♪ Bob and Brad ♪
♪ The two most famous ♪
♪ physical therapists ♪
♪ On the internet ♪
- Liz wonders if we're ready,
Brad, are you ready?
- I'm ready!
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together we are the most famous physical therapists
on the internet.
- In our opinion
of course, Bob. - We're ready,
we should be able to enunciate
if we're ready.
- Enunciate or pronunciate?
- Today, we're gonna talk about after knee replacement,
two critical exercises you need to do.
Plus we're doing a giveaway, Brad.
- Oh, really?
- So, if you are new to our channel,
please take a second to subscribe to us.
We provide videos on how to stay healthy, fit, pain-free,
and we upload every day.
Also, go to bobandbrad.com,
go to the giveaway section.
We're always giving something away.
This week, we're giving away,
this is going to fit with this video,
we're giving away the Bob and Brad Knee Glide.
- Absolutely. Bobby, can't go wrong with a Knee Glide.
- If you didn't have any surgery, knee surgery,
you're going to want to know about this.
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Go to Twitter or Instagram or TikTok,
if you want a 60 second version of our program every day.
If that's all you can put up with us.
- That's right.
- So Brad and I, between the two of us,
we have been seeing literally thousands
of knee replacement patients.
- We've not just seen them,
we've worked with them, - We worked with them.
- Very closely.
- So Brad, I don't know how you do things,
God only knows how you do things,
(man laughs)
but the way I do it,
the first session I sit down with a patient,
I give them three pieces of advice.
- Don't you say hello?
- I say, hello. - Okay.
- I go, "First, don't see Brad."
No, first one is, "Do not listen to other people,
"with total knee replacement." - Aw!
That is huge!
- Yeah, because these other people,
one, they have poor memory,
so they think they did better or worse than they did.
They're gonna give you some advice,
that probably, maybe not, is no longer up-to-date.
- It's not relevant to them, - It's not relative to them.
- They're very, could be very different circumstances.
- Right, right.
So, I always say to people,
"If you have both knees done,
"you're gonna find out
"one's gonna be way different than the other."
- Yeah. - It's just,
it's always a different experience, so.
- Number two,
now these are bonus by the way,
I'm gonna get to the critical exercises after.
- Oh yeah, we're just,
this is like our, - Our babbling.
- The introduction.
- Yeah, number two,
do not progress to a cane or no gait aid too quick.
A lot of times, people are thinking,
"I wanna get as fast as I can,
and I wanna get to a cane,
instead of a walker, or crutches,
- Right.
- Instead of, you know.
- There's no races. - Right.
- Just take your time. - You get worse.
- Listen to your therapist.
- You could set you back
if you start weight-bearing too soon.
- Right.
And if you don't like to listen to Bob
come to me.
(Brad laughs) - Alright, and number three,
and this is what this video's about.
I say, a lot of them come, people,
they come from the hospital
and they have like 10 exercises
that are given. - Sure.
- They're all good exercises. - Right.
- I recommend all of them,
but there's two of them I want you to focus on.
- This is true.
- So, if you're busy,
focus on those two, and then, if you have time,
do the other eight.
You know, the other exercises.
- Right, or they may be the ones you emphasize more,
than the other ones. - Right.
You definitely don't wanna skip these,
these are the ones I always tell people,
"Do 'em at least three times a day,
"and spend the time."
So we'll go over those.
- They're the game-changers that are gonna give you success.
- Yeah, one of the reasons,
and these are about motion, by the way,
is that they'll, exercises.
We want you to get your bending back, of the knee,
- That's...
- Yep, and we want you to get the straightening back,
of the knee.
Your strength is gonna come
and your ability to walk is gonna come.
- Right.
- But the, how much movement you're gonna need,
is not guaranteed,
and according to Dr. Lawrence in Viroqua,
you know, the big guru.
- Right, he's a master.
- He's locally one of the best orthopedic doctors around.
Everybody wants to go to him for their knee replacement.
- Right.
- He told his patients, and I have one of his patients,
said, "It's a race against scar tissue."
- Sure.
- You're trying to get the motion back,
and solidified, before that scar tissue really sets in,
and you no longer can get the motion.
- Right, you might've heard stories about having to go back
and get manipulated.
- Right.
- Which does not happen very often.
- No, it doesn't.
- But it does, and it may be different reasons, but-
- And it's not always your fault, by any means.
- Oh, no, no.
- Sometimes, it's just your anatomical makeup.
- Sure. - The way things,
your body responds.
- There's things you cannot control.
- So, it's not to say that you gotta go crazy on this
because I've gotten people that didn't have therapy,
for some reason, - Sure.
- For two months,
and we were able to still get some motion.
But- - Did we get
to the exercise yet?
- No. - Oh.
- We're gonna start with the exercise.
So we wanna work on getting it straight
and getting it bent.
Should we talk about straightening first, Brad?
- Yeah, that, let's do that.
- So, for straightening, very simple to do,
all you gotta do,
and Brad's gonna show you with the Knee Glide too,
but I'm gonna show you what I tell people,
is I start off,
you're gonna put your foot up on the stool,
three times a day, usually for about five minutes,
and what I like is, you go ahead
and just let gravity do its thing.
- Right, right.
- Now, if it starts to feel like too much,
give yourself a little break.
- Yep.
- And bend it a little bit.
That's why I like these rolling stools.
- I was just gonna say,
that's what I like to have my patients on.
If you have an ottoman, like in your living room,
with rollers on- - Right.
- Or another chair, in the kitchen,
or whatever works in your house.
- You can even get a little movement like this going.
- Yep.
- And then just let it stretch for a while,
and if it gets to be too much,
you just bend it.
And after a while, if this becomes too easy,
then we have you put a little weight on,
- Little overpressure. - Above the knee.
- You can use your hand, or you can just take a weight, I-
- What I do is, I have people put their cold pack on there.
- Sure.
- And that way,
- That adds a little weight.
- It's pain management, and extension,
range of motion at the same time.
- I've had ladies put their purse on there
because sometimes their purse weighs a couple pounds, so.
(Brad laughs) I have!
I said, "You can take your purse on there."
- And they did.
- Yeah, they did.
- Oh, wonderful.
- Yeah, how wonderful.
So you can also work on extension with the Knee Glide,
- Right.
- Or even work on it this way.
- Yeah, this does work,
it's kinda like the wheels on the roller,
you can stretch,
let me give a better angle,
so you can see the...
- [Bob] Right, and that's the whole thing,
you can get some movement in there while you're,
'cause, what we have found
that people wanna be under control, first off.
They don't want me stretching it,
they wanna stretch it, you'll get a lot more.
- [Brad] You're more relaxed, your body doesn't tense up.
And Bob mentioned before, but I wanna emphasize,
if you're gonna help put some pressure down,
make sure you go well above the knee.
- [Bob] Right.
- [Brad] You've got the incision, that your,
could irritate the kneecap, that's all painful.
Bring it up here and stretch,
relax, and breathe.
I'll have my patients, I'll say,
"Take a deep breath in
"and exhale, and as you exhale,
"let everything relax, and push, until you get it straight."
- [Bob] So I have people,
I don't know what you recommend, Brad,
but I have 'em three times a day,
for five minutes, on extension.
- Okay.
- And three times a day, for five minutes, on flexion.
- Right, and that's a good program.
- And then you can add in the other exercises.
- Sure.
- Now, for bending the knee, or flexion,
lot of people just put the towel on the floor,
and go back and forth.
Now one thing you notice,
my foot starts coming up like that.
It's not ideal, for extending.
And there's a little more friction
with a towel on the floor.
- [Brad] And on carpet at home.
- [Bob] A carpet doesn't work. - [Brad] It doesn't work.
And actually, which I think you're getting into, Bob,
is that's why we literally invented the Knee Glide
because we knew there was- - Right.
Something better that helped promote range of motion
with the knee, in the clinic as well as at home.
- Right.
- So, we got this nice Knee Glide
that goes very, very smooth.
And we can bring it back, and get that bend,
and then forward, and-
- Well, what's nice about this, it does have,
it goes up on...
- Right, and this is a big advantage.
- This is a big advantage.
- [Brad] And it is, it's something about the ankle
we haven't quite figured it out
but it's just is more comfortable-
- [Bob] Right.
- [Brad] When you have it on the incline.
And then as the knee progresses,
and as you get later in the rehab
and you wanna strengthen more,
and this can help the bend too,
you just simply flip it around
and you can see I get more flexion, more bend,
and you're working the hamstrings more.
- [Bob] Well the big thing, Brad,
that I use, that really made a difference,
in fact I had one patient who was stuck,
and it's funny, I saw her before we had the Knee Glide.
- Yeah.
- And we got stuck.
We couldn't get past, I think, like,
90 degrees, or right angle. - Yeah. Mm-hmm.
- And we had the Knee Glide,
and this is the one I was doing with her,
and in fact I was just keeping it flat like this,
and we were having her go back and forth,
get it loosened up,
- [Brad] Yep.
- [Bob] And then she'd take her other ankle,
and pull back like this. - [Brad] Yep, right, right.
There you get that assistance.
- [Bob] Yeah, and this made all the difference,
so she'd go like this, back and forth,
and then the every, like, 20 seconds or 30 seconds,
I'd have her take the other ankle and stretch it.
- [Brad] And I was gonna say,
I've had some of my,
I've been guilty of it, I don't know if it was guilty,
'cause, you know, get down on there
and the therapist will push, push, push.
- But I think that person gets,
you almost kinda push against it,
the mind, it'll just. - They'll tighten up.
- They know it's gonna hurt,
so the mind automatically pushes against,
and you lose ground but when you help yourself-
- Yeah.
- The body relaxes. - You're in control.
Now you gotta push yourself through some pain,
this is one of the few exercises where we actually say,
"You gotta have a little bit of discomfort.
"You push into the pain."
- Right.
- And not to say Brad and I don't go
in there and help sometimes, we still do,
- Right.
- We still go in there and stretch.
- But we emphasize being independent.
- Yeah, being independent and really,
you don't want it get it so painful
that it reacts
and the muscles tighten up to protect it, to splint it.
So, five minutes a day,
we have 'em work on our five minutes, three times a day,
I have 'em work with this.
- Yeah.
- And I've gotten to the point now, Brad,
when I'm seeing out patients, I send one of these with.
- Right.
- I mean, I have a bunch with,
because they just do so much better.
- And we actually got a orthopedic clinic
that was gonna give one
with every one of their patients now.
They're wonderful, they've got great ratings,
and there something else I was gonna mention-
- Well, they're lightweight, I mean...
- You could put that in your purse
if you had a big enough purse.
(both laugh)
- Well, look at this,
you can do curls with your finger, so.
- I believe it's 3.1 pounds.
- Yeah, so, I mean, it gives you no excuse.
You can use it wherever you are,
you could probably do it in the car.
- Yeah.
(Bob laughs)
Not that we wanna promote 'em or anything.
- No, no.
- There was something else I wanted to mention,
it was really important, wasn't really important-
- This is the man that left his socks in the refrigerator,
we gotta remember that.
He couldn't find his socks,
and you found them in the refrigerator
or was it the freezer?
- It was the refrigerator, Bob,
why would I put 'em in the freezer?
- (laughs) I don't know.
- I don't why you had to bring that up.
(Bob laughs)
Now my wife is gonna find out.
- Remember Brad and I could fix just about anything?
- Except for...
- A broken heart.
- Well, this isn't gonna help.
- And apparently a bad memory too,
(Brad laughs)
we have trouble fixing that.
- What time is, ah, we gotta cut off.
- Thanks for watching.
(happy music)