♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi folks, I'm Bob Schrupp physical therapist.
- Brad Heineck physical therapist.
- We are the most famous
physical therapists on the internet.
- In our own opinion of course, Bob.
- Today we're gonna talk about extreme
shoulder pain, and arm pain gone instantly.
Now we're talking about shoulder and arm pain
coming from the neck.
- Right, exactly, Bob, which is not unusual.
- Right, not unusual at all.
A lot of the times you do get the symptoms
all the way down, but, by the way,
if you're new to our channel. - Oh, yes.
- Please take a second to subscribe to us.
We provide videos how to stay healthy, fit, pain free
and we upload every day.
And yes, you're gonna wanna join us
on our social media channels because we're always
giving something away.
Right, Brad?
Yeah, we're giving away
the RENPHO Hand Massager, cordless massager.
I'm not sure what you'd call it.
- Well, it's cordless.
- Yeah.
- But not handless.
Anyway, it works nicely.
It's great for getting some muscle tissue.
Reciprocates.
- Handheld massage, right.
- Yeah.
- Anyway, where can they get it, Bob?
- Go to bobandbrad.com go to the giveaway section
and go to Bob and Brad Facebook.
And like us.
- There you go.
- Okay.
- All right, so symptoms in the shoulder
and down the arm can often be a result
of a pinched nerve in the neck.
And those are the cases that we're talking about
where you can get some immediate relief.
- If you do the right thing.
- Right, we've got three options.
That doesn't mean you're going to get immediate relief
with one of these three but it can,
and as a therapist when this happens
the patients absolutely love you
and they say, how did you do that?
- That's right, it's a good day.
- Right, so we're gonna show you some secrets
that therapists know to help with these same things.
- It's a miracle in a clinic.
- Yes, it is.
So, the first one, okay.
Should we talk for just a little bit?
Why don't you sit down, Bob.
- Sure.
- Look at that, I just said, why don't you sit down
and he immediately did it.
Do you act like that for your wife too, I bet.
- Oh, I do.
I listen to everybody.
- So let's turn you this way.
- Sure.
- So, the lower part of the neck is where
some nerves come out and they go down through
the shoulders, down the arm all the way to the hand
and then this is the area where if a nerve
can get pinched, you'll get pain, numbness,
tingling symptoms down the into the shoulder all
the way down into the hand.
And this is one of the things as I'm doing my screening,
I'll check the cervical area
and the first thing I'll do,
is I'll put a real gentle pressure down on the head.
If they say, that doesn't make anything feel any better,
I quit doing it immediately.
I don't push hard.
- Why? It might even make it worse.
- Right.
- 'Cause you're squishing everything together
and if their nerve's getting pinched
it could be getting.
Pinched even worse, right. - Pinched worse, right.
So I have the person sit up tall.
I'll take my hand like this, go underneath the jaw
say, Bob can you put teeth together gently
so that we have a good solid mandible foundation.
This hand's gonna go under the occiput
the bump right here,
and I'm just gonna gently pull up, up, up
and hold it for a few seconds
and I'll go down, ask what the results are.
Now this is where when the pressure's going
on they'll say, patient will say,
boy, when the pressure's on my arms start feeling better.
I'll happen just like that.
Not always, but when it does, then you know
you're on to something.
You know traction is probably going to be
a great option for treatment.
So then we got another one laying down
and also there are some other options,
but I'm gonna go to, what I'll do next.
- Cervical extension?
- Cervical extension, yes, a McKenzie technique.
Robin McKenzie a therapist who's really done
a lot with therapy and this is one of his techniques.
I'll take a towel roll
and put it there for support.
And, Bob, you wanna lean back up against the chair.
- Sure.
- And we may do a gentle chin tuck
and I'll say, supporting your neck
see how far back you can look.
- So I'm gonna pull down a little bit.
- Yep, support there.
- Give a little support
and I'm gonna start to work my way back.
Now I may only get so far.
- Right.
- And it might start making the pain worse.
That's fine.
- Right.
- You know, work in the area that it allows you to work.
If it lets you go this far,
do repeated ones just in this range.
And this might be the first day,
that's all you can do.
- Sure.
- And eventually, hopefully,
you can start going further and further.
You wanna be able to get as far back as you can.
- Right.
- That's generally when the magic happens as McKenzie says.
- Right, but I had it on the first day of the first session
I'll have the person go like this
and the first time it kinda hurts,
and they'll repeat it three or four times
and all of a sudden they say,
my arm's staring to feel better.
If that's the case, then I say, let's repeat
it more and more.
We may do up to 10 or 15 repetitions
and if the neck starts to go back further
like Bob is showing and the arm is clearly getting better
and if you say, the patient will say,
boy my fingers feel good now all
the way up into my, my elbow,
then, that's the really.
- One thing I tend to do, Brad, is how,
because let's say, this is the bad arm.
- Sure.
- I'll grab with just one arm, one arm the towel too.
- Right, yeah.
- So this one's not having to do the work.
- Yeah, 'cause that can kinda mask
the symptoms a little bit. - Right, right.
So, I'll do this.
Sometimes, I'll even do this.
- Right.
- I'll pull up like this and go.
That's gotta throw my mike off but.
- As a therapist sometimes if it,
things are going really well and they say,
well I say, maybe it'll work better
if I'm holding on to this.
- Yeah, I've done that too.
- And I'll do this.
I don't recommend anybody at home doing that.
That's just something that.
- Sure.
- You need to be trained.
You need some experience.
However, and then the next one,
if, I went back to this before,
if the cervical traction shows some immediate relief
in the arm then I may have the person lay down on the table
and sometimes just changing position like this
getting the weight of the head going through the neck
the arm will fell better just from the position change,
and it may or may not.
What I'm gonna do now is same thing as before
seated cervical traction I'm gonna do supine
or laying on your back cervical traction.
And I'm gonna do that by putting my hand right here,
again under that occiput the big bone right above your neck
and then Bob's gonna close his teeth gently
and I'm gonna come here and very gently pull some traction
and why it says because it's hard
to talk when I'm doing this
Bob, if you have any problems,
and things are painful, just wave your hand
or kinda say, erm, (laughs).
Yeah, thumbs are up if things are going good.
So if I do this and I hold it for five or 10 seconds,
and thumbs are up, then I'm gonna hold
it up to 30 seconds, as long as thumb stays up.
Then I'm gonna take it off
and I'm only gonna do that again
if thumb stays up, and I'll say,
Bob how does you arm feel now?
- It feels better.
- And then I'll wait a couple minutes.
Is it still feel better?
If it still feels better then I may repeat that.
Only doing it if it's clearly making the arm feel better.
Again, sometimes it happens just like that
other times there are some other options
that the therapist has to work with.
- And when I do this, Brad, my idea here
is eventually we wanna get to the extension.
- Right.
- I mean, I do this,
especially maybe if the extension's not working.
- Yeah.
- Right away to start of with.
- Right.
- I'll do a little bit of this
and then I'll go back to the extension
and see if we can do it now.
- Right, exactly.
- 'Cause the end goal, to me, the end goal
to get, make this go away, is to do the extensions.
- Right.
- I mean eventually that's.
- Typically, when the arm gets better
the extension, the range of motion improves.
So again, this can be one of those things
that works out very well, very quickly.
Other times you have to work into it a little bit
and often times some of these things,
you need a therapist, an experienced therapist
to do it, but.
- Yeah, this'll, you know, give you
the option of maybe seeking out therapists
that's trained in the McKenzie method.
- Right.
- And we actually have a video on
that on how to find a McKenzie,
a McKenzie therapist.
- Right, 'cause there throughout the world.
It's a worldwide system.
- Yeah, 36 countries I think they're in.
- I think it's up to 38 now, could be more.
- Sure.
- But you type in where you live
and they'll all, you know, it'll pop up
where these therapists are for you to.
- So yeah, if you type in Bob and Brad
and type in McKenzie.
- Yep.
- M-C-K-E-N-Z-I-E.
- I believe you're exactly right.
Your spelling's getting better, Bob.
- Yeah, all right.
All right, thanks everybody for watching.