:00:13. > :00:15.I'm Dr Jack Kreindler. And I'm Professor Greg Whyte. We've spent
:00:15. > :00:20.more than ten years helping celebrities and athletes get the
:00:20. > :00:22.best out of their bodies. Awesome. And now we want to help you. We're
:00:22. > :00:29.going to be tackling the nation's biggest health problems. Things
:00:29. > :00:34.like pain. Bad days are really crippling. It is upsetting seeing
:00:34. > :00:40.Andrew play with the kids more than me. I can't take one step in front
:00:40. > :00:44.of me without pain. To get to the bottom of pain... And to find out
:00:44. > :00:53.what we can do about it... We're going to put our own bodies on the
:00:53. > :00:59.line in a series of, well, painful experiments. Ow! Argh! Come on, my
:00:59. > :01:09.son! We're not sure our bodies... Or our friendship... Is going to
:01:09. > :01:13.survive the next 30 minutes. this is How To Beat Pain. Pain
:01:13. > :01:16.affects us all. But pain is invisible, so it is difficult to
:01:16. > :01:25.understand. By inflicting pain on each other in a controlled way,
:01:25. > :01:29.we're going to show you what causes pain and how to beat it. 10 million
:01:29. > :01:32.of us suffer from severe pain every day and we spend over �1 billion a
:01:32. > :01:35.year on painkillers. In today's programme, we'll be focusing on
:01:35. > :01:45.three of the most common problems. Back pain, sports injury and
:01:45. > :01:47.
:01:47. > :01:50.osteoarthritis. Our first pain to beat is back pain. It's a problem
:01:50. > :01:53.that 80% of us will have at some point in our lives. And this
:01:53. > :02:01.epidemic is being fuelled by our sedentary lifestyles. Oo, perfect,
:02:01. > :02:04.mate. # You're singing with a broken string. Tell me what you
:02:04. > :02:09.really mean... # Are you ready?
:02:09. > :02:12.# Do you know what you want? # My name is Holly Minto. I'm 31
:02:12. > :02:22.and I've been suffering with lower chronic back pain for nearly nine
:02:22. > :02:30.
:02:30. > :02:34.years. Bad days are really bad, it's really crippling. 'I find it
:02:34. > :02:37.hard' not to be able to do certain activities with the children. Good
:02:37. > :02:45.girl, well done. They're going to grow up quite quickly. It is
:02:45. > :02:48.upsetting seeing Andrew play with 'Poor Holly - time to get her back
:02:48. > :02:51.'to our Harley Street clinic to find out what's causing her pain.
:02:51. > :02:54.'First we'll give her a full health check.' Looking at the blood, we
:02:54. > :02:59.can see a lot of things systemically around the whole body.
:02:59. > :03:02.But it's red, so that's a good start. SHE GIGGLES. Not green! 'And
:03:02. > :03:07.we're not stopping there. 'We want to take a look at what's going on
:03:07. > :03:15.under the bonnet, too.' Just getting you in the right position
:03:15. > :03:18.to start. 'So she's having an MRI scan. And the results are very
:03:18. > :03:23.interesting.' We've got a disc that's kind of flattened and is
:03:23. > :03:25.bulging there. 'Holly's MRI scan shows a classic back problem - 'she
:03:26. > :03:29.has two bulging discs in her lower back. 'Discs are jelly-like
:03:29. > :03:34.material that cushion each bone in the spine. 'If a disc bulges, it
:03:34. > :03:38.can put pressure on a nearby nerve, and that's what causes the pain.
:03:38. > :03:47.'But why are Holly's discs bulging in the first place? 'Well, the
:03:47. > :03:52.Can you see how these muscles here have got so much fatty infiltration
:03:52. > :03:57.in them? 'It turns out Holly's back muscles are turning into fat,
:03:57. > :04:01.'which means her discs are taking on more weight than they should.'
:04:02. > :04:05.Almost a third of that supportive muscle has been replaced by fat.
:04:05. > :04:10.'But how can your muscles just turn into fat? 'Time to put our own
:04:10. > :04:12.bodies on the line in the name of science.' I'm going to be
:04:12. > :04:16.immobilising Jack's arm for six days in plaster and measuring what
:04:16. > :04:19.happens to his muscle strength. It may seem ridiculous to be talking
:04:19. > :04:24.about my arms when Holly's got a back problem, but the principle is
:04:24. > :04:29.the same for every muscle of the body. And that principle is use it
:04:29. > :04:34.or lose it. Right, Jack, before we immobilise this arm, the one thing
:04:34. > :04:37.we want to do is take a look at the size of this forearm. There we can
:04:37. > :04:45.see 27 centimetres on that right arm and on the left arm 27
:04:45. > :04:48.That's our starting point, because we are now going to immobilise one
:04:48. > :04:53.of those arms by plastering it. this is something you haven't done
:04:53. > :04:57.before. Never done it. 'The truth is, we usually rely on a practice
:04:57. > :05:00.nurse for this bit.' You take the compression bandage, do a little
:05:00. > :05:04.snip there, that's enough. You'll have to get the fluffy stuff, the
:05:04. > :05:07.cotton wool. 'The plan is that I'm going to get Dr Jack plastered -
:05:07. > :05:14.well, from the elbow down anyway - 'so he can't move his forearm
:05:14. > :05:18.muscles for a week.' There you go. Which end are we going to start at?
:05:18. > :05:21.What you need to do is you need to put it round the wrist area, around
:05:21. > :05:26.and over, so underneath your left hand. 'Hmm, think I've seen better
:05:26. > :05:30.plastering from my cowboy builder.' So look, that is rock solid.
:05:30. > :05:34.yes, it's true, I can't move a muscle. 'After some, well, armless
:05:34. > :05:38.fun, Dr Jack's now been in plaster for a week 'unable to move his
:05:38. > :05:43.forearm or grip anything. 'Now it's time to see what's happened to
:05:43. > :05:48.those muscles.' I'm just desperately not trying to cut your
:05:48. > :05:51.hand off. Oh, that's much appreciated! It's going to ruin the
:05:51. > :05:57.experiment if we've got no fingers left, isn't it? But look at that,
:05:57. > :06:01.though! Oh, my goodness! Instantly. It's withered. So look at that, 26,
:06:01. > :06:03.we've lost a centimetre just in six days. That's on the widest part,
:06:03. > :06:07.yeah it is. That's incredible. That is absolutely incredible. The thing
:06:07. > :06:10.we want to know now is what effect does that have on strength? 'To
:06:10. > :06:13.find out, I've devised a nice little experiment for Dr Jack.' You
:06:13. > :06:17.are hanging from the good arm versus the plastered arm. OK? And I
:06:18. > :06:21.want you to hang on for as long as you possibly can. And we're going
:06:21. > :06:28.to see what the effect is of no exercise on that plastered arm for
:06:28. > :06:35.six days. All right. Are you ready to rumble? It's sore, it's weak,
:06:35. > :06:39.and you're a very bad man. I love it. Whoa, man. Everything all right,
:06:39. > :06:46.Jack? It doesn't look that high, to be honest with you, mate. It's very
:06:46. > :06:50.high. 'This may look like a circus act but it should show us 'how much
:06:50. > :06:59.strength you can lose after just one week without exercise.' Oh, I
:06:59. > :07:04.see...ooooh, aaaah! Right, let go when you're ready. Go! Good man.
:07:04. > :07:07.'So first off, the arm that wasn't plastered.' So this is the good arm.
:07:07. > :07:12.Hang on, that's it. Keep hanging, keep hanging. You don't want to
:07:12. > :07:17.drop that far, let me tell you. it's horrid. Don't let go. Go on.
:07:17. > :07:21.A-a-a-rgh... Keep hanging, Jack. Go on, Jack, go on. Go on, go on. Good
:07:21. > :07:27.man, good man. That's a good effort. Fantastic work. He is strong. Oh,
:07:27. > :07:31.he's off. 46 seconds, that's actually pretty impressive. Do you
:07:31. > :07:34.know what? It was excruciating down here. I've been working so hard
:07:34. > :07:38.pressing this start and stop button. I can't tell you how difficult that
:07:38. > :07:44.is. Yes, I'm sure your thumb went through considerably more effort
:07:44. > :07:49.than my arm(!) Keep it working. 'This time, we're going to test the
:07:49. > :07:55.arm that I expertly plastered. 'Remember, Dr Jack's not been able
:07:55. > :08:02.to use his left arm muscles for a week.' Right, let's go now, mate.
:08:02. > :08:05.OK, here we go. Good man, off he goes. And now he's got to use it to
:08:06. > :08:09.hang on to that trapeze for dear life. That's it, good man, good man.
:08:09. > :08:12.Hang on, hang on, hang on. Good, good, good, good, good. Keep going,
:08:13. > :08:22.keep going. As long as you can. As long as you can. Keep hanging on.
:08:23. > :08:23.
:08:24. > :08:31.Keep going. That's it, good man, 18 seconds. That is pathetic.
:08:31. > :08:34.Compared to 46. That is ridiculous. Not being able to use this arm in
:08:34. > :08:37.the normal way that you would for gripping and typing and washing and
:08:37. > :08:41.cleaning and brushing teeth and all the rest of it. Extra muscles are
:08:41. > :08:43.being used. Those ones got fatigued very, very quickly as well. So when
:08:43. > :08:46.we think about the spine, we mustn't just think about the
:08:46. > :08:49.muscles in the spine, it's all the muscles everywhere that get
:08:50. > :08:52.affected. It's the core muscles. The muscles around the buttocks and
:08:53. > :08:56.front of the leg, back of the leg, they're very important in
:08:56. > :08:59.supporting that. And the tummy and the sides. I just want to take you
:08:59. > :09:04.up on one thing. You suggested there that you do washing up. I
:09:04. > :09:07.don't believe that for a second, mate. He caught me out. 'Anyway,
:09:07. > :09:12.enough of all this hanging around, 'I've got to get down the gym with
:09:12. > :09:15.Holly.' On your front. Perfect. 'What happened to Jack's arm in
:09:15. > :09:19.just one week has been happening 'to Holly's back muscles for the
:09:19. > :09:22.past nine years.' Just lift that leg again. 'The less activity Holly
:09:22. > :09:28.does, the weaker her muscles are becoming. 'The weaker they become,
:09:28. > :09:37.the more her back hurts it's a vicious circle. 'To cure Holly's
:09:37. > :09:42.back pain I need her to do the last So really what's happening here...
:09:42. > :09:46.Actually, just drop it for me. So you're actually not using this big
:09:46. > :09:49.muscle, this big bum muscle, the gluteus, to lift that leg. And what
:09:49. > :09:52.you're trying to do is you're trying to lift it with much smaller
:09:52. > :09:56.muscles in the lower back, and that's why we've got the problem
:09:56. > :10:01.here. OK? All we need to do, if you can, just lift your upper body. How
:10:01. > :10:04.does that feel? And then what I want you to do is just lift the
:10:04. > :10:07.legs. 'Holly's got some hard work ahead of her, 'but if she
:10:07. > :10:11.strengthens the muscles that she left to get flabby, 'she should
:10:11. > :10:15.feel better in a matter of weeks.' It hurts going down. OK, let's try
:10:15. > :10:18.that one more time for me. Now keep it really, really tight. Don't,
:10:18. > :10:24.don't relax at any stage during this, OK? Now lift one leg off the
:10:24. > :10:30.ground. Two, three, four, and bring it down. Hold that position. And
:10:30. > :10:33.now the other leg. Two... We'll return to see how Holly's getting
:10:33. > :10:43.on later in the programme. relax. OK, pop that down and relax.
:10:43. > :10:46.
:10:46. > :10:49.That's really nice. How'd that Next up, a pain that's top of the
:10:49. > :10:52.league - the sports injury. The most common pain we feel is one
:10:52. > :10:54.we've all experienced. It's what happens when you play football in
:10:54. > :11:01.the park. Strains, sprains, bruises - we call those soft tissue
:11:02. > :11:10.injuries. Greg! That is seriously out of order! These injuries cause
:11:10. > :11:16.acute pain, but they're simple to So we're going to show you what
:11:16. > :11:20.these steps are. First we need a sports injury. Ah, Dr Jack. Just
:11:20. > :11:25.the man. Now his arm's recovered, it's time to put his whole body on
:11:25. > :11:33.the line. I've volunteered Dr Jack to take part in an up and coming
:11:33. > :11:38.sport - mixed martial arts, otherwise known as cage-fighting.
:11:38. > :11:41.That looked horrible. Welcome to the octagon of pain. This is where
:11:41. > :11:44.I am going to put Jack tonight with Nick "The Headhunter" Chapman, a
:11:44. > :11:48.professional fighter 30 kilos heavier than Jack. Luckily, Jack
:11:48. > :11:55.has a black belt in martial arts so he's in no danger. But one thing
:11:55. > :12:00.that he is going to be is in pain. I'm Nick "The Headhunter" Chapman.
:12:00. > :12:04.It's nothing personal, Dr Jack. Enjoy the evening. # I'm gonna
:12:04. > :12:07.knock you out # Mama said knock you out
:12:07. > :12:11.# I'm gonna knock you out # Mama said knock you out Break
:12:11. > :12:13.down! # Fired up? Nervous excitement now,
:12:13. > :12:16.yeah? Unbelievable, yeah. Just keep moving, mate, keep moving. You're
:12:16. > :12:20.going to be all right. I've briefed The Headhunter to target Jack's
:12:20. > :12:23.legs and give him as many bruises as possible, to help me with my
:12:23. > :12:25.experiment. In the red corner weighing in at 100 kilos, Nick "The
:12:25. > :12:28.Headhunter" Chapman. Looks like The Headhunter's feeling nervous too -
:12:28. > :12:31.he's roped in celebrity cage fighting champion Alex Reid for
:12:31. > :12:34.support. And in the blue corner standing 5ft 8 inches tall, at 68
:12:34. > :12:44.kilos, Jack Kreindler. BELL RINGS Right come on, Jack. Come on, Jack.
:12:44. > :12:46.
:12:46. > :12:48.Looks like The Headhunter's feeling nervous too - he's roped in
:12:48. > :12:58.celebrity cage fighting champion Alex Reid for support. And in the
:12:58. > :12:59.
:12:59. > :13:09.blue corner standing 5ft 8 inches Right come on, Jack. Come on, Jack.
:13:09. > :13:11.Come on. Go on. The doctor looks in trouble. Chapman deading the legs.
:13:11. > :13:17.The crowd not best pleased. Actually this is pretty serious.
:13:17. > :13:20.He's a big unit and he is hurting Jack. Come on, Jack, let's do it.
:13:20. > :13:23.Dr Jack is receiving a classic sports injury - soft tissue
:13:23. > :13:30.bruising, which will lead to swelling and plenty of pain which
:13:30. > :13:40.is perfect for the next stage of my Straight into him, straight into
:13:40. > :13:50.
:13:50. > :13:54.He's almost had it now. I think Raaarr! Call this match a draw. I'm
:13:54. > :13:57.sorry, Nick, it's a draw. Amazingly the ref has called it a draw. But
:13:57. > :14:01.what kind of injuries has Dr Jack suffered at the feet of The
:14:01. > :14:08.Headhunter? Bet there is some acute sports injury there, no doubt about
:14:08. > :14:12.it. How much pain? Everywhere. Serious pain, yeah? Everywhere,
:14:13. > :14:16.head, body. 'There's no doubt Dr Jack's in pain - great! 'That's
:14:16. > :14:19.what I need to show you how simple it is to relieve it.' Inside Jack's
:14:19. > :14:24.body, the damaged cells and blood vessels are leaking fluid causing
:14:24. > :14:30.swelling, which leads to pain. So what do we do about it? So the
:14:30. > :14:33.treatment is... RICE. RICE, exactly. Rest, Ice, Compression, Elevation.
:14:33. > :14:36.RICE is a four-step treatment which, if followed in the first three days
:14:36. > :14:41.of a soft tissue injury, can really speed up the healing process and
:14:41. > :14:47.ultimately stop pain. Let's pop the legs up on the chair for me. That's
:14:47. > :14:50.lovely. The first letter in RICE, R stands for Rest. If moving his leg
:14:50. > :14:56.causes pain, this is Jack's body's way of saying, "Stop. I need to
:14:56. > :15:06.take it easy." Now we need that ice and our favourite icing mechanism
:15:06. > :15:09.is... Peas. Is peas. That instantly feels better. Good. I stands for
:15:09. > :15:12.ice. Putting ice on the injury can reduce swelling and therefore pain.
:15:12. > :15:16.But don't put ice directly on the skin and for no longer than 20
:15:17. > :15:19.minutes at a time. Next thing we really need to do is actually get
:15:19. > :15:27.some compression. Lucky for you I've bought a wonderful pair of
:15:27. > :15:30.compression tights. So they are really, really tight. C stands for
:15:30. > :15:37.Compression. Compression brings down swelling by stopping fluid
:15:37. > :15:42.collecting around the injury. And there's one last step. At night,
:15:42. > :15:45.I'll elevate this on a pillow. Exactly. But this one I'll just
:15:45. > :15:51.keep... Perfect ..as is. E means elevate the injury above the heart,
:15:51. > :15:53.so that any fluid moves down and away from the injury. Following
:15:53. > :16:03.RICE can reduce swelling and, therefore, reduce PAIN quickly and
:16:03. > :16:07.It's nearly three days since Dr Jack clashed with The Headhunter.
:16:07. > :16:17.Time to check his sports injuries. Has RICE - Rest, Ice, Compression
:16:17. > :16:18.
:16:18. > :16:21.And look at this here. Look at that. The white shaded area on Jack's
:16:21. > :16:29.untreated leg shows the extent of the bruising. Whereas on the other
:16:29. > :16:32.leg, the one I treated, there's no bruising at all. It's massive.
:16:32. > :16:36.This is classic soft tissue injury and there's a lot of damage being
:16:36. > :16:39.done to that right leg. And that's why it's still so much more painful
:16:39. > :16:42.and so much less mobile. Absolutely. The key thing here for me is look
:16:43. > :16:48.at the left leg. It's gone. Absolutely nothing at all. It's
:16:48. > :16:50.completely gone. Look at the difference between the two. Just
:16:50. > :16:55.with Rest, Ice, Compression, Elevation. It's the gold standard.
:16:55. > :17:02.Just amazing, isn't it? My name is Arnold Baker and I am in constant
:17:02. > :17:06.pain. The next problem is one that's going to affect most of us
:17:06. > :17:12.in later life and the pain that goes with it is chronic. This is a
:17:12. > :17:21.typical month's worth of medication that I take. It's a disease of the
:17:21. > :17:25.joints. I can't take one step in You've probably heard of arthritis.
:17:25. > :17:30.Well, the most common form of arthritis is osteoarthritis. It
:17:30. > :17:33.causes stiffness of the joints and above all, pain. I used to enjoy
:17:33. > :17:40.fishing, very, very reluctant to do anything like that now because I
:17:40. > :17:43.don't want the pain that comes with it. Osteoarthritis is making not
:17:43. > :17:51.just Arnold's life a misery but eight million sufferers in the UK
:17:51. > :17:55.Time to get to the bottom of Arnold's pain. I've got a very
:17:55. > :17:59.special piece of kit here, which is actually going to listen to the
:17:59. > :18:02.inside of your joints and I'm going to play that back to you so we can
:18:02. > :18:10.actually both listen to what's going on. So what we would normally
:18:10. > :18:20.hear is absolutely nothing. Away you go. LOW RUMBLING. Bend the leg,
:18:20. > :18:22.
:18:22. > :18:27.that's it, and straighten. RUMBLING Very significant, isn't it? It is
:18:27. > :18:30.indeed. But what's making that terrible noise? We need to find out
:18:30. > :18:36.exactly what's going on inside Arnold's joints. Time for some more
:18:36. > :18:40.state of the art kit. Well, let's not oversell it now, Jack, but this
:18:40. > :18:43.is a pretty accurate model of the knee joint that I've knocked up in
:18:43. > :18:47.the basement. What we've got here is the brick's the bone and then
:18:47. > :18:54.this plastic part is the cartilage in between the joint. That is so
:18:54. > :18:57.smooth. Beautiful and smooth, isn't it? But what often happens, what
:18:57. > :19:04.starts off osteoarthritis is often this injury to one of these
:19:04. > :19:08.surfaces, to the cartilage itself, so let's injure the surface. Ten
:19:08. > :19:13.years' worth of damage. Ten years' worth of damage coming on to those
:19:13. > :19:16.surfaces. And imagine this is what we're talking about with Arnold.
:19:16. > :19:26.This is his knee, this is his ankles. All of a sudden we can
:19:26. > :19:29.hardly move it, it's grating, it's grinding. Ooooh! That's it. Until
:19:29. > :19:32.eventually, all of this surface then goes. Bone on bone. And that's
:19:33. > :19:34.what we end up with. A joint that's not going to move and is incredibly
:19:35. > :19:38.painful. Even sounds painful. that's osteoarthritis.
:19:38. > :19:48.something that you want to have. it's now wonder that osteoarthritis
:19:48. > :19:48.
:19:48. > :19:53.But there's something even worse that's causing problems for Arnold,
:19:54. > :19:56.because pain itself has nasty hidden consequences. Pain isn't
:19:57. > :20:02.just a feeling, it's a condition that affects your whole body and
:20:02. > :20:05.your mind. Go on! And after suffering myself twice already in
:20:05. > :20:11.the name of science, I'm now going to put Greg's body on the line to
:20:11. > :20:18.prove it. Good morning, Prof. morning, Doc. You got something for
:20:18. > :20:22.me? We have something in store for you today. Am I going to enjoy it?
:20:22. > :20:27.Oh, you're going to, you're going to love it! What on earth is that,
:20:27. > :20:34.mate? It looks like some sort of torture outfit. Yes, close. It's
:20:34. > :20:37.called an osteosuit. Right. It is a specially designed simulator of
:20:37. > :20:43.what it's like to live with osteoarthritis and you are going to
:20:43. > :20:47.be squeezed into it. Wow. And we're going to measure just how stressful
:20:47. > :20:52.it is through the pain and discomfort you feel. The whole day?
:20:52. > :20:56.You're going to be in this the whole day. So what exactly will a
:20:56. > :21:02.whole day of pain do to Professor Greg's god-like body? This is a
:21:02. > :21:05.breathing rate monitor. Right, OK. I'm going to measure Greg's heart
:21:05. > :21:08.rate and the stress hormone cortisol, which occurs naturally in
:21:08. > :21:11.all our bodies. At the moment, they're both at normal levels. But
:21:11. > :21:19.when Greg puts on this special suit, his joints will feel as if they've
:21:19. > :21:22.aged by 20 years. Perfect. Ball bearings and straps in the suit
:21:22. > :21:25.will rub and squeeze Greg's joints. Those are very colourful. You're
:21:25. > :21:31.not supposed to comment on them. Thanks, mate(!) Instantly that's
:21:31. > :21:36.not very pleasant. OK. Just make sure all the ball bearings are
:21:36. > :21:46.all... What, dug in to the back of my neck?! Ah! Does it hurt when I
:21:46. > :21:49.
:21:49. > :21:53.do that? Yeah! We're off. Let's go. This is going to be a long day.
:21:53. > :21:56.I've trussed him up in his suit, I've told the Prof to drive himself
:21:56. > :22:01.to our test location. Ooooh! Oh, just turning your neck is absolute
:22:01. > :22:06.agony. Just those little things that you just don't expect to be a
:22:06. > :22:16.problem. Just gripping the steering wheel, agony on the hands. MUSIC:
:22:16. > :22:18.
:22:18. > :22:23."Under Pressure" by Queen and David Come on, Greg, you should be taking
:22:23. > :22:33.these two at a time. So, where have I made the Olympian professor
:22:33. > :22:35.painfully drag himself to? This is incredible. Wembley Stadium for my
:22:35. > :22:40.specially designed pain-testing assault course. It's not quite
:22:40. > :22:42.football. We've got an urban obstacle course, so you can
:22:42. > :22:45.experience as an osteoarthritis sufferer what it is like to do
:22:45. > :22:53.simple tasks that everyday we take for granted, but you'll understand
:22:53. > :22:57.how difficult it is and how painful So you've bought me to Wembley for
:22:58. > :23:07.a domestic obstacle course? With a little bit of football. I'll take
:23:07. > :23:11.it. 'The pain Greg's feeling from the suit 'is a continuous ache in
:23:11. > :23:13.his joints, 'but I'm going to add to his pain by attaching collars
:23:13. > :23:20.'which give electric shocks. 'No, it's not just for fun, an
:23:20. > :23:27.intermittent jabbing pain, like this...' You ready? Yep, go on. OK.
:23:27. > :23:37.Hey! Oooh! '..is what it's like when bone rubs on bone. Ouch!'
:23:37. > :23:40.Ready? Go. Ouch! Ohhh! Do you have to keep doing that? Come on you're
:23:40. > :23:43.a strong lad. 'When, and if, Professor Greg finishes the course,
:23:43. > :23:47.'I'll have some actual results which will show what this pain is
:23:47. > :23:50.doing to his body.' You're going to make me a cup of tea, a nice cup of
:23:50. > :23:56.tea. Bit of milk in. Ooooh! Ouch! Agony! Oh, yeah, yeah. Thanks,
:23:56. > :24:06.mate(!) Not bad. Come on, come on, come on. Some ironing. Ironing. Oh,
:24:06. > :24:08.
:24:08. > :24:11.here we go. Right, right. Argh! You're making a real hash of this.
:24:11. > :24:15.Look, it's even worse than it was. It's the big one. Come on. This is
:24:15. > :24:18.it. Ahhh! My leg! This is it. YES! You beauty! 'He shoots, he scores
:24:18. > :24:21.and now for the all-important results. 'Turns out Greg's heart
:24:21. > :24:24.rate has doubled 'and his stress hormone, cortisol, is up by a third.
:24:24. > :24:27.'Not good news.' In fact, pain causes stress, and suffering high
:24:27. > :24:29.stress levels for a long time increases the risk of bigger health
:24:29. > :24:39.problems like cardiovascular disease, liver and kidney disease
:24:39. > :24:42.
:24:42. > :24:44.Ah, mate, if that is osteoarthritis, I never want it. Simple as that.
:24:44. > :24:49.We've looked at what causes osteoarthritis pain and discovered
:24:49. > :24:55.the worrying effect that it has on the body. Osteoarthritis can't yet
:24:56. > :24:58.be cured, so what can we do to reduce the pain? Well, the first
:24:59. > :25:03.way is probably the last thing you'd expect - moving the joints
:25:03. > :25:11.more. Hey, Arnold, great to see you. What we're going to try and do is
:25:11. > :25:15.cut your pain and the key is So pop yourself down there. I want
:25:15. > :25:21.you to pop your legs, your feet up on to this plate. Not particularly
:25:21. > :25:24.easy. 'It might seem strange to get Arnold to use his joints more 'when
:25:24. > :25:27.it's obvious they hurt so much, 'but just like Holly, exercise is
:25:28. > :25:31.actually going to help him.' To some extent what we're doing is
:25:31. > :25:33.we're forcing the mobility here but at the same time, we're improving
:25:34. > :25:41.the flexibility and now we extend, extend up and what we're doing
:25:41. > :25:44.there is we're improving the The second thing Arnold needs to do
:25:44. > :25:49.to beat the pain is lose weight... This is basically a treadmill in
:25:49. > :25:52.the water. ..because the lighter he is, the less weight he'll put on
:25:52. > :25:59.his joints, and the less pain he'll feel... There we go, that's it,
:25:59. > :26:05.perfect. ..as this clever piece of kit shows. This piece of kit here
:26:05. > :26:10.is actually going to reduce your weight while you're walking. Wow.
:26:10. > :26:18.Amazing. OK. So, what's the sort of pain that you've got? Well, I would
:26:18. > :26:21.say it's, it's moderate. Yep, so out of ten, on a ten scale? Six.
:26:21. > :26:25.so about six out of ten just walking along, so you're obviously
:26:25. > :26:28.in pain. That's at your full body weight. So what I am going to do
:26:28. > :26:32.now, Arnold, is bring you down to 75% of your body weight, OK. Can
:26:32. > :26:35.you feel it sort of lifting you up slightly? Yes, ever so slightly,
:26:35. > :26:38.yes. Quite nice? Oh, hello! All we're doing here is we're using air
:26:38. > :26:41.pressure to reduce the amount of force that's going through those
:26:41. > :26:44.ankles and those knees. What's the pain like now? How are the ankles
:26:45. > :26:49.and the knees feeling? It seems to have improved already. I would say
:26:49. > :26:52.five, four to five now. It shows you really nicely how we can
:26:52. > :26:55.actually just reduce your bodyweight, we can reduce the pain.
:26:55. > :27:01.It's a great thing to feel the benefit almost immediately. I think
:27:01. > :27:04.we're on the right direction now. I hope so. Excellent. Good man. 'As
:27:04. > :27:14.with Holly, we've designed Arnold a six-week regime 'that we think will
:27:14. > :27:15.
:27:15. > :27:17.Talking of Holly, remember her bad back? Well, she's been busting a
:27:17. > :27:24.gut for nearly three weeks desperate to strengthen her core
:27:24. > :27:31.muscles, eliminate pain and get her I've come to see how she's getting
:27:31. > :27:35.So, importantly, Holly, how's the back doing? Back, so far, is
:27:35. > :27:38.absolutely excellent now. That's only two and a half weeks in.
:27:38. > :27:45.Posture as well, I notice I'm walking a lot more upright than I
:27:45. > :27:47.Incredible progress. Two and a half weeks ago, Holly couldn't exercise.
:27:47. > :27:50.What we've done is we've strengthened her back, almost
:27:50. > :28:00.eliminated that pain and she's back exercising fully, and the quality
:28:00. > :28:12.
:28:12. > :28:19.It's an amazing recovery by Holly. I am incredibly happy for you.
:28:19. > :28:22.Impressed? Well, thank you. Look, you've got a smile on your face,
:28:22. > :28:26.and this is you, a few weeks ago, worried about going for a stroll.
:28:26. > :28:29.That's brilliant. You happy? Yes, I think there's been a change in mood.
:28:29. > :28:32.I'm more confident in my joints because they seem to be getting