♪ 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're the real most famous physical therapists
on the internet.
- In our opinion of course, Bob.
- Today our title is Extreme Hip Pain Gone Instantly!
Boy that's asking a lot, Brad.
- Right, it's a mouthful and we're going to get into it.
And it's a relatively simple treatment, if you will.
But before we go on,
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So, when you return to our social media channels
and we're always doing a giveaway.
And today, we're giving away something really cool.
Go to bobandbrad.com, giveaways section
or go to bobandbrad, pinned to the top of the page
on Facebook.
- Facebook.
- It's also in our description below but, right?
Today what we're giving away is the Renpho Foot Massager.
So, this thing is, this device is really cool.
So, you can stick your feet in these.
Brad is going to demonstrate here.
- Well I'm not going to put my feet in there.
- Yeah, and it's got different settings,
it gives, you know, compression
and it'll also kind of roll
on the bottom of your foot.
- Right, it's got a little massage ball in there.
- And to me, like the highest setting
is just barely tolerable.
Some younger people will probably think,
"Oh, that's perfect."
- Right.
- But, so it's got something for everybody
so our patients love it.
- What about the hip, Bob?
- Oh, let's get to the hip now.
I'm hip!
- So extreme hip pain.
You know, we've dealt, Bob and I've dealt with hip pain,
well, personally myself--
- I've had it myself too.
- Sure.
- And I've did some of these, Brad, by the way.
- Okay, yeah, this is something we do in a clinic
on a regular basis, for some of the hip pain.
Now we're gonna look at the hip first,
here we got Sam - Sam.
- And if we look at the hip joint,
here we have the ball in the socket,
we don't have metal pieces in there,
at least most of us don't, hopefully,
but there is some connective tissue in the capsule, and
a number of other soft tissues--
- [Bob] That's what the brown represents.
- [Brad] Right.
- [Bob] That's what we call the capsule,
it's this tough ligamenta stuff
that helps hold the hip in place.
- [Brad] Exactly, so there's potential there
for that it pinched, there's other tissues in there,
I'm not gonna go through them all,
they could get pinched in the hip
that can cause severe pain.
Also and most commonly it's arthritis.
- [Bob] Right, or the labrum, part of it can break off.
- [Brad] There you go, yep,
that's another part of the cartilage in there.
But what we're going to do now,
if the hip pain is consistently with weight bearing,
when you walk, when you put weight through the joint,
which is very common, can you see that, Liz, can we zoom in?
Excellent work.
- [Bob] Again, we have the ball in the socket.
- [Brad] So what I'm gonna do, if it's with weight bearing,
that means weight is going through the femur,
pushing the ball into the socket, which is normal,
but if there's pain associated with that,
often times it will go the opposite direction,
and pull, and separate it,
that can relieve the pain instantly,
and that's where we got the title from,
because you do that and the person says,
"Oh, my goodness, that feels better,"
you're onto something and you're gonna work with that.
- It's a sign of what's going on a little bit too.
There's something in the joint itself
that's giving you trouble.
- So I've mentioned that this is relatively easy,
and to do this, Liz volunteered to be our--
- I would say two of them are easy,
one of them you'll probably need a therapist.
- Yeah, probably for the clinic, we'll show you--
- Yeah, we'll show it to you anyway.
- You bet.
- We'll give you the whole schmear.
All right, we're gonna switch places.
- Okay, now, I would expect you'll see the camera shake
and everything else going around with Bob back there,
but just be patient.
- That's right - Everything will work out.
- [Bob] Rookie, already shooked.
- Okay, Liz isn't mic'd up, so she may talk,
but you may not hear, it's not that we don't want to hear,
but for this purpose, this is okay.
Are you ready, Bob?
- [Bob] I'm ready, let's roll.
- Okay, so, you know, with the person laying down,
you can do it on the floor, it's kinda hard,
on a bed is a best place, just like this.
Liz will be completely relaxed,
her right hip is the one with pain,
when she walks it goes up and down steps
usually gives that sharp pain .
Simply what you're gonna do is have the person relax,
and grab the ankles,
I'll just kind of wiggle the leg a little bit
to make sure they're relaxed and not tense,
and then gently pull this direction
so we're putting traction on it.
And I'll do this and say, "How does that feel?"
With a little pressure, and I mean just a little bit,
and if the person says, "Oh, that feels kind of good,"
then I'll pull a little bit more
and if that feels better,
I'm never gonna get to the point
where I'm pulling aggressively.
- [Bob] Brad, I wanna make sure that the people know too,
you would never do this with a total hip replacement.
- Right, this is, you wouldn't have arthritis
from a total hip, yeah, if it's a total hip,
it's time to go to the doctor.
- [Bob] Right.
- And get the orthopedic surgeon to look at,
they'll probably take x-rays and whatnot.
So, I'll do that, sometimes I'll pull on it,
but it really won't respond well,
so then I'll take the toes,
or the leg and internally rotate it slightly,
just a little bit, not gonna twist hard,
just a little bit till it stops,
and then I'll pull again and see how it responds there,
and then I may go the other direction, 'cause sometimes,
one direction, either inward or outward,
can make a big difference on the reduction--
- [Bob] Yes, it can reproduce, no, take away the pain
is what I'm trying to say.
- Abolish it, Bob.
- [Bob] Abolish it, how's that word?
- If none of those work then I'll do this,
and I'll abduct or go out to the side, a little bit,
and then I'll put a little traction on it,
and also I can rotate outward or inward gently,
and all of this is gentle.
You do not need to pull hard, if it's gonna work,
it's gonna work really well, and the person will say,
"Oh, that feels good," and then,
I've done it where I've just held people there
for 30 seconds until I get too tired, and then I'll relax,
and it can be real beneficial.
If that works and the person's time to go home,
and they don't have anybody at home that can, you know,
reproduce a true treatment,
- [Bob] Sure.
- I'll have the person, why don't you get up, Liz.
If they have a stairway or a stool at home...
Now, Liz, we're gonna say it's her left hip
so you can see it, yep,
Liz, I want you to stand here,
with your sore leg you're gonna stand up, on your step,
and hold onto the brail, or here we got the buoy stick,
just because it's here and it works well,
and really relax this leg, okay?
And once you get it to relax that's the traction,
the way the legs are traction like me pulling,
and then you're gonna swing it
forward and backwards gently,
this is like the pendulum exercise for the shoulder,
almost identical, now, you can put an ankle weight on,
if it feels better.
- [Bob] And that's what Liz has in place right there.
- Now, a lot of people don't have an ankle weight,
but if you happen to live in a northern climate like we do,
you can just put a pair of winter boots on.
(laughter)
- They weigh about a pound or two, or steel toe boots,
if someone has some steel toe boots,
anything it gives them weight,
and the idea is to relax that leg
and just swing it forward and backwards,
there you go.
How's that feel, Liz?
She say's it's incredible.
- [Bob] Liz can have Wesley hang onto her leg there,
she's got a little three-year-old.
- Oh, yeah, that'd be great.
- [Bob] You know, how they hold onto your legs
when you try to walk.
- Now, we did mention there was going to be a third way,
but probably for the therapist to do.
And it works best on a plank that's the right heighth,
and if you have an adjustable one that works better,
but we'll show you one of our tricks.
So why don't you bring that knee up,
and actually when I was in PT school,
this is one of the first treatments I did on a real patient,
she had severe arthritis in her hip, she was young,
she was like 40-years-old.
- [Bob] Brad, you probably wanna use a towel, too.
- Yep, we've got it right here, don't worry, Bob.
- [Bob] All right, you're getting me worried there.
So he's putting the towel around his waist
and around Liz's thigh.
- Okay, so Liz is gonna put the towel where it belongs.
So we got it around her femur, okay?
And what I'm gonna do is I'm gonna hold her knee
and bring this up to 90 degrees, and she's relaxed,
you feel comfortable?
This is kind of hard to see, but it's around my waist,
and I'm gonna push outwards with my waist
while I stabilize her knee,
and that's gonna put traction
instead of in a sagittal plane,
it's gonna go in a lateral plane or abduct it,
and can you feel that, Liz?
Does that feel good?
Yeah, see, thumbs up.
This does typically feel good,
whether you got a good hip or a bad hip
because we're just gently stretching it,
and I'll stretch this way,
I may hold it as long as it feels good,
if the person says, "Oh, that feels good,"
I'll hold it usually as long as I can, which is,
you know, 30 seconds, a minute,
and then I'll need a little break.
Sometimes I may go to this angle, or straight,
and I'll work whichever works good,
Sometimes I'll move it gently if it feels good,
so we get some motion.
Now, we mentioned if there's a pinched tissue,
or the capsule might be pinched in there,
if we can get it out of there and unpinched,
and we can move it so it stays out,
then you're successful and you'll be able to walk around,
and, you know, as a therapist you feel like (gasp)
and the patient loves you because you just cured their
extremely sore hip.
So this doesn't work in all the hips, of course,
but it's easy to do, especially the traction
and the standing, and there's no negative effects to it--
- [Bob] Now I was actually able to do this to myself.
I took a belt and I put it around a stable object,
it was actually a weight bench.
- Oh, really?
- [Bob] And then I just scooted myself away from it,
yeah, and it actually took away my hip pain,
I was having troubles with it.
- I'd like to see a video of that.
(laughter)
- [Bob] Again, that's a lot more technical,
I wouldn't expect people to try that one,
I mean, you can mention it to a trainer
or a therapist and see if they can--
- Someone with a little experience in anatomy
and working with people.
So, I don't know, Bob, if this has anything to do with--
- [Bob] We can fix just about anything--
- Except for,
- [Bob] A broken heart.
- What do you say, Liz?
- [Bob] Yeah, she's showing the heart, all right.