♪ 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 are the most famous
physical therapists on the internet.
- In our opinion of course Bob.
- Today we're gonna talk about is your hip pain
actually coming from your back and how to tell.
We've got some simple questions
and some simple tests that you can try.
- Absolutely Bob, 'cause as therapists we know the two
can easily be...
- Misunderstood or mistaken or...
- Misconstrued.
- I don't know, we'll come up with a word.
By the way if you're new to our channel please take
a second to subscribe to us.
We provide videos on staying healthy, fit, pain free,
and we upload everyday.
Also, you're gonna wanna join us on our website
bobandbrad.com because of all
the other goodies we got there.
- Oh yeah.
- We're always doing a giveaway.
And right now we're doing --
we're giving away some of our merchandise.
You know we got, if you want our ugly mugs on your mug,
- Yeah.
- Here you go, this is the place to go.
- There you go.
- You can also find it on Bob and Brad on Facebook,
it'll be pinned to the top of the page.
You want a short version of us go to Twitter or Instagram.
60 seconds of Bob and Brad a day.
- There you go Bob.
- Might be all but you can put up with it.
- You can't go wrong with 60 seconds of us.
- So yes, hip pain or back pain,
it can be very deceptive because sometimes they share
the same locations even.
- Yep, similar symptoms, and uh how many times have you
had someone come in with hip pain, diagnosis from the doctor
and you end up treating the low back and the problem's gone.
- Absolutely, this happens all the time.
So, the first thing we're to do is ask three questions.
And by the way this information is from this book.
It's by Robin McKenzie.
This guy, this man truly was the most famous
physical therapist on Earth.
- Yeah, he, he's got a whole system that's worldwide.
Anyways it's, we love him.
- It's called "Treat Your Own Hip", just came out.
We're gonna do kinda hip week here,
and we're gonna do three videos on this book alone.
- There you go.
- So the three questions, number one:
do you have pain in your central low back,
that means your low, you know middle low back?
- By the belt line.
- And particularly back pain on the
same side as the hip pain.
- Sure.
- So you're having hip pain, or you're like,
"Ah, I always have back pain too along with it."
- Yeah. - It's on the same side.
Two: does coughing or sneezing increase your back pain?
- Or your hip pain.
- Or your hip pain, right.
- Create your pain, the problem you're having.
- Right, do you have numbness or tingling or like
pins or needles or weakness in the knee or foot
on the same side as the hip?
- Sure.
- You answer yes to all three of these,
it's more likely that you're having back pain than hip pain.
- Right.
- Those are the signs of hip pain,
or back pain, not hip pain.
- But not necessarily, we're just saying, more likely.
- It's more likely, right.
It's not positive but it's more likely.
Okay the second thing you wanna look at is pain location.
- Ah-hah.
- So Brad and I have used tape and my tape is representing
what's more typically hip pain.
- Right.
- Hip pain tends to be more in the groin,
and also on the side here.
This is more what we consider the hip.
- Sure.
- I know a lot of people consider the hip back here,
but this is really more the hip.
All right, if you're having pain in the areas that Brad
has marked off here.
- [Brad] Is it still there?
- Yep it's still there.
In the low back, or going down the butt,
or maybe even going down the leg all the way,
then it's more likely back pain.
- [Brad] Right, right.
- Again, not 100%, but your odds are more,
if you're a betting man or a betting woman,
that's how I would bet.
- Yeah, it's really important to understand that
pain location often times is not related
to the source of the pain.
- Right.
- It refers because of the way,
the nervous system is in the body,
it refers to different locations, and that,
you know as therapists we work with it all the time,
it just is common knowledge to us.
But the layperson may not understand that.
- Yeah it's weird to think like, you know shoulder
might be sending pain down the arm.
- Right.
- Or neck pain does sending pain down the arm, so...
- Very similar.
- All right, the third thing that I want you to try,
is I'm gonna have you sit in a chair.
And you're gonna sit straight up first,
- Yeah.
- and see what that does to your pain.
- We got a stool.
- Well a stool or chair.
- Stool's okay?
- How 'bout a chool?
(laughing)
All right so, you're gonna sit in the stool, or chair,
and you're gonna sit straight up
and see what your pain does.
- Sure.
- Then I want you to slouch like this,
and while your slouching I want you to grab the bottom
of the chair and pull up.
That's gonna put compression on the spine.
- Right.
- Pull up.
- I think it's pull down, but (laughs).
- Pull down with the back, pull up at the arms.
- Compress that back a little bit.
- Compress the back.
I just did this with a patient yesterday.
- Sure.
- 'Cause she's, she had a hip replacement,
but she seems to be having back pain with it.
This caused increased pain.
This made her pain worse.
So it was more likely her back.
- Right.
- 'Cause your hip is not gonna hurt when you do this.
- Yeah there's no extra stress being put
on the hip when that happens.
- Right.
- It's clearly more on the back.
- So, you can also test it by standing.
Standing, so you stand, put your hands on your thighs,
and just go, you know slide down the thighs like this.
Again, this is not increasing the pain on the,
the stress on the hip.
Saying you large extend,
it's increasing the stress on the back.
- Right there.
- If this makes your pain worse,
again we're thinking more back pain.
- Right, right.
- Same with, you can do extensions standing.
You can extend like this or extend like this.
- Yep.
- If this makes your pain worse,
again more likely to be the back.
- Right.
- Have I been clear Brad?
- Yes.
- Clear as mud?
(laughing)
Song.
- Well I had a medical teacher that always
who used to say, "Oh am I as clear as mud?"
He'd always say it like that. "Am I clear as mud?"
- Okay Bob, carry on (laughs).
- What, it was funny?
So that's, that's it Brad,
that's the end of the thing there.
And you know, if you are having back pain,
obviously you wanna treat that,
'cause your hip pain is never gonna go away
if it's actually coming from your back
and you're treating your hip.
- So the next question our viewers are asking,
well what are we gonna do, we want the pain better.
- We're gonna have two more videos within the next week
- Okay.
- On what to do. - Right.
- So just keep watching on our channel.
- And also this book is written for...
- Oh yeah this book is written, very good Brad.
- Written for the layperson.
- Right.
- These are usually pretty cheap around the 10 dollar range.
- Yep, yep.
- Um and it goes through everything
we just went through plus treatment.
- It'll have all the treatment.
It'll have everything we're going through this week.
- Right, very good.
- All right, remember Brad and I can fix about anything.
- Except for
- A broken heart.
- But we continue to work on that,
and we won't give up until we get there.
- We can fix hips though.
- Oh yeah, it's pretty close.
- All right, thanks. - Proximity.
(upbeat trill)