♪ Bob and Brad the most two most famous ♪
physical therapist on the internet.
- Howdy folks! I'm Bob Schrupp,
physical therapist.
- Brad Heineck, physical therapist.
- We are the most famous physical therapists
on the internet.
- In our opinion, of course bob.
- Probably the tallest too, I would say.
- Well, yeah, I would say so too.
- 6,6". They were talking about the number one
shoulder impingement exercises.
- Yes!
- best success rate.
And this is from personal experience and from
- As well as clinical.
- That's right and also we have other people, verify this.
- Yes. Yeah.
There's been studies, et cetera, et cetera.
But Bob, we've got business to take care of.
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- That's right. And we also have the podcast,
which within a week or so who are we going to have on?
- We're going to have Steve August.
- August, and he is probably a leading world expert
on costochondritis.
- Chest pain, that's not a heart.
- That's not a heart attack.
Okay, so we're going to move this out of the way, Brad.
- Yeah, I'll help, Bob.
- I'm not going to help.
- It's not that heavy.
All right. So shoulder pain, impingement pain.
- Very, very common.
- Right, it's pretty well accepted.
Approximately 70% of shoulder pain that doesn't come
from trauma is often times impingement.
And so we're talking about the number one exercise that
and we found this actually through a viewer
about what 8, 7, 8 years ago?
- A long time.
- They said what about this book by Dr. Kirsch?
- Right?
- So, Bob ordered it up.
We both read it and we start treating with this
- Well we, first, we should say we are skeptical.
- Yeah! Absolutely. I said
- I didn't think it would work.
- Yeah! So the concept that Dr. Kirsch uses, not for the
full story, but for a good part of the treatment is
- Hanging.
- Hanging, so what, what are we talking about, hanging?
- Right.
- It's simple. You just hang your arms through the,
on your body weight, on a pull bar
or like what we have that we think
- Hanging handle
- That works a little bit better
but the whole concept is the book goes
through the anatomy of it
- Right! In great detail.
- And the biophysics and explains why it works.
As therapists, we didn't think this.
We just thought it was, a bunch of hogwash.
Yeah! But once we read it, it's like, oh, that really
makes some sense. We never thought of it that way.
But anyways.
- He's got some amazing Testimonials.
I know that's not research, but when you have
30 people saying, "this was like a miracle for me."
And, and we've seen the comments too.
- Right?
- When we do a video on this.
- Right! Exactly! And I personally,
had a impingement in the last year, use this system
and very happy with the results feeling much better.
- So anyways, and actually he only lives,
Dr. Kirsten is about 100 miles from here
in Stevens Point, Wisconsin.
- Right.
- So, you know, that's 30 miles from where I was born
and raised.
- The geographical brothers.
(Low chuckling)
- There we go.
- Anyway! So we have communicated with him,
he's a very nice man. He's retired.
He was a surgeon, shoulder surgeon.
He really knows what he's talking about.
Let's talk about how we do the hanging.
- Sure. Okay.
- So if you have shoulder impingement, typically you go
about this level and it starts to hurt.
And if you can work to there and once you get up higher
the pain goes away.
It's called painful arc syndrome.
It's in all of them, PT books and whatnot.
So I just go, ah, ooh, that is probably hanging,
is probably going to be (inaudible).
- Right. In some cases it hurts all the way up.
- Right, yup.
- And you still could try hanging.
- Yup, absolutely.
So, and this could be good
for frozen shoulder depending on what phase you're in.
- Yeah. If you're in the, on frozen phase,
I mean the final phase
- Yup! Where it's getting better
- There are three phases, "1. where it's freezing,
2. where it's frozen, and 3. where it's on thaw."
- Yup!
- If you can get your arms up here again
a pull up bar works, actually in his book
he talks about these homemade pull up bars
- Yeah! Hanging from a tree branch.
- Hanging from a tree from the tree branch, if you can
- Rafters.
- Yeah, exactly. So you have something steady to hang on.
We like this system because your back goes to the wall
and you grab it like this, and then you slowly go down.
- It's really good for your back to
- Oh, yeah. Decompression.
- That's what I use it for.
- And the wall also promotes really good posture
which is really important for shoulder mechanics as well.
So I'm going to go down when you first started doing this
you may only hang for five or 10 seconds
and then you're going to need a break
give it a little break and then do it again.
- And in that case,
Brad didn't put his full weight on either.
- Right, yup.
- He had still weight through his feet.
- Yeah. And that's why you don't want to have these
or the pull-up bar, so high up you jump for it.
- Right, right.
- You want to be able to control your weight as you go down.
And as you do this for a weak or 2, you build, you to get
to the point where you can let your whole body weight.
And you're going to, you know, my goal is 30 seconds
but he talks about people hanging for actually
- Quite a while.
- Yeah. Minutes, which I never go that long.
And I did not have to, to correct my problem.
- Its interesting, a lot of the testimonials I read,
and I read a lot of them is that they did not
have to hang that long.
- Yeah.
- They just were doing it like we were like 20, 30 seconds.
- Yup, yeah.
- That's plenty.
- Now, this is not all you need.
But what this does is that helps open the gap
so that the impingement,
it cannot I get pinched on that tendon anymore.
The supraspinatus tendon.
Now, once you can do that, then these are the exercises.
He has some exercises that he recommends.
- Yeah! We like ours better.
- Yeah. And I, I think he would be fine with that
- Yeah!
- because therapists do exercises more than surgeons.
So, I think he would be fine with this. Now?
- Which one do you want to do, wanna do the strengthening?
- My, this, yeah. The external rotation?
Any physical therapist is going to agree
with this one, it promote this
- Right with there (inaudible).
- Yeah, exactly. You can take a book or a rolled
up towel and you put it right here
and hold that with your elbow there.
That gives you the proper position.
- Yeah! Down let it fall down.
- If your elbow comes out and it drops down
your elbow is too far from your body.
And then 90 degree bend here.
So we're not going down like this.
We're not going out like this or the book falls.
- Keeping the right angle.
- Yep. And now I do these.
I was doing these to get, cause I from swimming
I had impingement, which is common.
And then I would do 10 of these. I put this down.
You don't need the book.
Once, you know you have good mechanics, you don't need to
put something there.
And then I'll put my hand right here on my belt line.
Now, if you're really sore, you may not be able to get this
up here, but it will come once you hang for awhile.
And then, and you can like this up, go to here
and this one to here, but this will improve
with the next exercise actually.
And just doing this, pull your hand
- Lift it, lift it up, away from the back.
- Yep.
- That's actually strengthening the subscapularis.
One of the rotator cuff muscles, you know
the rotator cuff helps keep the head of the socket.
I mean the head of the ball of the humerus
deep down in the socket, so it doesn't pinch as well.
So it's, these are stabilizer muscles
and that's why we're strengthening them.
- Right. And if also look at my shoulder,
I'm really thinking about
bringing the shoulder blade back with the hand.
It's not just the hand, but everything's going backwards.
You gets some scapular muscles involved.
- Tightened.
- Yep. So 10 of these, and then I would do 10 of these.
And then I go with the stick, we use the buoy stick.
Anything that you have probably 4-5 feet long works.
- And then broomstick would work
- Yep. This would, this is my sore arm.
I'll go like this.
And first of all, I'll work on this range of motions.
- Yes!
- And I go,
- You can turn a little bit Brad.
- Oh yeah, okay,
- There you go. That's good.
- There we go.
So I'll work out only to the point where it feels stretch.
If you go up to here and you get sharp pain
in your shoulder, do not go that far back up.
If, this will come in time
and then I will finish up with the, what we call
- Chicken wing
- The Chicken wing, where I stretched like this.
Now this is, as it gets better
you'll be doing more of this when it's still pretty sore,
you may not even be doing either one.
- And if you have what we call loose shoulders
or your shoulders dislocate, I don't want you to doing this.
Or if you have rheumatoid arthritis
I don't want you to doing this.
You know, anything where it could cause his shoulder
to pop out of joint.
I want to say, you know, a lot of people were critical.
That exercise, including you.
- I was, I was like, and then I started doing this exercise.
And the neat thing was, it's like, oh my left arm
feeling really good.
I don't have the impingement anymore. So then I thought.
So let me, let me check this side.
And I start doing this arm.
Well, it's better now, but the good arm was so tight.
It was much tighter than my left arm.
So now I do it with both arms, strictly for maintenance
and play.
I'm starting to feel like I lost 20 years in my shoulders.
- Yeah! Its funny how they moved better.
And so I started with that and I had impingement
and it was the only thing that took mine away.
- The chicken wings.
- The chicken wings
- Yeah.
- And yours took away.
And my wife, she works too.
She couldn't sleep on her shoulder at night and
- You hang regularly, right?
- I, I hang on a regular basis.
Like when I'm working at a computer
I'll go in and I almost use it more from my back.
- Yup! Posture.
- My back, my back cracks.
So it does shoulder too.
And it does grip.
It covers a lot of things that wakes up a bit too.
- Oh yeah, it does.
I did it in the morning
and I can hear my shoulder blades go crinkly, crackly.
And I'm feeling like I'm taller.
You know, life is good.
- Get ready, get ready for your (inaudible).
- Seriously, this book if you want to get the book
it's written for the lay person,
there is some parts in there that you need to be
- It gets a little, yeah.
- the mechanics. You may not know if you're not
familiar with it, but in general,
he's got it good for the lay person for the treatment part.
You know, I don't know.
- Its inspiring, I, you know,
if you have a rotator cuff injury,
or if you're going in for surgery
there's all these people that we're going
for surgery and ended up not needing it.
- Right, because they went with, you know, this
how many surgeons do you know
promote a book and write a book to eliminate surgeries.
- Right, one! Dr. Kirsch.
- Very good. I don't know. We could maybe consult with him
on our biggest problem is we can fix
- Just about anything
- Except for
- A broken heart.
- Right. Maybe we (inaudible)
- We should show a heart up here.
- Yeah. You send Dr. Kirsch an email on it
and see if he's, you know
he's been around longer than us.
- Yeah, that's true.
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