- Bob and Brad
the two most famous
physical therapists on the internet.
(applause)
- Hi folks.
I'm Bob Schrupp, physical therapist.
- Brad Heineck physical therapist.
- We are the most famous physical therapist on the internet.
- In our opinion, of course, Bob.
- This one thing can stop your sciatica.
And it's so simple.
- It is, it is Bob.
And this is something both you
and I have dealt with in the clinic
with many patients over the years that we correct.
And it can make significant prob, problems.
- I thought you were gonna say something like
this is something you and I are both simple.
I mean, I thought you were heading down that path.
- I don't know, but no, that may be tomorrow.
- All right.
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- Carry on.
- All right.
(thud noises)
- Okay, Bob. Sciatica one simple thing.
People are waiting, they struggled
through everything else we just went through.
So what is it and wanna talk
about as sciatica oftentimes
stand to help us.
It is your is from the low back.
If we look right in here
we got a little piece of blue tape.
It's usually L four, five
S one could be up a little bit higher
but a nerve is getting
- L three L four.
- Sure. A nerve is getting pinched here
which sends a pain, numbness, tingling
whatever the symptoms may be going down.
Typically, almost, always one of the legs.
So what happens here can really affect sciatica.
- Right.
- And simple things.
- This is the source.
- Right.
A bulging disc is very common the thing
and simply leaning forward, like Sam is right now
when you're bending over the sink
brushing your teeth can really affect that bulge.
Getting that sciatica worse.
- Can make it worse. Right.
And that's, that's the whole thing.
And if you think about it
even when you sit sure, you're, you're
you're kind of often in that slunked position.
- Right.
- And you can make the sciatica worse.
- Right. So bending and lifting people say, well, I
I don't lift stuff anything, heavy.
You know, I'm not doing any lifting.
- Picking something off the floor, maybe a.
- A pencil.
- Right.
But that we're gonna show you just a couple minutes.
How much stress this slow back goes through just
with bending over, without picking anything up.
Even if you bend your knees
like people think is corrects the problem.
- That's right.
- Right. You're gonna show that while.
Can you get right on here?
This blue tape represents the, the area.
If we bend forward, watch what happens with that tape.
Say, Sam's gonna bend forward to pick up that pencil.
The tape right there is being stressed.
- [Bob] We'll show it on this one, Brad.
- [Brad] Yep. Now this find bench better.
This, this fine here is pretty solid.
- [Bob] So as I bend forward
you can see the tape pulls loose.
- [Brad] Right.
- [Bob] Because there's so much more stress
along the ligament here that I guess they can put
pull so much to ligament
but it's also putting on the back of the disc.
- [Brad] Right. And that's really, the key
to tape is just.
- [Bob] Simple.
- A simple concept.
So how much stress goes to your back?
If we could measure it?
Well, scientifically we take a lot of equipment
but we've got such a simple way to figure it out.
To give a good example.
- You can give you, yeah.
You can get a visual of how much stress is
on your spine when you
- do a simple task of just bending forward.
So Bob is gonna be the model.
He's the Guinea pig for me.
I want you to put your forearms like that, Bob.
Okay. Now this stick, if you see right here
it says spine represents a spine.
- And these, my hands represent the muscles of the low back.
- Right. So if this is a spine
and I'm here and I'm gonna bend forward to pick
up to pick up this little red pen right there.
If I drop that pen on the ground
and I wanna bend forward to pick it up
I'm gonna bend forward my spine.
It's about horizontal.
So I can literally pick up the pen
and then come back up, pick up very simple task.
People do it every day.
There's no pain with it, but
if you've got a bulging disc.
- Or herniated disc.
- A herniated disc or a back problem, how much pressure goes
and how much work do these muscles have to
go through to pick up at pen?
Okay. So here we go, Bob, I've gotta get my stool.
I'm gonna guide you through this.
So imagine here's the spine, the head here, arms here.
He's looking that way.
And the pen gets dropped and he picks it up.
Bob picks up that pen.
Imagine your arm's picking it up.
Go, go with me, Bob.
Don't go ahead.
- Alright
- He's got the pen.
Picks it up.
There you go here.
- Nothing do.
- No problem.
- Right.
- Okay.
Now that's not a bad deal, but all's we got is the spine.
Now, when you bend over and pick it up, you got the
weight of your head and your arms to pick that pencil up.
So we need something to represent the weight of the arms.
Now I'm just gonna use two little three pound
weights and put them on this spot in a boat where
the arms would go.
- Say these are small arms.
- Yeah, these aren't small arms.
Okay. Bob, go over and pick that up again.
Gotta get to watch.
Don't wanna bump the head.
Don't bump the head on the floor.
We don't wanna have a con a concussion going on
and pick that up.
Now, if you look at Bob's wrist
his veins are already starting to come out.
- I'm I'm working already and these aren't little arms.
- Right.
So the weight of the arms, just to bend over
make a significant change on the amount of work
the low back has to go through.
But wait, there's more because we cannot see the
the pen on the ground because there's no head.
We've gotta get a head on there.
And the head weighs, you know
around 10 pounds or so it depends on how big you are.
We don't even have a 10 pound weigh here learning
to have a small headed person.
There's about four pounds.
- We got trying to source Rex arms
and we got a small head.
- Tin head.
- So you go over and stay right there just for
- Oh good Lord.
- So Bob, Bob's got strong wrist.
He's actually, look at it. He's got.
- I gotta come back.
- Come back up, up, up, up.
So that obviously Bob was not faking it.
It is really a lot of work.
Now you have to add the weight to your trunk
and your chest and your lungs.
And if you put all that up there
there was no way Bob could even peel down.
- I'm gonna go down.
I'm go like that.
- So.
- Down goes Bob.
- A little forward, flexion stresses a back
a little bit more stresses at low back a lot more.
- Even if you're in good posture and you're trying
to keep the back straight.
And that's why often we have you bend
this way instead because it'd be like going like this.
- Right.
- Which is a lot easier than going like this.
- Exactly. So when we work
out body mechanics on how someone's gonna pick
up that pen
like this
versus like this.
Even if you bend your knees, but you go like this
it still really puts a lot of stress
on that back and that sciatica and just, it flared
up every time you do that.
- The same as I'm in a chair.
If I'm like this there's stress on that low back.
If I'm straight up and down like this
there's less stress on the low back.
- Right. Exactly.
So that posture, the curvature, how you use your back.
Now this is one thing to
I use with patients to train them.
- Training device. Yeah.
- Right.
I'll have them take the booyah stick
or a straight stick that they have at home.
And I'll have.
- I can't say booyah unless you go booyah.
Booyah. I don't have booyah.
It is a nice stick.
They were great.
But we're gonna take a, something
like this had the head touch right there.
It's gonna touch my back and it's gonna touch my sacrum.
- He's got three points of contact here.
He's got the head mid back and the sacrum.
- Right.
- And that's teaching him to lift correctly.
- Right. And I'll show you how.
So feet wide apart.
And I have to maintain that contact.
If I bend forward
my head comes away from it and it's no good.
We gotta maintain.
- Hopefully you'll be down to one point of contact.
See, he's just got one point versus the three.
- So we keep that and then I'll have my patients
literally do squat.
So strengthening your legs
training you good posture and biomechanics with lifting.
And it works out very well.
So having do 10 of those three times a day and
it starts to form good habits.
- And then usually what we do when we tape it to them
and they walk around with this on and wherever they go
they are, they're reminded.
- We'll use duct tape.
- Yeah, that's right.
- Just kidding.
Actually. I do say that to my patients.
And I say, just imagine, I just say
just imagine that this is duct tape
to you and if you have that visual, it can help.
- Well, we used to, I mean, I have done this where
I've taken tape and run it up and down their spine.
- Oh sure.
- And, and take it across and whenever they've bend forward
it actually the tape breaks.
- Yeah. Skin.
- Yeah.
- You can feel that tape pulls
with a really good training.
- My first McKenzie instructor did this
with one of our patients who had sciatica and
and she taped him up the day.
You know, the day she saw him and he kept it
on until the next day it was a great training device
for him to know what
during the day he was running into and he was bending.
- Sure.
- You know, I mean
people often surprised.
- We've got a video on that too.
Matter of fact.
- On taping it. Yeah. We do
- It's an older one.
- You know, by the way
if you gotta kick it beyond this and I mean
this is to try to prevent your sciatica from getting worse.
If you wanna treat your McKen sciatica.
So you're gonna use our McKenzie technique.
- Right.
- Which we didn't invent we
but we demonstrate the McKenzie technique for sciatica.
- Right.
- If you go Bob and Brad just type it in
Bob and Brad Mackenzie.
- Right. And we've got a whole playlist
we've got probably at least 10 different videos
on different aspects of.
- Sciatica.
- Yep. Sciatica McKenzie met that and it's definitely
gonna help you get through your sciatica.
- And you need
you need to keep this component in mind because
no matter what treatment you do
if you go back and injure your back again
by bending forward incorrectly, you're sitting incorrectly.
So you're just gonna be back to square one.
- Right. This is very simple, but very important
to maintain a good healthy back and get it back to normal.
- All right.
- Anything else, Bob?
- Booyah.
- There you go.
Booyah. All right.
Thanks for watching.