- [Bob] Hi, I'm Bob Schrupp physical therapist.
- [Brad] Brad Heineck, physical therapist.
- [Bob] Together we are the most famous physical therapists
on the internet.
- [Brad] In our opinion, of course.
- [Bob] Brad, I think you got something
here you want to talk to me about?
- [Brad] Yeah, Bob, this is not a six pack of beer
although I wish it was, today's been a hot day.
- [Bob] Yeah, it was hot.
- [Brad] Yeah. Beautiful July day.
We were just doing some filming outside for wheelchairs
which brought to my mind that maybe we should
talk about total knee replacement care.
- [Bob] Sure.
- [Brad] Okay.
The biggest thing about one of the biggest things
for pain control and swelling control
total knee is swelling and pain in that knee.
How do you take care of it?
Here we go.
- [Bob] Ice pack.
- [Brad] Cold pack.
Yeah.
- [Bob] Cold Pack.
- [Brad] So you may need a towel.
Okay. A thin towel like so
and I actually have some varieties of cold packs to use.
First of all, I have
this is the most favorite cold pack that I have
in the clinic.
All the total knee patients
and other people really like this Velcro knee pack.
We'll get into it in a little bit more detail.
- [Bob] Sure.
- [Brad] But you don't need to spend
that's probably 30 to $40 plus shipping.
I've had people order 'em
cause they like them so much, but you don't need 'em.
You can simply go to our do it yourself Cold pack
and make some nice slush packs like this.
And I keep these in my freezer at home
for myself and my daughter and wife, if whoever need them
- [Bob] DIY cold pack.
- [Brad] Okay.
- [Bob] by the way, it's interesting, Brad.
I just had a patient yesterday and one
of the things she was most upset
about is that at one point she was in the hospital.
She was having so much pain.
She, her medication, she was
[Inaudible]
- [Brad] He came in for Rehab
He came in before his surgery,
with two bottles of rubbing alcohol
He said, could you make me two of those cold packs?
And he just-
- [Bob] No kidding.
- [Brad] He supplied us with the rubbing alcohol,
So we did.
- [Bob] You had the formula.
- [Brad] Yeah, there we go.
Now why don't the first thing you do is you
can put a cold pack on your knee.
Pretty much as much as you want through the day.
- [Bob] Usually people will do it after a knee replacement
- [Brad] right after knee replacement,
you can put it on, you know
every couple hours, if you really wanted to.
- [Bob] Absolutely.
- [Brad] Usually 15, 20 minutes in duration.
And then if you got swelling
especially you're gonna wanna elevate the leg-
- [Bob] along with it.
- [Brad] Right. So why don't we do that
in a supine position here.
If you're in a chair recliner
you're gonna recline the recliner back
and you're gonna put some pillows underneath your knee
and where you place the pillows to elevate it is critical.
And the, the same thing is true
in laying down in the supine, so we'll go through that.
- [Bob] You want me to lay down?
- [Brad] Yeah. Please lay down.
But no sleeping.
- [Bob] I could use a nap.
- [Brad] Yeah. Couldn't we all couldn't we all.
So this is gonna be the new knee right here.
His left knee.
We're gonna elevate it now.
Normally you're gonna need a few extra pillows.
So Bob, you're gonna have to go without a pillow.
- [Bob] Sure.
- [Brad] Now the biggest mistake
that people will do is they'll put the pillow right
under the knee and the person who had
the knee replacement says, boy does that feel good?
Leave it right there.
- [Bob] Right?
- [Brad] But it's letting the knee in a flex position.
And then you cool down that position for a long
for a period of time, time after time.
And it's gonna minimize the
the chance it' gonna be for a full extension.
You want to have a straight knee when you're done.
So even though it feels better up
under the knee where it allows it to bend right here
it's not a big bend, but that's, that's more
- [Bob] you're really not elevating the ankle here either.
You're lowering the ankle.
- [Brad] Exactly. So you're gonna bring the pillow
back. Now, this really isn't high enough.
I would've have a couple pillows, a couple pillows here.
You could also fold it in here.
And actually you might want to get it up to here.
You may put three or four pillows there.
- [Bob] Sure.
- [Brad] Under there.
The other thing is, particularly
with people that are more frail
on their skin is more fair, you don't want to
put a pillow or have, or under the pressure under the heel.
Yeah. Go from the ankle up.
Cause you get a, a pressure sore
open sore in the skin, which you really don't want.
You want avoid.
So there should be a gap under here.
Right? Right here.
And ground is gonna help pull that
down to help straighten the knee.
And then you apply the ice.
Okay. The cold pack, cryo therapy as we
call it the PT world.
If you got your homemade ones here
you gotta put one on top of that.
- [Bob] Feels good.
- [Brad] Feels good.
That, that good.
And most people in these are really happy to
get to this part of therapy.
The time to do this at home is after you do your
your exercises at your therapist or your doctor
has given you now a lot of people like to have
a push a cold pack on the bottom side, too.
- [Bob] Sure.
- [Brad] And then if they, just surround it, engulf it.
Yeah. And then the best thing to do, I like to do anyways.
I don't know what you do with your patients, Bob
but as I like to take an ACE wrap
and wrap it around there and compress-
- [Bob] I do the same.
Yeah. It makes a big difference.
- [Brad] Sure. Now listen,
- [Bob] by the way, Brad, I've never, yes.
I've never used this ice pack before to do it yourself.
- [Brad] Great, Right.
- [Bob] And these you can tell they've
mold so well the need they're deluxe.
- [Brad] I've given our recipes to hundreds
of patients over the last 10 years with these.
And they never get any negative feedback unless they break
but they don't do it.
- [Bob] The little clip of our, that video
so that people can get to it real easy.
- [Brad] Now in a clinic, what we do is we got these nice
cold packs that have Velcro on them so
You don't need the elastic wrap.
- [Bob] Sure.
- [Brad] Or the ace wrap.
Yep. Now, as matter of fact
I wanted to show this video because I have people that
like these so much, they literally get the information
go on the website and order 'em offline.
And I'll tell you where you get that if you want.
But now this is real nice.
- [Bob] That feels really good too.
- [Brad] Yeah. And it's soft.
It's cushy.
It's easy to get around and works.
Good.
- [Bob] You see why people wouldn't like to order this?
- [Brad] You better believe it.
Now the other thing is a lot of people have, you know
Bob's got skinny legs after a knee surgery
there's a little swelling joint.
And I would say at least 50
to 75% of the knees, when they first come out
this doesn't fit all the way around.
So then what I do is I take another little skinny cold pack
and put it in that gap.
So I get complete cold around.
Not necessary.
You don't really need to do that
but sort the little things you do.
Yeah.
- [Bob] Just shows you how thorough you are, Brad.
- [Brad] Well, I like to keep my patient cooled
down when it's time to do that.
Now, if you wanna order one of these Velcro cold packs
this is the one to get right here
and it's through salmon's Preston.
And the number is 5, 2, 5, 8 dash 0, 2.
I'll read that again.
5, 2 5, 8 dash 0, 2 order before midnight tonight.
But I'm kidding on that.
But that is if you go to Sam's Preston's website
and put that number and that's the, that's the order number
and you'll build able to order one of those online and
or you can call the 800 number, which is on there as well.
There's some shipping involved.
You certainly do not need this whatsoever.
The homemade ones work just as well.
This is just a little more convenient.
If you're gonna have both needs done one in January
one in June, then you might want to have 'em for
for or later,
- [Bob] even prior to having it done.
Just trying to cope with it a little bit longer.
- [Brad] Sure.
- [Bob] Put up with a knee
- [Brad] or if you're 40
50 years old and your parents are getting their knee done
there is a nice gift which leads three knee operation gifts.
That'd be fun.
- [Bob] Leads leads me to our little spiel here Brad.
- [Brad] Absolutely.
- [Bob] If you are 40, 50 and Older,
you're gonna wanna subscribe to us because
we do provide you videos on how to stay fit and healthy
and pain free.
- [Brad] And get through surgeries like this.
That happens every day.
So I don't know, Bob, what else do we have to say?
- [Bob] Nothing, We got straight info.
- [Brad] I feel strong red bull today, Bob.