♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And we are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- Today, the title of our program is, "Severe Shoulder Pain:
The Most Recommended Exercise by Doctors."
Brad and I have been in the business a long time.
That's why we got the gray hair and the wrinkles.
- That's right.
- Over that period of time,
this is the most recommended exercise by doctors.
By the time a patient comes and sees us,
they're all doing this one.
- I think you could ask any, any PT in the United States,
at least, and they will--
- Physical therapists?
- They would, yup.
They would all agree with this, I would say.
- So we'll get to it in just a minute,
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- There you go.
- All right, Brad.
- Okay, the big question: what is the exercise
that most doctors recommend on a regular basis?
Very simple.
- Yeah.
- It's a very simple exercise, 'cause doctors,
they're not therapists.
They don't have the time to teach people exercises.
- Exactly.
- But this one, particularly after surgeries,
or if you have severe shoulder pain,
and I still use it as a good starting point.
- Right.
- But even when shoulders are--
- Yeah.
- Are further out along, they can use it.
But it is the--
- Codman's exercise, or pendulum.
- Or pendulum.
- [Both] Yep.
- Or just let the, I call it the elephant trunk exercise.
- Oh, that's a good--
You always come up with good analogies.
- Well, Bob, you know how it is.
- Yeah.
- I lay up at night thinking about (mumbles).
- Yeah, you must.
That's a perfect one, though.
- So, the whole concept of this exercise,
is you let the arm relax,
and we're putting gentle traction
so the joint distracts a little bit, helps circulation,
and let things loosen up.
- Yeah, getting more fluid in there.
- Right.
- A little more fluid in the joint itself.
- Exactly.
So, should we demonstrate it, two different--
- Sure, sure.
- You can do pole, or profile, and I'll do.
- You wanna do--
Oh, I can do a profile, okay.
- Yeah.
- Yeah, sure.
- So, I have people--
If this is--
Just wait, Bob.
- Oh.
- If your shoulder's so sore
that you can hardly lift it like this and like this,
and it's not really ready for any resistance training
or stretching,
or after surgery and they don't want you to do any of that
for four weeks or whatever it may be,
what we just, we wanna get that shoulder stretched,
but in a gentle way to do it.
So you lean forward, and we always have people
put your hand on a countertop or a chair,
so that you don't bother your back.
And you can relax more.
Now Bob is down here, and he's completely relaxed.
Now, Bob, just stand still.
If you do this properly, and I bump it,
that arm should just wobble,
just like it's made out of Jello.
No muscles are tight.
Now, to get this, we want it to go forward and backwards,
right to left, and then circle.
So Bob is, see how Bob is moving his body,
and his arm just follows that motion.
'Cause it's like a pendulum,
that's why we call it the pendulum.
Codman's, I think, is from Dr. Codman, I believe.
- Right.
- Mm-hmm.
- And we can also go side to side, you wanna show that.
- Right.
- Yep. (mumbles)
- (mumbles)
They can see it better from there.
And typically, I'll have people do this about 30 seconds.
You know, if it feels good, you can go longer.
If for some reason it's not comfortable, don't go as long.
And then the circles, like clockwise,
then you gotta get your whole body to go.
And these should feel good, it should feel relaxing.
If these cause pain, or create sharp pain in your shoulder,
it's just simply not ready for it yet.
What you can do, is some people will not bend over so far,
and they'll do a partial pendulum.
- Sure.
- Like to here, as opposed to here.
But if you look at what's going on,
my shoulder's flexed here, this far out.
- Yeah.
- You may not be able to lift it up here,
but when you're like this,
the shoulder tolerates it very well.
- Yeah, I always tell people it's a sneaky way
of getting motion.
So let's say, I really get it going and get it out to here,
look how high I am.
- Right.
- So, you know.
And like you said, you may not even be able
to get it to here, normally.
- Standing upright.
- Standing upright, so.
- Now, this is also for,
for example, my shoulder, I swim a lot,
and my shoulders give me some grief, a little bit.
And after I get them swimming, and it's a little tighter,
a little sore, I'll do this one, then,
just 'cause it feels good, it allows the muscles to relax.
- So in that case,
you just support yourself on your leg there.
- Yep, you can do that, too.
I mean, I would, I didn't have a chair here, Bob.
- Oh sure.
- And I didn't wanna--
- I thought you were showing a new technique.
- Well, no.
Well, you can do it, yeah.
But I like to do it this way, because--
- Well, I'm thinking you get out of the pool,
you know, you don't have anything to hang onto, you know.
- Oh, right, yeah.
Well, I usually wait 'til I'm walking out the door.
- Oh, do ya?
- Well, I think--
- You wanna walk all like this, or what?
- Well, I stop.
It's my own routine.
I have my own routines, you know how I am about that.
- So the other thing is, you know,
if you have severe shoulder pain, just, you know,
one thing I recommend, one recommendation I make, Brad,
is that people keep it supported as much as possible.
- So now we're giving a bonus, (mumbles).
- (mumbles), yeah.
So let's say you're just sitting in a chair, and you think,
"Well, my arm's supported somewhat."
It really isn't, it's still getting some traction,
pulling on it.
Yeah, put a pillow on it, he said--
- Just like this.
- But you might even put a pillow underneath it in bed.
- Yep.
- Keep it supported as much as you can.
Even in the car.
- You're right.
- I try to keep it supported on, you know,
the armrest, or something.
- Then it's nice to have a little cushion on the armrest,
it just feels good if, you know.
Like, my car doesn't have a real cushy armrest.
- Right.
- I think we should make some armrest foam.
- I, I don't disagree, Brad.
- It's not a bad idea.
- Yeah, another Bob and Brad invention, so.
- There you go.
- All right.
Remember Brad and I can fix just about anything.
- Except for--
- A broken heart.
- There you go.
But we're working on it.
- Yeah, we're working on it.
I got it figured out, but I'm not gonna tell ya.
- You do not.
- I know.
Thanks.