♪ Bob and Brad ♪
♪ the two most famous ♪
♪ physical therapists ♪
♪ on the internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together we are the most famous physical therapists
on the internet.
- In our opinion of course, Bob.
- Today we wanna talk about the six big lies
about hip pain, hip arthritis, and surgery.
These are common statements that Brad and I
have heard over what,
50 some years of treatment?
- Combined.
- Combined, yeah
not 50 alone.
But we hear these commonly occurring themes
and so we're going to address that.
So hip pain obviously can occur at any age,
you know if you had like a sporting injury,
or you have trauma.
But, as we age,
it can actually can show up for no reason whatsoever.
I mean, all of a sudden, you know,
you're 50, 60, 70 years old.
- Right.
- All of a sudden it pops up one day.
- Right, right.
But you know, it can go away too.
- Yeah, it can go away too.
- And so that's what we're going to address a little bit.
- Yeah, so we're going to talk about the typical scenario.
So someone goes in they're 50, 60, 70,
they go into the doctor,
'cause they're having hip pain,
just started on its own.
First thing the doctor's going to do
maybe an X-ray, MRI, CAT scan
not the first thing, but maybe.
- Yeah.
- Depending on the doctor.
- Right.
- But eventually what they're going to show,
you're going to see these results of your scans,
and it's going to say,
there's degeneration and osteoarthritis in your hip.
It might be bone on bone, even.
- Right.
- And you're gonna, oh my gosh that's,
now I know what's causing my pain.
So they're going to do medications, injections
and maybe even surgery.
- Sure.
- But what we have found is that
and study after study has shown this is that
it's really osteoarthritis degeneration
is just part of the normal aging process.
- It's like getting gray hair.
There are some things that may increase it.
For example, maybe some muscle tightness
around the joint is making it worse
and if we can loosen those muscles up,
the pain can decrease and actually improve things.
- Exactly.
So it's not necessarily what you're seeing is the problem,
'cause the studies they've done is
they looked at people with no hip pain,
did X-rays or MRIs on them
and they found lots of these same things.
- Right.
- They found, and the other thing,
Brad, I'm sure you've seen this a million times.
Somebody comes in and they have,
they're gonna need surgery on both knees,
but they're doing it on the one that looks better
to start off because that one hurts more.
- As far as.
- Surgery first.
- X-rays.
- Yeah, X-rays of both knees.
- Right.
- They're both bad, but one really, really hurts
and that's the one they're going to do surgery on
and that one doesn't look as bad as the other one.
- Right, so the X-rays and the pain level,
they don't always.
- Match.
- Add up, you know.
And it's just.
- And that, I bet you right now,
we could do an X-ray of our hip Brad
and I bet you they find stuff.
- Oh yeah.
- I know they would.
- All right.
I want to say that, you know, two episodes and you,
I worked with you on both of them
I had severe hip pain where I had to use crutches
and I thought, well maybe I better go in
and get this X-rayed.
And I didn't and both times within three days,
the hip pain got better and actually
it went back to completely normal, I was.
- And it probably helps that Brad's a therapist
because he knew what you know,
what to do as far as calming the pain down.
And also, you know, that's the part of this whole,
this video by the way,
is a part of a series of videos on hip pain.
If you go to Bobandbrad.com go to the program section
look for the one on hip pain
and we've got a whole series of videos
and you can look through'em,
pick out the ones you wanna watch,
but they're going to tell you what to do
to calm your hip down
and not possibly take the pain away.
- Sometimes it's stretches, sometimes maybe strengthening
heat or ice or strengthening and,
- Well they're all about 10 minutes long.
- Yeah might be poor daily habits.
- Right.
- And hip inactivity too,
if you're not moving your hip enough.
- And another big one here,
I don't know if we have on the list, Bob,
oftentimes you can get pain here in the hip
and we find out it's from the back,
a referral pain, which,
you know even doctors can get that mixed up.
It can be tricky.
The human body with referral pain can be a tough.
- For those of you who are listening to the podcast,
he was pointing to his back,
the back of the hip there so.
All right.
The second lie,
if you have arthritis
it's going to just get progressively worse.
That's not necessarily true.
They've done studies and they've done scans of people and
you know, a couple of years later,
and sometimes it's no longer, it's not worse
and sometimes it even gets slightly even better.
- Right and maybe if your activity level improves
and the pain goes down,
that's what we're looking for
even if the X-rays didn't show it got better
but you can move better and you're feeling better.
You know, that's where we're looking,
that's where the bread and butter is.
- My wife doesn't like when I mentioned her,
but she is an example here.
I'm even going to tell her age, 56
when she was 54, her knee.
- I remember this
- Fired up and it got so bad she was on crutches.
She thought she was going in for surgery.
She, I was like, ah, you know,
she couldn't even walk.
I mean, and not even think about running, 'cause she was.
- She was using a cane or a crutch.
- She was using two crutches first,
then she went to one crutch.
- Sure.
- But we worked on it and she's back.
She ran like three, four miles this morning.
- Really?
- Yup, she's been running, no pain.
It's just awesome.
- I suppose, running away from you.
- Yeah, it's a motivation, so.
Number three lie
is I wore out my hip because all all my life
I've been running or hiking or roofing.
I hear like farmers say, because I
I wore out my knees because of milking.
- Right, right.
- And in that case, it might be actually true.
- Well, especially on those concrete
surfaces as well.
- But actually it's not true as far as running or hiking
because active people have better joints.
- Right.
- If you're using a joint,
it's going to be actually healthier than if you,
you know you increase that synovial fluid,
increase the blood flow to the area,
it's the inactive people or sedentary people
that start having the hip problems
and arthritis that doesn't go away easily.
- And there's always exceptions.
But as a rule.
- As a rule.
- People who move more within reason, of course
and not doing excessive, extreme things,
the body likes it, it adapts to it, it's healthier,
all the way around.
- Number four.
I don't want to make it worse, so I'm going to rest it.
Now, that is okay to some extent,
but people rest it too long or they like,
we like the fact that if you can take
some of the weight off the hip.
It can actually maybe decrease the pain for a while
and calm it down.
- So a good example is you have hip pain
when you walk or when you stand.
So, you know your body's telling you,
don't stand, don't walk
so what you can do is alternative,
possibly as someone a good alternative
that's not very practical for a lot of people's swimming.
- Right.
- But who has a pool or access to,
install a stationary bike,
maybe a nice non-weightbearing motion.
- You're still moving the hip,
- Yep.
- But, and you can even do,
lie on your back and bring your knees up
and rotate them back and forth.
That even gets a little movement in your hip.
- Right, and we do have a number of these videos,
we'll show you,
motions you can do without stressing the hip
with weight bearing.
- Number five lie.
My mom had arthritis so
I'm pretty much destined to have it too.
And the fact is.
- That's a possibility.
- There's a possibility but.
- When you do that,
it kind of pre-programs you and it's like you're.
- Yeah.
- I'm destined to have arthritis, no matter what I do.
And the fact is almost everybody
gets some arthritis at some point.
And lifestyle, your lifestyle and exercise
are more important than the heredity factor.
So if you can go ahead and do the things that
we're going to recommend in these upcoming videos,
you can help knock the pain down or keep it down.
- Exactly.
- Go ahead Brad.
- Well, I was just going to say,
I'm reading a book right now
about a woman who teaches Pilates and other motions,
and she focuses it around,
works with people specifically with pain in their joints.
- Oh, sure.
- And the whole concept of keeping moving,
doing the right motions that don't irritate it.
- We're reading some of the same books Brad
because I'm doing the same thing right now, two of them,
it's always about motion.
- Right, keeping things moving
with proper motion that doesn't irritate it,
which isn't always easy to find for some people,
but you gotta look for it
and that's why therapists are here
and that's why she's there.
But, and that's why we have our videos
that help you all to find those.
- Yeah, because it can make a big difference in your life
especially if you're having some chronic pain.
- Yeah, exactly.
- Number six, the final, big lie.
I'm going to need a hip replacement anyway
so I might as well have it now.
Now first off, it may not be true
that you're going to need a hip replacement.
And again, we talked about the arthritis possibly could
you know, stall out and not get worse.
And if you do some of the exercises and stretches
and the strengthening and proper habits,
you may never need one.
- Right.
I do want to mention, you know, they may say, well
I saw my orthopedic surgeon,
and he says that hip needs a replacement.
And that may be, however
if you go to another orthopedic doctor,
he might say, well I've seen a number of hips like this
and had some therapy
and they're able to get away without it.
So a second opinion can also be very helpful.
- And you know, if you have a hip replacement
when you're two young, obviously they wear out.
- Right, the replacement does.
- And you could end up having to have another one,
you know, in 15, 20 years and so
you want to delay it as much as you can, if you can.
And as long as you're healthy, I mean.
- Because if you get one at 45 years old
and say if it lasts 20 years, you're 65
and that's called a revision when they redo it,
any surgeon will tell you that
it's much harder to do a revision
because you got the whole hardware removed.
Yep, it's a big challenge and they like to avoid that.
So it's.
- When you're 45, 65 seems like a long time away
but it's not.
- It comes around pretty quick.
- So yeah, again, check out the program on hip pain
and each program,
or each video has a PDF.
- PDF printout
and it prints out the highlights of the exercises,
so that you can review that
and then you don't have to go back and look at our faces.
You can actually just, you know, see if.
- Well if you want to come back and look at our faces.
- Well, yeah, you can, but you know
I understand if you don't.
- All right, that's why podcasts are nice,
you don't have to look at it us
All right, thanks for watching.
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