♪ 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, Brad, you're a little busy there aren't you?
- I'm feeling strong.
- Today we're gonna present the best video
about gout ever made.
- Oh gout! Excellent. - Yeah.
And how can we make that claim, Brad,
that this will be the best video?
Well, not only are you gonna get worthwhile information
from me and you,
- Right.
- This is a participation video,
we are asking all of our community to comment below
and answer one question.
- What?
- I'll tell you the question in just a little bit.
We got to string them on a little bit.
- Oh, it's one of those teasers.
- Yep, but community is stronger than the few
and you'll find out why that one question
is gonna help everybody.
By the way, if you're new to our channel,
please take a second to subscribe to us.
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- Yes.
- Right now, you go to bobandbrad.com,
go to the giveaway section.
We're giving away the grip strengthener.
Brad and Bob invented this.
Yeah, keep it around your feet there.
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We got like a 60 second version of these shows.
- I know, but then they don't get to
hear us brabble on. - Yeah, yeah (laughs)
Like that's a positive.
All right so, when we're talking about gout,
one of the things with gout,
probably the most important thing
if you are one that suffers from it,
is you're gonna want to avoid the triggers.
Those trigger type foods, or substances, or liquids.
So what we're gonna do, if you have had gout,
I want you to comment below,
what triggers you need to avoid.
- Oh, sure.
- And this is gonna be very helpful
because they list a lot of them
in the readings I do,
but some of them, I don't think are that important,
in my opinion.
- So we want to get it directly from--
- We want to get it directly from the people--
- Exactly, get some good feedback.
You know, gout is actually a form of arthritis.
- It can lead to pretty severe arthritis, actually.
- Sure.
- If you leave the crystals in the joint.
So what we're talking about is
typically, affects the base of the greater toe.
That's the most common joint it affects.
I'm gonna show where that is.
It's the metacarpal phalange, right here,
you can see that.
So it typically affects that one,
it can also affect other joints too.
And my sister, one of my sisters,
I have eight of them.
- Can you imagine.
- This is my favorite sister (laughs)
- Oh good (laughs)
- But I'm not gonna say her name.
But she's got a bout of gout.
I love saying that.
- Oh really? - A bout of gout.
But she had it in the bigger toe, greater toe.
Now she has it in the ankle.
So she's like, "Okay,
"apparently I can't just ignore this,
"I got to figure out what's triggering this."
- Sure.
- So, we're gonna try to help her with that.
What's interesting is, it affects 90% men.
So my sister's been a little bit unlucky here.
'Cause it's more common in men than women,
90% affects men aged 40 to 60 years old.
And yeah, it's increased uric acid,
and get increased uric acid crystals in the joint.
And in fact, the way to diagnose it,
absolutely diagnose it,
is they actually aspirate the joint
and they have to take a look at the crystals
and make sure that's what...
'cause it could be an infection.
- Kinda like a biopsy?
- Yeah, I would call that so.
Most people get better within 28 to 48 hours
and in most cases, it's gone in a week.
But it's very very painful.
You've seen many cases of this right?
- Oh yeah, it's not fun.
- When we see it, people,
they don't even want to have a blanket on it.
I mean, or even a sheet on it.
- Right, yep. - It's just so painful.
So, some of the common causes are
dehydration, increased consumption of alcohol,
(Brad laughs)
Inflammatory foods.
- I've never had gout, Bob. (Bob laughs)
- And large amounts of meat or seafood.
So I'm gonna give you a list of common triggers
that I have read about, but I want
our viewers to chime in now.
Start putting in your comments.
So, I have a friend,
for him, it was beer.
- Really?
- Yep, he had to cut down.
And from what I read, that is pretty common.
The other, wine and hard liquor can also,
but beer is more common.
- So is it something in the beer,
or is it the alcohol?
- Yeah, I don't remember the substance
again, that was in some of these foods but
they had it and...
But there's a lot of controversy about this,
about whether or not...
- Straight, straight - So that's why I want to
hear straight from the people.
- Right.
- Second one, pretty common too.
High fructose corn syrup.
Now, if you ever read about this,
if you follow diets at all,
this is about one of the worst foods you can eat
(Brad laughs) ...you know, ingredient.
- Sure.
- If you see that on a package,
you should go the other way.
- And actually there's quite a few--
- Oh, there is a lot of things that have it.
In that case, its more about inflammation.
And I think, that is more the key here than anything.
- Sure.
- 'Cause you have crystals in your joints all the time,
and you have uric acid in your body all the time.
But what makes that flare up?
And to me, it's probably inflammatory foods.
- So this fructose--
- High fructose corn syrup or--
- It's feeding it, it's like putting gasoline
on a fire. - That's a good way
to put it Brad.
Sucrose would be the same thing.
So even orange juice, or fruit juice,
you're gonna need to avoid if you have gout.
In my mind, in my opinion (laughs)
- We're doing this whole theory thing here.
- If you're diabetic, you really want to,
which you always do want to do anyway,
you want to watch your elevated insulin
because that can really flare it up too.
And this is the one I wasn't so sure about.
They said, a lot of them mentioned
meats or seafood,
for anybody, do they find that served as a trigger for them?
I want to know.
I really do, if I were to make a suggestion to my sister,
which is good for you anyway,
but you want to eat a lot of green vegetables,
plant proteins, beans,
things that are anti-inflammatory foods.
- Right, the typical--
- And that's gonna hopefully knock things down.
We really don't need another episode of this
'cause you keep getting episodes,
it can affect the joint
like you said. - Right.
- And damage the joint and give you arthritis.
- Right.
Well, I thought, technically, it was in that
arthritic category. - That I didn't read.
- Well, I learnt that in school
- Okay. - ... 25 years ago (laughs)
- What, in the cavemen?
Came out, "This is arthritis."
All right, remember, Brad and I can
fix just about anything. - Oh yes!
Except for... But what about your sister?
How is she gonna know?
You got eight sisters and one of them's gonna--
- Well she's gonna know - They're gonna know
they're the one.
- She's gonna know because she's the one that has it.
- They're all gonna know.
- They may not know whether or not she has it or not.
- But they're all on the Facebook,
it's gonna come out.
- All right, on to Facebook.
We can fix just about anything.
- Oh yeah, except for
- A broken heart. - There ya go.
- But we're working on it.
Thanks for watching.