- (singing) 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.
I think I, by the way, I have the largest nose.
- Oh, the old schnoz.
- Today we're going to talk about, we need your help.
- That's right.
- Our subscribers. We want your best advice
for knee replacement surgery.
- Particularly if you've had one.
- Right.
- Personally, if you've had one, I really want your advice.
I mean, he, you know..
- Well, if it was your spouse or your parent,
they might be..
- Right.
Or if you're a therapist
- We want your best advice, but you know,
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We're just, we're trying it out.
See how it fits.
"So life is hard.
Let's help each other."
- That's right.
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- So get in there and make comments below.
You know, what people can look out for with
knee replacements.
- Share your experience and help others others out.
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- Or working out! That's another thing.
Yes, absolutely.
- So..
- Oh, we're not done?
- Yeah. Well we're.. Thank you Brad
(Brad grunting as he carries mattress)
- Whoa.
Okay, so, for those of you considering knee replacement,
we're going to give our advice, our best advice.
We'll start with it.
- Okay. And I got to say between
the two of us over the last 30 years, I'm sure we've done..
- Thousands, thousands.
- Worked with thousands of total knee replacements.
I always enjoy working with total knee replacements.
- Yeah, me too.
They typically work out well..
- Yeah.
- A very high success rate and people are very appreciative
and it's fun to see them limp in with a crutch and walk out
without one.
- Yeah, it's - you know,
you can think of the cases where it went bad.
I can count them on one hand almost.
- It's very rare.
- Yeah. So that's really - One of our, one thing we
always want to say is "don't wait too long".
Because as you get older, your health may not allow surgery
and it gets tougher to deal with as you get older.
So I know we're not pro surgery by any means
Brad and I, in fact, we, we, we try to, you know
try other things first.
- Right.
- But there are some things where you can let it go too far.
And it's very hard to recover.
My grandpa waited too long to have hip surgery
and then he couldn't have it.
And he couldn't walk then.
- Yeah, it may not be because it could be
because of the joint itself may not have the integrity
or it may be maybe you have heart problems
or you have diabetes or some other medical problem
which your body won't accept or tolerate the surgery itself.
- Remember to keep the, the knee,
the leg as strong as possible.
You want to do this before the surgery.
- Right
- And of course after the surgery too.
- We call that pre-hab before their surgery.
- Pre-hab!
- And I can't emphasize that enough.
I know Bob feels the same way.
If you can get the knee moving as much as possible,
get the muscles as strong
as you can within good reason and safety.
It's going to help your post-hab, your rehab after surgery.
- You want to just type in exercises,
Bob and Brad for knee exercises
and they'll pop up our knee replacement exercises and now -
- We have the whole series on it, right?
- A whole series on it.
You also want to make sure you strengthen the hips
because the hips really will affect how the knee works.
- Yep.
- And it will throw it off.
Actually, if, if the hips are weak.
- And they're not very complicated exercises,
- No, no.
- Very simple.
We're going to show you a little bit
of a strengthening exercise.
The next one is, and one of the renowned surgeons
on this made this statement, Brad, he said
"it's a fight against scar tissue."
When you get the knee replacement done
it's a bit of a - it's a time contest against scar tissue
because scar tissue is forming in the knee
and you want to get the knee moving before it gets
laid down too intense to the point where you can't move.
- Right. Cause the scar tissue will just scar up.
If you didn't move your knee at all over a period
of a couple of weeks, it wouldn't get extremely stiff.
- It'd be hard to get bending and straightening the most.
- So, yeah, I use typically the next day after surgery
they're moving things.
- You're getting things moving.
So Brad and I are gonna recommend
that you're going to try either the fit glide
or the knee glide
and the knee glide is really just for one leg
and it works fine after you, after you had knee replacement.
But what's nice about this.
You can actually use this prior
to surgery and after surgery.
Now, when you go in this way
and you've got the little handle here
I will get you in and put that up like this.
And I go up, I'm actually working my quadricep a little bit.
Now this doesn't seem like much, and it's not too much
but if you keep doing it for a while -
- Right.
- You'll feel it.
- Right Yep. I just working with someone right now
he's actually getting a knee replacement.
He's using the fit glide, but the knee glide, you know,
works well too.
- Well to show that to them, then.
- And then his other knee has got some issues too.
- Yeah, right.
- And that's when you keep both healthy, right?
- Right.
- So you can also just have flat
and you can also have it reversed.
In which case you now working the hamstring
a little bit more.
- This, this year, you feel more or less.
- You feel more.
You want to, you know, don't get too aggressive on it
so you're going to get a hamstring cramp
but just pay attention to it.
- I think the huge advantage of this,
Brad, is how lightweight it is, right?
I mean, you can take it
with your little finger and do curls with it.
- The thing is, and you can put
a dishrag or towel on a smooth floor and it works.
It doesn't work as good as this, but it works.
If you, you know
you don't want to buy one of these, which is fine.
But if you're on carpet, this works great.
It's hard to get something.
You can put a plastic bag down and -
- You can't obviously go on angle when you have
a rag on the floor.
- Right.
- So, and you won't look cool either.
- Well, you're more apt to do your exercises when
you have a nice piece of equipment.
- So the fit glide, just very simple.
You're going to get both legs at the same time.
And what's nice about this, Brad.
I would, I think you would agree is that when
you're done with rehab, you can use it just to exercise
underneath your desk or, you know what I mean?
You can continue to exercise, right?
- Right. Yep.
- You can, you can watch TV.
You can.
- And you know, even for we are, you know
there's people that are home bound or
- Right.
- Just have really bad arthritic knees that
can't have surgery.
This can be one of the go-to exercises to
keep those joints moving, to keep -
Bob?
Oh yeah.
So with the fit glide, if you can't have surgery,
this will be -
- A good alternative because -
- Wow. That was good segue.
- No, I mean, I would try this
before surgery because it might prevent having
having the need for surgery.
- Yeah. That's possible.
Yeah. Depends on bad it is.
- But the other thing is you can use this in bed.
- Oh! Right.
- You can actually lie in bed.
And work your leg.
You can get it moving.
And the same with this one, right after surgery
you can get things going.
- Yeah. Because they don't use CPMs.
Those big fancy machines with electric motor on.
- I don't think so.
- Well, a few do, but very few.
This is better because you're activating muscles
as opposed to have something pushed to that knee
- By the way, this is lightweight too.
- Holy cow.
- What'd you do?
- Oh my goodness.
I broke the bed.
- Almost had an accident where
we can treat something afterwards.
All right.
Next piece of advice, Brad, let's move right along here.
I would say don't try to be brave
and tough out the pain, taking out pain medication -
- You mean after surgery?
- Yeah. Yeah.
I've seen people who have said, you know
"I don't want to take pain medication"
and their rehab suffers because of it.
I mean, I'm not saying go crazy and keep on it forever.
You gotta have to get off it.
But you, you have to control the pain enough
that you can do the rehab or it's not going to do any good.
- Yup. Talk to your surgeon about that.
Let them know that you want to get off them
as soon as you can, they'll work with you.
- They want to get you off them as soon as they can.
- Absolutely.
- Opioids and narcotics, you know?
- Yes. Fair problem, they can be.
- The other one that I've seen a lot
including my mother-in-law.
She was using a cane and then she stopped using
it because it was doing better.
- Yup.
- And she started limping again and the pain was increasing.
Don't get rid of the walker..
- She probably wanted to get rid of it
because she didn't like the stigma of using a cane.
- Yeah. Right.
So don't get rid of the, you know,
if you're using a Walker or crutches or a cane
don't get rid of the too soon,
you want to make sure you're really solid.
One, we don't want to fall.
And two, you want to make sure that you're walking as normal
and that you're not limping.
- Forming a bad habit.
- The pain can come right back when you
get rid of the cane too soon.
So, I got two more here.
One, pick a surgeon, who's done lots
of knee replacement surgeries. That may sound
like stupid advice, but they've done studies on this.
And the surgeon who does the same surgery over
and over again, obviously becomes better at it.
I mean, it just becomes - they've experienced
all the problems that could occur.
And every guy that's doing knee replacement, surgeries
shoulder surgeries, hip surgeries, you know, I mean,
they still might be good,
but I would still go with the guy.
I used to work at the Mayo clinic
and they had a guy there that he just pounded
out these knee surgeries, but he was so good.
And he would do like, it was amazing.
Like he'd do eight a day or something like that.
I mean, it was crazy.
Yeah. He just put in long hours.
He just was, like, was a madman.
- Ah, some surgeons are pretty yeah.
They have a personality. And that's a good thing.
Cause there that's what we need.
- Yep. Last one is, don't get too caught
up in how fast or slow your knee is recovering.
- Do not talk to other people about their experience.
Cause they'll -
- Well, we want other people to give their experience.
- But if they're negative people, just shut them off.
There are people that - it happens.
And then people say, well, I talked to my friend
Susie and her knee was bending the 120 degrees at two weeks.
Well that happens occasionally.
- But also people don't have very good memories.
- Yeah, they forget -
- They can say their knee was bending better
than it was, or they forget how much pain they were having.
- Listen to your therapist, they'll set you straight.
- if you have one knee done
and then another later I will tell you
there will be different.
- Yeah.
I mean, what's going to probably do really well
and one may not do well.
It's just, that's the nature of the business.
- Yeah, yeah, absolutely.
- All right.
Do you want to add anything else, Brad?
- Well, Bob..
- We can fix just about anything..
- Except for..
- A broken heart.
- That's right.
And this, we cannot segue this knee thing into the heart.
- No, they're not connected.
- Yeah. Peace.
- Be careful.