♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we're the most famous physical therapists
on the internet.
- Well, in our opinion, of course, Bob.
- Brad, we're gonna do something quite unusual today.
- Yes. - I drew on my leg.
- Yes. - And the whole video
is gonna be about the knee.
- Is that a, is that a tattoo?
- No, that's- - Oh!
- That's marker. It should come off eventually.
- Water-based. Yeah. - Yeah, right.
- Well, that's good. That's good.
- I was smart about it. Uh, we're to give away a massage gun
this week, and we wanted to make sure you're aware of that.
You just go to bobandbrad.com, go to the "Giveaway" section
and it's the T2. Brad, want to talk about it real quick?
- [Brad] Yeah, the T2 has got a lot of power,
it's got some excellent travel.
It will come with five heads. Here's four of 'em.
Well, that's-
- [Bob] That's five. Well, yeah-
- [Brad] Yeah, the other one is over on that gun.
So, and it works extremely well.
- Yeah. We always have high quality.
- Yeah. - All right.
Let's get started, Brad.
- I've used it myself many times.
- Good for you. All right. Tanner,
if you want to focus down here, I've marked off some objects
which are part of the knee-
- [Brad] Structures, Bob! - [Bob] Structures, yeah.
Bony prominences and ligaments and tendons.
And when we're poking around a knee and pushing on it,
these are the things that we're looking at.
- [Brad] Right, yeah, so if you're the therapist
and the doctor's doing this and you're wondering,
What? What's going on? Well, that's, that's part of it.
- [Bob] So here's the knee cap.
We'll talk about that in a second,
but right here and right here is the joint line.
- [Brad] Can you see that, Tanner? Yep.
- So that's where the femur attaches
to the tibia and it forms a joint.
So if you have arthritis or a ligament tear
or a cartilage tear, like a meniscus
- [Brad] Yep.
- That's where you're gonna feel pain.
So you, you put your finger right along there
and push along there and if you find,
guy goes, oh, it hurts.
- [Brad] Yeah. - [Bob] That's the indicator.
- [Brad] Right. Exactly.
- [Bob] So any other thoughts about it, Brad?
- [Brad] About the joint line? - [Bob] Yeah.
- [Brad] Well, yeah, so often, like you said,
meniscus is real common, arthritis problems, you know,
and we will get into the other-
- [Bob] Tendons. Right.
- [Brad] Yeah. Infrapatellar tendon, that's this green area.
- [Bob] One way to find the join line,
what I always found helpful, Brad, is just
to find the kneecap, - [Brad] Mm-hmm.
- [Bob] Which is usually pretty easy to find
on most people, and just take my hand and go like this.
- [Brad] And that- - [Bob] Make a-
- [Brad] Right underneath that.
- [Bob] Kinda make a smile. - [Brad] Yeah.
I should have drew on my knee.
I would've done that too, but yeah-
- [Bob] You should have!
- [Brad] I mean, that's what I do, and I kind of go up
and down and feel for the little indentation.
- [Bob] Yeah, you'll feel a, like a little, yeah, bump.
- [Brad] Yeah. This takes a little bit of practice.
Sometimes if you have never done this,
you may not find it as easy.
- [Bob] All right. Let's say you're having some pain
around here that might be the kneecap-
- [Brad] Sure.
- [Bob] Especially kind of diffuse pain.
It's not real sharp, but it's just-
and also if you hear some grinding-
- [Brad] Grinding, clicking.
- [Bob] Clicking, yeah.
- [Brad] If you straighten your knee out,
I always thought it was kind of neat when I was
in PT school. I didn't realize that
the kneecap is just kinda floating in there
if you relax the muscles.
- [Bob] Right. If you relax. - [Brad] Yep.
- [Bob] Next, uh, how about the two ligaments
that are on the sides, Brad- (Brad laughs)
- [Bob] you can see that one. - [Brad] Yeah.
- [Bob] So that's the lateral collateral ligament
- [Brad] LCL. - [Bob] Yep. It goes,
it actually attaches into this bone, which is the fibula.
- [Brad] Yes. The infamous fibula.
- [Bob] And here's the medial collateral ligament.
So if you're poking around here and, oh!
All of a sudden the person, you know, complains,
And you know, if it hurts right here
it's not gonna be anything that we can think of.
Except maybe what you just showed on that one video, Brad,
with the- - [Brad] Oh, right,
the retinaculum. That's another story.
- [Bob] If it's right here, you're gonna think
that maybe it's a ligament. If it's right here,
you're maybe thinking it's gonna be a ligament.
- [Brad] So that one's the medial collateral ligament,
the MCL. - [Bob] Right. All right,
here's a big tendon that's pretty easy to define.
Infrapatellar tendon. "Infra" means below,
patellar means kneecap. So below the kneecap,
and I got it in green marked there.
It attaches to this bump right here.
- [Brad] Right. The tibial tuberosity.
- [Bob] Right. If that is real, by the way, if that's tender
or inflamed, you might have Osgood-Schlatter disease.
- [Brad] Yes. It's not a fun one.
- [Bob] Osgood-Schlatter disease. Right, not fun at all.
- [Brad] There's also at times an associated bump.
- [Bob] A bump.
- [Brad] It can get pretty big, actually. It's not fun.
- [Bob] This would be, in somebody that's in
a growing phase, like 16 years old, 17 for guys.
- [Brad] Yeah.
- [Bob] Girls are usually a little bit younger.
- [Brad] Yeah. - [Bob] . But-
- [Brad] Sometimes it sticks around for a while.
- [Bob] It's not going to happen on Brad.
- [Brad] No. Older people don't usually get it.
- [Bob] So, again, if that's tender, this tendon,
you might have like jumper's knee where you're
really overworked that tendon. So-
- [Brad] Yeah. And there's that fat pad underneath, right?
- [Bob] Right. The fat pad. That can give you trouble too.
- [Brad] Yeah. Even if you're skinny,
you still have a fat pad.
- [Bob] That's right. Good point, Brad.
How about we go to the tendon above the knee, Brad?
- [Brad] Sure. - [Bob] The quadricep tendon.
I had this one.
- [Brad] So this is the green area there?
- [Bob] Yep. - [Brad] Mm-hmm.
- [Bob] Do you see that? OK. And right below that, Brad,
is actually the suprapatellar-
I'm trying to think of the name.
- [Brad] Ahhh! - [Bob] Ahhh.
Pouch! Suprapatellar pouch.
- [Brad] Yeah. What kind of moment?
- [Together] A senior moment!
- [Brad] It happens, believe me.
- [Bob] Leave that in! Don't take it out.
I wanna show people that we're live here.
- [Brad] Yeah. (laughs)
- [Bob] So that, when I, when you have it- what I did
for it is I did some cross fiber massage on it.
- [Brad] Yeah. So you're going back and forth
with your fingers.
- [Bob] Well, that's where the gun came in handy.
The massage gun.
- [Brad] The massage gun. Let's make that clear.
- [Bob] But if the suprapatellar pouch also gets bound down
quite often, people, Brad, - [Brad] Sure.
- [Bob] So also massage, massage will work on that.
- [Brad] Right. Yeah. - [Bob] So, either case,
you're good to massage that area.
- [Brad] Which reminds me of that video we just put out
that's very popular with Paul- - [Bob] Right.
- [Brad] You know, from the university, he showed how
you can massage, actually, with a tool
or the handle of butter knife.
- [Bob] Right. - It's a great video.
Yep. Ah, what have I missed now, Brad? Um...
Oh! The IT band.
- Ah! You can't forget about that.
- [Bob] So it's a band that runs along
the outside of the leg. It comes all the way down
and attaches into that fibular head.
- [Brad] Right.
- [Bob] So it's gonna be tender along here,
and you often find that with overuse injuries,
like running or biking, and if that's tender along here
or you feel some clicking along here
you may wanna foam roll the IT band.
- [Brad] Sure. - [Bob] And stretch.
- [Brad] Yeah, there's some specific stretches
you can do with that. And I think we have a bursa
in there too, that can get irritated.
There's a number of bursas in the knee.
- That's right. Bursas all over.
And speaking of bursas, Brad, let's talk about this one.
- [Brad] OK.
- [Bob] I always look for this one,
the pes anserine bursa, that sounds like a lot-
- [Brad] Where do they come up with these names?
You know, pes anserine- why don't they just call it
the inside knee bursa?
- [Bob] Because, what does pes anserine mean?
- [Brad] Did you look it up? - [Bob] Goose's foot!
- [Brad] Oh! No wonder, now it's making sense.
- [Bob] So it's got three tendons.
- [Brad] Oh, I see.
- [Bob] You know, like a goose's foot.
- [Brad] Yeah. - [Bob] And it's got
one, two, three- - [Brad] Oh, OK.
You've got it drawn in there, too!
- [Bob] Yup. And the bursa's right below that,
and if you palpate, you know, you're down, quite low
below the knee. A couple inches, almost, probably.
- [Brad] Mm. So below the joint line.
- [Bob] Yeah. Below the joint line.
I'm probably a little bit high, to be honest with you.
It's probably down here further.
- [Brad] Well, one way or another, you'll feel it when you-
- [Bob] Yeah. You'll feel it, yeah, it's tender down-
way down here, you're going, ow!
I might have a little bursa problem. And then
you want to stretch these muscles. Hamstring, sartorius,
gracilis, right?
- [Brad] You've been doing your homework, Bob!
- [Bob] Yeah, that's right. - [Brad] Most excellent!
- [Bob] But I had a senior moment there, so-
- Don't worry about it. What else we got to talk about?
- I think that's it, Brad. - People might be wondering,
what are we talking about, a bursa?
- Oh yeah. - And there's bursas,
they're little fluid-filled sacs,
I always think of 'em like a pancake,
and if you have a, a tendon or a ligament
that's over the top of a bone
it's gonna rub on that bone and create friction.
- Right. - So you put a bursa in there
and it allows for lubrication- - Right.
- And keeps things going smoothly. So-
- And like Brad said, there's bursas all over the knee.
- Yeah. You got 'em in your shoulder,
you got 'em in your knee, you got 'em in your hip.
And they- so if you got bursitis, it's like, well, where,
which bursa sac is it inflamed, and they become irritated.
Lot of nerve cells in there, when they get inflamed, ouch.
- Yes, they can be very tender.
- They talk to you. - So, you know,
when you find out that you have a problem, first off,
you may want to go to the doctor and verify.
- (laughs) That's a good idea.
- But you then check out our videos
that will get into detail what to do
for each individual problem.
- Exactly. Right.
- All right. We can fix about anything, Brad.
- Yeah. Oh yeah! Except for, I had a thought,
I had a thought, but I did- - Ah!
- Senior moment! Let's do the heart thing.
- Are we allowed to have senior moments before we're 65?
- Yeah. And I'm not even 60 yet, so no, I didn't have one,
I just, I had a- - A brain fart?
- Right! That's what I was thinking.
- All right, thanks for watching.
- Be careful!