(upbeat intro music) - Bob and Brad
the two most famous physical therapists on the internet.
- Ready?
- Yeah, I'm ready, Bob.
- Hi, I'm Bob Trump, physical therapist
- Brad Heineck, physical therapist.
- And together we are the most famous physical therapist
on the internet.
- Well, in our opinion, of course, Bob.
- Brad, today you wanted to talk about Sesamoiditis?
- Right.
- Did I say it right?
- Sesamoiditis, you can pronounce it however you want Bob.
But yeah, one of our three viewers
(Bob laughs)
that we have out there requested this.
- They requested this?
- Yeah and so, we'll take a look
at it and give you some home remedies
on how to take care of Sesamoiditis.
But first of all, what is it?
- What is it?
- Sesamoiditis we're looking at the ball of the foot.
- Lonnie, are you hearing us on that?
- We got the skeleton of the foot
and we look at the great toe or the big toe,
in that first joint of the ball of the foot,
most people refer to that as.
And let's look at what we're looking at underneath.
I put a red pipe cleaner here to represent the
tendon that runs underneath here.
And it makes your toe push down or flex,
so you can have good balance
with walking, running, et cetera.
And right here where my finger's pointing here.
Oh my God.
- You need a pen.
- Oh, I used to have one.
- I've got one right here, Bob.
- Right here, we're gonna get specific with this.
- Right there is a sesamoid boine, bone
and sesamoid bi-boine-bone.
(Brad scoffs at himself)
- I gotta get that speech therapist, Bob.
- I said the same thing, sesamoid boine.
It's really hard to say.
- Anyways, that bone is part of the tendon.
Actually your patella your kneecap is a sesamoid boine, bone
- Oh, jeez.
- Okay. So anyways, what happens is
when you're walking and you're pushing off
there's a tremendous amount of pressure right there.
And if you have shoes that don't have a lot of cushion
or you're walking on cement a lot, that can be
- Pounded on.
- That can be some reasons to get that in inflamed.
- Right, sure.
- So Sesamoiditis is simply inflammation
of that bone right there.
So how we gonna settle that down?
Number one, is you can take your pair
of shoes and get a, first of all
get some shoes that have good cushion, you know?
- Built into it already.
- Right, already.
And then you get an insert.
You can go get a pair
of inserts like these for about $20 down
at Rogan's wherever you want to go
and get one with the arch.
If you can zoom in here
you can see right here is a hollow spot.
It's a semi-rigid arch.
So that's gonna help take pressure off of that
sesamoid bone.
Okay. You can also customize this.
If you've got another insert at home
- Sure.
- from a old running shoe or something,
you can pull it out so you have some material
soft material, and you can put it
in, not underneath that area, but off to the side
underneath your baby toe on that part of the shoe.
And you're gonna tape that in there and that can relieve.
Now. That's something you have to play with.
- Yeah.
- You have to, you put it in, you take it out
and you keep doing it back and forth a few times.
- Yeah, and eventually you find the spot that works,
you might adhesive it to the other part, right?
- Yeah, on the ones I've done for my Morton's Norm
I just got some tape and I've taped it in there.
- So just to be clear, you're gonna actually put that
near the pinky toe.
- Yeah.
- Should I take my shoe off?
- Yeah. You take your shoe off and I'll talk
about a few other things.
- Yeah.
- You can use a cold pack at the end of the day, if it's
- You know once it's flared up already, you're gonna want to
calm it down.
- Yep. You can sit on the couch, watch TV-
(upbeat intro music cuts in)
- Bob and Brad
the two most famous physical therapist on the internet.
- Shoes on all the time.
- Right, exactly.
- From the minute you get up out of bed,
you wanna put 'em on.
- Yep, and give me your shoe, Bob.
- Sure.
- When you do get a pair of shoes
make sure the toe box, right here is wide enough.
If this is slightly tight in your shoes
- So this is the toe box right here.
- Yep.
- And you want that actually probably
be a little wider on you.
- Yep. If that's tight, or if you got or high heels.
You got a tight toe box
and you have high heels that really stresses it.
- So you really wanna avoid high heels
while you're getting this to calm down.
- Right. I used to.
(Both men laugh)
- That's good that you avoid em, Brad.
- Yeah. Get your foot up here, Bob.
- Okay.
- Let's take a look at this, you know, human body.
There we go.
Can you see that?
Right there, we're talking.
If, he had sesamoiditis I would push there
and he would be,
(Bob pretends to yell in pain)
- Yeah, he would not be a happy camper.
- So show them where you put the little-
- Oh, that would go over on this side.
- Okay.
- So here we got this, and then I'd put it underneath
there tape it and then slide it into the shoe.
- And you're trying to transfer some
of the stress off that area.
- Exactly, right.
- So, that sesamoiditis in the great toe area
- My challenge to everybody out there is to
try to say sesamoid bone three times fast.
- Exactly. You better believe it.
- And remember Brad, we can fix just about anything but-
- Oh, yes.
- The broken heart.
- Give em' that view as he goes back and forth.
- Oh, yeah.
- I think that really looks cool like that.
- That's right, cool.
- Yeah. We're working on it.
We're gonna get this baby fixed, so.
- All right. Thanks.