♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the Internet ♪
(Brad growling) (Bob clapping)
- Hi folks, I'm Bob Schrupp, physical therapist.
I hardly got that out there.
I'm Bob Schrupp, physical therapist.
- Very good, Brad Heineck, physical therapist.
- Together we are the most famous
physical therapists on the Internet.
- In our opinion, of course.
- Now you sound like you're reasonable,
and I sound like a madman, so.
Today we're gonna talk about when should you
never have your back or neck cracked.
We got seven examples here, and you wanna listen to us here
because there could be a dangerous injury
if you don't-- - Sure.
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- Let's get on with the program, the subject at hand.
- All right. - There we go.
- Number one, when should you
never have your back or neck cracked?
If you have osteoporosis.
Now this may seem very obvious to people,
but the problem is, a lot of people don't know they have
maybe osteopenia or osteoporosis.
- In other words, the bones,
and oftentimes it's your vertebra,
are weak, they're-- - Softened.
- Right. - Or weak.
- They're not as strong as they should be.
So when you have the manipulation, the crack, if you will,
there's a potential for actually cracking
or fracturing the vertebra. - Fracturing.
Yup, and/or a part of the vertebra,
you know the smaller part.
Now, if you're a woman over, the average onset
of starting to get bone loss is at age 35.
So-- - Oh, it's that young?
- Yeah, it's that young, in men it's a little later,
generally, but, so like I said, a lot of you
aren't gonna know unless you've had some testing done.
- Right. - So.
Number two, this is one you wanna,
and I've seen the other people offer to do this quite often.
An amateur, friend, will say, "Hey, I can crack your back"
or, "I can crack your neck."
- Yeah, we did it all the time in college!
- I know! (laughing)
I know, I've done it to people now as a physical therapist,
to friends, but yeah, like you said,
you did it all the time in college and that's not wise.
- That's not a good idea. - No, no.
- They don't know what they're doing,
they can, you know, one wrong little move
and you could be injured, so.
- And I should say all these things, you know,
if you go to a chiropractor who does this on a daily basis,
you know, it's their job and they'll screen
all of these things we'll through now.
- They'll go through all of 'em.
- But this gives you an idea before,
you wonder well, "Should I go?"
And if you have any of these, well,
they're gonna turn you away
anyway, so. - Right, right.
- Or do some other-- - They'll do a
other treatment. - Options.
- Yeah, they obviously don't always have to just
do manipulation or-- - Right, right.
- So number three, if you're at a high risk for stroke,
if you had like a TIA or something like that,
a extremely small percentage
of people who have their neck cracked
can tear the inner lining of the artery.
- Which feeds the brain-- - The brain
and can cause dissection or blockage and can cause a stroke.
- Yep, Bob had mentioned TIA, that's a mini stroke.
- Yeah, a mini stroke, transient ischemic attack.
So, if you look here, Mike, just to give you an example
this is a great example, am I moving too much? (chuckles)
(Mike chuckles)
So Brad, there's a pen right there.
- Oh we got one, oh, sure enough.
- Just show where the arteries how they intertwine.
- So you got the red line here,
that's literally an artery, you got one on both sides.
Of course you got the yellow lines here.
Those are the spinal nerves-- - Spinal nerves, yep.
- Right, and of course, the vertebrae.
So you got a lot of sensitive structures
which, it's amazing how the neck functions
without injuring those, but when you're doing a manipulation
then you're putting some what they call
high velocity thrust on there, which then,
those tissues, if they're compromised,
they could be, become injured.
- Yeah, you probably didn't see it Brad,
but there was just within the last couple of months
there was a guy who, a younger guy
who had his neck manipulated or cracked
and he had a stroke immediately, so.
I mean, it happens, I've seen the research on it.
I mean, I know like, they like to discount
that it doesn't happen that often, and it doesn't--
- Right. - But it does happen.
- Was it one in 10,000 or something like that?
You don't remember. - Yeah, the numbers go
all over the, you know they have different studies.
- It is pretty rare. - It's pretty rare, yep.
Number four, if you have rheumatoid arthritis.
When you have rheumatoid arthritis
quite often the ligaments which hold bone to bone
become lax and they don't support the joints
like they should. - Sure.
- So, and again chiropractors know this,
physical therapists know this too,
you don't be manipulating bones that are--
- Compromised. - Compromised, yep.
And right along with that be, if you're more hyper mobile
which means your ligaments are loose, you're born that way.
- The layman's term is double-jointed.
- Double-jointed, yeah, and you can tell a lot of times,
I just have people take their thumb
and see how close you can get to the wrist.
A lot of times a hyper mobile person
can put it right on their forearm.
You can look at their elbows, their elbows hyper extend.
- Yep, they bend backwards. (chuckles)
Their knees do the same. - Their knees, exactly.
So a person generally knows when they're double-jointed.
- Right.
- Number six, if you have numbness or tingling
or loss of strength in an arm or leg,
again, it's possibly a disc problem.
In my opinion I just wouldn't manipulate a disc, would you?
- Well, I've had a number of people
that a chiropractor would not manipulate and send,
ended up going to therapy because they--
- Right, right. - You know, they know.
- Yeah. - As well as doctors
do it too. - Exactly.
And the final one is probably the most obvious one,
but if you have bone or spinal cancer
you're not gonna wanna go in there and start manipulating.
- Right, right.
- There's probably a few other ones
but I think those are probably the most--
- Well there's seven and you know how I feel about seven.
- Yeah, I did this for you Brad.
- It's very complete. - Your favorite number.
Remember, Brad and I are not just pretty.
- We're pretty ugly, Bob.
- No, we're pretty helpful. - Oh, that's right.
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- And handy, that's right. - Yeah. (chuckles)
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