- ♪ Bob and Brad ♪
♪ the two most famous ♪
♪ physical therapists ♪
♪ on the internet.♪
- [Bob] Hi folks. I'm Bob Schrupp, physical therapist
- [Brad] Brad Heineck physical therapist.
- [Bob] We're gonna be the most famous physical therapist
on the internet.
(clicking)
- In our opinion, of course, Bob.
- What is that?
- Just something clacking.
- [Bob} Okay, Brad, today, we're gonna
talk about tendonitis.
Doesn't matter where you have it.
You know, if you have tendonitis anywhere in your body,
we have this specific massage,
a special massage, that's gonna help you
take away the pain.
So, this is something you can do yourself.
Just make sure that you do it correctly.
- Right? And, and again, it's
there's a timeframe when you can do it.
And when you can't do it, we'll talk about that too.
- Sounds good. By the way
if you are new to our channel, please take a second.
- Yeah, we did have someone looking in out.
- Yeah, we did.
Please take a second to subscribe to us.
We provide videos on stay healthy, fit, pain free
and we upload every day.
- There you go. -Also head over onto Facebook
and like us there
Brad and I are deep into our therapy right now.
And we're just getting to that point where
we're starting to accept ourselves.
So if you accept us too, it'll move us along quicker.
- So, so like us, is that what you're saying?
- Yeah, like us. - On the Facebook?
- On the Facebook. Okay.
So this massage is something we've shown
in some of other videos.
It was developed by Ciriaz, Dr. Ciriax,
who was considered the father of orthopedic medicine
A man who was way ahead of his time.
And, you know I can tell this massage
has helped me, specifically,
with certain problems I've had,
as far as tendonitis.
- Oh, me too. And as, as far as our patients as well
but I think we get more comments saying
this really helped them out, - Yes.
- than other, you know, a lot of our other advice.
- Cross fiber, friction massage
or sometimes it's called deep friction.
- Now listen close because there's some things
that you have to do and pay attention to, to make it work,
and some red flags, so we wanna
- Wake up out there, pay attention.
- Yeah, exactly. -All right.
So this crossfire let's first talk about what it does.
It enhances the blood supply to the area.
- Right. -But the, probably the biggest thing it does
it frees up adhesions or scar tissue.
- Sure. - And that scar tissue is quite often the source
of your pain. Believe it or not.
It also stimulates mechanical receptors.
You don't need to.
- Yeah, we don't wanna get into all the details.
- When should you not do it? Let's talk about that first.
If you have like a bacterial infection, you know
which is pretty rare. I mean,
you wouldn't want to do it
if you have rheumatoid arthritis,
if you have, if you're trying to rub over a nerve,
That never helps.
- Right. That's gonna be uncomfortable.
- If you have bursitis. If you're diagnosed with bursitis,
which is different than tendonitis, it wouldn't be good.
And if you're starting to get some ossification
or growth of bone into the tendon. - Sure.
- Sometimes you'll have an x-ray
and they'll say there's, like - A bone spur.
- A bone spur. Yeah. Then if you're doing a bone spur
and you're trying to rub that tendon, it's not gonna help.
- Right.
- So generally what happens after
when you're getting a tendonitis, like for example,
let's say the shoulder, supraspinatus
that's the muscle up here.
Most common tendonitis to happen in the shoulder.
And it, it gets in near it is getting pinched.
And we've talked about this before
but it creates scar tissue after a while.
- Sure. - It gets the tendon gets roughened up
and starts to heal.
And it heals in a erratic fashion.
- If you imagine a rope
cause a tendon oftentimes are like a rope,
like a tendonoids at the end of a muscle,
which connects to the bone.
It's that junction there that connects the muscle
to the bone.
And if you have to take a rope and you rub it
across a corner after a while, that rope starts to fray.
And, those frayed materials need to start to
come back together. And I think that's what we have
a good, - Right.
- A good segue into our masterpiece of art.
- Oh wow. Isn't this something.
- So this - Can you see lines.
Or, a glare - No reflection?
- Or anything like that?
- This represents the tendon like here
to the bone and the muscle bay here.
And this is a tendon blown up.
So you can see those fibers that we talk about that rope.
They're trying to heal together, but they're all mish mashed
up and they're not very strong this way.
- I've heard you call it like a cobweb brand
before I thought that was a good indicator.
- Exactly. Now after the massage and then you exercise it
you can see how the fibers become all in line.
And when the tendon pulls, this is strong
gonna make it strong and do everything it's supposed to do.
Unlike when it's healing up in this quagmire of mass.
- Yeah. And this is gonna give you pain.
- Yeah. - It pulls on there.
You know, the pulling here and the pulling here
and it pulls in all directions and it pulls on the tissues.
- Right, and you could actually start to
get a fissure in there and, and another tear.
- Yeah. Scar tissue is weaker than regular tissue.
- Right. - So you wanna make it stronger.
- Right. We want to get it in line.
So the scar tissue becomes stronger and you know
it may be even stronger than before.
- I know we've taken a long time to describe this
initial part, but it's really important.
- They wanna see the technique.
- Yeah. They wanna see the next technique.
Let me just give you one example
of where it helped me, Brad.
And, we'll go right to the shoulder.
- Sure. - I was having shoulder pain.
I was a brand new student.
I just came, I mean, I was a brand new employee
of physical therapy just came out of
physical therapy school.
Having shoulder pain doing all the things,
ultrasound ice, just was not getting better.
- Right. - And I did this cross fiber massage
to the shoulder. - Right.
- Two days it was gone.
- Okay. - Just gone.
- Excellent.
- What's nice about it. Okay. The supraspinata tendon,
you know, all these massages,
you're gonna go across the tendon.
And you're going very deep and you're, I don't know
if you wanna go a little closer up here, Lonnie,
but you're gonna go across the tendon
and you're really pushing down deep to get into the tissues.
- Right. S- o for the supraspinata
which again is the more common one in the shoulder,
you put your hand back behind like this.
And, then you, there's a little gap in here.
May be a little hard to find
for the lay person.
Find the tender spot, generally, is often
- Right. -Yeah.
I usually put one finger over top of the other one.
- Yeah. - And I rub like this and like I said
I get pretty aggressive on it.
- So he's pushing down in, through the skin,
into that tendon.
- Yeah. If you become kind of experienced
at this after a while, I can actually feel the rough spots.
- Sure. -I mean as I start going in
further and further, so, you know
give this a try for, if you have a shoulder tendonitis
there's also the bicep tendonitis where that one
you actually keep the arm out straight
like this and there's kind of a little groove right in here.
- Right. The upper.
- Yeah. And then you hit the, you hit that groove
and that would hit the bicep tendonitis, then.
- Right. And the thing is, when you start doing this
it's gonna be uncomfortable, at first.
When I do this to myself or to a patient
in the clinic, I look at a second hand on the wall
or whatever, digital.
And, I go between 30 and 60 seconds.
And if it's not feeling better or a numbness feeling
and it's actually getting worse, then I stop.
It's not ready for yeah.
- If it's neutral, I probably still keep going.
- Sure. - If it's getting worse, we stop.
- Right. - And then we, we ice and you do ibuprofen
and you do all those things to help chop it down some more.
- Right. And then you can come back to it.
- Yeah. It's usually this isn't something you're
gonna do day one on the injury.
- Right. - This is something that's been, you know
maybe after three, four days.
- Right. - It's it's a good thing to start.
- Sure. - And so that's the supraspinata
you're gonna go right here.
That's the bicep and in the groove right there.
Let's go into, down, down here. Brad. -Sure.
- How about the elbow? Let's go "Golfer's Elbow".
That's the elbow, you know, when
when the muscles that attach into the, the medial
bone right here.
The medial epicondyle. Right there.
- You can always, that bone sticks right out. Pretty good.
- So I go right off the bone, not on the bone
and right there.
That's usually the spot.
- You'll feel the tender spot.
- Yeah. I have a little tenderness there.
- When I do this one, I, myself, I, I use my thumb just
because I can grab hold of the olecranon or the elbow.
Oh, that is good.
- Oh that is good.
- Give it some force there.
You get a sore thumb then that's how no
you know how long to do it.
Cause Ciriax says up to 20 minutes.
- Ciriax says, I was looking up on all these and he
he's always a little bit different
like 15 to 20 minutes, a lot of times.
And a lot of them are every other day.
You know what I tend to do.
This is just my method.
I tend to have like, I'll do a couple minutes here.
I'll do a couple minutes there.
- Right. - I might do it a couple times a day, even.
- Cause if you're doing this one or this one
for about two minutes, you're thumb with your fingers.
They get pretty darn sore.
- It's really hard to believe.
You'd be able to do it for 15 minutes.
I mean, I just I can't imagine doing it on a patient.
- You gotta be pretty tough, - But it's interesting.
You know, when he talks about his guidelines
like the supraspinata, he said, you know, 15 minutes
two times a week, but that could last two to six weeks.
- Sure. - The bicep apparently tends to respond better.
- Okay. - The bicep that tends to go
like two to three weeks.
- Right. - So let's go on the golfer's elbow.
He says usually six to 12 sessions.
So that may be a little more stubborn one than
than the right.
- And you know, you do you'll know.
- You'll know.
And generally my, you know, my experience with it,
it starts to get better right away, almost right?
- It's like, oh boy, that did help.
- That did help. So you do it again.
- It may not feel better that day, but, the next day
after. You can try tennis elbow, too same thing gonna go
off and you're gonna gonna rub putting the one finger
on top of the other.
A lot of times you need to do other things
with the tennis elbow,
which we've done a video on.
But it's a good start.
- Right. So this is one of the few treatments that involve
with the tennis elbow, along with all these
cause we have videos pretty much in every part of the body.
- Yeah that's exactly right.
We'll go right down the body.
Let's talk about how about underneath the patella, Brad.
The Infrapatellar tendon. - Yeah.
- So you got your kneecap here
and then you got right here, you got a tendon.
And I think a lot of times they call that jumpers,
tendonitis - "Jumper's Knee". - "Jumper's Knee".
- So again, you're just going to go, right.
And you could it's ideally you wanna be relaxed when
you're doing this, Brad.
- [Brad] Exactly.
- [Bob] No, I know with Ciriax, he actually even
pushes up like this. He pushes the knee.
He'll he'll push on the top part
of the kneecap to get slack on there.
- Yeah. - To get slack on there and then he'll go like this.
- Sure. Yep.
- If you even get like this though
you're gonna be pretty close.
- [Brad] As long as you keep your quadriceps loose
because this tendon here is nothing more than part
of the quadricep tendon, the quads go to the kneecap
then the kneecap jumps over here.
So it's all, all part of the quadriceps.
- [Bob] So again, if you wanna see exactly what I'm doing
I'm taking the thumb and I'm pushing the kneecap,
like a Teeter totter. - [Brad] Sure.
- [Bob} I'm pushing up on the one side
and then I'm rubbing on the other side with him like this.
- {Brad] Right, right. - [Bob] It does really get
the tendon that way Brad. - [Brad] Yeah, sure.
- [Bob] It is better than this.
- [Brad] To get that specific?
- [Bob] And same thing, you know, you can do it a bunch
of times a day when you're, you know, sitting idly
at your desk or whatever, you can stick your foot out there.
- [Brad] See what the boss says about that.
- See what people are, are talking about.
- The one that I've had good success is the
Achilles Tendonitis. - Yep. Sure.
- Where you, you do it you got the shoes that slide off.
Plus you got those gargoyle socks that people
just love those. Look at those socks.
- [Bob] Argyle socks. I'm gonna take him off.
So now the thing about Achilles tendonitis, it
it generally is not on the back with the scarring.
- [Brad] Sure. - [Bob] It is on the side.
So you're gonna want go
on each side of the tendon like this.
And I have found that to be true
in my case that that's where it's sore.
- [Brad] So he is kind of pinching around.
I don't know if you can see that here
and you get around to the back side
of the tendon and you're gonna get sore fingers on that
but I'm telling you, I had to case of tendonitis
and my running was going downhill
and this was very effective.
- [Bob] Yeah. In not rare cases
in some cases it's actually
in the front of the tendon, Brad,
you have to push it over and rub on it there.
- [Brad] You gotta it's kind get in around that tendon.
- [Bob] Little more tough to do.
- [Brad] Cause it's such a massive tendon.
The biggest tendon in your body, you know?
- And I find, it's funny my-
that tendon is sore right now.
- Oh really?
- I mean, yeah.
I don't feel it running, but I'll
I'll bet you I'm kind of pre-pain.
- Yeah. - You know what I mean?
And that's usually the case is when you find
something that's tender,
when you touch it eventually over time, it may end up being
you're gonna have pain when you're just walking or
or running some sure.
- A lot of runners get that, long distance runners.
- Yeah. They do.
- Exactly. All right.
- So those are the magical massage.
- Exactly. So what say you, Bob?
- I say, let's have everybody subscribe to us so
we can go up to the number million.
We wanna shoot for a million subscribers, Brad.
- Exactly. - We're hitting close to 300,000 right now.
- Yeah, exactly. 10,000 more,
and that that'll come in the next week or so
but one way or another work on that tendonitis.
- That's right. - Be careful.