Hi folks, I'm Bob Schrupp physical therapist, Brad Heineck physical therapist, together we are the most famous physical therapists on the internet
In our opinion of course Bob. We're really rocking some fashion here today Brad, say no more, we're gonna talk about this in just a second today
We're gonna talk about leg lymphedema. We got five products to help you manage the edema plus
We're gonna show you some exercises and self massage
Right and positioning to help decrease the edema that you're having in your extremities
Let's get to these right away Brad these are called expanda socks and
They're a little bit of fashion with a lot of function
There you go, and the idea is this is not a compression sock in itself
This is something you could wear over your compression sock, just like this here I've got my
Comp Roland wraps here too for the compression
It's doing the work of the compression and wrap properly
But it's nice to cover it up. So you have something to look pretty, unattractive yeah, and these stretch fairly
Large, right there's different sizes when you order them online
They walk you through and they you know they can help you fit it so its proper, so we got two here and then
Alex is gonna come on in, one of our fashion models
There you go Alex shake it baby. Shake it
He's quite good at that, that's a little worrisome. Get them out of here,
Alright Lonnie why don't you head out there now
Yep just walk down out there now we've got someone that well we could look at
Very nice. Yeah, put your foot up
good
Okay, Wow we'd make it in New York wouldn't we?
All right, so that's our bonus product Brad. That's the one where you're gonna debut
Yeah, all right by the way if you are new to our channel
Please take a second to subscribe to us. We provide videos on how to stay healthy, fit, pain-free and we upload every day
What are you laughing at?
Yeah I don't think we're gonna make it in the modelling world.
That's right
and also
Head over to the Facebook and like us because Brad and I as children were not liked and now as adults we're trying to turn
All that around right, so is it working?
We'll see how this goes yeah, let's see how this goes okay the first product that we think could really help you
with your Lymphedema
is the leg wedge, I think this is just a simple device
You know one of the things you want to do is get your feet elevated as much as possible
Let gravity do the work, get that fluid going towards the right direction and these are fairly inexpensive
25 bucks and we have all these products by the way
These we'll have listed in a separate link, but all the other products are listed in our Amazon preferred list, it's down below
Just go down and click on that and they'll come up
This is great for back pain by the way too which we've touted many times alright. This is a
Multi-purpose item, so as you can see I can get my feet up
And we're going to show you some exercises you can do later with this
But it's really a good position to do those exercises in, one thing why don't you lift your legs up
It is important that you get it up to your butt there, and it's more comfortable that way
You know Bob's six foot six. Yeah, his legs are longer for most people you know
I don't know if they make longer ones or not
for if you're really tall but for ninety percent of the people it's fine
You know one thing I read Brad they say
One book I was reading was saying that you really don't even want it that much higher
You'd like to have it at the level of the heart. Okay. So that kind of puts it in the right spot
so all right the next thing we're gonna mention Brad is the
e1000 elliptical
This is a device, Brad discovered this now what did we figure?
How many years ago? It's close to 10 and
Brad saw it in a sporting goods store and he
Suggested we try one of these in the clinic and the way we use them
They're designed to use standing on it
I don't have my shoes on so I'm not gonna stand on it, right it's like a miniature
elliptical that you stand on, I was looking for something for people who are not that mobile and
Something to get your legs moving in the seated position, oftentimes the wheelchair or just a chair so yeah
I don't know if we're the ones that started this movement Brad
Because we did a video on this years ago
And they started selling it with that
Idea in mind. I think that's where a bulk of their sales come from, there's no doubt Bob
We're influencers
Yeah, now you notice we got some wood here, and what we're doing is you need to block it up either
You know one to three inches, normally we've been going three inches
This is an inch and a half, but what that does is that when Bob goes around
particularly if you have
swollen ankles, your ankles don't move so well
And it allows your ankles to stay in contact with the pedals all the way around if you do that
What's great about this is it's like pumping the fluid out of the ankles. I had a patient Brad
They literally would do this and it would take their swelling down during that session
Oh really sure, and then when they would they stop, a lot of times it would come back
But it was just a great way to get some exercise
and to get the fluid out of there, again the fluid has to go up into the body into the trunk where it's processed and
sent out of the body, exactly sure
you know this is one of these items that we've got them in all of our clinics and a number of people use them and
They like them so much
They get them for home
I've had a lot of people that have bought one of these and they're usually around 80 bucks
I think now and usually free shipping if you have Prime
Yeah, if you do the Amazon thing, so one thing about them is they're not real light. No
They're heavy, if you're a weak person, you're gonna have to have someone help you get it set up
About 30 pounds, and there's a flywheel in there
They work so well because of that and they really can't get rid of it. Yeah, they hold up well
I mean we use these things
They're probably used four or five six hours a day in our clinic and they go on for years
Yeah, they do, eventually they'll wear out, if you get one for yourself you don't have to worry about it
All right
The next one Brad is a lot of times people have trouble lifting their leg when there's swelling in it
And so this is just called a leg lifter, and they work out really good
You know you can just hook around the foot like this and help lift your foot up onto the bed
And also if you need help putting it up onto that wedge you can use that to do it
They're extremely common with
Total knees and total hips yeah, but if you've just got swollen legs and you're having a hard time getting them up there
That's what they're gonna be good for, you might be able to use like the yoga strap
We have down below too
You could do the same thing you can put it down on each side like this you can even if your hands are weak
You can go like this and you can help lift it up like that
I don't know if we have this one listed down below, I'll have to put that down below
Okay, so the leg lift
The next one brad is just kind of a overall good general purpose thing that, we're big advocates of using these
Stability balls or physio balls or exercise balls they all have different names, once again the beauty of the ball it continues
To be useful in many areas. This is a big one. I mean this is probably about my size
Someone that's smaller may want to order one that's a little bit on the smaller side
Probably a 55 centimeter, but it's the same with this
It's a great way to elevate the legs and then you know we're gonna show some
Exercises you can do along with this too, in this position
I mean it's good to be there statically or not moving to get the fluid moving
But if you can add some motion with it right it's going to be that much more benefit
So normally if someone's doing this you probably will put a pillow behind you
Bob's gonna get a sore neck here
Well, we're gonna show the exercises in just a minute here. I just want to show one more thing
This book here, we did a video
For swollen and puffy faces and arms, and she kind of goes into
Manual lymphatic stuff on all areas of the body, talks about the trunk and the legs
It's called "Swollen, Bloated, and Puffy"
It's a manual lymphatic drainage therapist guide to reducing swelling in the face and body
It's by Kathleen Listen, and it's down below, she actually
Saw some of our videos in there because she liked what we were doing so she's got good taste
Yeah, she does, we can't argue with that. Alright Brad. Why don't we start showing some of the exercises
We can do this with the ball or you can do this with the leg wedge
Yep, so I'm gonna have my legs up there again you might have trouble getting them up this high
You might have to use the leg lift or something like that to get them up there so
Hopefully you'll probably have a smaller ball, but like again for Bob if you can get this up
We got some gravity working and we can get the exercises going. You want a pillow Bob?
Yeah, I was just going to ask you for one, if you don't mind
Here it comes in, it's gonna come in hot I knew that
Normally we do it professionally with patients, but this is different
Alright, so we're gonna start off with Brad you can actually just start off by curling your toes like this and going back and forth
Like there and I'm rocking my fashionable socks
By the way, I got my Jerry Garcia tie on here, too
All right, then you can do ankle pumps
I thought maybe your wife would have stuck that in the back drawer far away
They're nice looking ties. They're nice looking ties is right. You can do ankle circles
Yeah, make the circles go round and round, if you get bored you can do the alphabet with the your feet, too
You can use like Brad always says
Picture a piece of chalk taped to your big toe and just try to make the letters
Imagine there's a chalkboard there
And you're gonna draw like you know back in first grade again right alright once you get past that
This is a great position to do some diaphragmatic breathing too Brad, very important
You need to open the flow here of the lymph into the abdomen
So one thing you want to do is what we call diaphragmatic breathing when you breathe in through the nose
You're gonna actually expand the belly, so when I breathe in
With his stature it's not gonna show, but imagine this coming in instead of the chest getting larger
we're gonna allow the the lungs to expand out through the abdomen and
What happens with that is the lymph glands are set up in such a way imagine
There's fluid throughout his legs gravity is pulling it down
And it needs to get into, if you imagine a drain right here in your belly button
It's all gonna go down that drain, and if there's blockage in this area
It's not gonna make it so this is gonna help open up the pathways here
And it's gonna let all that food go down into the drain, and then your body takes up through the system
Yeah as Brad was saying if there's blockages here, your fluid's not going to come out of the leg
I mean even if you're working your exercises
but if there's a blockage here, yeah, it's not gonna work. It's like a dam. It's just holding it back
Yeah, most people would expand their chest when they breathe in, but no you're gonna expand your belly
And then when you breathe in through the nose and you're gonna breathe out the mouth like you're blowing out a candle
All right the next one
We're gonna do Brad is just, that's what nice about the ball
We can now put it at the end like this and we can start getting some knee flexion and hip flexion at the same time
So the knees are working the hips are working
You know you did the diaphragmatic breathing, most of the things are loosening up
And plus you get some range of motion for the joints and the muscles, it's good for them as well
And if you're real coordinated you can actually do the breathing while you're doing the exercise
That would be like doing this, yeah, that's right. I don't know if this chair is blocking you, but we'll get that out of the way
Works out really good for you doesn't it Brad, okay another one you're gonna do
is butt squeezes Brad which is just how it sounds, you're gonna squeeze your butt then relax
Squeeze your butt yep, and then relax squeezing those butt cheeks together
Yep, like you got a quarter in there, and you're trying to pick it up.
Did you really say that? I heard someone else saying it, it was working good, alright Brad, would you want to show the self massage?
Why don't we use the leg wedge for that
That's probably more appropriate, you know if you don't have
the leg wedge, but you do have a ball you know the ball is gonna be better than nothing
That's for sure, this would be preferable
You know, top of the list, I mentioned the ball especially if you have one already
It's a good way to put it into use
And you can get the range of motion, which you're not gonna get with this
Thanks, Bob. Now I know you care
Ok so again
You want to start at the belly and work your way down the legs
Obviously if you're by yourself you're not going to get down to your calf
It'll be tough for you to do
So you can do the diaphragmatic breathing, and then it's from your femoral creases
where your pocket are and you work that, now this massage is quite light
You're not pushing in and you're trying to force it through
You're actually pretty light just going on the skin and just working it over again remember that belly button is the drain
That's where the fluids gonna go down into
So it's kind of like you're massaging over the lymph nodes,
Like this wouldn't work well cuz I got this belt on
You wouldn't want to have that, you want to have smooth clothing, and then you can get down to your knees
You're gonna go as far as you can reach and then come in and it's gonna be more towards the inner part of the thigh
you know not the outer and work that into that femoral crease area and
then you know clearing the pathway so
You got the diaphragmatic breathing we're lifting up, and we're doing that massage, getting that fluid moving and you know
It's working is when you're done, and you have to go to the bathroom, you moved the fluid
It's a good sign, so alright folks remember Brad and I are not just pretty yes
I'd say we're pretty ugly Bob, but we're pretty helpful and handy. Make sure you subscribe to us. Thanks a lot
You