♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi folks,
I'm Bob Schrupp Physical Therapist.
- Brad Heinecr Physical Therapist
- We are the most famous physical therapists
on the internet.
- In our opinion of course, Bob.
- If you using a TENS unit,
we're going to show you where to place
the pads to stop your pain.
Now when you get a TENS unit,
especially the ones that we recommend.
Usually they have one or two channels,
which means two or four pads.
Brad, do you want to show, Yeah.
We're gonna provide specific videos,
for each body part.
So like let's say you're having an elbow pain,
or back pain.
We're going to show that in separate videos.
So go to BobandBrad.com,
go to the program section,
and go to one where it says TENS,
and it'll give you a list of the titles.
So let's say you're having back pain,
it'll show you where to place the pads for back pain.
Let's say you're having knee pain,
it'll show you where to place the pads for knee pain.
On and on and on.
So there's some general rules for placing the pads on.
First off, you wanna clean the skin with soap and water.
So you remove the oils from the skin,
because the oils can interfere
with the stickiness of the pads.
So eventually the pads won't stick as well.
Number two,
you may want to shave the area,
which Brad is kinda giving a demonstration right there.
His legs are a little bit hairy.
If he was going to use this on a regular basis,
I would recommend that he shave that area.
- I would too.
- Yeah.
(cheerful laugh)
- It's not so comfortable when you pull a sticky
and the hairs come with it.
- When you're done with the pads,
put them put them back on the plastic.
Yep, just like that to preserve them.
Alright, we're going to start off right here.
Oh, by the way if you need to replace pads,
you can go to iReliev and replace them.
They actually even have
the iReliev Dollar Electrode Pad Club,
which they'll give you kind of a monthly supply of pads
at a cheaper price.
- Right?
- A less expensive price so.
- Makes it easy and inexpensive.
- Yeah, alright.
So let's talk,
let's say your first dealing with a smaller area of pain.
And you're gonna use just one channel and two pads.
You've got a couple of choices here.
One, you can put one pad right on the pain.
And Brad's done that.
- [Brad] So this red is not inflammation.
I don't have a sore leg,
but this is be the,
let's say the pain spot is right here,
that's why I put the red mark,
and we have four pads,
we put yellow and yellow on the pads.
You don't get them like this.
This is something we actually did.
So it's easier to tell,
this is one channel
and then the green ones would be a second channel.
So now we're just using one channel.
we're gonna use the yellow colored ones.
I wanna put one right over the pain spot,
and then should we go below it or.
- [Bob] Below or above it
and usually go at least a pads width away.
- [Brad] Yeah.
- [Bob] Don't put them too close.
- [Brad] Yeah, you wouldn't put them this close.
But like Bob says,
if you're gonna go a pads width,
you don't have to measure,
but I'm just demonstrating,
coz you can guess,
you don't have to get real specific,
but you know, anywhere in here is gonna work.
- [Bob] Yeah, and again these pads,
well I believe they're just black plain black,
we put some tape on like Brad said so you could tell,
you can also go above the pain.
Yeah
- [Brad] Go ahead keep talking Bob
- [Bob] ALright.
- [Brad] This is why,
- That's why you - That's not good
- [Bob] Don't necessarily wanna have hairy legs.
- [Brad] Not so hairy up there
- [Bob] You can also take both pads,
and just go on either side of the pain.
- [Brad] Sure, so I'm gonna leave that one there,
pull this one off.
There's the, can you see that make?
- [Bob] You go that way
- [Brad] I might go a little closer with that.
- [Bob] Yep, or you can go side, and side of it.
Just like that.
- [Brad] Yeah.
- [Bob] It's all experiment,
you're gonna find out what works best for you.
You can also take two pads
and look for the trigger points.
You say where are the trigger points on my leg?
You'd have to look them up on a chart.
- [Brad] Right.
- [Bob] There's charts available on on the internet.
When we go over specific areas,
that we'll do in other videos,
we will show you where the trigger points are for that leg.
- [Brad] Sure.
- [Bob] Or for that spot.
Alright let's say you're gonna go to four pads now.
With four pads,
basically, you wanna do one or two things.
One you either create a cross
or create an X.
So with a cross you put one pad above it,
and one pad below it.
That's channel one.
- [Brad] So the green is one channel.
Now normally, on the unit there will be two wires
when you're using four,
coz you need both channels.
We don't have the second wire,
but there'd be another wire exactly like this,
and they will connect into here exactly how these are.
- [Bob] Yep, so now he's formed a cross.
Can you show how that you formed a cross Brad?
- Yep - Yeah
- [Brad] So the current goes
from green pad to the green pad,
and yellow pad, the yellow pad.
So that's the cross Bob's referring to.
- [Bob] So now you can also do an X.
So you'd put one up in the upper right corner.
yeah, you got it already Brad, don't you?
- [Brad] Yeah.
- [Bob] He's just gonna show you.
- [Brad] And again, you say well, what's the difference?
Sometimes it makes a difference on the pain how it feels.
So you have to experiment and see which way works better.
So one day you might have it this way
and the next day you are you know,
later in the day you might change it,
and then you'll find out,
what is works the best for you or the location.
- [Bob] Now we're gonna talk about the example,
let's say it's referred pain,
pain coming from somewhere,
like let's say it's coming from your back,
like sciatica.
You might take two pads and place them on,
the length of the nerve.
Where the nerve is you know,
being referred to the pain.
- [Brad] now I went the red marker.
- [Bob] Now you want to red marker.
(cheerful laugh)
- So let's say I did have like Bob said,
that main L three,
that would be level three nerve comes down.
It would come across this way typically.
- [Bob] Yes
- so instead of having a round circle of pain,
it'd be a line of pain,
and then I would put it here,
if the pain goes like there.
Now, I'm not gonna go way up here where it starts,
coz that distance would be too great.
We still need to keep it,
I usually tell my patients no more than a hand width,
and somewhere in that area,
put it on there.
- [Bob] And you can put it in four pads.
You could go another two.
- Sure
- [Bob] That go all the way along the length of the nerve.
- Yep.
Now obviously, maybe if it went down here.
- [Bob] Sure.
- Typically L three doesn't go that far.
But you know, on the backside it would work.
- In other words,
you can follow the nerve all the way along.
- Yep, you can get good part of your leg then
on that sciatica pain.
- Now the only other thing we're gonna say,
is sometimes when you use the unit,
it may start the muscles to contract,
they actually start working.
Now, that's okay if that happens.
You want to do it to the point where it's still comfortable
and that it's not increasing you pain,
but as Brad and I were talking earlier,
you don't want to get to the point,
where it interferes with your functions.
So like, let's say you have the pads on your arm,
and it's causing your hand to go like this.
Well, it's gonna be kind of hard to work.
If your hand is doing that.
- Yeah
- And people might start talking about you.
- Especially if you work in public or with other people.
- Right?
- And they say,
- Coz it'll make your hand go like this,
if you put on the right muscles in voluntarily.
- Sure.
- So you wanna maybe use a different program then.
There's eight program on these and.
- Or possibly move the pads
- Right
- To get away from those trigger points.
- Alright, like I said,
if you have a specific problem
where you want to place the pads,
look up the specific video for that problem,
and we'll give you some advice.
- Alright.
- Thanks for watching.
- Good job, Bob.