(upbeat music)
- Bob and Brad
the two most famous physical therapists on the internet.
- Hi, I'm Bob Schrupp, physical therapist
- Brad Heineck, physical therapist
- Because we are the most famous physical therapists
on the internet
- In our opinion, of course.
- Brad, today we're going to go over one
of the top treatments that you can do when you
have a hamstring injury, tear, pull,
some type of strain.
- Right.
- The fibers have been disrupted somehow,
the hamstring, it's very common
among sprinters football players, soccer players.
- Right, exactly.
- Weekend athletes.
- There you go. That's what I was thinking.
- Running to first base after drinking a beer, right?
- Oh Bob, it's just a family show here.
- All right. Hamstring, runs from the ischium here
the ischial tuberosity down and attaches
to the knee down below here.
- Right.
- You got three of them. You got the,
let's see, bicep femoris.
- Let's just go on.
- Anyway. What happens is generally you look
at the hamstring running from here to here.
Generally it happens in the mid-muscle.
- Yep.
- So yeah, on me, it'd be right here, mid-muscle.
That's the most common type.
The less common type is where the injury happens
right up by the ischium.
- Right, where it connects to that bone.
- Yeah.
- And sit bone.
- And sit bone, good point.
And I think what I have found historically, Brad, is
that those are the ones that are much harder to treat.
My wife's had that one and off and on,
she's had to actually use this treatment.
- Right? Yeah. So I personally had an injury there
and I used a deep massage.
I didn't have the Pure Wave at the time.
It's a long story but I did deep massage it
and it worked well.
- Right. And so that's the thing we're wanting
to do is massage.
And the problem with it, Brad, is Cyriax,
who's kind of the father of orthopedic medicine,
he recommended for the mid-hamstring one
to do it for 15 minutes.
- Yeah.
- That's daily for the first week.
- It's a long time to do a manual.
- Yeah. I mean, believe me, you're not going to do it.
Especially if you're yourself.
you're just not going to do it, Brad.
- Your fingers will fatigue.
- Yeah. And even if you do five minutes here,
five minutes there, you're just not going to do it.
So we do recommend trying the self massager.
We have the Pure Wave here and what's nice
about this is it does all the work for you and
it comes with a lot of different heads you can put on there.
This is the soft cushion head, stick.
But I would actually probably go
with something more aggressive.
I would probably go with the pointer's stick on that one.
- There's other ones, the six-headed
which they're all firm and that,
you just have to do it and see which feels.
- Yeah. Because that might be a good one too.
- Right.
- So again we decided Brad that we're going to use
the pointer stick.
- Sure.
- On this one because it's pretty aggressive and
we can reach the mid-hamstring
like we're supposed to.
- Sure.
- So a good way, a position to get in Brad.
Actually, if you don't mind moving a little bit.
- Yeah. I'll get out of your way.
- Is just to go ahead and put the foot up
on something like this,
that way you have a good access to the hamstring.
Go ahead and turn it on.
And again, you get percussion with this Brad.
- Right.
- It's not just vibration,
it's actually percussing back and forth.
So you're going to go ahead and work it
on that mid-hamstring and I go across it.
- Okay.
- Cross fiber, just like Cyriax recommends.
- And you can put a fair amount of pressure on that?
- Yes you can.
I mean, you can start off by
if it's a real tender spot work
on the spot that is not tender around it.
- Right.
- And then eventually work into the tender spot.
- Sure. Right.
- But this is something you can do for 15 minutes.
I mean, you can turn your TV on or put your earphones.
- Right, right.
- And listen to music and just go ahead and do it.
- Have a conversation with your wife?
- Well, yeah, if it comes down to that
but you can go ahead and do the 15 minutes
and do the daily treatment and
you're going to get better a lot faster with this.
- Right. And you're gonna get a feel for it.
If you need to get into it deeper
you don't want to get into it and create sharp pain.
You want to get into it. It may be a little discomfort,
but as you do it longer
after 30 seconds to a minute, it should feel better.
A little numbish overall.
It should be feeling better. Not worse.
If it's getting worse, it may be too early.
- Right. And then you might want to ice and sit for a while.
So generally you're gonna start this
probably a couple days later after the injury.
- Sure.
- And maybe one day, depending on how quickly you heal
and how bad it was.
- Exactly.
- All right, let's go to the next one, Brad,
this is the one that's a little more chronic.
Do you want to go ahead and put the stool up there?
- Sure.
- Yeah. This is the one that's by the sit bone.
- Right.
- And this is again the one that tends
to be a little more chronic
and this is the one that may not be going away on you.
I've seen some people that just have had this for years.
They just, it just doesn't go away.
- Yep. Yep.
- So you want to go ahead and get your foot
kind of at a right angle actually
- In the house you could sit down
or lay down on the floor
and have your foot up on a piece of furniture.
- Sure.
So we're going to go ahead and start it.
And we're going to just go ahead and hit that spot right
as it comes off the bone there.
- Right.
- And again, this is not work.
This is just, it's doing the work for me.
And again, you can do a long period of time.
- Right.
- Where Cyriax had recommended 20 minutes every other day
for this one or two to three times a week,
again who can do a massage for 20 minutes?
- It's tough on your fingers.
You'll end up with problems
with your joints and your fingers.
- Yeah. And if you try to get your spouse to do it,
to massage your butt, good luck on that one.
- Maybe if you're dating.
- Yeah. Maybe if you're dating, they might do it
for a few minutes.
- Sure. Yeah.
- So real simple treatment to do.
I'll put a link down below.
If you're looking at purchasing one,
we just think they've been a great company to work with.
We have these in all of our clinics now.
- Right.
- And our staff uses them all the time.
And even sometimes we sell them to people who want them.
- Right. Because they like it so much
that they want it at home.
So I just wanted to mention, if you do have someone
at home that will do it for you, you'd lay on your stomach
and the other person could do it easily in that position.
- Right. Because it'd be hard in that position to work it.
Although that's what Cyriax recommended, believe it or not.
- Well, yeah. To get to the one to the ischial, too.
- Oh, the other one. Yeah. You'd be on your stomach.
All right. If you haven't already please subscribe.
We're always looking for new people,
new eyes and new comments.
- You're getting very good, Bob.
You continue to improve your vocabulary and the way
you speak.
- Enunciate.
- His daughter's a speech therapist,
So he's got a little up on me that way.
- That's right. Thanks for watching.