♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Yeah.
- That's a sign.
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together we are the most famous
physical therapists on the internet.
- In our opinion, of course, Bob.
- Okay, five reasons you need compression socks,
a hint, LeBron James wears them.
You know who he is, right?
- Well, yeah, he plays- - Football.
- Foot?
Yeah. I know he's basketball.
I know. - All right.
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- Right. - the platinum model.
- That's right.
Heats 2.36 inches right
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- Really works well. Anyways-
- Yeah. Regular heat only goes like this.
This goes like that.
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Um, sorry. That's what it's called.
- Yeah.
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If you want a 60 second version
of our program and we have what, Brad?
- Oh, the podcast. - Yeah.
- I was just thinking about the scientific measurement
you were doing.
We got to do this much and then this much.
But no.
- All right.
So, as you can see,
I've got some compression socks on here.
They go all the way up to my knees here.
- Here's one, how it looks off the body
and I've got one on and then one off
'cause I wanted to see the difference.
- Well, that's going to throw it off.
- Well, I walk a little crooked but-
- All right. So what do the compression socks do?
So the veins in your body, they return blood
to your heart for oxygenation.
- Sure. - Oxygenation.
Can I say that?
- Yeah, they get oxygen.
- Yeah, but they have to work
against gravity to return blood to the heart.
So, a lot of times it becomes weaker
and inefficient over time.
- Sure.
- Lots of time, my wife had great difficulty
with these because of three pregnancies
and they became
expanded I guess, and painful. - Right.
And typically in a real healthy person,
your contraction of your muscles when you walk
and use the muscles in your legs
that helps pump that vein,
that blood that needs to be oxygenated back up.
But as we age, a lot of times things with pregnancy
and there's certain things that-
- They become weaker.
- Right. And now they're finding out,
as like LeBron James, I don't know,
I don't think he has any problems
except for he's a high level athlete
and he wanted to maximize the return
so they can become more efficient.
- Well LeBron James, actually,
he had an episode where his legs were cramping
during a playoff series.
- Oh, I see. - And they actually
had to pull him out of the game
during a critical point.
From that point on, he was wearing compression socks
even during the game.
- Sure. - And I don't know
if it helped with the cramping.
I didn't see any more incidents of it.
- Sure. - So it probably did.
By the way, Tanner,
we're gonna change this to seven reasons
in the commercial.
I just realized I changed it to seven and-
- Oh, I better do this.
- Yeah. There we go.
So, you should check with your doctor
before you use any compression socks.
'Cause we're gonna tell you seven reasons
for people who may wanna use it,
but we're also gonna show it,
tell you some reasons you should not use it.
- Sure.
- So, and a reason I came upon this, Brad,
is because I went to back to standing a lot
at my standing table. - Sure.
- And I just kept thinking, "This is hard on my veins."
You know what I mean? - Sure.
- Just complete standing, no movement.
And so I'm going to start wearing compression socks
when I work at my desk.
- So have you worn them for a full day yet?
- No, I haven't worn them yet.
- Okay. - This is the first time.
But now these socks are graded from 20 millimeters
to 30 millimeters of mercury pressure, right?
- Right. The compression.
- Yeah. And the compression is more at the toes
and less up here.
- Right.
- So, it's trying to push the fluid back up
into your body the way it should go.
The fluid doesn't go out your toes.
- Right. - It goes right up
into your body.
- And when you look at it, like this box of stamina
it says graduated compression socks.
When it says graduated, that's what they're talking about.
There's more pressure distal, or in the foot or the toes,
and less as it goes up.
Just as Bob explained.
- Very good. Thank you.
So, number one, if you're an athlete,
they have found out, this seems to be pretty solid
that it does help speed up post recovery workout.
So when you get done, you might wanna go ahead
and put some compression socks on
and the legs will or the...
You can daresay they actually have them for the arms
and the mid-body too. - Sure.
- They will recover quicker.
- But also, aren't they wearing it during the event?
During an activity- - Some of them are, yes.
The studies are a little more questionable on that,
but I saw one that it did help soccer players
with their endurance.
Runners, again, some show it does, some show it doesn't.
But if you can get an edge and it doesn't bother you
why not wear them?
- Yeah. I don't think there's any negative
to it for someone like that. - Right.
- We did a video on this many years ago
and I found a study on marathon runners.
- Oh. - And it showed
positive results with them. - Sure.
- It wasn't, you know, - It wasn't.
- It wasn't bringing them down by 10 minutes.
I don't remember the exact
but if you look at compression socks, Brett, Bob, and Brad,
you'll see an old one and I have less gray hair
in that one.
- Okay. Now people who are confined by
or have to be in a wheelchair.
And I used to work with a lot of population that fit
in that category. - Sure.
- And they did wear a lot of...
Especially younger people,
we would have them wearing compression socks.
- Well people, maybe you're gonna...
I'll come in later with this.
- Okay. Pregnant women, of course,
that we already talked about that.
Very important.
If you're an airplane passenger,
and if you're gonna go on a long flight,
that's why we recommend also doing ankle pumps,
but your risk of a blood clot goes up on an airplane.
A deep vein thrombosis.
- Is that has to be an airplane or just sitting still
for long periods of time. - I don't know
if there's something about the pressure on planes too,
but it's sitting still for a long time, right?
Because if you're gonna be even in a car
for a long, long time, you may wanna make sure
you're getting, taking breaks and the same on the plane.
You can get up and walk.
- Sure.
- So, number five, people who are on their feet all day.
That'd be me standing at a standing desk on those days,
or if they sit all day.
So, if you're trying to decrease the pain
from varicose veins, this may help.
And if you were trying to manage orthostatic hypotension.
So that's the type of when your blood pressure drops
when you stand or it's just not bringing...
The blood pressure is not going uphill.
- So it can happen getting out of bed
or going from a seated to a standing position.
You get lightheaded and you feel like you,
maybe you're gonna fall is because of blood pressure
to your brain goes down, temporary, just for a little bit.
So wearing them down here is gonna assist that?
- Yes.
- Yeah. Okay.
- I'm sure you've done this, Brad.
I mean we used to measure blood pressure
with somebody lying down.
Then we'd have to sit up
and measure it. - Yep.
- Then we'd have them stand up.
- Yep. Just keep the cuff right on them.
- Yep. If it drops, 10, 20 points.
You've got orthostatic hypotension.
- Right.
- So, all right.
Who should not be doing this?
And you wanna check with your doctor just to make sure
but if you have a ischemia, like peripheral artery disease
where you have a lack of oxygen to the limbs
you won't wanna do it.
Peripheral neuropathy, where you have damaged nerves.
- Sure.
- You wouldn't wanna do it.
CHF or congestive heart failure.
Now the reason you don't wanna do it with that
is because you might have gained some fluid
and you could actually pump the fluid up here
and your heart couldn't handle all the fluid it's taking.
- Too much, too soon.
- I think there's times where these can be worn
but you wanna work with somebody who's certified.
And we had Aaron on who talked about that.
I would feel very comfortable if he said,
"Yeah, it's time to put compression socks on."
- Right. - If my mother wanted them,
as a matter of fact, I did talk to him about that
at one time.
But yeah if there's,
if you've got a lot of edema in your legs,
just don't put these on
without checking with your doctor because,
or a therapist who's certified.
- You may have a heart problem that you
should not be wearing socks
and bring that much fluid up right away.
If you're diabetic, it's possible,
and that's the same with the peripheral neuropathy.
If you have cellulitis, you have an infection down here,
you don't want to be putting the sock over it.
And if you're allergic to materials,
like, I don't know what these are made of,
but if you're allergic to anything like this-
- Well, see what they're made out of and-
- Yeah, exactly.
- You'll know after you're wearing them
for awhile, start itching, turning red, rash.
That kind of a thing.
- You're supposed to hand wash these, huh?
Machine wash is okay, too. - There you go.
I know one thing that I've always worked
with my patients anytime,
if there's a swelling issue or whatever
sometimes these socks I can see are pretty nice.
They're going to stay, stay up.
Sometimes they'll roll down and I call it the tourniquet.
- Yeah, and they're even worse.
- So then you get a band right around here.
And it acts just like a tourniquet.
And then you'll start getting swelling below
where it's rolled up. - Right.
- And you don't get that return flow of the edema.
You're still getting circulation through your artery
and your veins.
But that lymph is right below the skin and it traps-
- Well, it seems like a lot of those
Ted stockings used to do that.
Remember those? Those white ones?
They used to roll down and do that.
- Yeah, we're talking about with patients
that we've worked with
and they'll have a compression garments on
and they roll down.
It's a big frustration, but that's another story, Bob.
Well, not. It's all related, though.
- No, it is.
And that's why again,
you maybe would need to check with your doctor
what your compression would be.
Again, these are 20 to 30 millimeters.
- Right. Yeah.
Cause they make some that are more than that.
- More, and some that I believe are less.
- Yeah. And I don't remember at that one,
if it was down to 15.
I had a friend who worked, did a lot of walking.
It was on concrete.
I don't know if that really mattered
but he started using them
because his legs would ache
by the end of the day. - Oh, sure.
And he was only about 50 years old.
- Did it help?
- Yeah, it did.
And so he was happy wearing these.
He bought a number of pairs so he can change every day.
- I'll have to report back how mine feel.
I mean, I didn't have any trouble with swelling or anything
but I just kept...
I stand there and I'd be thinking,
"you know, I'm standing a long time
and not moving." So...
- You can look them up, there's a lot
of different manufacturers- - Yeah, there's a lot of
different types.
You don't have to choose the one that we chose by any means.
- Right.
Do a little homework on it and basically you pick them out
and you try them.
You might find that you really like them
and you might find, it's like "oh".
- We should say they are hard to put on.
- Yeah.
- You said your parents stopped doing it because they-
- Yeah. And they were
older. - Sure.
- But they just said, "It's too much work."
- Sure. - They'd had them on
and they didn't think the benefits were worth it.
But, I knew that might happen.
- They make devices to help put them on.
But we'll have to show that sometime,
how that works so all right.
- This feels good though.
They should feel good. - Yeah they do.
- You should have good results.
You shouldn't feel you see any swelling
or puffing or anything like that
as a result of wearing them.
- And remember, Brad and I can fix just about anything.
- Oh yes, except for-
- A broken heart, but we'll work on it.
- These aren't gonna help.
They got the circulation thing though for getting
more blood up there. - We're getting there.
Peace out. - I don't know.