervated with nerve
- 7:38Speaker 3: and when they get stiff and then they get stressed
- 7:41Speaker 3: or loaded, they ache. That's the ache and the pain
- 7:43Speaker 3: of arthritis. It is not the interior of the joint
- 7:46Speaker 3: that's causing that, unless you've gotten too a situation where
- 7:48Speaker 3: there's just dramatic dramatic bone on bone changes that have happened.
- 7:53Speaker 1: True or false, Well, you just you're getting older, and
- 7:58Speaker 1: so you're just gonna lose some flexible ability and ability
- 8:01Speaker 1: to move the way that you once did.
- 8:04Speaker 2: Faults.
- 8:04Speaker 3: It only happens because we let it. It happens because
- 8:07Speaker 3: we live in a world where we only move through
- 8:09Speaker 3: our middle range of motion. Okay, we can get up
- 8:12Speaker 3: from a chair, we can walk to the car, walk
- 8:14Speaker 3: to the office, walk to the house, walk around the community,
- 8:17Speaker 3: lay back down, get in the bed, and only access
- 8:20Speaker 3: about fifty percent of our range of motion in the
- 8:22Speaker 3: large joint systems the hip, the knee, in the ankle,
- 8:25Speaker 3: those joint systems, over time, if they are not approaching
- 8:28Speaker 3: once again those end points of movement, then those passive
- 8:31Speaker 3: support structures, the ligaments begin to shorten and stiffen and
- 8:35Speaker 3: produce the ache that's so associated with arthritis.
- 8:37Speaker 1: Let's just for the sake of we got a minute
- 8:40Speaker 1: left here, let's go back to that finger example where
- 8:42Speaker 1: you say you grab your finger and you find that endpoint.
- 8:46Speaker 1: How do you know when the end point is what
- 8:48Speaker 1: it really ought to be versus what it is.
- 8:51Speaker 3: It shouldn't hurt to go there. Other than just the
- 8:53Speaker 3: strain of being at the end. Okay, if you have
- 8:56Speaker 3: pain associated with reaching your end point, then they're there's
- 9:00Speaker 3: a change in that structure that needs to be addressed
- 9:02Speaker 3: with end range mobility or stress. It needs to be
- 9:07Speaker 3: strained or pushed on at that point until you change
- 9:11Speaker 3: it back to normal. And these tissues change, they reverse themselves.
- 9:15Speaker 3: They will fibrose and scar in if you let them so.
- 9:18Speaker 3: If you just keep your finger still long enough and
- 9:20Speaker 3: don't move it. We all know what happens against stuck.
- 9:22Speaker 3: But I can take that same finger and just engage it,
- 9:25Speaker 3: push it aggressively to its endpoints, and I'll reverse that
- 9:27Speaker 3: stiffness over the course.
- 9:28Speaker 2: Of just a few weeks.
- 9:29Speaker 3: In most cases, the hip, in the knee and the
- 9:31Speaker 3: ank will have that same characteristic ability to reverse or
- 9:35Speaker 3: to change. Once the ligaments tightened, the joint capsules stiffen
- 9:38Speaker 3: and fibrose.
- 9:39Speaker 2: If I'll apply load.
- 9:41Speaker 3: To those structures consistently over time, that stiffness, that fibrosis
- 9:45Speaker 3: and scaring will reverse itself.
- 9:47Speaker 1: It is jointstrong dot com and you go to that
- 9:50Speaker 1: website and you're going to get some information and the
- 9:54Speaker 1: opportunity obviously to get some help that is guided and
- 9:58Speaker 1: one of the things that you know, Chad told years ago,
- 10:00Speaker 1: he said, honest and truly, I'm trying to put myself
- 10:02Speaker 1: out of business. You're trying to help people help themselves.
- 10:07Speaker 2: Correct.
- 10:07Speaker 3: Yeah, most of this is easily preventable if we just
- 10:10Speaker 3: know exactly what to do.
- 10:12Speaker 1: And that's kind of been your mission, is to teach people,
- 10:15Speaker 1: and so I don't always, I don't often see you
- 10:18Speaker 1: for the same thing more than a few times. You
- 10:20Speaker 1: teach me what I need to know, and then I
- 10:23Speaker 1: apply it. It's I was telling you earlier, I haven't
- 10:26Speaker 1: had a low back problem since you and I dealt
- 10:28Speaker 1: with that years and years ago, because the lower back.
- 10:31Speaker 1: You said, here's what you do when you start feeling this.
- 10:35Speaker 1: Be very intentional about this, that and the other. Now
- 10:37Speaker 1: we're talking today about the load on joints that are
- 10:41Speaker 1: being impacted by arthritis. What can people do.
- 10:45Speaker 3: So the remedy for this the you know, once again
- 10:49Speaker 3: to speak to the science here, it's abundantly clear when
- 10:52Speaker 3: carlage is loaded. You know, the knee and the hip
- 10:55Speaker 3: and the ankle are considered load bearing joints. When that
- 10:57Speaker 3: carlage is loaded and compressed and move through large range
- 11:01Speaker 3: of motion to its endpoints. As we mentioned earlier in
- 11:04Speaker 3: the segment, that compression and that loading through full motion.
- 11:08Speaker 2: Creates a healthy articular cartilage.
- 11:10Speaker 3: That's what promotes the release of certain proteins within the
- 11:14Speaker 3: joint system on top of the carlage that makes the
- 11:17Speaker 3: movement smooth, lubricated, low friction. Low friction environments of course,
- 11:22Speaker 3: decrease wear and tear on these joint systems. So movement
- 11:26Speaker 3: is the best medicine for these things. Movement to the
- 11:28Speaker 3: endpoints underload in the ankle, knee, and hip joint promote
- 11:33Speaker 3: a healthy articular cartilage, a cartilage that has the ability
- 11:36Speaker 3: to regenerate itself, even in cases where I've had remarkable
- 11:41Speaker 3: changes go on. When I load and compress and move
- 11:44Speaker 3: through full motion, the expression of very healthy chemical environments
- 11:49Speaker 3: happen within that joint system, and that's what promotes a normal,
- 11:53Speaker 3: healthy joint system. That loading, that compression, that movement to endpoint,
- 11:58Speaker 3: those things have to be applied at regular intervals throughout
- 12:01Speaker 3: our day to stay healthy throughout life. If we stop
- 12:05Speaker 3: doing that at any point, those systems begin to break down.
- 12:08Speaker 3: A high friction environment begins to develop when movement loss
- 12:12Speaker 3: starts to creep into the system, abnormal loading begins to occur.
- 12:16Speaker 3: Those proteins that lubricate the joint system aren't released as
- 12:19Speaker 3: readily anymore. When cartilage is not being compressed all day
- 12:23Speaker 3: long because you're sitting in a chair, that cartlage begins
- 12:26Speaker 3: to not express or release those lubricating mechanisms any longer,
- 12:31Speaker 3: and a thin layer of what's called panas begins to
- 12:33Speaker 3: develop on the joint system and the carlage starts to
- 12:35Speaker 3: wear out quickly. It starts to erode and break down,
- 12:38Speaker 3: and that's when you start to get into your bone
- 12:40Speaker 3: on bone circumstances or situations. So this is why you
- 12:45Speaker 3: see such a dramatic move preston towards standing workstations. Now
- 12:49Speaker 3: a lot of your state agencies are moving people out
- 12:52Speaker 3: of chairs and putting them into the standing position because
- 12:55Speaker 3: we know now that that position has the greatest benefit
- 12:58Speaker 3: to the joint systems. Takes people out of those postures
- 13:01Speaker 3: and positions that are unhealthy for the cartilage. They're unhealthy
- 13:05Speaker 3: for the lower back specifically. You know, sitting is the
- 13:08Speaker 3: new smoking, as they say, and we know that now
- 13:10Speaker 3: because of all the science surrounding how we keep things
- 13:13Speaker 3: healthy versus how they're breaking down traditionally now in our
- 13:16Speaker 3: types of societies.
- 13:17Speaker 1: And clinically, you're seeing this because you're seeing young people
- 13:22Speaker 1: for things that you never had seen them before. Because
- 13:25Speaker 1: it goes back to the whole video game phone, you know,
- 13:29Speaker 1: sitting at laptops and tablets.
- 13:31Speaker 3: Yeah, we have an entire culture now, starting at the
- 13:33Speaker 3: age of eight, that's been trained to sit in front
- 13:36Speaker 3: of a phone, a TV screen playing video games. When
- 13:39Speaker 3: they go to college, they sit in front of more
- 13:42Speaker 3: screens to study and prepare for classes and their education.
- 13:45Speaker 3: And then they get out of college and go into
- 13:47Speaker 3: a job or whether they do all day long, they
- 13:49Speaker 3: sit and they don't load, they don't compress, they don't
- 13:52Speaker 3: move the joint systems to the endpoint. And then we
- 13:54Speaker 3: wonder why we're all getting stiff, stuck, can't move well,
- 13:57Speaker 3: and we ache and hurt as we get older. And
- 14:00Speaker 3: it's happening at an earlier, in earlier age because we
- 14:02Speaker 3: are now introducing those types of situations at an earlier
- 14:07Speaker 3: and earlier age.
- 14:08Speaker 1: You're sitting there right now listening to us. More than
- 14:11Speaker 1: likely almost all of you are sitting somewhere listening to us,
- 14:15Speaker 1: even if it's just you're driving in the car. I
- 14:16Speaker 1: get it. You're not driving standing up. I understand, not yet.
- 14:19Speaker 2: At least, we're.
- 14:21Speaker 1: Gonna give you some tips, some things to think about
- 14:23Speaker 1: doing as you go through your day, and how often
- 14:26Speaker 1: you should do them, and the different parts of the
- 14:29Speaker 1: body you should be focused on. I'm guessing he's gonna
- 14:32Speaker 1: say something like everything that moves, but that's just me
- 14:35Speaker 1: as the sage talk show host that I am guessing
- 14:41Speaker 1: trying to make your life better, not necessarily easier, but
- 14:49Speaker 1: we're going to simplify things here. In just second, we're
- 14:51Speaker 1: talking with Chad Gray of joint Strong the website again
- 14:54Speaker 1: jointstrong dot com and Chad as we talked about most
- 15:00Speaker 1: everybody listening right now sitting. Yes, that's just and it's
- 15:05Speaker 1: not a sin, unavoidable, right, it's part of life. But
- 15:09Speaker 1: what are things that everybody listening and I think we
- 15:13Speaker 1: can safely say now, regardless of.
- 15:15Speaker 3: Age, regardless of age, regardless of activity level, there are
- 15:21Speaker 3: a few key movements, functional movements, I'll call them, that
- 15:25Speaker 3: need to be performed on a regular basis. We're designed
- 15:28Speaker 3: to actually move this way. I mean, if you study
- 15:30Speaker 3: the design, look at the functional design, of the leg,
- 15:33Speaker 3: and you can figure out exactly what's supposed to do.
- 15:35Speaker 3: I've got a bendable hinge in the middle of that
- 15:37Speaker 3: long leg. Okay, it's designed to bend fully. It's designed
- 15:42Speaker 3: to squat. I mean that's what we're made to do.
- 15:44Speaker 3: To squat down all the way to the ground. That
- 15:46Speaker 3: is the resting position. That is the natural human sitting position.
- 15:49Speaker 1: Onder the ball of your feet, or on the flat
- 15:52Speaker 1: of your foot, the flat of your foot.
- 15:53Speaker 3: Some people can't get onto the flat of their foot
- 15:55Speaker 3: because they don't have enough lenk in the achilles tendon anymore, right,
- 15:58Speaker 3: the ankle to let them get there? Is it?
- 16:00Speaker 1: Okay to start at the ball?
- 16:01Speaker 3: Okay to start there and progress to the flat of
- 16:03Speaker 3: the fokka.
- 16:04Speaker 2: But squat, squat?
- 16:06Speaker 3: I mean, look, go down to the Amazon rainforest and
- 16:08Speaker 3: study the tribes that live down there, and look at
- 16:10Speaker 3: how they sit, socialize, go to the bathroom, eat their
- 16:13Speaker 3: dinner and food. Look at what position they're in. They're
- 16:17Speaker 3: always squatted. They're down comfortably sitting there, hanging out, and
- 16:21Speaker 3: they can sit there for days, literally without a worry.
- 16:24Speaker 3: You ask ten people in this society to squat, and
- 16:27Speaker 3: they look at you like you've got a third eye
- 16:29Speaker 3: in the middle of your head because they already know
- 16:32Speaker 3: they can't get there and it hurts too darn bad
- 16:34Speaker 3: to try it.
- 16:35Speaker 1: And they might be able to get there, but then
- 16:36Speaker 1: those that can might not get back up.
- 16:38Speaker 2: That's right. Yeah, it's like, well, I could probably get there.
- 16:41Speaker 3: Gravity's going to help me, but am I going to
- 16:42Speaker 3: be able to push myself back up out of a position?
- 16:45Speaker 3: And once again, that's a byproduct of not going there
- 16:49Speaker 3: often enough to develop the range of motion and the
- 16:52Speaker 3: strength and power to execute it.
- 16:53Speaker 1: With before we go to another joint part of the body.
- 16:57Speaker 1: To the person that's out there listening, because I would
- 17:00Speaker 1: either that the majority of people cannot do what you're
- 17:03Speaker 1: talking about.
- 17:03Speaker 3: If I lined up ten out of the gym clinic,
- 17:07Speaker 3: the businesses we've got right now, once again, I'll find
- 17:10Speaker 3: two that might be able to do it, regardless of age.
- 17:13Speaker 2: At this point, which is the frightening part.
- 17:15Speaker 1: So what is the smart way to get to that point?
- 17:19Speaker 1: If you can't get there?
- 17:20Speaker 3: Initially, stand at the kitchen countertop, grab the sink, hold
- 17:24Speaker 3: on tight, drop down as far as you can go
- 17:27Speaker 3: and get to that endpoint wherever it may be for you.
- 17:29Speaker 3: Some people can make it to about ninety degrees of
- 17:31Speaker 3: nee bend, and other people can get almost all the
- 17:33Speaker 3: way to the ground or the floor right.
- 17:35Speaker 2: But every day.
- 17:36Speaker 3: Make sure that you go to that extreme of movement
- 17:40Speaker 3: as many times a day as you can plug.
- 17:42Speaker 1: In, and then event you will then get further before
- 17:46Speaker 1: you know it.
- 17:46Speaker 3: Over time, you'll gradually gain movement as you stress and
- 17:49Speaker 3: load the systems that way.
- 17:51Speaker 2: Is it important to adapt?
- 17:52Speaker 1: Is it important to stress and load a little further?
- 17:56Speaker 1: And if so, how soon?
- 17:58Speaker 2: When it gives it to you, you take it?
- 18:01Speaker 3: Okay, When you reach the point where it feels siff
- 18:03Speaker 3: and it's a little achy, you move past that slightly.
- 18:05Speaker 3: You engage that discomfort, that strain, pain, a little bit
- 18:09Speaker 3: at a time until it starts to break down and
- 18:11Speaker 3: let go and give you more and more and more,
- 18:13Speaker 3: and you take what it's giving and you keep engaging
- 18:16Speaker 3: it and pushing it and encouraging it to go further,
- 18:18Speaker 3: further and further. Next part of the body back, hip, hip, knee,
- 18:23Speaker 3: ankle load bearing joints need to be stressed and loaded
- 18:26Speaker 3: with a functional squat. Lower back needs full extension, it
- 18:29Speaker 3: needs backwards bending. What do we do all day long
- 18:32Speaker 3: three to five thousand times we flex or bend forward,
- 18:34Speaker 3: especially once again with our sitting population. When you're sitting,
- 18:37Speaker 3: you're in what's called physiological flexion. You are slouched in
- 18:41Speaker 3: your lower back, so your spine stays bent or flexed forward.
- 18:45Speaker 2: All day long.
- 18:45Speaker 3: It rarely ever goes in the opposite direction to the
- 18:48Speaker 3: terminal point or the endpoint of movement. With what's called
- 18:51Speaker 3: extension or backwards bending, you need to apply lumbar extension
- 18:56Speaker 3: or low back extension, hip knee and ankle en range movement,
- 18:59Speaker 3: under load squat accomplishes a fair bit of that. Those
- 19:03Speaker 3: things need to be happening every single day of your life.
- 19:06Speaker 3: Multiple times are multiple rounds per day to keep those
- 19:09Speaker 3: systems optimally working the way they were mechanically designed and
- 19:13Speaker 3: built to work.
- 19:13Speaker 1: To the person working in an office today, that means
- 19:17Speaker 1: taking your breaks and your lunch hours, and even sneaking
- 19:20Speaker 1: one in here and there as often as possible.
- 19:22Speaker 2: You've got it.
- 19:23Speaker 3: Walking is not enough. Walking is a quarter to mid
- 19:26Speaker 3: range movement. You do not move the joint systems that
- 19:28Speaker 3: much when you walk. You load them, but you don't
- 19:30Speaker 3: move them much. So you've got to take periodic points
- 19:33Speaker 3: in time during the day where you execute the full squat,
- 19:36Speaker 3: the full motion, the full backbend consistently and often, so
- 19:40Speaker 3: these changes are not allowed to happen to us.
- 19:42Speaker 1: Time flies when you're trying to help people through their
- 19:44Speaker 1: aches and pains. But when you're getting through your aches
- 19:47Speaker 1: and pains, it slows down a little bit. Friends, I'm
- 19:49Speaker 1: going to tell you that it does.
- 19:51Speaker 2: But it's okay.
- 19:54Speaker 1: The expression no pain, no gain really does have some validity.
- 19:58Speaker 3: To it in this circumstances. Absolutely, no. Yeah, that slogan
- 20:02Speaker 3: came about for a reason. We know that when things
- 20:04Speaker 3: get stiff, there's only one way to make them better.
- 20:06Speaker 3: It's like, oh, I take somebody who's just come out
- 20:08Speaker 3: of a cast because they broke their arm. You know,
- 20:10Speaker 3: when they come out of that cast, they're stuck in stiff.
- 20:12Speaker 3: What do you do to them? You stress it, you
- 20:14Speaker 3: load it, you move it consistently, and all of a sudden,
- 20:16Speaker 3: a few weeks later and the elbow straightens out again.
- 20:19Speaker 3: You know that was a painful situation. Pain was necessary
- 20:23Speaker 3: in that circumstance. Well, the same type of pain is
- 20:26Speaker 3: necessary here when joint system stiffen and lose mobility. If
- 20:29Speaker 3: I don't push to the point where they hurt, and
- 20:31Speaker 3: then try to engage even beyond that. I will never
- 20:33Speaker 3: change these tissues, these structures.
- 20:35Speaker 1: You said something to me years ago that has stood
- 20:37Speaker 1: with me and stayed with me, and it is, if
- 20:40Speaker 1: you maintain the health of your back, you will have
- 20:44Speaker 1: the flexibility at eighty that you had when you were eight.
- 20:47Speaker 3: You will never lose a degree of range of motion
- 20:49Speaker 3: as long as you ask it to be there.
- 20:51Speaker 2: It's that simple. If I push that.
- 20:54Speaker 3: Joint system to its endpoints every day, regardless of my age,
- 20:58Speaker 3: I will never lose one degree of mobility.
- 21:02Speaker 1: That is exciting news for a lot of people that
- 21:04Speaker 1: that's possible. And that's the thing that you have seen clinically.
- 21:09Speaker 1: The data shows you it's possible.
- 21:11Speaker 3: Jose said, it's possible. The information of the science is clear.
- 21:14Speaker 3: Our outcomes and the evidence we've gathered through the clinic
- 21:18Speaker 3: make it abundantly clear to us. Movement is the best medicine.
- 21:22Speaker 3: It's not even close. It's the literal drop Mike moment.
- 21:25Speaker 3: We know that engaging these joint systems to their endpoints,
- 21:29Speaker 3: maintaining mobility is how we maintain a quality of life
- 21:32Speaker 3: as we age your independence as an older person is
- 21:36Speaker 3: directly linked to how.
- 21:38Speaker 2: Well you move void. No kidding, If you.
- 21:40Speaker 3: Can't get up out of the chair, your life is
- 21:42Speaker 3: no longer worth living. And the most common reason people
- 21:45Speaker 3: can't get out of the chair is their back, their hip,
- 21:48Speaker 3: and their knee and their ankle won't let them anymore.
- 21:51Speaker 1: We've addressed a lot of the big joint issues. What
- 21:55Speaker 1: about arms, shoulders, and hands and fingers, You.
- 21:59Speaker 3: Get to smattering of those coming through the clinic. The
- 22:02Speaker 3: vast majority of things happen, you know, from the lower
- 22:04Speaker 3: back down, but the shoulder and the elbow and the
- 22:06Speaker 3: wrist in hand to show up fairly often once again,
- 22:11Speaker 3: end range movement of the fingers specifically, you know, you've
- 22:14Speaker 3: seen the folks who kind of develop the stiff looking right,
- 22:17Speaker 3: you know, craggly looking fingers as I call it, sometimes
- 22:20Speaker 3: the nodules on the finger. All of that is a
- 22:22Speaker 3: byproduct of the stiffening and the hardening of those passive
- 22:25Speaker 3: support structures I mentioned earlier, the ligaments, and your failure
- 22:28Speaker 3: to move those joints through their to their end points,
- 22:30Speaker 3: their terminal movements. The elbow needs to be straightened to
- 22:34Speaker 3: full extension of the elbow. Shoulder needs functional internal rotation
- 22:38Speaker 3: behind the back, your hand behind your back, the chicken
- 22:41Speaker 3: wing position. Yeah, if I call as I call it,
- 22:43Speaker 3: you know, put your brother in the old chicken wing
- 22:45Speaker 3: every now and then they're going to do what you
- 22:46Speaker 3: want them to do.
- 22:47Speaker 1: One of my least favorite things to do to myself
- 22:50Speaker 1: got to.
- 22:50Speaker 2: Be able to go there.
- 22:51Speaker 3: That is a functional movement that is a requirement for
- 22:55Speaker 3: maintaining overhead flexion or extension of the shoulder. You can't
- 23:00Speaker 3: lift overhead unless you can internally rotate the shoulder behind
- 23:02Speaker 3: the back.
- 23:03Speaker 1: Let's talk real quickly. We got about a minute or
- 23:05Speaker 1: so left. Some things that you're doing within the community
- 23:08Speaker 1: here of the capital city, some classes and things that
- 23:11Speaker 1: are helping people.
- 23:12Speaker 2: Yeah.
- 23:13Speaker 3: So we took the clinical experience we had and we
- 23:17Speaker 3: invested in trying to deploy a solution based upon the
- 23:21Speaker 3: data we gathered in the clinic into the community.
- 23:24Speaker 2: Where was a platform that we could.
- 23:25Speaker 3: Build and integrate all this stuff we had learned, all
- 23:29Speaker 3: the things that the science were saying were necessary to
- 23:31Speaker 3: keep us healthy and happy as we aged. Where could
- 23:34Speaker 3: we put that in our And our thought was, let's
- 23:36Speaker 3: buy a gym. We bought a gym in the middle
- 23:38Speaker 3: of the southward community called town Center Fitness, and inside
- 23:42Speaker 3: of that gym, we we integrated physical therapy into the
- 23:46Speaker 3: platform as a tool for those who can't kind of
- 23:50Speaker 3: manage their stuff with self care protocols. But we also
- 23:53Speaker 3: trained trainers to understand and know the basic needs of
- 23:57Speaker 3: the community from a joint perspective. We trained trainers to
- 24:00Speaker 3: be able to understand those needs and execute them in
- 24:04Speaker 3: personal training platforms and our classes that we perform. Now,
- 24:08Speaker 3: we've got a Joint Strong Function class for seniors over
- 24:10Speaker 3: the age of sixty or so that focuses primarily on
- 24:14Speaker 3: in range mobility, the key joint systems we mentioned earlier,
- 24:18Speaker 3: focuses on balance and coordination. It focuses on all the
- 24:21Speaker 3: right things to stay healthy, yeah, stay active, and to
- 24:24Speaker 3: stay happy and pain free as you age. All those
- 24:27Speaker 3: classes are programmed into that gym platform.
- 24:30Speaker 2: Now outside of our clinical.
- 24:31Speaker 1: Platform, can they find it through Joint Strong.
- 24:33Speaker 3: It's all on the Joint Strong platform. You can find
- 24:36Speaker 3: our clinics, you can find the gym. You can find
- 24:38Speaker 3: access to all the information you need for all of
- 24:40Speaker 3: our services and all of our systems on that website.
- 24:43Speaker 1: Told you we'd help you feel better and maintain your flexibility,
- 24:48Speaker 1: which is vital as you age. You know this, you
- 24:51Speaker 1: know this. Thanks for coming in, Thank you appreciate it.
- 24:55Speaker 1: Chad Gray, it's Jointstrong dot com again. Jointstrong dot com