- Hi, I'm Bob Schrupp, physical therapist.
- And I'm Brad Heineck, physical therapist.
And together, we are the most famous physical therapists
on the internet.
- In our opinion, of course.
And of course we got Boneapart, here.
- Yeah, we got Boneapart.
- All right.
Crossover tests, shoulder pain, usually in this area,
a simple test that therapists
and doctors may do is something called a crossover.
You simply bring an arm like this
and you go across your body like this.
- I'm doing it on this side.
- There you go. And then you grab your elbow
and pull it in and you see if it simply hurts.
- Right.
- And let's take a look at this on Boneapart.
If you look at the humerus you've got
some structures here that can get impinged
and cause some pain.
Can you see that?
Ladie? Are we in there?
Okay. As it goes across here's the coracoid process,
part of the scapula, right there.
- [Bob] Ow, ow, ow, ow!
- Tissues can get pinched in between there, causing pain.
It could be, usually not on the acromion up here,
but the AC joint, that gets stressed as well.
And it could be also up in here.
If you have pain in here it's probably
one of these structures.
I don't want to get hung up on which structure it is.
I want to go to the treatment
because it's such a nice treatment.
And it's simply this...
this was discovered or implemented by Robin McKenzie.
- [Bob] Sure.
- Famous therapist.
He's noted for simple treatment that are effective.
- [Bob] Right. - You can do at home.
- [Bob] Do on your own.
- So this is what you do.
If you do this and this test is ow, painful
and you feel pain right there?
It's end range pain. It's here.
Then you can do this test.
You do 10 of these in a row.
Let's say you go across, ow, it hurts.
Pain levels at about a seven, seven over 10, pretty sharp.
You're gonna do 10 of them in a row.
Only if each time you go over and press it
it gets a little bit less pain
and you can go a little bit further.
So the first one I push, ow, seven over 10 and I keep going.
And by the fifth one, it's down to a five over 10.
- Okay.
- And then the last one is down to say a three over 10.
And you notice your range is a little bit better.
That's a positive sign this treatment is for you.
- Right.
- Every one to two hours, you're gonna repeat that.
Ten repetitions and you're gonna continue it
as long as you have positive results.
In other words, at the 10th one,
less pain and better range of motion.
Typically within one to two days,
you're gonna find the range is all the way over
virtually pain free.
And then you're gonna continue on
with some rotator cuff strengthening exercises
that we have many of.
- So I would say first off, this isn't for someone
with a total shoulder replacement.
- No, no, not at all.
- But I would say virtually anybody with shoulder pain
could try this, - Right.
- Wouldn't you say Brad?
- Again, if this is positive,
- If this is positive, you have pain,
- right.
- and then of course the pain has to decrease
when you're doing the treatment.
If it gets worse, what about if it stays the same, Brad?
- If it stays the same
and the range of motion stays the same
I would try it for the next few hours over and over.
- Sure.
- And if it doesn't change-
- So how often can you do this?
- Once every hour.
- Once every hour, that often?
- If it's doing well.
- Okay.
- 'Cause you're gonna forget about it
and that'd be a maximum.
- And now Brad, you gotta give a personal testimony to this.
- Yeah. As a matter of fact, swimming.
Shoulder pain limiting me from swimming
and the therapist I work with, he says,
geez this is a good one for Mackenzie.
So I tried it 'cause I was working rotator cuff
strengthening and exercises, a lot of other things.
And I said, oh, that was about an 8, very sharp pain.
He said, do 10, low end range, end range pain.
See if it gets better.
And sure enough, it got a little bit better.
And for me within about two to three days,
about 75% improvement.
And then it slowed down, but continued progress.
And I'm swimming now, not a hundred percent
but about 75% improvement over a week and a half.
- And there's reason for that.
We're stretching the posterior capsule.
There's a reason why this is working.
- Right.
- And giving more room.
- Right. Exactly.
- Simple treatment.
Good one to try. Doesn't work?
You haven't lost out anything.
- Go on to the next video because we really work hard
on having you fix everything and the whole body
except for boom, boom.
- That's right. A broken heart.
- Broken heart.
Good ole Leopold knows that.
- All right. Take care.