Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
And then they started to extrapolate that thinking.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
Well, look, what do we do when someone has an injury, like you sprain your ankle or something?
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
You rest it, you ice it, you compress it, and you elevate it.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
That's right.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
All those things are designed to decrease blood flow, decrease inflammation.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
And we just learned that if you have low inflammation, you're more likely to have chronic pain.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
So then they started to say, well, instead of rice, how about meat?
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
You know, coming up with clever acronyms, I guess.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
But that stands for mobilization, exercise, analgesia if you need it, and treatment if you need it.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
Like if you have a broken bone, obviously you want to treat it.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
But the idea of mobilization instead of rest as a basic principle was really what they were driving at.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
And when you explored that research even more, it was this idea that those inflammatory markers, inflammatory mediators, they're doing something at the site of injury.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
Um, and they're helping heal.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
So even though you might get some swelling and things like that, in a sense, you're letting the body do its job.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
And movement is actually important because you're actually increasing blood flow as opposed to decreasing it.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
So again, I want to be clear, like if you've broken a bone or something, you shouldn't be walking on it.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
You know, you shouldn't be using it.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
But for most people with these less significant injuries, instead of decreasing inflammation at the time, letting the body do its job seems to be more associated with a decreased likelihood of chronic pain.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
It's an unbelievable story.
Ground Truths
Sanjay Gupta & Eric Topol - Discuss âIt Doesnât Have to Hurtâ book
Yeah.