Episode #247: Never Slow Down Why Pain Isn’t a Normal Part of Aging

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And we're rolling, baby, with the Berman Method Podcast focused on treating problems and not symptoms.
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David going against Goliath.
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Goliath being the corporate medical system, big pharmaceutical companies, your health insurance companies, they do not have your best interests in mind.
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They'll choose profits over patient outcomes every single time.
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And we're here to say there's another way.
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That's exactly right.
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Yes, and you're gonna do your best to fight through this with a scratch cornea.
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I know.
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I'll just keep my eyes closed for the whole podcast.
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Oh my goodness.
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Sleeping in contacts is not advised.
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Sleeping in contacts dehydrated is not advised.
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Not advised.
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My eyes were too dry from being dehydrated, and there it happened.
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Dang it.
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Yeah.
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Dang it.
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I had it once a year ago, the one and only time I've ever scratched my eye.
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And I I'm not sure how you're here right now.
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I was dying.
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There was no hope for there was no light at the end of the tunnel.
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I pretty much was on my deathbed.
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That's true.
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You didn't did not do well with it.
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I did not do well.
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Until you found an eye doctor in walking distance.
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Oh my goodness.
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I walked over and I said, You've got to help me because I'm gonna lose my freaking mind.
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It's just that pain that you can't get away from.
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You can't get away from it.
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You can't close your eyes, you can't open it.
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Even when you close it, even if you move your eyeball with your eyes closed, it's still excruciating.
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It was just brutal.
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Tell me about it.
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And for some reason, I don't know if it's some reason, because it's not always related to me sleeping in my contacts.
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This time it was, and my punishment is the fact that it hurts really bad.
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But I tend to get them multiple times a year.
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You do.
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Yeah.
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Switch is eyes, not always the same eye.
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But I think at least one a quarter I will get, if not more.
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It was worse when I was pregnant.
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It's been better since not being pregnant, but anyway, so that's why I look crazy.
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You look crazy, but you're not crazy.
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I'm not.
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I might go crazy with this eye, but I'm not crazy.
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I mean, I think that's probably my personal opinion that I'm not crazy.
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Okay, getting back on topic here.
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David going against Goliath.
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We feel like we're David going against Goliath, this mammoth of an enemy that we're villainizing the corporate medical system because they have you trained to believe that pain is a normal part of aging.
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You should just slow down as you're getting older because you're getting older.
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Being on 38 pharmaceuticals is a normal part of getting older.
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You need a freaking tackle box to go on vacation for all your medications.
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And it's not true, right?
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It's absolutely not true.
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We were just in Gainesville this past weekend for the Gator game, and the whole entire stadium was completely packed, and it's just it's so much fun being back in that environment, especially when we had a team like we had that night.
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Oh my gosh.
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Yeah, that was the most fun that I've had since the Tebow years, the most excitement in a game since the Tebow years.
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Just complete domination.
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So go gators.
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Yeah.
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But one thing that kind of hit me pretty hard was we've had these season tickets now, these particular seats, for how long?
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Oh 10 years, probably.
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These seats.
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Yeah.
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In the seats that we're currently in?
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I graduated college 18 years ago.
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Oh my gosh.
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18 years ago?
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Like you graduated when you were 15 years old?
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Okay, 15 years ago.
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No, 15.
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I graduated 21.
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And we've had these particular seats for 10 of them?
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Yeah, because we were only in on the opposite side of the stadium like three years, and then we went in the other seats for two years and then moved out.
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It was COVID.
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Oh no, was it?
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Well, COVID wasn't 15 years ago.
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I said 10 years in these seats.
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Well, it wasn't 10 years.
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Okay, maybe six years and it doesn't matter.
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But we've had them more than five.
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Okay.
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Maybe somewhere between five and ten years.
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Oh my goodness, the eye pain is getting to you right now.
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I don't know.
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Five to ten years we've had these seats because we've had season tickets for I think 15 years.
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Yeah, we definitely had them for that long.
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But, anyways, in these particular seats, we've had the same neighbors the whole entire the whole entire time.
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And it's a father and son that come to every single game.
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Father-in-law, yeah.
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Father-in-law and son.
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They come to every single game.
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Every game.
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Every game.
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They're always there.
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And for whatever games we don't go to, they're our first in line to call them and ask them if they want our seats because they usually have kids or somebody to bring with them.
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And this time the father was admitting that it could very likely be his very last game.
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Because his hips and back and knee and body was just hurting too much that he couldn't do the stairs anymore.
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He couldn't park and make the walk to the stadium anymore.
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It was just too much on his body for him to continue doing this thing that I'm I might be putting words into their mouths, but I'm just assuming.
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I mean, they do it every single game.
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So it's like a bonding thing, it's a ritual thing, it's a tradition thing.
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Where every single game they're doing it, and now it's gonna break because and he's not even 80 yet.
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Correct.
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Not even 80.
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Not yet.
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Because he's got a hip issue that he can't figure out how to resolve.
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And they live in St.
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Augustine, so it's an hour and a half drive.
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It's not it's really convenient compared to us.
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It's a four-hour drive.
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Right.
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Or eight, depending on how you make the trip happen, like we did this time.
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Oh yeah, let's drive to St.
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Augustine, then drive to Gainesville.
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But that's where our babysitter was.
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Yeah, and then drive back to St.
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Augustine and then back to Naples.
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Thank you, Mimi and Papa.
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Yeah.
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Anyway, so yeah, he he had this was his first game of the season.
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So this was the third home game of the season, and he actually didn't go to the prior two games because of his limitations and pain.
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But he knew he wanted to come to this game and was planning to come to just a couple of the big ones this year, which is different than any other year where he's been to every single game.
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Um, but then admitted like this may be his only game, he may not come back to anymore after this because of the pain.
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And of course, we've sent him the YouTube channel trying to get him to watch some of the YouTube videos, but it really stinks that we're just not there.
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Not in St.
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Augustine, but this is all over the country, it's all over the world where people think that it's a normal part of getting older, is you have to have pain.
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And the thing that I am 100% convinced of is non-traumatic pain.
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We're talking about pain that just happens for no reason.
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There wasn't a trauma, you didn't fall, you weren't in a car accident, you didn't fall downstairs.
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When you just start experiencing pain because you're getting older, you're saying that you're getting older.
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I'm 100% convinced that that is due to weakness.
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It's weakness, it's not your arthritis that's causing the pain.
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Right.
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Weakness causes the arthritis, arthritis causes inflammation, inflammation causes pain.
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Then we have pain, we go get an x-ray, and the x-ray says you got arthritis, and we say, Alright, well, we got arthritis, that's what causes the pain.
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Right.
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No, the weakness is what caused everything.
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Yes, correct.
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And I'll never forget this.
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This was one thing that really changed my outlook on what is something that we have to live with.
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And I have to attribute David Lee, one of the first employees I ever hired, the first employee I ever hired, a great manual therapist.
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And I'll never forget it because prior to him saying these words, I was under the impression you got near arthritis, you got it's just something that you have to live with.
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But he said things differently.
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This was 10 years ago, and he goes, I truly believe, these are his words, I truly believe that if you put the body in a position to heal itself, it will.
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And my interpretation on what David was saying is that you will feel better, you'll move better, you'll become more efficient, and when you do that, pain levels go down, and when pain levels go down, functionality or quality of life goes up, so you're healed.
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So your definition of being healed is can you interact?
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Can you do the things that you want to do?
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Right.
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Can you function?
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Can you function?
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Yes.
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And I'm a firm believer in that.
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I truly believe that if you put yourself in a position to heal yourself, you will decrease pain levels.
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Because one thing that I've said for years now is that as function goes up, pain goes down.
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And I attribute that to Aaron Roblis, who is the last boss that I ever had, and he's the one who introduced me to functional manual therapy, which is another completely different mind shift from what I was used to.
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And he said, I don't care about your pain, I care about your function, and that's the whole philosophy between or behind the Institute of Physical Art, where it's like pain is a byproduct of dysfunction somewhere else.
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We gotta identify the dysfunction and the pain will go away.
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So if we can just get you moving better, get you stronger so that you move better, your pain will go down.
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And here's the hard part for most people that are living with chronic pain.
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If you've lived with pain for more than six months, let's call that chronic, it doesn't go away.
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It's kind of like your cornea.
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You cannot get away from that pain.
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Right.
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Same thing with back pain, knee pain, every step you take, you can't get away from it.
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But the hardest thing to understand is that function goes up, pain goes down, but it's always delayed.
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Meaning that you start moving better and you start moving better, but the pain doesn't go down until later.
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It's a delayed response.
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But if you continue moving better, you continue moving better, eventually the pain will start to come down.
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And it's always so hard for you to understand that when you're in the moment, when you're in the pain, it's hard for you to trust the process.
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But it's never not been true in my entire career.
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Well, yeah, and it goes along with what you first started saying is when we get stronger, the pain will decrease.
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So it takes time for you to gain that strength as you start moving better and getting stronger.
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It doesn't happen overnight, it didn't happen yesterday, right?
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But your weakness also didn't happen overnight or yesterday.
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So it takes time for that strength to build back up, time for you to start moving better, and then that's when again that inflammatory cycle starts to wind down, and so then the pain does get better if you can be persistent enough to work through it.
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Or work with it.
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I shouldn't say through it, with it, with it, yes.
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Because it takes a minimum of six weeks for hypertrophy to occur.
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Hypertrophy is when your muscle fibers physically get bigger.
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When they get bigger, you're stronger.
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But you can't speed that up unless you're on Arnold's diet.
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You know, take some anabolics, and sure, yeah, you can speed it up.
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Right.
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But for 99.999% of everybody else, it takes a minimum of six weeks.
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Now that doesn't mean that your pain's gone in six weeks.
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Let's tack on another six six weeks on top of that.
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Right, for the inflammatory cycle to come down.
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Yeah, so we're talking three months.
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Right, right.
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At a yeah, I shouldn't say at a minimum minimum, but sometimes.
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Yeah, sometimes.
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I mean, we're we're so stuck in this Amazon Prime immediate gratification thought process that we often forget that what you just said a minute ago, it's taken years for you to create this problem.
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But now the problem has gotten so bad.
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Take Paul, for example.
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How many we're just assuming things right now, but I'm assuming that he's had aches and pains long before September 5th kickoff this year.
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Right, yeah.
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I'm assuming that it just hasn't gotten bad enough for him to actually do something about it.
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Referring back to Arnold a couple minutes ago, one of the things that he said on one of his inspirational talks is, you know, everybody wants to be a bodybuilder.
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Now that's a Ronnie Coleman statement that I was going on, another bodybuilder.
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But Arnold said, sculpting a body takes time, it takes years to sculpt a body.
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You can't just go into the gym and think that you're gonna have a body.
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It takes years to sculpt a body.
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Now we take that same, it's the same exact philosophy when you're trying to get out of chronic pain.
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Yeah, there's nothing different, and that's why I always have an icebreaker in all of my seminars now.
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And when I come out on stage to talk to an audience, I always say the first thing now.
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My first question is real quick, raise your hand.
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Who in here plans on?
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Who in the audience plans on dying in the next year?
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And some people laugh and some people look around kind of confused, and I'm going, no, seriously.
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Offended.
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Yeah, offended.
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Like, seriously, who here in the room plans on dying in the next year?
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And only once have you had somebody raise their hand?
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Out of all the times that I've done it, only one time, just a couple of months ago, a lady raised her hand, and I'm going, oh my god, 94 years old and Parkinson's, and just I'm like, shit, I did not read the room on that one.
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But, anyways, for everybody else, nobody plans on dying in the next year.
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Nobody does.
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Paul, if we were to ask Paul right now, do you plan on dying in the next year?
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And he'd say no.
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Right.
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Okay, well, why not be stronger and more able-body a year from now than you are today?
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Yeah, and I think there's, you know, not probably in his case and being in St.
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Augustine where there's some of the best healthcare there, but you know, in some of these individuals, like it they may be trying and going to a physician-owned physical therapy clinic and being with a therapist that is seeing four patients an hour and getting shifted off and just doing little exercises that aren't actually improving any type of strength or mobility.
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And so they may say, I've tried and it didn't work, right?
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But you just haven't tried the right person.
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I love that you brought that up because there's a difference between building strength and building usable strength.
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And that's one of the reasons, one of the biggest reasons why I separated myself from physical therapy or being called a physical therapist, and we literally cannibalized my company, Burman Physical Therapy, and it's now Berman Health Club, is because I don't believe in physical therapy anymore because of the model.
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Insurance has ruined physical therapy.
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Right.
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Absolutely ruined it.
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There's less people going to become a physical therapist now than there's ever been in the history of the profession.
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It just, I don't even want to get on a rant right now.
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I shouldn't.
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But here's to avoid getting on a rant, here's the reality.
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You go to physical therapy and you do exercises.
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The exercises get your muscles stronger.
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But nobody teaches you how to use that strength in everyday movements.
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Right.
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It just stops the insanity.
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How to be functional.
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We've said that word functional so many times now.
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We should go back and count how many times we've said that in this podcast, but you have to use that strength functionally and be able to perform daily activities with it the right way so that you don't have pain doing these daily activities.
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Here's two extreme examples.
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Huge extremes.
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Take a bodybuilder, for example, back on Arnold, right?
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A bodybuilder, they're focusing on vanity muscles.
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Like they they look or they're looking in front of a camera.
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Like, how can I get muscles that look good in front of a camera?
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But they can't scratch their back.
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Like they can't get down on the ground and get underneath the sink and repair something under the sink.
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They can't do any of that stuff, but they can bench press 400 pounds, they can squat 600 pounds.
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So that's not functional strength.
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So that's on one end of the spectrum.
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Then you got on the other end of the spectrum, yogis.
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People that do yoga 38 times a day, 14 times 14 days a week, and they can put themselves into a pretzel, but they don't understand why their back spasms out.
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Right.
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Okay, well, you're you're really, really good at doing yoga poses.
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Very flexible.
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But when it comes time to bend over and get your grandkid out of a crib, your back locks up on you.
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So it's not functional.
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Right.
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You have the flexibility and not the strength versus the Arnold situation is the strength and not the flexibility.
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There's no middle ground to move those.
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It's irrelevant when it comes to everyday living.
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Walking up and down inclines, getting into a stadium, walking up and down stairs to get to your seats, being able to shimmy across tight spaces and sit down on a hard bleacher for hours.
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Stand up and cheer.
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Sit back down, stand up, sit back down, stand up, sit back down.
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Yeah, how many squats do we do that game?
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Yeah.
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Oh my well, that's did the most we did a lot of standing too.
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Yeah, there was very little time to sit.
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It was just too exciting.
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And lots of walking.
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And then do it all over again to head back to the car.
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Right.
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You don't do that in traditional physical therapy.
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You don't do that in the gym.
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You have to learn how to utilize the muscles the right way so that you can do it.
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And that's what drives me nuts, is I'm 99.999% certain that Paul could get moving better again and dominate every single aspect involved in going to a Gator football game.
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Yes, agreed.
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Problem is he's working harder, not smarter.
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He's not fixing the right problem because of whatever road he's going down, it's not the right road.
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And that right off the bat shows us that there's an insufficiency on one side, causing more weakness on one side, which is causing the arthritis and the pain on one side.
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And so often they're not fixing the problem.
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They're going after the arthritis itself, but not fixing a problem.
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I just had a client uh have procedures done bilaterally on her elbows to help with tennis elbow.
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And I checked in on her, see how she's doing after she had these procedures.
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It was done up north, she's out of town for the season.
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I checked in, she goes, Unfortunately, I still have pain.
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And of course, she's not here yet, so I'm waiting for her to get back down to Naples so we can actually look at her and assess and treat a problem and not just a symptom.
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But this procedure on her bilateral tennis elbow was treating a symptom, not where the problem's actually coming from, and that's why it didn't work.
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So it's we see that all the time.
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These patients that have their knee replaced or their hip replaced because they say that's what the x-ray shows, and that's where their pain's coming from, but then the pain's not better after they have the hip or knee replaced.
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Talk about a gut shot.
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You're in chronic knee pain, and the surgeon tells you you have to have a knee replacement because of your x-ray.
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You get the knee replacement, and you fight tooth and claw through rehab after, and six months later, you're no better.
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Right.
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Twelve months later, you're still in pain.
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18 months later, you cannot bend down on the ground and get back up again because your knee still hurts.
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Talk about frustrating.
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Yeah.
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It's like, okay, well, wait a minute, my knee hurt before the surgery, it hurts after the surgery, the arthritis.
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Isn't in there anymore.
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Right.
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This is why I've screamed from the mountaintops, the absolute mountaintops, that knee arthritis does not cause knee pain.
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Right.
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It doesn't.
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It can be correlated with it, but you cannot say knee arthritis causes knee pain because I've personally asked countless, countless of my clients over the years who've had bilateral x-rays, and both x-rays say severe knee arthritis, moderate knee arthritis, yet one of the knees doesn't hurt.
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Right.
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One hurts way worse, the other one doesn't hurt.
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Well, and you know, just kind of going on this topic too, is even after patients have their knee replaced or their hip replaced, the it changes everything in how you can move and how it within the recovery, right?
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So yeah, the pain of your knee is gone, but now we're having back pain, or now we're having the opposite side pain because now one side's actually functioning a bit better.
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You've you've spent so much time strengthening the one side and getting the one knee straight that you've neglected the other side, and so then you start to shift in how you're moving and how you're functioning, so then the other side is hurting.
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When really you need to be seeing someone that is going to look at both sides and look at you as a whole picture.
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What you just described right there is traditional physical therapy to a T.
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You have your left knee replaced, you go in there, and the only thing the therapist can look at is your left knee.
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They cannot look at your back, they can't look at your ankle, they can't look at your right knee, they can't look at your shoulder, they can't look at anything except your left knee because that's what the script says.
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And it's not because they don't want to, it's because that's what they're they are confined to do based on insurance.
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Yeah, the handcuffs of the insurance companies.
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So bringing all of this back full circle, there's always a way, and I actually texted Paul yesterday.
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I texted him, he never responded back to me.
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But I texted him these words: I said, never give up.
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There's always another way.
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And I said one other thing, and I can't remember what it was off the top of my head.
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But there is always another way, and one of the greatest commercials that I've ever seen of all time, and I can't even remember what the commercial was advertising, what the company was.
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I think it was a Super Bowl commercial.
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I think it might have been a I don't know, it was around Christmas time, maybe Super Bowl, maybe after.
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But it was one of the most powerful commercials that I've ever seen in my life.
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And it starts off with this older gentleman that you could was visibly weak, visibly frail, and he goes out into his garage and he's searching through his garage and he finds a kettlebell up on the shelf, and he gets a kettlebell off the shelf, it hits the ground, and then it just shows him doing various things like dragging it around and moving it around, but you can't really tell that he's working out.
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You just see, like, what the heck is this guy doing?
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Is he rearranging his garage or what is he doing?
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Fast forward to the end of the commercial, and he shows up at his daughter's house, who just had a baby, and she hands him a grand his first grandbaby, and he stands there holding it confidently, and it says something like, I don't know, the confidence or whatever.
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But I'm just going, that's what it's all about, right there.
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Right.
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He was frail, he was weak, he wasn't confident that he could hold his grandbaby, his first grandbaby, but he did something about it.
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He worked towards it, he picked up something and then he put it back down, and then he did it again, and he did it again.
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He did something that picked something that was much heavier than he was confidently able to do, and he just kept doing it over and over again, and the next thing you know, he got stronger.
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Right.
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And that's what everybody needs to know is that you're able to get physically stronger until the day you die.
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There's that's proven, that's a fact.
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You can physically get stronger until the day you die.
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Yes, it's harder to build muscle, but it's not impossible.
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Right.
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And again, like the size of your muscle does not define the functionality that your body has.
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So working with someone that can help you with the functionality, doing functional movements as opposed to just getting on a machine at the gym and doing half the range of motion that the machine actually allows you to do is going to act is going to help with being more functional in life to do these things.
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That's why I challenged my mom to this year-long challenge.
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How many burpee bra jumps can you do over the next year so that you get to your 78th birthday?
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We're gonna do a test.
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How many can you do in a row?
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And I said, What's your goal?
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She goes, eight.
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I said, You've already done four.
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What do you mean, eight?
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You have a whole year.
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And I said, I said, don't you think we should increase the number?
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She goes, Well, what do you think?
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Like 10 or like, no more.
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20?
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I'm like, no, what if we said 50?
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You have a whole year to do it.
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What if we set the goal for a 70-year-old 78-year-old woman to do 50 burpee broad jumps in a row with no rest, but she fell short of the goal and she was only able to do 25.
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Right.
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Are you kidding me?
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Still, it's 78 years old.
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Yeah.
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25 burpee broad jumps in a row?
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Yeah.
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I mean, it's half as many as we do during the high rocks.
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Yeah.
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And it's exhausting.
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It's brutal.
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She can do it.
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What else?
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Anything else on this topic?
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Never ever give up.
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Find someone that's gonna help you be functionally strong.
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Know that there's another way.
00:28:09.119 --> 00:28:10.720
There's always another way.
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Always, even when you can't see it.
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If there's a gun to your head, you will figure out another way.
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Good?
00:28:18.720 --> 00:28:19.039
Yeah.
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Go to bermanboomers.com and see if you're on track at arriving at 80 feeling 40.
00:28:24.559 --> 00:28:27.039
And if you're already in your 80s, kick your 90s ass.
00:28:27.759 --> 00:28:40.160
And make sure you let us know if there's anybody that you think should join our team, an athletic trainer, a personal trainer, any type of person that needs to join our team, a physician assistant, a nurse practitioner.
00:28:40.480 --> 00:28:44.960
Because we've got some big aspirations over these next 12 to 18 months.
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Things are growing, and we've got a lot of fun coming down the road.
00:28:50.160 --> 00:28:54.000
So bermanboomers.com and reach out to us if somebody should join our team.
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Ciao for now.