♪ Bob and Brad ♪
♪ The two most famous physical therapists on the internet. ♪
- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together, we're the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- Brad, you have an interesting case study
to share with us today.
- Right. - A patient that you saw.
- Yes, well, let's get on with it.
A 67 year old male and this happened just in March.
He had surgery on his neck between C7 and T1.
Okay, there were some problems
with nerve entrapment and they took care of that.
The pain down his arm was immediately gone after surgery.
Six weeks later, he's still working full time
at a saw mill actually, aggressive, very fit person
for his age.
- Sure.
- Continued to have pain in his right shoulder
and neck time any time he got above shoulder level
with his hand which was interfering with his work.
- Sure. - So by the end of the day,
work was not very fun.
So the doctor gave him a prescription for therapy.
And why don't you have a seat here, Bob?
- Do you know where his pain levels were at?
Do you remember?
- I did not get a number as far as pain numbers,
but he was taking three ibuprofen per day.
- So it was bad enough. - Yeah, for this.
And he's a type
of person that he doesn't like to take pills.
So that was part of the reason he wanted to get off of this
So he could work better and get off of these ibuprofen.
So, I put a mark on Bob right where his incision was
for the surgery.
It was right here.
And when I touched it and I moved it,
it was very clear there was a lot of scar tissue there,
like here, you can see, feel soft skin,
but if you have an incision,
you push here in an area about the size
of a 50 cent piece would move all together
and you know what I'm talking about.
- It was all scarred down. - It was all scarred down.
Well, we gotta work on this.
So I just start working it with my fingers a little bit.
And it's like, well,
we've gotta get something a little more effective.
So I got the PureWave massager here and I put the...
- With the attachment with the pointer?
- Yep.
With the point, the point stick on, they call that,
which is really nice
'cause I could get really specific on it.
So I turned it up as high as I could go.
- And you said you went through the clothing?
- Well first, yeah,
I wanted to get right around the incision
and I went over it as tolerated.
I stayed away from the Spinous Process here, the bone here,
'cause that would be very uncomfortable.
And yeah, if you go directly on the skin,
it kind of sticks with this head.
- Yeah, it could kind of pull these hairs.
- But all you need to do is get it over here.
- Yeah, that feels really good.
- And it feels better and I can slide it
across the skin and I got pretty aggressive with it.
- Actually, that feels really good.
- Okay and his response was,
he didn't say it felt really good
'cause it was working that scar tissue
and I just continued to work it until he said it felt numb
'cause he didn't have pain, but at first it was just okay.
But then finally he said, yeah, it feels numb.
And that's when I knew it was time to stop.
I wasn't doing it for real long.
It was only about three minutes or so.
But I got the response that I was looking for.
Okay, the next thing I had him do going home is,
where's the THERABAND?
I just had him take a THERABAND
and do some flexion as high as he could that was tolerated.
So he started out low and he worked it gradually up.
And then I also had him do some flexion and pullups,
that's what it was.
So here and he was just pulling up.
- Sure. - 'Cause I wanted him
to get those upper traps working and that was it.
And I had him go home and the second visit,
he came to see me the next week,
he said within two days after that first treatment,
75% of his pain was gone.
He felt much better at work.
He was down to one ibuprofen today
and I actually didn't even treat him that day.
He was very satisfied with it.
- So, and I think that's what I've seen Brad historically,
a lot of times,
it's amazing how much that scar tissue can cause pain.
- Right. - So if you've had surgery
and an injury to an area, there can be a scar.
Even if you haven't had surgery,
sometimes there's scar tissue in the muscle
from the injury.
- Right, exactly. - From a torn muscle.
- Yeah, we do get a lot
of feedback on our cross friction massages.
- Right.
- And so, if your figures are getting tired and sore,
this is a great tool.
- The PureWave is a good alternative.
We use these in our clinics all the time now.
In fact, it was interesting,
I had one therapist substitute at our clinic
and they said where do we get one of these?
And so we had to make sure we sent one along with them too.
- Sure. - 'Cause they were using
it all time.
Patients love it.
The clinicians love it.
And you'd love it too.
We'll put a link down below if you wanna buy one.
- Exactly.
- All right, thanks for watching.