- All right, come one, come all. We are gonna
talk about back pain. - Welcome.
- Welcome as well, back pain, sciatica symptoms.
They oftentimes overlap,
and some people really aren't sure if they have sciatica
or just is it back pain?
Well, this video is gonna go through
some of the most common types of diagnoses people have
and we're gonna direct you,
how to take care of those one by one.
We'll get through it.
Not too long.
Four, wait, no. 9.3 seconds.
- Count us.
- Yeah, exactly right, we'll be right back.
♪ Bob and Brad, the two most famous ♪
♪ physical therapists, on the internet ♪
- All right, Bob.
I think you'll agree.
Just fill in, but I would have to say
at least from our feedback
from our bazillions of viewers and views,
the most common back pain
is this one associated with sciatica.
- Yeah. It's very painful.
- In other words, back pain associated with pain,
numbness, tingling, running down the leg.
- Right, all the way down to foot quite often.
- Exactly.
Oftentimes if you do have sciatica
that is originated from the low back,
it gets worse with sitting.
- Right.
- The longer you sit- - Or bending forward.
- Yep. Or bending forward,
or if you're sitting for a while
and you stand up and you find it difficult to straighten up.
But once you get up for a while and you walk,
it seems to improve.
Walking on the flat will oftentimes make it better.
Not always,
these are some generalizations.
- Right.
- Anything else, Bob?
- Just any bending forward,
- Yep. - is bad.
- And I do wanna say,
if it's severe you'll see someone,
they either walk like this
and off to the side and they're kind of-
- They better be kinked off.
- Yeah. They're kinked over
- And that's- - Right.
- from that bulging disc. - Right.
- Throwing their posture off.
So, very good.
Now we do have...
we could go on for an hour or two.
- A long time. - Yes.
But to make it more efficient for you,
what Bob actually has developed is a program section,
which is- - Along with Brad.
- Yep. But Bob is the master on this
and what it is, this is the way I think of it.
It's a library of 40 videos, all related to sciatica.
You go to bobandbrad.com, our website,
go to the program section - Section.
- You're gonna see a sciatic programs,
and 40 videos will show up
and just go to the titles
and you'll know which ones you need to-
- And it's free,
- Free, completely free.
Not even a email. - Not even email, right.
- They also have PDF printouts of the exercises
and a review of each video.
It's a wonderful, wonderful - it's our gift to you.
- It is.
It's really a neat system.
Okay. Going on to the next number.
Piriformis syndrome.
Now piriformis syndrome,
- A little muscle. - Yep.
- In your butt.
- Right. Connects from here over to here,
it crosses over the sciatic nerve
and it also creates
- Pain down the leg.
- There you go.
So that's why they're different.
Now I do want to show you one little technique that
- I can show
- You wanna show Bob? Absolutely
You're already, almost laying down.
- Okay. Let's say I have pain here.
No pain here.
If I bring the leg up and across
quite often, that might make it worse.
- Some sometimes after stretching it for awhile.
- Right, it might feel better.
- Yeah, it feels better.
- But it feels different to this side.
- Yes. Clearly a different, and it's,
I have patient's that say- - All feels tight.
- Yep. They'll feel like there's a stretch
right in here that they don't feel on the other side.
- Right.
- And this is how you- one option to treat it
as a matter of fact.
- Right.
- All right, we're gonna continue on with the next.
All right, the next,
one of the next common diagnosis-
- categories
- category is the SI joint.
In other words, sacroiliac.
And that you have two of 'em,
one here and one here.
If we look at it.
- Right there.
- Yep. So here's the sacrum.
Here's the ilium, that's part of the pelvis.
And if that joint, you can see it moving right there
and that's the whole problem.
Something, it needs to be stable.
And sometimes it moves,
not a lot. - Right.
- It's, it's very minimal.
It's little controversial, actually,
but you do have two SI joints.
They can cause pain,
more common in females - Right.
- Has to do with, with
- Birthing
- Birthing oftentimes. - Right.
- You can get pain referred down to the knee
and below - Way down to the foot even.
- Right.
Which is something
I was initially - Yeah.
- was just to the knee. - I thought.
- But now they found that out.
They're learning a little more about it.
- Right.
- SI pain is not near as common as sciatica.
Maybe. What was it?
20% in females.
- Right.
- Less than that in males. - Right.
One thing that's typical with SI pain
is, it hurts with weight bearing,
walking, maybe up and down steps when you have it
and you sit down, it'll oftentimes resolve
- Take care of it.
- Very quickly.
- Right.
- So it's the opposite that way
in regards to pain symptoms.
Anything else with that Bob?
- No, I think we're good.
- We do have some excellent videos on how to treat this.
Just go to Bob and Brad on YouTube
and look up sacroiliac - SI.
- SI, and we have a nice playlist for that.
We don't have a program section for that yet.
Okay. Bob, we're also gonna talk about,
this is more common
with older people, - Right.
- People over 50.
- Over 55.
- Yep. And it's lumbar stenosis.
You can have stenosis
throughout the spine. - Cervical.
- Obviously with low back, it's gonna be the lumbar.
And stenosis simply means the narrowing
of a hole or like a canal. - Hole. Right.
- So in this case, we're gonna look right here
very closely where these peripheral nerves
exit from the spine, there's a hole there.
And that hole becomes smaller and smaller
and there are different reasons for that.
I'm not gonna get into that.
- Might be swelling.
- Yeah. It could be swelling.
- Boney- Right. - Boney growth.
Or simply the discs start to collapse with age.
- Yep. Ligaments.
- You can also have stenosis of the
- Central canal.
- Yeah. Which then you're actually
putting pressure on the spinal cord.
- Right.
- Symptoms are a little - You get pain down both legs
- Yeah. Which we do not like.
- Right.
- So typically with stenosis,
you'll know you have it,
if walking or standing up,
looking up, starts to irritate your back.
- Right. And the big indicator.
When you sit down, it goes away.
- Exactly. Right.
- Immediate relief.
- Yep. When you lean forward,
it's the old typical - Right.
- shopping cart syndrome.
- If- - It feels better.
- Yep. If you're pushing a shopping cart, you lean forward
you can walk around the whole store.
But as soon as you let go
and straighten up after about a hundred feet
- By the way, you should not try to straighten
up somebody who has spinal stenosis.
- What are we gonna do with them?
- You work on it slowly, but you don't.
- Yeah. You don't give 'em the go behind him,
and say ah, we're now gonna just
straighten you up quick cause that's-
- That's that won't help.
- Right? Exactly.
We do have some excellent videos on stenosis.
I personally have stenosis and I can,
I'll show you what I do with mine, as well as other people
- All the exercises you do.
- That's right.
Bob and Brad, YouTube those.
And I, I believe we do have a nice playlist
for stenosis.
So you got all of them. - I'm sure we do.
- in one area.
All right, now we've got one more category.
And this one is the puts you in the emergency list
where you wanna see the doctor ASAP.
We'll be right back.
All right, Bob.
So, you know, we call these the red flags
in the medical field, - Right.
- now it's used in other fields as well.
So if you have a red flag, some symptoms
that are really, really important to see a doctor ASAP.
And the first one is something we call saddle paresthesia.
- Right. So if you sit on a saddle, on a horse,
the part that the skin is contact with is the saddle.
- Yep. So right in, through here
in the buttocks area, if that area starts to feel
Numb. That's - Numb. Tingly.
- Yep. That's no good.
Another symptom that- - In addition,
- Yeah. In addition with that, if you have bowel
or bladder loss of control.
- Right.
- Boy, you know, you really need to get to the ER,
you don't wait - Immediate, right.
- Yeah. You're not gonna call a doctor and say,
get me in as soon as possible.
You just go to the ER and have-
- I had a patient who became paralyzed from this.
- Yeah. It's, it's, serious.
- It's serious.
- Yeah. But on the other hand,
I've had a patient that had these symptoms
and she went in and it ended up, it was okay.
- Right.
- But at least she got things
- Right. Confirmed.
- Yeah. You've gotta get it looked at quickly.
The other one is a symptom, is say you have
muscle loss of control,
a common one is foot drop. - Right.
- Where you walk and you cannot lift your foot up.
And you know, most people are heel walkers,
but they can't come down like this and that foot slaps.
- Slaps, right.
- So you'll see 'em
and it's one of those things that,
it was fine in the last week.
And all of a sudden in the last couple days
you can't control it. - Yeah. It could be subtle.
- That I would still go to the ER,
- Right. - if you're doing that.
It's a fall risk, you don't want to have that.
It's probably not as risky as the paresthesia
or the loss of bowel control. - Right.
- But it's, it's important.
- It's, it's worrisome.
- Yeah. Get in, get it taken care of very quickly.
All right, Bob, I think we've covered all the biggies.
- There we go.
- The only thing we did not cover
and we will not cover on those videos.
We can fix just about anything
except for - except for a broken heart.
- A broken heart.
- No, Brad, eventually.
Someday.
(laughing)