♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the Internet ♪
- (claps) Hi folks, I'm Bob Schrupp, physical therapist!
- Brad Heineck, physical therapist.
- And we are the most famous physical therapists
on the Internet.
- In our own opinion, of course, Bob.
- Is anterior pelvic tilt causing your back pain?
This is really a popular subject, Brad,
and I think, I'm sorry to say, but in my opinion
a lot of the people out there doing the videos
are just absolutely wrong.
I'm gonna try to defend my argument today.
- Right, well Bob, you've been around for a while.
You have, you've earned the right to say what you want.
- That's right, even if it's completely false.
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- There you go!
- Remember we did used to do that?
We used to say that all the time!
But we're also gonna be doing a giveaway!
We're gonna give away the pelvic rocker,
which actually can help you with anterior pelvic tilt.
- Oh, right, that's a nice deal.
- Yep, and go to babandbrad.com
and go to the giveaway section,
or go to we've got @officialbobandbrad
for Instagram, we got @BobandBrad on Facebook.
- Right - This'll be
- [Both] Pinned
- to the top of the page. - Pinned to the top.
- All right, so this is it.
What is pelvic tilt?
Let's first talk about that, Brad.
- [Brad] All right
- Wanna show on the pelvis here what we're talking?
- So, if we look at the spine, the pelvis,
obviously this here we got the ilium.
- Yeah.
- But anyways, if you anterior tilt
- Yeah.
- the spine goes like this,
so that's your buttocks kinda sticks out
and if you go the other direction
there's neutral, and then there's
- [Both] Posterial tilt.
- Now what we can tell as therapists,
there's a little bony bump here,
and there's a bony bump here.
I can find it right on me here.
- Yup.
- And if that front bump is lower than the back bump,
you've got an aterior pelvic tilt, right Brad?
You want to show it on here?
- Yep, so they call it the ASIS and the PSIS
in the therapy world.
So you can easily palpate, or feel, where those are,
and you can tell if this motion is going on.
- So the idea is that if you've got
an anterior pelvic tilt,
you're jamming all the bones together
and that's gonna give you back pain.
The fact is, most people are not doing that,
that's not what is happening.
Yeah, that's what's happening.
What they're doing is, so I'm gonna show you right here.
Here, do I look level right now, Brad?
- You are one level guy,
you're level headed too. - Okay.
So we're level. - We're looking at his pelvis.
- What more people are doing,
more often than not, they're not doing this.
- Now that's an anterior tilt.
- That's an anterior pelvic tilt.
- You can see how his buttocks sticks out
a little bit there, and the pelvis forward.
- What they're doing is they're doing
what we call a sway back.
They lock their knees, and they bring their
they're hanging on their ligaments, Brad,
is what they're doing.
And look at, my pelvis is still level, isn't it?
- Right, so we've got that, it's not tilted forward.
It's the trunk.
- The trunk, and so it makes it look like
I have a pelvic tilt, don't I?
- Sure.
- Because it looks like I got a sway back,
a big arch in my back.
- Right, not so much, but if we cover that up,
then it's like oh yeah, pelvic tilt,
but it's a little deceiving.
- Yeah, the problem with this is
when you're in this position,
this part, your mid-back, is rounded out.
And that will give you pain over time.
This anterior pelvic tilt, I don't know
that it'll even give you pain.
- Well, it depends on the extreme.
- Yeah, I suppose if you jam it for a long time,
maybe it would.
Again, my theory is that most of you
who think you have anterior pelvic tilt
actually are like this, you're swaying back.
So what happens is, Brad do you mind if I show on you?
- Oh, no.
- Normally, if you have low back pain,
or low back problems,
the pain goes down into your butt or legs.
- Yeah, it transfers or
- Yeah, refers.
- Refers, that's a term.
- If you have pain or problems from your mid-back,
which is what this would cause,
it'll go into your low back.
So everyone goes "I'm having low back pain,"
I almost always start looking up here
when I hear that, because that's usually the case.
So instead of trying to create a posterior tilt,
all I want you to do is,
so you're standing like this normally,
I'm gonna have you unlock your knees.
- So slightly bend.
- Yeah, slightly bend your knees and stagger your knees.
And then, slightly bring your shoulders forward,
and that's gonna put you in good posture.
You can't hang on your ligaments here,
you're kind of an active athletic posture
instead of a hanging posture.
- You'll feel the weight shift to your front foot,
versus back here you're on your back foot,
and then when you correct it's towards your front,
or actually evened out.
- So, forget about this false anterior pelvic tilt,
most of you don't even have it.
- Bob, we're going to get comments! You know it!
- I know we are, I know we are,
you know, bring 'em on.
We'll take you on.
But this is based upon five hundred years of experience,
between the two of us, right?
- Did you color your hair?
Because it used to be gray last week.
- Yeah, it was falling out, and it was gray,
and now I patched some in and we're back to business.
- Yeah, anyways.
He's old.
- Remember, Brad and I can fix just about anything.
- Except, I can't even finish, Bob.
- (laughing) Why?
- Except for a broken heart.
- But we're working on it.
Why can't you finish?
What's wrong with you?