♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hello folks.
I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are the most famous
physical therapists on the internet.
- In our opinion, of course.
- You looked a little confused there for a second, Brad.
(Brad chuckles)
- I usually am.
- Somebody's knocking on our door.
(Brad laughs)
Okay. Today we're gonna show you how to
make a knee replacement scar look good.
And feel good.
- Right.
Absolutely.
This is, this is fun, as a therapist,
because after a knee replacement,
there's this incision.
Sometimes you got staples in it.
Sometimes they glue.
Whatever.
It doesn't look very pretty that first few weeks
after therapy,
but there's not much you can do with it right away.
After it heals,
and they take,
if it's stapled, they take the staples out,
and there's no scabs on it, and,
before you do this.
- There's no open areas.
- No open areas.
- Yeah.
- And this is one of those things.
If you're having any doubt,
you need to ask your doctor the solution.
- Right.
- When can I start doing a soft tissue massage to
make the scar look better?
Get rid of that scar tissue that is underneath that.
- [Bob] Yeah, you'll see that overgrowth a lot of times.
- Yeah.
- [Bob] Where it just gets big and ugly.
- No. Yeah.
- [Bob] I mean.
- [Brad] I just had one this week, Bob.
That's why I really wanted to do this.
I don't know if you can come in on this,
but this woman had a really bad and over overlap
that was about like this,
and I'm not exaggerating.
- [Bob] Uh, I've seen it myself, so.
- It it wasn't this long,
but it was about a half inch,
and I had never seen one this bad,
and I didn't know if it was gonna come out or not,
to be honest with you.
- [Bob] Whether or not it was gonna respond.
- [Brad] Right.
- [Bob] Yeah.
- [Brad] All that scar tissue in there was,
had been there since, you know,
growing since surgery, if you will,
and it's like, we gotta get this broke up.
So incision was healed well,
and I just, all is to do is very simple.
You do a cross friction massage.
We talked about this many times
or a number of times in the past.
You go on the incision and you go across.
Incision goes up and down.
You go perpendicular,
and you don't do it on the surface.
- [Bob] No.
- [Brad] You need to get down,
and you're gonna feel,
one thing you're gonna notice if you do this
and there's a lot of scar tissue,
the whole scar's gonna move.
- [Bob] Mm-hmm.
- [Brad] Everything's gonna move together,
because all that scar tissue's in there,
you gotta get in there,
and I'll actually do it in circles,
and I'm pushing.
And if I do this for about a minute or two
I have to stop because my fingers get tired
and a little bit sore.
And that's what I, I say it's good for the day.
- [Bob] I've seen, um, also,
because that that scar can be a source of pain, too.
- [Brad] Oh yeah.
- [Bob] So.
- [Brad] Right.
- [Bob] Um, and especially if you're move,
if you put your fingers on the scar,
and it's, it feels like it's bound down.
- [Brad] Mm-hmm.
- [Bob] This will help that also.
It'll help decrease some of the pain
and and that, that binding, that can cause pain.
- [Brad] And range of motion, it'll help flexion.
- [Bob] Yeah, and range.
The other thing I I've done Brad,
sometimes is I'll have people even, like,
put a finger here and then pull like this.
- [Brad] Yeah yeah.
- [Bob] And pull in every direction.
- [Brad] Yep.
- [Bob] And if it hurts in one direction,
that's the way you do it, believe it or not.
That's the direction you wanna break up.
So, again, that's where you gotta
really make sure that scar's intact.
That you're not gonna open up, uh, the scar again.
- [Brad] Yeah, exactly.
- [Bob] Don't be don't make us responsible
for doing something like that.
Make sure it's very solid before ya.
- [Brad] And and another thing is almost always,
when you start, it might be a little painful,
but within 20 seconds to 30 seconds,
that pain level should go down.
If it just gets more painful, more painful,
it may not be ready for it.
- [Bob] Yeah. Good point, Brad.
It just may be too soon to do it.
And I've, I've even had people just go like this, Brad.
- [Brad] Sure.
- [Bob] Back and forth like.
- [Brad] Oh yeah.
- [Bob] Sawing like this.
- [Brad] Yeah. I like that technique. Wow.
- [Bob] So, a lot of different ways you can do it
but all, all with the same goal in mind,
trying to break up that scar issue.
And how did hers turn out then, Brad?
- [Brad] It was abs it was amazing.
That's why I really wanted to do this.
'Cause I I started Monday, this Monday,
and then I did it Wednesday,
and another therapist had worked with her.
She came over, who worked with the day, the week before,
and she just was in awe,
because that big bump was completely gone,
and it was smooth,
and you can see, in another six months,
it's gonna be.
- [Bob] Almost gone.
- [Brad] Yeah. Almost invisible.
- [Bob] Yeah.
- [Brad] You're gonna have to look for it.
- [Bob] So, yeah, if you wanna keep it pretty neat,
this is what you're gonna have to do.
- [Brad] You better believe it.
(men laughing)
- All right.
- [Brad] Yeah get this one outta here.
- Yeah, this is bad.
- [Brad] There's no hope for that knee.
- Thanks for watching.