♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
(clapping)
- Hi folks I'm Bob Schrupp physical therapist.
- Brad Heineck physical therapist.
- We are the most famous
physical therapists on the internet.
- Y'know, opinion of course Bob.
- Today we're talking about ankle sprain,
how to heal quickly with the best two braces.
So we got two braces here that we think will do the job.
- Well, Bob, I been thinking about this for years now.
I've been using a lot of different braces,
but these are my two favorites.
- These are you go-to guys.
- Exactly, and they're set up for initial sprain
and then as you get into the rehab and even long term.
- And yeah for use after the sprain,
like to prevent additional sprains.
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Yeah this is our, this is really nice.
This is a standup desk by Veridesk,
it's the 360 plus.
No not 360 plus, the. (chuckles)
- ProPlus 36.
- ProPlus36. - Make sure you get
the right model.
- I think 36 inches wide, would you say that?
- I believe that's so.
- So, this is really a nice desk
at like 10 different levels of adjustment, so,
these are really well made.
These guys don't mess around, so.
They actually have a nice chair too.
- Oh yeah I really like the chair.
- [Bob] All right Brad you can go ahead and take it away.
- All right ankle sprains, what did we,
you looked this up I think, you said--
- That was like the most common injury.
- Most common injury worldwide.
- Yeah. - And it makes sense.
Everyone has probably sprained their ankle
some time during their lifetime.
And if you're active, you've sprained your ankle
probably a number of times.
I know I have.
- I've only done it once.
- Only once, okay well, once is enough.
- I got good ankles.
- But one way or another, very common sprain,
and 90% of the ankle sprains
happen to the ankle going this direction,
call it inversion, occasionally goes the other way
but almost always this way, like I said 90%.
So we're gonna cover those, that's a big part of it.
And one thing, any time you sprain your ankle
it hurts like crazy when it first happens,
and then if it starts to swell like a little balloon,
you might get some ecchymosis or redness
or you might get some of that bruising.
- What he means by ecchymosis.
- Yup, get the cold pack out immediately.
So the old praice if you're not familiar with that.
Protect it, you're not gonna walk on it,
you're gonna rest it, you're gonna put some ice on it,
elevate it above your heart level,
so lay in the recliner it gives a good excuse to relax
with the cold pack, get the swelling down
over the first couple of days or so.
- I think we should mention Brad that in many cases
you may need to see the doctor
to make sure you don't have a fracture.
'Cause you can fracture the end of the fibula.
We actually had another video on how to show
where to palpate and push to see whether or not
you actually have a fracture.
- Right, you can attempt some self diagnosis.
But going to the doctor, get it for sure.
- You don't have x-ray vision,
you can't see whether or not you fractured something, so.
- Once that's confirmed and you've been working with it,
eventually you'll get to the point
where you can walk on it,
but it's still kinda a little painful
but you can still walk on it.
At that point you do wanna walk on it,
but oftentimes it's really helpful to have a brace on.
To help keep the swelling down and support it,
and the brace that I like the best,
and do you like this one too Bob?
- The ASO? - No.
- Oh the-- - The one Ryan's wearing.
- Yeah Ryan come on in.
The Air Stirrup.
- Yeah, especially right away as you said.
You can even put it on before you start weight bearing.
- [Bob] Why don't you introduce who this is?
- This Ryan my nephew,
Ryan Ticom and he's here to help us out.
- [Bob] Can you imagine having Brad as a uncle?
Just picture that for a minute.
- Yeah well Ryan's, he's putting up with it pretty well.
(speakers drown each other out)
So, here's the ankle brace as it fits inside the shoe
and it works really well,
some of 'em you can actually,
there's two air bladders in there
and you can blow up and tighten it
or take the compression off if you like.
It offers that support, so the ankle is supported.
- It can conform nicely to your ankle
because you have air fill.
It's very solid, so it's not gonna allow
any lateral movement.
- Right, it allows this movement.
- [Bob] Yeah but that's it.
- But not, especially the way that it was injured
you wanna stabilize that direction.
Can I take your shoe off Ryan?
Is it safe for me?
- [Bob] All right, we're not gonna pass out.
(chuckling)
- Okay, so just to show how this goes on and off,
we'll take it off, all right.
And here you can see the air bladders,
they go up the full length and it's a double one
around the malleoli or the bony ankle part, here and there.
So it just Velcros on and it's very simple,
I've had, I've never had a patient complain about these.
They say they feel good,
they feel better when they walk on 'em with this.
- [Bob] Some people might wrap in addition to that,
with the swelling.
- Yeah, you could put some ace wrap on there as well.
Once you get to the point though,
when you're wearing these you already doing some rehab,
you're doing some range of motion,
some strengthening, and there's a whole rehab system,
we've had a number of videos on that,
right now I wanna focus on the brace.
When you get to the point where you can walk with this,
it's pain free, you can start going up and down stairs,
and you think "Jeez I don't know
"if I really need this anymore,"
well then you probably don't.
But, at the same time, if you go outside
and you're walking on uneven surfaces
and it tweaks your ankle and it hurts
and you feel like you gotta walk slowly,
you still should have an ankle brace on,
particularly when you don't know
what kinda surface you're on.
Like if you walked across the grass
and there'd be a hole.
- Unexpectedly. - Yep.
So this is my favorite ankle brace
and I've used this on a lot of patients,
I've used it on myself personally,
and my daughter who was active all through high school
and in college, she wore these all eight years
between high school and college.
- [Bob] It's a very popular brace,
especially in athletics.
I mean y'know, when you're going on
to the next step where you're going back into competition,
this is a nice one to be using.
- [Brad] But even at the last say 25% of your rehab,
you'll probably be wearing this,
and it fits nice because I just slid it on.
- [Bob] It's got a lot of different adjustments hasn't it?
- [Brad] It's snugs very nicely,
this way you get a full wrap around the ankle and foot.
- [Bob] So first a lace wrap up.
- [Brad] Yep, and we tuck it 'bout like that.
Now this is where, this is what, the part--
- [Bob] The part that really gives it support.
- [Brad] Yeah, this is what sells it to me
and really works.
This you wrap around, and we're gonna come up on this side.
And see what's that doing,
that's pulling it this way which makes it easier,
prevents you from going the way that you normally sprain it.
(speakers drown each other out)
So this one comes up, give us some support,
but this is the one, if it's an inversion sprain,
we don't want it to go that way,
this one comes up over the top of the foot
and then what I like they put a little finger in there
and then you can really pull up.
- [Bob] Give it a good tug.
- [Brad] Yup, and that really adds that support
in the direction you need it.
And then even from there on,
oops I forgot that's gotta go over there.
- [Bob] Then they have nice, the final thing,
the hold that traps the Velcro in place.
- And the shoe laces, so they y'know
keep them in line so you don't get a problem with those,
and there you go.
Now, I've sprained mine running,
when I was running in the woods on trails,
and I use this for running afterwards
on those same trails until I got strong enough
where I didn't need it.
My daughter used hers, bad sprain playing basketball
in high school, I think that she was a Sophomore,
and then for every game after she was done
she wore it every day.
Or not every day, but every game or every time she'd
get a hard practice 'cause her ankle,
if you sprain your ankle once, the second time
is gonna happen easier.
Then you have a higher risk
of re-spraining your ankle after the first time.
- You lose that position sense
of where the ankle fell.
- So and now, or if you go hiking,
it may not be a game, if you go hiking
on uneven territory,
you know ankle's suspect to ankle injury,
you get your ankle brace out and use it then.
But we don't like to use it every day for typical use,
just walking around.
- You have to be able to wean off of it
eventually for every day use.
- Exactly. - Y'know this looked
a little bit complicated, but it really isn't that bad.
- Did I make it look complicated?
- You did a little bit.
- Yeah yeah, but it really,
once you get the hang of it
it's just gonna be very quick, so, okay.
I gave it a shot.
- Thanks everybody for watching.
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