- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
Bob, today I wanna talk about the spine.
And not just the spine,
but a very specific disease for the spine.
And what it is called is Scheuermannn's disease.
And we have a video thing here for 40 and above.
But if you're 40 and above,
you're not gonna be diagnosed with Scheuermann's disease.
It's typically someone who's a teenager
or younger person, right. - A young person's disease.
So if you're a parent, you're gonna wanna know
and you're gonna need to know this,
and want your kid to know.
As a matter of fact, my nephew just got diagnosed with it
and I wanted to make sure that his mother and my sister
and him knew how about this, as well as anybody else.
So what it is is, they also call it kyphosis.
And as therapists we know right away,
kyphosis, what's going on,
but it's a big word.
Most people, laypeople are not sure what that is.
And what kyphosis is, is rounding forward.
So if we look at the spine here.
- Brad, you keep talking.
- Keep talking.
We look at the-
don't get in my way, it's my good side, Bob.
Sitting here, this is my spine.
Now, if I have kyphosis, this is what's gonna happen.
If you look at the spine rounding forward.
So it's this posture, that's kyphotic posture.
- Slummed forward posture.
- Right, okay.
So, and the reason that happens with Scheuermann's disease
is if you look at the individual vertebra,
the posterior, or the back section of the vertebra,
grows faster here
and not so fast in the front or the anterior section.
So because it grows faster here, pushes here
a little shrinkage here
and the vertebras, they say, actually get wedge-shaped.
- All right, and that's why I got this, Brad.
- Oh, excellent.
- So if you can see this.
So the front is gonna be-
- So this represents a vertebra.
- Yeah, this represents a vertebrae.
Show the front, Brad, on this one.
- Okay. So here's the front here,
and here's the back part of the vertebra.
- Right, and so it's wedged down.
- Yep, so things are gonna fall forward
because it gets wider here, compressed there.
- Does that happen on more than one level, Brad?
- Yes, and typically more towards the thoracic
or the upper, the mid back.
- And that's kind of what they call the hinge of the spine.
Cause usually when you bend your back,
it creates a hinge right here.
- Yeah. You hear that Sam, you got a hinge in your spine.
just kidding. (both laugh)
- So you can imagine if you have a bunch vertebrae
that are in this shape, how that is going to give you
the tendency to wanna lean, you know, bend forward.
- They build up each, it's like a bunch of brick
or blankets that were-
- LEGOs.
- Yeah LEGO. They should make LEGOs on an angle like that.
You could make sure you could make arches.
- Circle.
Yeah, okay.
So the good news about this is
a lot of people are diagnosed with it, but it doesn't mean
it's gonna be a serious, crippling problem.
Oftentimes it doesn't affect your life that much at all.
As a matter of fact, there's a person named Milan Lucic,
who plays for the national hockey.
- In the national hockey, the Boston Bruins.
- Yeah, we're both not-
- We're not hockey people.
- Hockey people.
But anyway, for the Boston Bruins, he does very well.
If you're a professional hockey, you're quite the athlete,
so it's not debilitating.
And we should go back to the name of it, Scheuermann's.
It's-
- Named after-
- I want you to put that up on the screen.
It's named after, can you pronounce it?
- Sure, Holger Werfel, I'm gonna say it German, Scheuermann.
Werfel is actually W-E-R-F-E-L.
- Yeah, so it is German doctor.
Not that Bob and I care, because we're both
a little bit German.
Anyways.
- I think that the biggest thing you wanna take away
from this, with your nephew is, yes, you can live with this.
It's not gonna cause any disability.
We're gonna show you some exercises in another video
on how to deal with this.
- Right, we're gonna have the three best videos
on how to deal with this.
- Three best exercises on how to deal with this.
- What did I say?
- Three best videos.
- Wow, well.
(both laugh)
It's a tough day for me.
I dunno what's going on, Bob.
But anyways, that should take care it.
Well, is there anything else
I wanted to bring up with this, Bob?
- I don't know, Brad.
(both laugh)
- All right Sam, we'll get some exercises
coming up in the next video. - We'll get some up for you.
Here, catch this.
(Bob chuckles)