-Hi! Bob Schrupp, physical therapist -And I'm Brad Heineck, physical therapist
-Together we are the most famous physical therapists on the internet.
-In our opinion -In our opinion we are awesome
Ok, today we're just going to very quickly show you a basic rap for an ankle sprain
and this is an ace wrap
so it is the stretchy kind and
What you first need to understand is that the vast majority of people--
I'm just going to turn your foot a little bit here
I'm going to turn this chair a little bit, Brad.
The vast majority that people sprain their ankle by turning it this way, you know.
They're rolling their ankle, and they hurt on the outside of their ankle, so if it was this foot
We're turning it that way, okay? This is not an ankle sprain for you know... where you...
have the atypical sprains... it's this way
The numbers I heard was 90% of ankle sprains are that inversion.
This is going to cover the most of us
Alright, we have an ace wrap here.
You can go-- I really don't want to have one that's too wide.
It's going to be very difficult to handle it-- Probably some of the more narrow ones are easier.
This is 3... inches and 3/4, 3 and 3/4 inches
I don't know what that is in centimeters Can calculate that, Brad?
[Brad] 2.75 centimeters per inch, I think [Bob] Yeah, yeah, alright...
[Bob] Yeah you're right. I think you're right
Okay, so we're going to start off here Got your wrap
I've got the clips off, some of them have Velcro now
We're going to start by-- Can you see this, Nancy, by the way?
We're going to start by
having the roll-- There you go that's better, Brad.
It's going to head this direction towards the other foot.
Okay, you're not going this way, you're going this way.
If you're on this foot, you're going to start this way and head that way. Alright?
We're going to start this way, and we're going to just do once around
And this is just kind of the-- Actually we'll go twice around.
This is kind of the anchor.
Alright, now this is not very tight.
Generally, especially if you have swelling in the foot, you want to go a little tighter down towards the toes
and start loosening as you get up here, because the fluid that's in your foot
has to go up into the lymphatic system which means s go up into the body.
-It's not going to go all your toes. -We hope
We hope not
So anyway, we got the one anchor--
-If it's tight here, it's like a tourniquet -Yep, and it's going to not let the fluid come out of there.
So this this one's not very tight at all Now, I'm coming down and around...
Okay And Nancy you're picking this up?
Alright, right here is where the magic happens, because what we're doing is we're giving a little tug on the foot here
to prevent it from turning the way that it gives you trouble
So-- [Brad] And we want to do this in neutral position.
A neu-- right, yeah
[Brad] See, so when I say neutral, I don't want to toes pointed down.
[Bob] You want to have on the foot at a right angle?
-Right -Is that what you're saying, Brad?
We don't want it down
We don't want it-- well it can be up a little bit
but more of a right angle -For sure you don't want to relaxed
pointed like it would be would be where you're laying flat. -Yeah, good point
Ok, so we're here...we're giving that little tug
Give it a little tug so that-- just pull it over and just protect it from turning like this
Now I come back up and around, and that's the figure-eight that they talked about we're...
making a figure eight, coming back up around here
And now, usually this-- the wrap is covering about half of the wrap that's already there.
I don't know if that makes sense or not, but there's the wrap that's already there.
Can you zoom in on it and... kinda
I always think of it as a figure-eight, it kind of looks like or--you'll see
This is something, when you work with it a little bit, it'll start to make sense.
I'm coming down again, and here again
I'm going to get to the bottom, and I give a little tug.
And now I'll go probably this way-- a little more to the outside
[Brad] So if you're the one being taped, remember to keep your ankle up,
so your foot is in that neutral position. 90-degree turn, there.
[Bob] Coming down around again, little tug. [Brad] It's starting to feel good too.
[Brad] You'll feel it if it's a comfortable feeling
[Bob] and...... a little tug.
[Brad] And he's definitely a little tighter towards the toes
than he is up by the ankle, and that's the way it should feel
[Bob] And I finish off, and I'm just going to clip it
or hopefully you got Velcro. These are pretty old ones.
I don't know if they do sell clips anymore. Do they, Brad?
[Brad] Yeah, I don't know this is something you probably got out of your dresser and
Probably 50 years old [Bob] It probably is
Now, when it's all said and done, it should feel comfortable if you want to walk a bit--
They end to loosen up after a little bit,
and you don't want any numbness or tingling. That's the--
the worst thing you want to see or feel
The next step above this, if you really want a good support
is actually the tape thing, and-- -the tape or some of the pre-made ankle braces
-Sure -which we have a video on
We have a video on the ASO ankle brace
How's that foot smelling, Bob?
Oh yeah....
[Bob] We don't want to talk about that-- I'm going to go wash my hands hands in acid
[Brad] Okay, so yeah, that's the ace wrap for ankle sprains.
[Bob] Sounds good, thanks a lot