- [Music] Bob and Brad
the two most famous
physical therapists
on the internet.
- Hi folks.
I'm Bob schrupp, physical therapist.
- Brad Heineck, physical therapist.
- We are the most famous physical therapist on the internet.
- In-- In our opinion, of course.
- What were you gonna say, in our opinion?
- Well, don't worry about it.
I gotta get to the speech class again.
- All right.
Today, Brad, we're gonna talk about paraffin wax,
a spa treatment for your hand, wrist or feet.
- A spa?
- It's kinda like a spa at home. Yeah.
- Yeah, like going to the hot tub.
- Yeah. - For your hand. Okay, good.
- Yeah, for you at home.
And this is really good for arthritis, tendonitis and so on.
- It is.
- And the other thing, the, the side bonus of this
is that it moisturizes your skin.
- Right.
- And this is, I can tell you this
because my employees down in Rushford,
they always put their hand in this thing all winter long.
(laughter)
So they're--
- So they're using self treatment. Yeah.
- And we were most fortunate here
in that the people from FEI, this is their catalog,
Fabrication Enterprise Incorporated.
They have a lot of products
with a lot of different brand names.
- Sure.
- And they sent us this, the wax well paraffin bath
and this is available online,
or through their distributors or through their catalog.
If you're a therapist, you wanna get their catalog.
- Right.
- And it's, it's with all the accessories it's $150.
- Sure.
- Without the accessories, I think it's 120.
- [Brad] Right. Well, let's find out how to use it.
- [Bob] Yeah. It's really nice. You first start off with,
you're gonna get some wax along with it.
It sends a bunch of non scented paraffin wax.
You want to make sure you're using paraffin wax
and not canning wax or candle wax.
With candle wax,
it has a melting point of 150 to 170 degrees.
- Yep.
- And your skin will burn or scald at 140 degrees.
Can you see how that doesn't work out, Brad?
- So if you, yeah,
I mean if you're one of those people that think, well,
and I'm one of these people. - Yeah. Yeah.
- I'm always trying to do the home home stuff.
I'm thinking maybe I could use candles and melt it on the,
on the oven and put my hand in that wax and cost me,
I'd save 150 bucks.
But if you do that at that temperature
you're gonna scald your hand.
You're gonna have to go get skin grafts.
It's gonna cost you thousands and thousands
of dollars and your hand will not work good.
So make sure--
- I know this because my German teacher,
we were making candles when we were kids,
- Oh yeah.
- to sell.
And, and it, it, it exploded, and she got burned.
- Oh.
- Yeah. Not severe, but.
- Yeah, it's not like this.
- Right.
- This one feels good.
- So again, you're gonna wanna get the,
the wax well wax that comes along with it.
And if you need some additional,
which you might need over time
'cause you need to replenish it.
- Right. And don't, they have some additives,
if you want to get some moisturizing.
- I think there is oil in there that helps.
- That's existing there already.
- Yeah, already. Yeah.
So that it'll seep into the skin and moisturize the skin.
- Sure.
- So you're gonna go ahead. You plug the unit in.
I don't think there's any settings on this. Is there Brad?
It's just one.
- No, it's just, you just plug it in and go.
- Right Lonnie, you just plug it in? Yeah.
You just plug it in, and it's ready to go.
- And you're gonna, you know,
read how many of these solid bars of wax to put in there.
Of course it's gonna take all night for it to, to liquefy.
- Right.
- So you're not gonna, you know,
come home and plug it in and do your hands, you know,
that night it's gonna wait till the next day.
- And it comes with these little plastic bags
that you're gonna put over the hand once you've dipped it.
And then, then you can put it within the little mit.
- Sure.
- That it comes in.
And now you can do this on your hand or your feet.
- Right.
- And you know, I was thinking with your feet,
not only are they good for pain, but you know how the skin
gets really dry and cracked on your, on your feet.
- Mostly with older people. (chuckle)
- Yeah.
So that alone might be a good reason to use it for that.
- Can we get to it Bob? I'm anxious.
- All right.
So what you want to do is first, you know, this is,
especially if you've tried this the first time
you just wanna stick your pinky in there.
- Yeah.
- I mean, you want to go ahead and, and just, you know?
- Feels, feels kind of warm, doesn't it?
- Yeah, it's warm. Do you want me to do it, or?
- No, go ahead Bob. You do it first. I'm not gonna do it.
- So go, yeah.
We're gonna go ahead and we're gonna go ahead
and we're gonna start just, you know,
you might dip the fingers a little bit to get,
to start getting accustomed to it.
- [Brad] Believe me, it it's a little more than warm.
It feels on the hot side, but it's not gonna burn your skin.
So you have to go in gently
and once you get in there and get used to it,
it's like in a, jumping in a hot tub of water.
It's a little warm at first, but then it's very good.
- [Bob] Yeah. Now I'm really adjusting to it, now.
I really want to, we don't have it probably filled up
as much as I'd like to see it.
But, I really want to get it way up into the, the wrist.
- [Brad] Above the wrist.
- [Bob] Yep.
So we're gonna go ahead and keep working it here
- [Brad] Now, get up so they can see that,
now turn your hands this way. Yep. So he is got one layer.
- [Bob] I probably should have my fingers apart too.
So get it in between the finger.
- [Brad] Exactly. So you're not gonna be able to go,
you won't be able going down quite as far
'cause it's a tapered--
- [Bob] Right.
- [Brad] Tapered
- [Bob] So I'd say four or five times
and then you gotta let the drips come off.
- [Brad] Yeah. You know,
and I might even say leave it up and dry a little bit longer
between dips.
- [Bob] Oh, sure.
- [Brad] So that it builds up more.
It's like putting a coat of paint on, you know,
you want to give it a dry a little bit
before you put the next coat of paint on.
But for, for speeds sake, and this is really fun.
And then--
- [Bob] You know, it's really hard to simulate this in,
in trying to get the warmth like this,
so encompassing, you know, I mean it really
really does work really quite well. And there we go.
And now, you know,
what's nice about this is you can leave this on.
I mean, you can,
you can leave this on a good half hour or longer.
There's no really, no limit.
I mean, it's not like a,
a hot pack that could burn you or something like that.
- I mean, it's gonna cool down whenever it cools down
but you, you put the plastic on so you can in--
or isolate it.
Then you can put this insulator on
without getting the plastic on anything else.
And as it cools down, you'll see how nice this comes off.
You might think, how am I gonna get that wax off my hand?
Well, you you'll see it. It's slicker and slick.
- Yeah. The thing is, so yeah, 15 minutes to 45 minutes,
you wanna allow the oil oils to penetrate the skin,
for one thing.
- Sure.
- So that that'll help soften the skin and--
- They got a nice little Velcro thing here,
so we can tighten it up a little bit.
Oh they do, that's kinda handy dandy. Okay.
- Again, the wax well works out really well (chuckle)
- And what we, I've never had these,
I've always just take a towel and wrap, you know,
I just use, you know any plastic bag I could,
I could get ahold of.
And usually it was a, you know,
a clean garbage bag to be honest with you,
but it's right out of the box, put that on, put that on,
and then wrap the towel around them and let the patient--
- I've done the same things, yeah.
One thing we were so anxious to start dipping,
we forgot to, Brad, really,
before you dip you want to inspect the skin.
- Right.
- And, and even use a disinfectant.
- Sure. - I, I would go ahead.
And especially if you're using this among other people.
- Sure.
- I would use a disinfectant,
and then I'd also make sure you don't have any open scars.
- Right. Good point.
- And take off your wedding ring. (chuckle)
I would probably,
I'd probably do all those things before you,
before you move forward here, so.
- If it's a real smooth ring, like,
you know like my wedding ring,
I could probably clean it off pretty easy,
but if you've got, you know some really fine jewelry,
it's, it's not good for that.
- So we're gonna go ahead and remove the bag here.
And then where am I gonna put this now, Brad?
- What's that?
- I can't put it back in. You have a garbage can?
- Well, just take it off. We'll get it somewhere.
- Okay. So again, you can just work your way off here.
- Do a little of this. There you go.
- I'm not even doing a little bit of this.
- Oh, look at that.
You don't even have to work it a little bit.
- I'll just put it in the bag.
- Yeah.
- Look at that ta-da.
- There you go.
And then it's recommended to take the old wax
and discard it, throw it away.
- Can you give me a towel, Brad?
All right.
After what's really good right after you've done the wax,
is to do some exercises with the hand.
So this is a common, what we called at Mayo Clinic,
when I worked there,
is the six pack 'cause there was six exercises.
- Oh, don't get, get it confused with having a six pack.
Do the six pack exercises. (laughter)
- Let's, let's start off with some of 'em Brad.
One's the table top.
- Yep. I have a hard time with the table top, but.
- Yeah. And you can go up into the claw from the table top.
- Yep.
- Table top, claw,
tabletop, claw.
- And I think it'd be fine for like I'm, I'm assisting,
I'm using my other hand to stabilize my wrist,
just so my fingers move.
- Yeah.
- If you want to isolate the finger joints.
- And then you can go ahead into a full fist,
where you take it all the way down into the crease.
The hand, the fingers are going all the way down
into the crease.
- Now I've had patients after surgery,
a month or two after surgery and they can't do this.
I say, take the other hand and gently close it.
If you want to stretch it into that full fist,
if that's the goal.
So, you know, you can give a little passive range.
- Then we're gonna do just the half
or no more like this. I'm sorry.
This is this one where I call it the duck.
I don't know. It just looks like a duck beak to me.
- Well, yeah, I think it looks like Bert and Ernie
on Sesame Street, but anyways.
Yeah. So we're trying to isolate different joints
and to get 'em all to move, you know?
So there's nothing real special going on here.
We just want movement.
- Sometimes you can isolate,
if you wanna isolate on a finger,
you can just actually move each joint like that.
And then the last one, I don't even remember the six,
there was five of 'em that I remember Brad.
Number five would be touching each finger like this.
- Right. So you're getting some strengthening,
some coordination done with this one as well.
This looks really easy, but after an injury
or if you got painful hands,
this can be pretty challenging to get all five,
all four touches.
- And you certainly may want do some wrist exercises too.
Reflection, extension.
I always like this one, Brad,
where you take it and turn it out like this.
- Right. Twist down, and rotate.
- Twist down, turn out.
- So repetitions on all these this,
probably around 10 repetitions is a good place to start
10 to 15, just so you have an idea.
- And I want to introduce just a few of these Brad,
we're gonna be showing these in another video,
but these are also by FEI
and these are their can do exercises, hand exercises.
- Sure.
- And they have quite a few of them.
They're really quite cool.
This is probably the,
I'm guessing that was their first generation,
is the Digi-Flex.
- [Brad] We'll get a little closer.
- [Bob] Yeah. You can work, work each finger.
- [Brad] How is that Lonnie?
Well, don't move the camera. I'll get it.
- [Bob] Fear not, you sure how durable it is because--
- [Brad] Yeah, you don't have to worry about dropping 'em
that's for sure.
The nice thing about it is,
is you do each finger individually
and you can see my ring finger is weaker
and it gets harder and harder.
And these are the, the color of the,
of the tool designates the resistance of the springs,
I believe, because we have the more advanced model.
- [Bob] This is the more advanced model model.
This is the Digi-Flex Multi hand exerciser.
And what, what the difference between this one is,
you can actually remove these
and take 'em out and put in different, different resistance.
This is really cool, Brad.
- [Brad] Right.
- [Bob] I don't know if I've even opened it up yet, Brad.
- [Brad] Oh, Bob I'll I'll get it open don't worry.
- [Bob] So you can go ahead and, and you,
if you can put a different resistance for each finger--
- [Brad] Right. Well show 'em how it works.
- I think if you're a, a horn player ,trombone player,
you'll be-- not a trombone, but a--
- Trumpet.
- [Brad] Trumpet. Yep.
- So yeah, this one, you know, this,
my smaller two fingers are not as strong,
and so they're a little more, they're working harder.
So I'd probably like to have a,
a lesser resistance on this.
- [Brad] Right.
- Where these can actually, you know, are quite strong, so.
- [Brad] Right.
And this would be really effective if after a stroke
or if you had a surgery on your hand
and you really wanna strengthen, you know,
a couple fingers that have been damaged.
And they need the work. - [Bob] This is a cool set.
We're gonna be giving away some of these,
by the way, eventually so.
- [Brad] Oh excellent. I wanna play with this Bob.
- And the last one I thought too, was quite clever is
I believe this is called the flex and extend.
So they gotta--
Using a ball, they have slots for your fingers
and you can squeeze the ball,
but you can also work on extending your fingers,
so you can work on, on strengthening the extenders,
which is difficult to do.
So this works out really well for that.
I don't got these all hooked up
quite the way they should be, but there we go.
Now she'll, she gives good resistance to each finger
and then I can squeeze and I can extend, squeeze and extend.
Really quite clever Brad.
- [Brad] Yeah.
- [Bob] They've done a great job.
You still haven't gotten that off, have you?
- Yeah. I have look at that.
This is, oh, you push that little button and whatever.
Cool.
- And they go off, what are the size?
They got 13 pounds down to 0.75 pounds.
- Oh yeah.
- You got quite a range.
- Oh, look at that. Much easier than this.
So that's where my pinky, look at that.
I, this really encourages me to start playing a trumpet, Bob
but no, it was really nice.
This is a great, great, great set.
- [Bob] Great set. Yeah.
- All right, thanks for watching everybody.
- Okay. Take care.