♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
(music ends)
(slapping sound)
- Hi, 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, Bob.
- Brad, there's a lot of people out there,
you have tennis elbow and it's just not getting better.
- Right.
- And, there may be a reason for that.
It may not be the typical tennis elbow.
What it may be instead is there may be something going on
in the elbow itself instead of the muscles.
- In the joint.
- In the joint itself.
- Sure. Hm.
- And well what this is pseudo tennis joint, or false -
- Okay.
- tennis joint.
Cause it's really not
- Tennis joint or tennis elbow?
- Oh, tennis, tennis elbow, sorry.
- (laughs)
- Good point.
- I caught him again.
- He caught me.
All right, one of the signs that it might be pseudo tello-
pseudo tennis elbow, is that it actually,
your elbow doesn't straighten out all the way.
- Okay.
- So if you compare the two, one might be a little -
the one that is a problem one -
- Right.
- the one that's giving you pain, actually
might be bent a little bit.
- Let's do this, from uh,
- The side.
- Yeah.
So if you're lookin' at it here,
you can see this one's straight
and this one would be as straight as he can get it,
but it's clearly not fully extended.
- Right.
- Okay.
- If that's the case, then these are some of the exercises
you wanna try.
Now you can try these anyway,
even if you just have regular tennis elbow and you're not -
- Sure. Hm.
- sure if this is it.
- Cause it certainly won't hurt.
So, the first one is,
I'm gonna show you the one I think is most effective.
You're gonna put your hand on a table,
so you're gonna put the hand this way
so the forearm is facing forward and the hand is facing back
- And his fingers are wrapped around.
- Yeah.
- Ooh.
- Well, I didn't get you - you with us here?
- You can see this?
Okay, just in the corner of the -
She is good, Bob.
- Yeah.
- Okay, next.
- So you're gonna be like this, I'm gonna get rid of my tie.
- Mm.
- So, oh wait a minute, that might cover my microphone.
- Oh, Bob, let's just get on with the exercise.
- I wanna be in a good position here, Brad.
- Okay, yeah, we don't wanna miss anything.
- So, you're gonna put this here.
The elbow's not straightening all the way,
you're gonna take your hand
on the lower part of the bone here
and you're gonna push it this way.
- Right, so below the elbow joint, coming this direction.
- Yep, pushing. I'm putting pressure on, pressure off,
and while I'm putting the pressure on,
I'm trying to straighten the elbow
- Straighten the elbow.
- Yeah, so I'm pushing this way
and I'm trying to straighten the elbow at the same time.
- Okay.
- So, pressure on. Pressure on. Pressure on. Pressure off.
- Let's do it on the side view, so they're clear.
- Pressure on. Pressure off. Pressure on. Pressure off.
- And what if they experience pain with this, Bob?
- You should - yeah - I, I would back off then.
- Right.
- Um, you really don't want to increase pain
with that at all
- If there's any sharp pain, for sure, you just stop
- Right.
- It's not the right thing to do.
- One that's probably a little simpler to try would be
what you do is just take your hand and you're gonna pull it
into full flexion, we call it,
- Hm.
- bending here, and you're gonna first turn it this way.
Which is actually... that's pronation.
- Yep, supination.
- No, this.. oh yeah, you're right! supination.
- They don't care anyway, Bob. (chuckles)
- Supination. Yeah.
So you're gonna take it and you're gonna turn the wrist
and you're gonna bend it.
- Yeah.
- Pressure on. Pressure off.
- So you can see my palm is going towards you.
- Now if you're confused about which way to turn it,
don't worry cause you have to do it both ways.
- (laughs)
- You have to do the other way, too.
Turn it as far as you can that way
- Yeah.
- In the other direction.
That's pronation.
- (chuckles)
- So turn it.. so in other words,
we're turning it this way as far as we can
and bending it,
and we're turning it this way as far as we can.
- Right.
- And bending it. This way. This way.
- Right.
- Okay. Ten times each way.
And then see that it's straightened out a little more.
- Sure.
If you've made progress, if it goes straighter
then you'll keep going after that.
Repeat that, how many times a day?
- Ten times.
- Right.
- Well, ten times, and you can do it every hour, Brad.
- Okay.
- I mean, with all these, you can do every hour.
- So there not gonna create any pain,
you're gonna have extension more, more extension.
- You're hoping to get it extended,
if there's a little something floating around in that elbow
giving you the pain.
- Right.
- And I've definitely have seen this in patients.
- Hm.
- I've definitely have had people have had this.
The other one that's real simple to do,
is actually you're gonna turn the wrist this way
and then you're gonna just let it drop.
Here. Drop.
- That simple, huh?
- Yeah.
- How many times?
- I'd do it ten times also.
- Okay.
And again.
- And you're hoping that it's gonna, kind of,
put itself in place.
- Right.
- By the drop.
- So its just a very, like, relax,
all the muscles are just like Jello, and boomp
- Boomp. Let it drop.
- gravity take over.
- Yep.
- It's a McKenzie technique.
- Yep, easy.
- All right, give those a try.
Let us know in the comments below
if you're having any success.
- Right.
- And also if you have any other ideas for videos,
we're always open to it.
- Right, and then comment about Bob's ties,
see if you like it.
- Oh yeah, the..
- (chuckles) we better go now, Bob. I'm starting to regress.
- All right.