♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- 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.
- This video is a part of a series
of videos on plantar fasciitis.
If you want to see the entire series,
or what it entails, go to bobandbrad.com.
Go to the program section,
and it'll be under plantar fasciitis.
We have a whole bunch of videos you'll wanna watch.
This one is ice versus heat for plantar fasciitis.
How you may decide which one to use, and how to apply it.
- There you go. - So the first one,
we're gonna to talk about ice.
Ice generally has three purposes.
One, immediately after the injury,
you know, like 24 to 48 hours after you start feeling it
for the first time, it can help with pain and swelling.
- Right.
- And a lot of times what's interesting about,
right after you injure your plantar fascia,
a lot of times it's not just pain right here, Brad,
sometimes it's the whole arches.
- Sure. - All fired up.
So the ice will help calm that down.
After 48 hours, it still works good for pain control.
- Sure, yup. - And it also
can help with blood flow, because
there's a process that goes on, when you put ice on,
the blood vessels contract. - Right.
- And after the ice is taken off, the area warms up
and encourages more blood flow to come in.
They open up even wider than they normally would.
- Right, so when they contract,
they squish out blood from the area.
Then when they warm up, they open up and,
so you get actually, some good movement.
- Hyperemia. - Ooh, very nice term.
- So what we recommend is you take a water bottle,
and you have it only about 2/3 full 'cause you don't
want it to expand - Expand and break
in the freezer. - And break open, right.
- So, about 2/3 full.
Freeze it, we didn't freeze this one, sorry.
And you're going to go ahead
and you can just have it below your desk
or wherever you're going to have it,
and you can roll back and forth like this.
And you can freeze things down.
Roll 10 to 15 minutes. You get a little massage too.
So it works out really well with that.
- Are you gonna drink that for lunch? (laughs)
- No, this one I can go ahead and throw away, because it's,
we don't wanna have my feet contaminate it.
- I just thought I'd throw that in there.
- All right, for heat.
So ice, you can use any time you want,
if you want. - Sure.
- The heat, after 24 to 48 hours, you can certainly
then use heat. - Right.
- Now with heat, what we recommend actually,
is to use infrared heat.
'Cause regular heat only penetrates like a millimeter or so.
And if we want this thing to heal,
we're gonna want it to penetrate much deeper,
which infrared heat does, and I'm gonna
demonstrate on the yard stick here.
So, on this side, Brad you wanna hold that side?
- Yup, I'll hold it. - You can see that
- [Brad] This little blue section.
- [Bob] Yup, that's what normal heat,
how much it penetrates. - [Brad] Right.
- [Bob] Compare it to infrared heat, which goes two point
- [Brad] three, six inches.
- [Bob] Look how much more that is.
Now, if I were to put that up against my foot,
I don't know if, here let me pull this off here.
Now you can see it's actually going to penetrate well
into the fascia and help it heal.
- [Brad] Right. And that's the thing with
the regular convection heat where it's just the hot pad.
If it's not making contact with your arch
in here because you'd have to push it in, or what not,
you're gettin' virtually nothing, but infrared
will actually, you don't even have to make contact,
you will get that depth even if it's not in contact.
- Yeah, if it's down here it'll still, right,
it'll still go all the way up.
It doesn't have to be conforming right to your skin.
So, we got two methods that we're big fans of Thermotex.
One they have the big shoe, basically, this is,
it's called, or the big slipper.
- Yeah, it's specifically made for the feet.
- Yep, and it's nice, especially in the winter
if you have cold feet.
You can put this under your desk,
you just slide it in there.
It's got a liner in there, too, if it gets too warm.
- Sure - For the bottom of your foot.
And you wanna make sure that's in there.
But, my daughter uses this all the time.
She has a problem with her feet and she just sticks it
underneath her desk and moves on.
- It doesn't matter if you have problems or not,
in the winter time and you got cold feet issues.
Whoa, it's a treat.
But, it's gonna, this way you can get
both feet at the same time.
You do not need this one, you can go to the, this.
- This is the platinum model.
The reason I like this one probably a little bit better
is because now you can use it over the entire body.
You can use it for your back pain or your neck pain.
Or your thigh pain, knee pain. - Here, here, here.
- Right, calf pain. - And the nice thing about is
you can roll it and you can actually put your hands in there
but, in this case you're gonna go like this
and go like this, it's got a nice elastic strap.
- [Bob] Yeah, it comes with a bunch of, it actually comes
with some extra straps if you order through our link
because Bob and Brad like to have it
that you can actually wear it for back pain.
- Right, we suggested that to this company.
- But this is, you know, this would work great for this
and then you'd have something for the other parts
of your body that are hurting, so we have a link below.
This is how we are able to offer these videos for free.
I'll just remind you we get a small commission on this, so.
- But, they're a good quality product, we've been using them
for two, three years now. - We love it.
Love it, love it, love it, love it.
So, all right, thanks for watching.