♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the Internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- 'Cause we are the most famous physical therapists
on the Internet.
- In our opinion of course, Bob.
- Today, we're gonna show you how to use a TENS unit
with wrist pain.
- That's right.
- Right.
And we're also gonna show you correct pad placement.
At the end of the video, as an additional bonus,
and also, we want to promote movement
along with using the TENS unit.
We're gonna show you an exercise to do with the wrist,
Brad came up with.
Now, did you invent this
or did you just see this somewhere?
- Well, I got is just from my experience over the years.
And then my wrist bothered me, so I was trying to-
- To yourself.
- Right.
And it's like, "Whoa, this works pretty darn good!"
- That's the best way,
when you start having problems yourself.
You figure things out.
So, Brad and I have been using TENS units for years.
- Mm-hmm.
- Years and years.
30 years, I have probably been.
And we've tried dozens and dozens of units.
All of them, really, were fine.
All of them seemed good.
They all were powerful enough, all compact enough.
The only problem with some of them,
their instructions are really poor.
- Mm-hmm.
- For some of them.
So, what we decided after a bit,
is we're gonna endorse one brand.
- Right.
- And that's the iReliev.
They have good solid units.
Compact, powerful, FDA approved,
and really good instructions.
- Sure.
- I just think they have their act together, Brad.
- And we also have videos that also provide instructions.
So, you've got a number of options.
- Yeah, so they've got three units, three main units.
They got some other ones too, but three main units.
And we'll give you instructions step-by-step
on how to use their units.
To see that, if you do get one of their units,
go to bobandbrad.com, go to Programs,
this is all free by the way, all of it.
No email, we don't want anything from you.
- It's a good deal.
- Go to the Program section and then go to TENS section,
and look for 1313, that's one of the models.
- Right.
- That's the 8080.
- Yeah.
- And the 5050.
Some of them have wires, some of them don't have wires.
Some of them recharge, while one of them doesn't recharge.
- One needs batteries.
- One's rechargeable.
So, he's talking about the leads that go to the electrodes.
- Yeah.
- If you don't use those, it's a lot more handy.
- So it's a range in price
and it's a range in little amenities.
- Right.
- And along with that Brad...
- Yes?
- Are you gonna tell them?
- No, you tell.
- You get a PDF!
- Oh, that's-
- You get a printout with each video,
so if you have a question on
how to run the machine, you can just go ahead
and watch the PDF.
So, let's get to pad placement now, Brad.
- Okay.
- So for the wrist, you're gonna either use two pads
or four pads.
- Right.
- We're gonna start off with four pads
because I've already got them in place.
- You'll probably start out with two,
and if two works, then you're gonna stick with it.
Four is a little more complicated, especially on the wrist.
But, it's possible.
- What we've done here is to demonstrate
the different channels.
We've actually made the channel number one yellow.
- [Brad] Yep.
- [Bob] And we made channel number two green.
These do not come colored like this.
These are black and sometimes they're white.
- [Brad] Right.
- [Bob] And we just wanted to make this
so it's a lot more clear.
So, what I've done here, you've got the wrist right here.
A lot of times, I guess in the wrist,
you could put it on the joint.
But if you put it on the joint and you move,
- [Brad] Right.
- [Bob] It's probably gonna disrupt it.
- [Brad] Right.
If you had a splint on or something,
then that would work really well.
- [ Bob] Right.
Yeah.
So, what I've done here, is I've put one here
and one channel here.
And what it's gonna do, the electricity conducts
between the two.
- [Brad] Right.
- [Bob] Is that the right way to say it, conduct?
- [Brad] Yup exactly, Bob.
- [Bob] And it'll conduct between these two.
So now we form a cross and it's hitting right
on the wrist joint itself.
So if the pain is coming from the wrist joint itself,
that should help penetrate and give you some relief.
You have anything else to add?
- [Brad] No, I was just gonna say,
'cause these are not colored,
but you just know that they're both channel one
because they come from the same lead there to there.
- [Bob] Yeah this is channel one,
that's channel two on the leads.
You can see where they...
Oh, no that's channel one!
- [Brad] Yeah, they're both channel one.
- [Bob] All right.
Another variation of you wanting to use all four,
is to actually put one right on top of the hand here.
- Yup.
- It does pull on the hair a little bit, Brad.
- Oh yeah.
So, if you're gonna do this on any regular basis,
and you have a hairy wrist, you definitely wanna shave it.
It's gonna make the pad work better and last longer
as far as their stickiness.
- Yeah, Brad.
Good point.
You wanna make sure the pads are at least
a pad's width apart.
- Right, right.
- So this one's a little bit close.
So, there's not a lot of room on the wrist, Brad.
- Nope, nope.
That's right.
- So, this is probably almost too close.
That's why you might wanna just go with two pads.
- Yeah.
- But we're showing you all options here, though.
So, now it's forming a "t".
- [Brad] Mm-hmm.
- [Bob] And so now the pain's
a little bit lower right down here.
You almost have to go up higher into the hand.
- [Brad] Right.
Let's go to two, Brad.
- [Brad] Yeah, two is probably gonna be
what's used mostly with wrists.
- [Bob] Right.
So now, with the two, by the way,
with options like this, there's not a specific right
or a specific wrong basically.
You're gonna experiment to see which one helps.
Which one does the job for you?
Once you find that, you stick with that.
You don't need to keep experimenting.
- [Brad] Right.
- [Bob] So right now, let's say the pain's
right on the wrist here.
I can put one right on the wrist.
- [Brad] Mm-hmm.
- [Bob] Right on the pain.
And then I can put the other one below it
or I could put it above it,
but there'd really not any room there, is there?
So it's probably gonna be below it.
- [Brad] Over the knuckles is not going to work
because it's not smooth enough.
- [Bob] And you really can't go side-by-side here, either.
- [Brad] Right.
- [Bob] There really is only one choice here.
You're gonna put it right below like that.
Now, you can also put, if the pain's right here,
I can put one above it.
- [Brad] Sure.
- [Bob] This is my above, I guess.
And one below it, so we're surrounding it, basically.
- [Brad] Sure.
- [Bob] Getting around it like that.
- [Brad] You can do the same on the bottom side.
- [Bob] Oh right!
Yeah, these exact same things can be done on this side.
Flip it.
You may wanna wash your hands with soap and water prior,
'cause you'll take the oils off there.
The oils from your skin will
make these pads wear-out sooner.
A lot of times when we make them to live a little bit longer
is we just put a little bit of water on them.
- Right.
- And we wash some of the oils off there
and it'll last longer.
iReliev does have a club that you can join
a pad club that you could get a discount on their-
- Oh, pad club.
- Yeah.
- Yeah, I thought maybe a golf club or something.
(chuckles)
- No, no.
They'll give you a discount on their pads
if you're buying pads on a regular basis.
- Yeah.
- Brad, do you wanna show them something else?
- Well, if you go in the palm,
it's not gonna work very well in here.
You could maybe go here or here,
and see how the placement conducts and sticks.
You will understand quickly, but they need to be stuck on.
They don't go real well if it's on a place where it moves.
- A contoured surface, too.
- Exactly.
- So, it's gotta have contact throughout the pad.
- Right.
- Otherwise it's not gonna feel right.
It's gonna buzz you a little bit.
- Yep, it's not comfortable.
- So Brad, you wanna show your exercise?
- Oh sure, sure!
- You should put on the pads there.
First I do wanna say with the wrist, just general movement,
up and down and circles can be good.
When you're doing this, you don't wanna have the pads off
when you're actually trying to get more range of motion.
But the thing that Bob was talking...
Let's say you're doing this, and it's kind of painful,
and it feels like there's a kink in there.
Say, this is the hand that the wrist that's sore,
it's got the kink, it's painful.
This hand, I'm gonna grab over like this.
Okay?
- [Bob] Surely, you're gonna have the forearm resting
on a table or your leg.
- [ Brad] Yeah.
I'm doing it on my thigh.
It's probably best on a table.
- [Bob] Sure.
- [Brad] It would be the best at the edge of a table
so your hand is off the edge.
You're gonna grab here, and then what I'm going to do is,
first of all, you can just start,
this must be completely relaxed.
Just relax and do some general straight out traction.
- [Bob] That's why it's helpful to do it on a table,
'cause you'll have trouble relaxing the arm.
- [Brad] Right.
We'll pretend leg's a table.
So, I'm just pulling out like this.
And you could hold and relax.
Do that five to ten times.
If it feels good, you can keep doing it.
But then what I like to do is, there's two options.
You can keep your forearm still and twist.
But what I actually found works better is,
I keep the hand still with this hand.
I grasp it, hold it tight, and then I wiggle like this.
Can you see that?
- [Bob] Yeah, I think that's really a cool technique.
- [Brad] And then you can feel that
and it helps loosen that.
So the combination of straight out traction
with some rotation in there.
And then go back and roll.
You'll find that you'll have better range of motion
after the traction.
And the traction only takes a minute or so.
- So, do you prefer the Heineck Technique
or the Brad Technique?
The name?
- Well, maybe we should call it the BH.
- The BH.
(chuckles)
All right.
All right, you saw it here folks!
If you haven't already, make sure you subscribe
to Bob and Brad on YouTube.
- There you go.
Thank you.
(synthesizer music)