♪ Bob and Brad, the two most famous ♪
♪ Physical therapists on the internet ♪
- 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.
- Brad, today, we're talking about plantar fasciitis.
We have a new treatment for an old stubborn problem
and it is a stubborn problem. - Oh, yeah, it absolutely is.
- I mean, we've treated a lot of people
with plantar fasciitis and I have to be honest,
some of them just don't get better.
It seems like it requires natural history that
they're just gonna get better on their own.
- Yeah, months sometimes.
But sometimes you can get after it and it--
- It gets better.
So, first off, just real quickly, Brad,
you wanna show where the plantar fascia is?
- You better believe it. - So we're looking
at the foot right here and if we look at our skeleton,
Boneapart guy, we've got some red tape to help show.
- That's the tough fascia. - Right.
Connects to the heel here. - It a tough band.
- Connects to the, right to the ball of the foot there.
And you can see there's some flexibility in it.
This is just a model of kind of how it works.
But that fascia gets inflamed and it usually hurts back
by the heel. - Yeah, right here
and often more towards the arch.
- Right, so we're talking-- - Yeah, right there.
- about right there. - Let's start of, Brad.
The first thing we want you to do before
we get to the new treatment, which involves these balls
and this tray, this track, I should say,
we're gonna show an old stretch you should do for it.
- Sure. - So you wanna get up
on this chair, Brad? - You bet.
- You can get up there, old man.
- Oh. All right, Bob. - All right,
so what he's gonna do, he's gonna take the towel.
And what we're gonna do is we're gonna stretch
the toes up like that is all you're doing with this.
So you put the foot on there like this
and you're gonna grab onto the towel.
And you're gonna go ahead and keep the foot down.
And you're gonna pull the toes up and give it a good
minute or two stretch.
You could do that a couple times a day.
- Yep, do you like a sustained stretch
or to oscillate it, Bob? - You could do
the pressure on, pressure off or you could
do the same stretch, you know, sustained stretch to 'em.
- Sure, you bet.
It's mostly on the big toe, correct?
- Right, mostly on the big toe.
- Mm-hmm. - Exactly.
All right, moving on.
Now, this product was made by MassageTrack, okay?
And this is called the Body Track.
And you can use it for a lot, massaging,
or doing trigger point therapy basically
on a large part of your body.
A lot of numbered parts of your body.
- Right. Mm-hmm. - Yeah, but we're gonna today
use it for the foot and the calf.
- Sure.
And this, specifically my wife used this
for plantar fasciitis and it really has helped her.
- Mm-hmm. - Now this comes
with the Body Track, but you can also buy balls from them.
I think these are like Lacrosse balls.
They're very hard. - Yup.
- You could just use some balls you have laying around
like a tennis ball. - Right.
- But, like you just said, Brad, these actually feel
a little bit better, don't they?
- Right. Yup, they're a little firmer, mm-hmm.
- So, all right. Why don't you hold onto that, Brad?
Real quick I'm gonna show you on this thing,
on the Body Track.
On here, you see where there's just a thin space between
the two balls and here's a little bit of a thicker,
a wider space between the two balls.
So that gives you two different options when you're doing.
You're gonna put two balls down and I'd first go
with the narrow track.
Why don't you show you foot, Brad, like this?
So the narrow track you're gonna work along the ball
or the ball of the foot too, I guess.
And you can also go to the wider track.
Now, they recommend and I recommend too
that you definitely wanna watch their video
on doing the treatment before you do this
because what they recommend is that
you find your pressure point, hit a spot.
You might even wanna start off the tender spot, Brad.
Probably more on a spot that's not so tender.
- All right, if this is a tender spot here,
we're gonna start here. - Right.
- And then work towards it. - Yup, so you push down.
You're gonna put pressure down and you're gonna put pressure
for at least 12 seconds is what they recommend,
up to a minute. - Mm-hmm.
- And if you're pushing down it
just gets worse, worse, worse, worse,
that's probably too tender right then
and you maybe need to go to a different spot
or you maybe need to put lesser pressure on it.
- Right. Sure. - So that's the one way
you're gonna work it with the balls being
very close together.
You're gonna work it with the balls being very close apart.
And what they recommend is you hit a spot
for the 12 seconds, up to a minute,
and then you move a half inch and hit another spot
for the 12 seconds, up to a half minute
or up to a full minute.
Makes sense, Brad? - Right, so basically
it's a soft tissue mobilization, what we call it.
It's getting in there and breaking up some
of that scar tissue, loosening things up,
so get the tension. - Kind of
a trigger point there. - Sure. Mm-hmm.
- That's what I would say. - Yep.
- Now, before we go onto the calf,
the other way my wife uses this and they did not recommend
using it this way, but I think this
makes sound sense physiologically
that she actually turned the tray the other way
and she put down one ball.
And she actually rubbed back and forth like this,
like it was more of a cross-fiber massage.
And that worked out very well for her.
- I'm saying do what works. - Yeah, do what works.
- You can try either way. - It's not gonna harm anything
I personally like to actually,
I understand the hold for 12 to 30 seconds.
- 12 seconds to a minute. - Up to a minute, yeah,
but I don't have the patience for it,
so that's never gonna happen with me.
I'm just telling the truth, Bob.
I will definitely do this and the other one
and I'll hold it too, but I know 30 seconds, stretch, hold,
blah, blah, it doesn't work with me.
- Sure. - I can't practice,
you know, it just might-- - And this case, Brad
was using the single ball, which is recommended too.
You can two, the double balls and then go
to the single ball too. - Sure.
- So, all right, why don't we show
how to do that calf, Brad? - Oh, yeah.
- So we'll-- - I thought we were talking
about cows and calves, but ...
- So we'll move this down.
Good. - All right.
- It's gonna be the same principle on the calf.
So again, we got the balls fairly close together
on more of the narrow tracks and same thing.
You find the spot and he's gonna have to lift
his butt up in order to do this.
- Lift your body up with arms.
You need a little arm strength.
- If you're on the floor, you can actually even put
this leg on top of the other one like that
if you wanna really get into it.
- That's aggressive. - That's aggressive, you know?
- So otherwise, you can just kinda,
you can put that foot up on the table like that too.
You can vary the pressure that way.
- Yeah, 'cause you're gonna do it on
your living room floor, probably.
- But even with plantar fasciitis,
you wanna make sure this structure's all stretched out too.
You wanna have plenty of movement on all the structures
'cause this does come down and attached into the heel too.
- Basically from here, all the way up to here we have
a big line of tissues connecting.
- Again, the same thing.
You're gonna go 12 seconds to a minute.
Each section will go another half inch and move it along.
- So this is something that takes some time.
You're gonna have to schedule out in a few minutes to do it.
Just get it in your mind to do it and it'll work
that soft tissue. Well, as I always tell
our patients, Brad,
it takes you a long time to develop these problems,
so they're not gonna go away overnight.
So you're gonna have to work on them
a long time too. - Right, right, right.
- Now, a lot of you might be thinking,
well, why can't I just take a couple balls
and do this on my own? - Sure.
- You can try it but, I have to be honest,
the track makes it much better.
The balls don't roll away on ya and they keep in line.
- Yup, little more control. - Little more control.
The other thing my wife did is she just put it underneath
her desk at work. - Oh, yeah.
- With the balls there. - And so, one thing
about plantar fasciitis, whenever you try
to get up after sitting for a while,
it's that ow, ow, ow, ow. - Yeah.
- So she roll her foot before she get up
and that would take away the pain.
- Sure. - So that worked out-
- Nice. - really good for that.
Very much of a convenient thing.
What did I say it is, Brad?
About 50 bucks? - Right. Mm-hmm.
- 50 bucks for this.
You can also buy eight balls for about 60 bucks.
- Right. - And then, they have
some other ones too.
Well, we may talk about those
in another future video. - Sure. Okay.
- All right. Thanks for watching.
And do you wanna fix the broken heart today, Brad, or no?
- Well, I don't know.
What do we got here?
Ah, he definitely needs fixing here.
We got that Boneapart.
If that heart's broken like this and the poor guy
just went through some terrible trauma,
just come to us.
Yeah, we never did this yet, but gotta--
- We can fix just about anything,
but we can't-- - Stapler.
- fix a broken heart as you can see.
- It's not working. - I think it's gonna work
this time, Bob. - Yeah, all right.
Thanks a lot- - Yeah, it's fixed.
- for watching.