- Hi, I'm Bob Schrupp, physical therapist.
- Hi, I'm Bob Schrupp, physical therapist.

Brad Heineck, physical therapist.
Brad Heineck, physical therapist.

- I thought for a minute
- I thought for a minute

you were gonna do it like silently.
you were gonna do it like silently.

(Brad chuckling)
(Brad chuckling)

And together we are the most famous physical therapist
And together we are the most famous physical therapist

on the internet.
on the internet.

- In our opinion, of course. - In our opinion.
- In our opinion, of course. - In our opinion.

Today, Brad, we're gonna talk about
Today, Brad, we're gonna talk about

something near and dear to you.
something near and dear to you.

- You bet.
- You bet.

- Unfortunately, it's dear to you.
- Unfortunately, it's dear to you.

As we're gonna talk about Spinal Stenosis
As we're gonna talk about Spinal Stenosis

and we're gonna talk about three ways,
and we're gonna talk about three ways,

you can maybe tell that you have Spinal Stenosis.
you can maybe tell that you have Spinal Stenosis.

- Yep. - And this
- Yep. - And this

is more kind of a back pain issue.
is more kind of a back pain issue.

Back pain and leg pain issue.
Back pain and leg pain issue.

- Sure. Yep.
- Sure. Yep.

Low back usually. - Right.
Low back usually. - Right.

- Could be in the neck too,
- Could be in the neck too,

but we're gonna focus down here today.
but we're gonna focus down here today.

- Right.
- Right.

Exactly. This is all about the back.
Exactly. This is all about the back.

Not the low back,
Not the low back,

not the neck.
not the neck.

- Right. - Because you can
- Right. - Because you can

get stenosis anywhere.
get stenosis anywhere.

First off...
First off...

Oh, you know what we need the spine.
Oh, you know what we need the spine.

- Oh! - Yeah.
- Oh! - Yeah.

Nancy. - Be careful.
Nancy. - Be careful.

- [Nancy] I know. Gonna get a rotator.
- [Nancy] I know. Gonna get a rotator.

- Keep it vertical.
- Keep it vertical.

Go ahead.
Go ahead.

- All right. - [Nancy] Gonna get a rotator
- All right. - [Nancy] Gonna get a rotator

top.
top.

- Rotator top. - Top repair.
- Rotator top. - Top repair.

- [Nancy] Rotator top (laughs) repair,-
- [Nancy] Rotator top (laughs) repair,-

- All right, here we go.- - from that.-
- All right, here we go.- - from that.-

- All right, each one of these segments here.
- All right, each one of these segments here.

Okay.
Okay.

Have basically on the back of it
Have basically on the back of it

an open area, like a tunnel.
an open area, like a tunnel.

Is that a good way to say it, Brad?
Is that a good way to say it, Brad?

- Right. Where the spinal nerve exit from the spinal cord,
- Right. Where the spinal nerve exit from the spinal cord,

and they have to go through the two vertebra,
and they have to go through the two vertebra,

and that area, that hole is called a?
and that area, that hole is called a?

- Foramen. - Foramen.
- Foramen. - Foramen.

Yes,- - And we're talking about
Yes,- - And we're talking about

more central Spinal Stenosis.
more central Spinal Stenosis.

The one going down the main canal.
The one going down the main canal.

Let me show it on here.
Let me show it on here.

- Alright.
- Alright.

- Okay.
- Okay.

So this is kind of a cross-section
So this is kind of a cross-section

through a one of the vertebrae.
through a one of the vertebrae.

And you can see this round hole here.
And you can see this round hole here.

All right.
All right.

The spinal cord goes right down that hole.
The spinal cord goes right down that hole.

This is a person who has spinal stenosis.
This is a person who has spinal stenosis.

And as you can see, it's narrowed up
And as you can see, it's narrowed up

and this can be caused by a thickening of the ligaments.
and this can be caused by a thickening of the ligaments.

It could be caused by bony growth.
It could be caused by bony growth.

There's other things that can cause it a disc protrusion
There's other things that can cause it a disc protrusion

into the canal also cause it,
into the canal also cause it,

but anyway,
but anyway,

so there's pressure on the spinal cord.
so there's pressure on the spinal cord.

And when you get to the low back
And when you get to the low back

actually what is happening at that point,
actually what is happening at that point,

it's really not the spinal cord anymore.
it's really not the spinal cord anymore.

It's the cauda equina.
It's the cauda equina.

Which is what they...
Which is what they...

Actually it's Latin
Actually it's Latin

for horses tail. - Right.
for horses tail. - Right.

Yep. - So,
Yep. - So,

and that's just the spinal nerves
and that's just the spinal nerves

that are starting to spread out.
that are starting to spread out.

Okay. So it's...
Okay. So it's...

- Right.
- Right.

If you look up here, it is kind of like a garden hose,
If you look up here, it is kind of like a garden hose,

I imagine it.
I imagine it.

And once you get down to L-1 here
And once you get down to L-1 here

it starts to turn into that cauda equina.
it starts to turn into that cauda equina.

In other words, it turns into a number of...
In other words, it turns into a number of...

Like spaghetti,
Like spaghetti,

you have like a number of spaghetti
you have like a number of spaghetti

- Strands. - Strands going down,
- Strands. - Strands going down,

and then they'll exit out
and then they'll exit out

the frame in here-
the frame in here-

- Or it has to come down the bottom.
- Or it has to come down the bottom.

- Or down to the SAC room.
- Or down to the SAC room.

- So anyway, that's enough about anatomy.
- So anyway, that's enough about anatomy.

What are you gonna feel if you have spinal stenosis, Brad?
What are you gonna feel if you have spinal stenosis, Brad?

You apparently have some spinal stenosis
You apparently have some spinal stenosis

so you can tell- - Well, yeah, I think,
so you can tell- - Well, yeah, I think,

yeah, mine, I'm not really sure yet.
yeah, mine, I'm not really sure yet.

I've gotta get some more scans done
I've gotta get some more scans done

whether it's through the spinal cord
whether it's through the spinal cord

or the stenosis through the frame itself
or the stenosis through the frame itself

- Frame itself. - Right.
- Frame itself. - Right.

- Okay.
- Okay.

- But one thing that definitely is no fun
- But one thing that definitely is no fun

is standing in one spot for long period of times
is standing in one spot for long period of times

like shopping.
like shopping.

If I go shopping, my wife is shopping and I'm waiting.
If I go shopping, my wife is shopping and I'm waiting.

I need to sit down.- - Another reason
I need to sit down.- - Another reason

not to like shopping for a man.
not to like shopping for a man.

- Right. - But...
- Right. - But...

and I saw statistically
and I saw statistically

that was the highest correlated find
that was the highest correlated find

with spinal stenosis that they don't like standing.
with spinal stenosis that they don't like standing.

And it was actually called the shopping cart test
And it was actually called the shopping cart test

or shopping cart syndrome.
or shopping cart syndrome.

Cause people will tell me, and Brad,
Cause people will tell me, and Brad,

say it feels better when you lean forward
say it feels better when you lean forward

and hold onto the shopping cart.
and hold onto the shopping cart.

- Right.
- Right.

Take some weight off lean forward.
Take some weight off lean forward.

And right now, I mean,
And right now, I mean,

cause I'm having some back pain, now this feels good.
cause I'm having some back pain, now this feels good.

And I'm doing the opposite of what we talk about.
And I'm doing the opposite of what we talk about.

- Right. - I'm actually
- Right. - I'm actually

rounding my back
rounding my back

and separating.
and separating.

It gives it a little more space.
It gives it a little more space.

- And this is the one case
- And this is the one case

where you're gonna want to be allowed to do that.
where you're gonna want to be allowed to do that.

- Right. - And usually
- Right. - And usually

it's the opposite with normal back pain.
it's the opposite with normal back pain.

Normal back pain generally feels better standing
Normal back pain generally feels better standing

and walking generally, not always
and walking generally, not always

and worse with sitting.
and worse with sitting.

This feels better with sitting.
This feels better with sitting.

- Right. You better believe it.
- Right. You better believe it.

- Okay. You also gonna get numbness,
- Okay. You also gonna get numbness,

tingling, and pain down into the legs.
tingling, and pain down into the legs.

- Yep.
- Yep.

- And quite often,
- And quite often,

what I see is often,
what I see is often,

it's in both legs,
it's in both legs,

and that's also not typical back pain.
and that's also not typical back pain.

Typical back pain tends to go down one side.
Typical back pain tends to go down one side.

- Right.
- Right.

- So if you're getting it down, both legs,
- So if you're getting it down, both legs,

it more often is gonna be a spinal stenosis.
it more often is gonna be a spinal stenosis.

- Sure. - Again, not,
- Sure. - Again, not,

you know, definitive.
you know, definitive.

- Right.
- Right.

- The last thing Brad is extension hurts.
- The last thing Brad is extension hurts.

- Right? - Right.
- Right? - Right.

- You wanna show them what extension is?
- You wanna show them what extension is?

- Yeah. So if you're gonna bend backwards like this,
- Yeah. So if you're gonna bend backwards like this,

and I can do this, and this isn't too bad,
and I can do this, and this isn't too bad,

but if you're doing something like overhead,
but if you're doing something like overhead,

like over the weekend,
like over the weekend,

I was working on the ceiling,
I was working on the ceiling,

the next two days
the next two days

weren't very fun, but you gotta-
weren't very fun, but you gotta-

- Feel it. - Yeah.
- Feel it. - Yeah.

So that's really the three
So that's really the three

symptoms.
symptoms.

- Right.
- Right.

And then I think we'll save it for another video,
And then I think we'll save it for another video,

for exercises, and treatment conserv-
for exercises, and treatment conserv-

- We're actually gonna do that next video, Brad.
- We're actually gonna do that next video, Brad.

- Absolutely. So...
- Absolutely. So...

Yeah, just...- - Nancy, maybe it can
Yeah, just...- - Nancy, maybe it can

even put a link to that video from this one.
even put a link to that video from this one.

- Yeah. Link it right up, Nancy.
- Yeah. Link it right up, Nancy.

- Yeah. - Put it together.
- Yeah. - Put it together.

- Oh, by the way, just real quickly.
- Oh, by the way, just real quickly.

Spinal stenosis tends to happen, by the way,
Spinal stenosis tends to happen, by the way,

in people very commonly 60 and over.
in people very commonly 60 and over.

Brad, unfortunately, got it early.
Brad, unfortunately, got it early.

But so if you're in that age 40 and over,
But so if you're in that age 40 and over,

you're gonna want to subscribe to us
you're gonna want to subscribe to us

cause we do provide videos
cause we do provide videos

on how to stay healthy, fit, and pain free
on how to stay healthy, fit, and pain free

well into your elder years.-
well into your elder years.-

- You better believe it.- - And you can deal
- You better believe it.- - And you can deal

with these things like spinal stenosis.
with these things like spinal stenosis.

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