♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet. ♪
- Howdy, folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And we are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- Science says most shoulder pain eliminated
without surgery...
Can be eliminated, I suppose, without surgery
with four simple steps at home.
- Right, this is- - Yeah.
This is pretty amazing.
- It is. - This is an amazing study.
- So we're gonna get- - I hope it's true.
- Well, it is true, man. (Bob laughs)
As a matter of fact, I've been working with it...
Not only myself with patients and we've been getting a lot
of comments on this technique from our viewers commenting
how- - To say that it worked
for them. - Right, yeah.
And it's simple.
So shall we get to it, Bob?
- So pay attention, yeah.
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Feel it, Brad?
- Oh yeah.
And their shoulders are getting better already.
- Yeah, just by us talking about it.
All right.
- So you want...
I got it, Bob
you're not - Since I remembered. (laughs)
All right.
- So we're talking about this study, you know,
I'm not even 100% certain on how to pronounce it.
The Kauai study.
- I think that's the island and Hawaii, isn't it?
- I'm not sure.
It maybe in New Zealand or in Australia
but wherever it was done.
- We don't really know our geography, don't we?
- Yeah, it was done in...
I should have looked it up, it's done in 2012.
There was 92 patients, which-
- Just stop one second.
Can you see this, okay, Liz?
It's not glaring?
- [Liz] Nope.
- Okay, all right.
- We checked it out before- - Oh, you did?
All right. - Oh yeah, I'm on the ball.
- All right.
- So 92 patients, that's a pretty good number.
- Yes it is, a good sample size.
- Right, two of them did drop out for other reasons
but so they had a good...
Everyone. - So they're down to 90.
- Right they're down to...
No, they had 94,
they went down to 92. - Oh, gotcha.
- 90% of them were successful with-
- No, 90 were successful, which makes 98%.
There you go. - Is that what you're saying?
- Right - Yeah, so that's a lot.
- It is. - I mean,
that's almost everybody.
- If you could get 98% success
in the clinic you're doing- - Yeah.
You're a guru- - You're rocking the boat.
Right, so I'm looking at this, like, how does this happen?
How you can get that kind of shoulder recovery?
And look at this 70%...
Or 70 of 'em were impingement. - Sure.
- Which is a really common problem.
- [Bob] It is.
- 16 of them were rotator cuff tear confirmed by MRI.
Four of 'em were frozen shoulder
and two of them were severe arthritis.
- [Bob] All right, I mean- - So we-
- We're just saying, that's kind of the,
you know, breakdown we'll see in the clinic.
- Oh, right. - [Bob] Yeah.
- It's pretty common.
I think most therapists would agree with that.
You get 98% success with that
you're doing great.
And not only that, there was a follow up years afterwards,
so it wasn't just a temporary fix.
So- - Excellent.
- Let's get on with how to do it.
- You probably want this up here yet though,
right? - Sure.
- Yeah, 'cause my memory obviously is not so good, okay.
- Now the viewers know that we use a cheat card.
- Yeah, oh yeah. (laughs)
- By the way, this study was primarily led
by Dr. John Kirsch, who shares his book,
which is a really good book.
All therapists, I think should read it.
Physicians and lay people. - We'll put a link below.
It's a little bit geared towards the science.
I mean, it's not necessarily for the lay person
but you can...
You'll get the idea from it. - Right.
There's a lot of anatomy and some body mechanics
that you may not understand if you're the lay person
but the exercise routine is definitely based on
so you can do it at home.
As a matter of fact, he talks about,
if you got a tree limb, that's the right height.
You can use that for- - You can use that, sure.
- One of the primary exercises.
Okay, so let's talk just a little bit about why this works
and we're gonna use Sam for that.
- Super Sam.
And it just happens that 95% of shoulder problems
are from impingement.
From the supraspinatus, which happens
to be this red highlighted tendon.
And then this acromion bone here,
things get impinged upon there,
which 70 of these were impingement.
And then this ligament, the coracoacromial ligament
gets tight oftentimes and it doesn't allow enough room
in here which causes the impingement.
Along with you can also get arthritic problems,
bone spurs, et cetera.
- [Bob] Yeah, it leads to almost all the shoulder problems.
I mean, that impingement
I mean, and or a tear.
I mean, right- - Right.
Exactly, so we need...
The biggest thing is to open this up.
- Yeah, we got to expand it.
- And what we have, oftentimes surgeons do
is they go in there surgically and they open the gap.
- Yeah, they'll grind away at the bone.
- Right, they will go...
That's exactly what they do.
But if you don't want to go into surgery,
this is very simple to work with.
And as you know, it's got good success rates, so-
- And it doesn't cost you anything,
except trying to set up a bar, you know?
I mean, it's easy to try.
- Yeah.
- So...
What?
- Not the bar that you go have a drink at. (laughs)
- Yeah, why do you always think that right away?
- I live in Wisconsin, Bob.
Okay, here we go.
So the first thing you're gonna do is simple.
Like Bob says, you get a bar and actually,
in the book, they show you how to set up some bars
at home with simple pipes.
- Oh really?
- Yeah. - Through the rafters or what?
- Yeah, they show that method.
And they show how to buy a one-inch pipe
and just set up a real simple...
That anybody can go to the hardware store
and set something up.
So that's all in the book too.
So we got a bar here and what you're gonna do is...
I like it so you can stand and get it
at a height you don't have to reach way up.
But you can do it either way and get a stool
and we're gonna do partial hanging.
So I'm just gonna hang and let part
of my weight go through my feet and part
of it through my hands and let pain be your guide.
And if your shoulders are sore,
which they probably will be initially,
it's gonna be painful.
And you're only gonna hang for five to 10 seconds
and then you're gonna give it a break, you know.
- And you're building up your tolerances.
The other thing is he had recommended, if I remember right,
actually wearing gloves,
because a lot of people it's gonna start to...
You know, blisters on their hand.
- And you'll see- - Calluses.
- And he also has some wrist straps to even...
So if you have a bad grip. - Oh, sure.
- There's ways to get around that too
if you have arthritic hands.
So that's in the book as well.
And then again, you're gonna repeat this a number of times
up to five to 10 times,
depending on how your shoulder's tolerating.
When you start it, it might only be a few times.
And as you go on for a few days, you can build it up
to 30 seconds up to a minute.
I personally go 30 seconds at the very most.
And I tell- - Yeah, that's a long time.
- Right, it is.
So again, you have to work with this
and see how your body responds.
- [Bob] Now, do you go to the point
where you are actually hanging
or do you always have your feet on the ground a little bit?
- I have my feet on the ground just a little bit
so I have some control.
But I will go full.
As a matter of fact, just recently,
I swim a lot, I got a mile swim to do in a couple weeks.
And my shoulder over the years acts up
and it started to act up.
And so I started my hanging just a couple weeks ago.
And within three or four days of hanging
I only did it once a day, the success is incredible.
- [Bob] But you jumped right on it too.
You didn't- - Right.
- Real severe.
- Right, I didn't wait until it got severe.
- You know, some of the more severe problems are gonna take,
you know, they're not gonna happen in a week.
- Right.
- You know, they're not gonna improve.
- Yep, it comes upon.
And then he says, follow up right away.
As soon as you get done hanging,
get a lightweight, you'll probably start out with one pound
maybe two and palm down.
And he uses flexion, which is straight in front of you,
like this.
You may start out with only 10 reps, 15 reps,
depending on how it feels.
If it hurts hard, you don't go so high,
you go in a near pain free range.
Okay, then out to the side, same thing.
Eventually build up the 30 to 45 reps
but they should be relatively pain free when you get there.
And then extension, all of them with your palm down,
okay? - Again, which is strange
to us, but we're following his program.
- Right, 'cause he's got great studies
and I'm going with him, you know,
he's a orthopedic surgeon - Orthopedic surgeon, yeah.
- I mean, he's done many surgeries.
- Yeah, he's been in there.
I mean, he knows what things look
like in there. - Right, he understands
the mechanics of the shoulder.
I will do extensions like this, just so I can...
They suggest bent over in the book
but I'm saying- - It's nice to get support.
- Push your hand on to a- - Lot easier on the back.
- Yep. - Lot easier on the back.
- Okay, so that's it, it's...
- Yeah, it's a real simple program.
I mean, the tough part about it
is building up the tolerance and being able to hang for...
'Cause what does he recommend as the maximum?
What, did you say a minute?
- Yeah, I believe it's up to a minute.
Initially start- - Which is a long time.
- Right, start out 10 to 30 seconds.
Like I say, I really don't go that long.
I go, my hands start to get tired
and I just, you know, let go, and I'm having great success.
You need to learn your body and there's no specific amount
of time for everyone.
- Right, all right.
Sounds good. - Ready to go,
fix your shoulders up well, and Bob, I don't know,
I'm thinking...
- Remember we can fix just
about anything except - Except-
- For a broken heart. - Right.
We're getting closer.
I mean the heart and the shoulder, you get heart-
- Yeah, they're close.
- Referred pain goes to the shoulder sometimes.
- This could be a connection.
- Yeah, I think so. (laughs)
Thanks.