♪ Bob and Brad, ♪
♪ the two most famous physical therapists ♪
♪ on the internet ♪
- Hi folks.
I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together we are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- I kind of screwed up that word,
physical for a little bit there.
The title of today's program is
"Can my hip pain heal?"
When I say my, I mean your hip pain.
Let's say you have arthritis, bursitis, tendonitis,
or something else.
We're gonna go over that,
give our advice and opinion.
- Right, something so you can work off
and feel a little more comfortable about it.
- So it's gonna depend on your diagnosis, obviously.
If you have a muscle strain
that's like a second degree or less,
obviously it's going to heal.
If it's a complete tear, you'd probably need surgery.
- Yep.
- If you have tendonitis, bursitis, arthritis,
well we're going to talk about arthritis separately.
A fracture, in these cases, all yes, it's going to heal.
- Right.
We gotta treat it appropriately.
- You have to treat it appropriately.
Arthritis is the one that's,
I think a lot of people get hung up on.
I felt this way too, Brad.
It's like arthritis is only going to get worse.
That's not true.
They've done studies on it.
And they have found out that in many cases,
they've checked on it years later, it's stabilized.
And in some cases that even is slightly improved.
- There you go, Bob.
- Yeah, so it can heal.
The other thing you should keep in mind is that
if it doesn't heal,
you might be able to decrease the pain on an arthritic hip
if you treat the structures around the hip.
- Right.
At least get it to a plateau.
So, you know, you can avoid surgery for a few years.
- Right, right.
So, let's say there's a ball and socket.
There's a capsule that goes around it.
If that tightens up on you,
you're not gonna have as much motion
and you're gonna wear out to hip faster.
- Yeah, yeah.
- And the same with the muscles and tendons around it.
- Yeah.
- So that's why we have specific exercises.
Probably a good time to mention this now, Brad.
- Right.
- This video, if you stumble upon it,
- Oh yeah.
- is actually a part of a series of videos on hip pain.
- Yes.
- You want to see the rest of the series?
Go to bobandbrad.com, go to the program section
and check out hip pain.
We've got a whole series there.
You can read the titles
and determine which ones are appropriate for you.
We got exercises and - Yep.
A PDF printout so you can look at the exercises
and some of the pertinent information after you view it.
So you don't have to go back
and look at our faces again. - Watch the video again.
- It's very efficient and you know,
- It's free - There!
- So best of all.
- We don't even ask for an email.
- Right, exactly.
So the other thing is, what do you have to lose
if you do do the range of motion, strength,
like let's say you ended up needing surgery.
You're gonna have to do that stuff anyway, so.
- Yeah, It's a big
- It's a preparation - That's exactly right.
- for surgery, pre-hab as they talk about.
So what about if you have,
Brad what if you have a structural problem?
- Oo.
- Like femoral acetabular impingement, FAI.
- Ooh. Yeah.
- Now in this case,
the ball and the socket,
one of them is misshapen
or both of them are misshapen
and they're just not gonna fit together well.
- Yeah.
- That's probably not going to improve on you.
- Yep.
- That's probably gonna get worse over time.
The ones I've seen were in young girls.
They had put up with it for most of their life
and they they hit around 18, 19,
and they were tired of it.
- Mm-hm.
- And they were in fact freshmen, I believe.
- Could they get a hip replacement?
- No. They know they just get a surgery.
There's a surgery they do for it.
- Oh, okay.
- I think they grind out the socket
or make things fit right.
- It's amazing what they can do.
- Yeah, It's amazing what they can do.
So anyway, so we want you to be optimistic.
The hip can heal, just allow it to do so
and watch the correct video to do so.
- Are we done?
- Yeah. - Wow.
- It's a short one today.
- Yes, good job.
(upbeat music)