♪ Bob and Brad ♪
♪ the two most famous physical therapists on the internet. ♪
- Howdy folks. I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we're the most famous physical therapist
on the internet.
- Absolutely, Bob. Absolutely.
- We're gonna try today to unwrap
- Oh, in our opinion, of course. I'm supposed to say. Sorry.
- There ya go.
We're gonna try today to unwrap a mystery.
So if you're female and you're out there
and you have long standing back pain,
or not even long standing back pain,
but you can't figure it out.
- Yeah.
- Like you're a mystery, this may help you.
We're gonna go over some unusual cases here.
- Right.
- Actually not that unusual.
- This is not a sexist thing.
- No.
- There's a lot of science in this and it's very
- We'll go over why the reason this occurs.
Is there a giveaway by the way?
- [Cameraman] Oh yeah.
- Uh-oh.
- [Cameraman] C2. Sorry.
- Oh
- C2. Ah, the massage gun.
- Yeah. You know, I actually like the massage gun
for this particular diagnosis, but I'm not a woman.
- Sure, obviously.
- There it is. Bob and Brad massage gun.
- Yep. Go to bobandbrad.com,
go to the giveaway section and sign up for it.
And you'll love it
because it's got five attachments, five speeds.
It's got percussion.
It's got power.
It's got utility.
- Yeah.
- Anything else, Brad?
- It's got our names on it.
But it's a really good quality gun.
- All right. We gotta get to task on hand here.
- And it's free.
- All right. So I had Dr. Abbassi on.
He's a neurosurgeon, very smart guy.
And he said, they found out, with research, that 22% of
the patients who are coming in with back pain
is actually an SI problem. Sacroiliac.
- Right there.
- Yep. I'm gonna show on here too, Brad.
- Yep.
- So if this is your spine, and this is the sacrum.
- Yep.
- It's kind of a triangle shape bone and it's attached
- [Brad Heineck] Yeah. Here, let's get these
nerves out of the way.
- [Bob Schrupp] It's attached to the sacrum
and it's attached to the pelvis.
- [Brad Heineck] Right. So here
- [Bob Schrupp] The iliac.
- [Brad Heineck] Yeah. You can see how we're moving.
There's a joint there and there.
- [Bob Schrupp] Yup, yup.
- [Brad Heineck] And the problem is
these joints become unstable.
- [Bob Schrupp] Right.
- [Brad Heineck] And they're not really meant
to move of a lot.
- No, they aren't.
And they're actually, because there's nerves that go by it.
They can send pain all the way down your leg.
That's what throws the doctors off, Brad.
- Right.
- They come in and they go
- Similar to sciatic.
- Yeah. They think sciatic, but they look at the low back
and there's no problems.
And these, we're gonna go over to the symptoms,
I mean, the signs that you might have this.
- Okay.
- And hopefully it will help you because
it's called the chameleon joint.
Because it's like a chameleon. It's weird.
- Yep.
- So
- Fake ya out.
- A typical patient,
is often female, she often recently gave birth.
And that makes sense, because when you give birth
these ligaments becomes lax so
that the baby can come out of the canal.
- Right. Yeah, so then things spread,
and there is movement going on in those cases.
Oh my goodness. We lost a (indistinct)
So, yeah, so that's why this is more of a female
- Right.
- issue because of the (indistinct)
- It often hurts going up and down stairs
which makes sense.
The person often is a runner, which also makes sense.
- Sure.
- Got some pounding
- The impact.
- I also just recently had a patient who fit
in this category and she was only 17.
Obviously she did not have a baby
but she was super flexible.
She could easily do the splits either way,
you know, sideways.
- Yeah. That's kind of a genetic thing with her.
- And her mom who was 47 years old,
could still do the splits.
- Yeah. So, runs in the family.
- So she was lax in that SI joint.
She also had pain all the way down her leg.
So again
- The mom did?
- No, the daughter
- Oh
- And so the doctors were perplexed
and leave it to Bob and Brad to solve the problem.
- Yes. Well, there you go again. Actually doctor, how do you
- Abbassi.
- Abbassi, yeah. He lives only a few hours from here.
- Yeah, he's up in the Twin Cities.
So what they do to make sure
well, the other thing, Brad, I was gonna mention is when
you turn in bed, they often have pain.
- Sure.
- So the foot, the pain could go all the way into the foot.
It's actually,
now another situation, Brad,
where you might see it is in somebody who had a fused back.
If their back was fused now,
the movement's gotta come from somewhere.
So it goes more into the SI.
- So typically if it's fused as a result of surgery
- Right.
- Cause they had back problems.
Not necessarily, because of something else.
- The number of people who get it then is 43%.
- Yeah.
- So a lot higher.
So how can you tell whether or not you have this?
Well, first off, do you have any of
the history that we just mentioned?
- Right.
- I'm gonna show you one test you can do.
This is a Dr. Abbassi test.
- Aah.
- He made it up himself actually.
(Brad Heineck laughs)
Yeah. Brad, you probably would be better there.
- Should I show it from this angle?
- Yeah.
- Let's see. If you having pain on the right side,
you're gonna take that right foot
and try to place it onto the right ankle or right knee.
If you can't even do that,
that might be a sign that you have SI problems.
- Yeah, and test compared to the other side as well.
- Right.
- Especially if there's no pain on this side
it can give you some information.
- So, put the knee up and then you actually push
down and you try to relax better while you push it down.
- Let me get some good posture here and so gently.
And it's a positive test, if it hurts?
- It recreates the pain that you've been having.
- So it may hurt here and you might feel it go
down the leg.
- Yeah.
- It recreates your pain, if you wanna call it that.
- Right.
Now there's other tests the doctor can try.
But the most conclusive test they do is they
actually inject the joint.
- Sure.
- With usually a little cortisone.
And if that takes away,
even if it takes away for a couple days,
it's proof that it was the SI.
- Yeah. It gets, it specifies that joint.
- So, if it is the SI, the cortisone might help.
It might actually take it away for good for several years.
- Sure.
- Or there's actually a surgery they can do
where they actually fuse the SI.
- Sure.
- So
- There's the conservative way.
We do have a book of a therapist who specializes
in SI joint and you know, it's oftentimes for women.
- Yup.
- So you can look up Bob and Brad SI,
SI or sacroiliac joint and
- Yeah, SI joint.
- We will have some treatments you can try.
- Right.
- So Brad, do you have anything else to say?
- No. No, not at all Bob, but
- I like your haircut by the way.
- Well you didn't, so what, for surgery, they do,
they inject into the joint.
- Right. But for real surgery, they actually fuse.
- Oh, really. I thought they injected
a compound or a medicine
- They do
that actually in a sense fuses it, but
- No, no, no.
- No?
- Nope. Absolutely not.
- I was misinformed or misunderstood it.
- So if you want go to an expert, see Dr. Abbassi.
You can go to his website, inspiredspine.com
- Inspired?
- Yep. Inspired, inspired spine.
- Like you're inspired, okay.
- Yep.
- He is the man, obviously.
- So he has a private clinic
and that's all they do is back treatments.
And these, these really impressive surgeries
that do not
- Are not, are less invasive.
- Right. Yeah. The spine one was amazing too.
- Yeah, and he calls it the magic joint
because women would have pain for years.
And they'd walk outta that surgery without any pain.
- Yeah. That is magic.
- That is magic.
All right. Thanks for watching.
(upbeat music)