♪ Bob and Brad the two most famous ♪
♪ Physical therapists on the internet ♪
- We're started already?
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.
- Top 5 signs your shoulder, hip, or knee pain
is not arthritis.
- Ah, this will be good to know Bob.
- We're being a little sneaky there.
- Sneaky.
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Go on Bob, lets carry on. - All right, number one.
What's the number one sign?
With arthritis, quite often the joint
is going to feel stiff, especially
when you wake up in the mornings.
- Right, very typical.
- Because arthritis does not like to be still,
arthritic joints, they like movement because
it creates a little of the synovial fluid
and gives a little grease to the--
- Yeah, we should make that clear.
They like to be still if you want pain.
If you wanna get rid of the pain, you want movement.
So at night you sleep relatively still,
you wake up stiff and sore and wonder why.
- So that's a very typical sign.
Number two, if you don't have a loss of motion.
Quite often with arthritis, especially if you've had it
for a while, there's gonna be a loss of motion
and some of them you may not really realize are going on.
Like the shoulder, you might lose external rotation.
So if you're compare your two and you can go out like this,
and one can go quite far and the painful one doesn't
go out as far, that could possibly mean that you have
a capsular pattern and that developed over time
because of the arthritis.
So all of our joints, especially the shoulder
and the hip joint, they have a capsule around them
that tightens up with arthritis.
With the hip, a common one that you can check
is just your external rotation.
So you go ahead and cross your legs like this.
I got my sock sticking out here.
And you can compare one side again to the other side
to see if... What, I got short pants on here today? (laughs)
And you can see does one go further down than the other.
I guess my pants aren't pulled down enough.
- Yeah well Bob, get those stretch ones, Spandex.
- I should.
The knee, quite a simple way with the knee
is usually you might be lacking extension,
so it's not straightening as much as the other one.
And again if it's even a slight difference,
if you put both legs up like this and you see one goes
like that, a slight bend, and the other one goes
completely straight, you wanna regain that extension
because that will help decrease your pain.
You might be lacking knee flexion.
- So you're saying if you have full range of motion,
but you still have pain, that's one thing that means
it may not be arthritis.
- Right, or you haven't had arthritis very long.
If the pain doesn't increase with weight bearing,
this is a pretty typical one with arthritis.
So if you're shoulder, if you lean on it and that hurts,
that's more of a sign that it might be arthritis,
and if it doesn't then... Well, you could be
with a pinch and it would still hurt with leaning on it.
- Right, so again if you go through all five of these
and you check off and one's yes and one's no
or three are yes and two are no,
if they were all five yes--
- Then it's more likely that you're not having arthritis.
The other thing that we often do is we will
check to see whether it's painful along the joint itself.
So on the shoulder, if it's gonna hurt with arthritis
it's not gonna hurt down here, not hurt up here,
it's gonna hurt right on the joint.
Now, you might feel pain down here because it refers down
to that area, but with arthritis it's gonna hurt
right on the joint itself.
So it's not hurting right on the joint.
Same with the knee, you can go right along
if you've got your kneecap here...
I'm gonna roll my pants up.
- Whoa, he's gonna show some leg.
- So if you've got the kneecap here,
the joint runs right down below it.
See, I often take my hand just like this,
and that's the joint line.
If you hurt along the joint,
that's more likely to be arthritis.
- Wait, so what you're saying,
I don't think you mentioned this with the shoulder.
You might feel pain, but if you press on it
and your pinpointing with your fingers where you press,
that's where--
- That's a good point Brad.
So like if I hurt down here,
but if you push here it doesn't hurt.
If you push right on the joint, it hurts.
- Ow!
- Yeah, there you go.
So the same with the knee.
Quite often people go "I have arthritis in my knee."
And then I'll push way down here.
Well that's a bursa down here, that's bursitis.
That's not arthritis.
So that's another test you can do.
And finally, especially if you've had arthritis for a time,
you know when you hear those sounds going on, like cereal.
- Rice Krispies!
- Rice Krispies in your joints, yeah.
We call it crepitus, but you move it
and it just doesn't move smoothly, the joint.
You can tell right away.
I mean I can tell a lot of times with people,
you can just feel when you're moving the joint up and down.
- Yeah.
But you could have that noise crackling sound
and not have arthritis too, so again that's just
one of the indicators.
- These are signs.
Again, if you have all five that may indicate
that you do have arthritis, and if you don't have
any of these it's unlikely you do, I would guess.
- Right, so.
- Brad I can fix just about anything.
- Except for? - A broken heart.
- There you go. - I'll work on it though.
- We got more videos on arthritis though.
Matter of fact, we're gonna make one today.
- What does that have to do with anything?
- Well I don't know, it kind of relates.
- The heart?
What does that have to do with the heart?
- Well it doesn't, but I was already done with that.
- All right.
- We're to the end of the video now.
- Thanks.