♪ 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’re the most famous physical therapists on the internet. – In our opinion, of course, Bob. – By the way, we’re not supposed
to speak over each other. – Did you get hollered at? – Yeah, I got yelled at. Today, we’re talking about
two 60-second exercises that took away my shoulder
pain, that’s me, in two weeks, and it was an impingement
problem, and it’s gone. – By the way, impingement they feel is about 70% of shoulder pain. – Yeah, it’s a lot. I would say most people have some, even if it’s another problem, quite often, impingement is playing a role too. – Sure, right. – I think we can safely say that. By the way, if you’re new to our channel please take a second to subscribe to us. We provide videos how to
stay healthy, fit, pain free and we upload everyday. Uh, join us on our social media platforms. (laughing) He’s helping out! I always have to look to see if it’s gonna be right side up. Especially Instagram. Instagram is the one we started on. We got got some funny pictures on there, you probably didn’t see that Brad. – [Brad] No, not yet. – And then on Facebook
we’re gonna be givin’ away some stuff ’cause we’re
just about two weeks away from hittin’ a million
subscribers on YouTube so we’re gonna start
givin’ away loads of stuff. – Yeah, a little celebration. – (laughing) Yup, a little celebration. All right, so what’re we
talkin’ about with impingement here Brad, let’s start with that first. Let’s take Sam the skeleton
up to about right here All right, Brad, and you’re gonna kind of, point things out as I mention them. – [Brad] Yeah, you know,
I think a lot of times if you can see what’s going
on it just makes more sense and you’re more motivated
to do the exercises. – [Bob] So you have the humoral head here, that’s like a ball, and this, the coracoacromial socket I guess, kinda forms the socket here, so. – That upper of the ball.
– The upper part of the ball. – [Brad] And that becomes
part of the impingement, that is where the impingement happens. – [Bob] Right, I should say the socket is over here, sorry.
– Right. – [Bob] All right, so we have the, there’s three things
that kind of play a role in causing the impingement. One is the shape of the
acromium itself, I dunno, can you see over here, real quick? Can they see that too? Yeah, this can be shaped
kind of three different ways. It can be flat, it can be
curved, it can be hooked. Now if it’s hooked it’s gonna obviously, could cause you some tension or pain on the ligament here,
so the shape of that, now we’ll talk about one possible way to deal with something like that. – Sure.
– But that’s a little more difficult one to deal with. You have the coracoacromial ligament right here, right there. That can be shaped sometimes
by exercise number one that we’re gonna show you today. – Right and by that it
actually stretch it, and it’s a ligament so it doesn’t stretch in a day or two, it takes some time, but we’ll refer to a book
that has a whole study on how that can work and be effective. – [Bob] And then we have what we call, the whole shoulder here
is covered by what we call a tough fibrous capsule. – [Brad] Right. – [Bob] And that capsule
can be tight in the back and that can push the
shoulder forward a little bit and cause it to be, cause
an impingement there too. And you can get impingement
of the bursa under there, you can get impingement of
the rotator cuff ligaments and the bicep tendon too, the long head, can get– – [Brad] Yep, that’s this one right here. So there’s all kind of
things that can go wrong if the mechanics aren’t working properly. And so that’s what we’re
gonna show you how to do. – I think we spent enough
time on that, Brad, so very simply, you’re gonna
need some type of device, something long, you probably
can use a broom handle. We like the Booyah Stik, it
seems to be made for this, Brad. – It works beautifully. – I tell you, I fell in love with it, I know we invented it,
but I mean, I have really become a big fan after this
because when you have a problem yourself and you solve it using something, I mean, it becomes very
important to you in your life. Because my shoulder,
I mean, was hurting me almost all the time.
– Sure. – I mean, I was getting pain, you know, definitely the bring it
up and internal rotation, bring it over, this was hurting. – Right.
– So, um– – The classic impingement symptoms. – Right, right. And we’re gonna talk about
this a little bit later too, but I think this would work with a lot of other shoulder issues. I would not use it with
a dislocated shoulder. – Right.
– Or a loose shoulder. Or, I wouldn’t use it for a total shoulder replacement either. – Okay, so what’re we gonna do, Bob? – All right, the first one we’re gonna do, yeah, let’s get things moving. What you called the
Statue of Liberty stretch. – Oh yes, I like that. – So, now, you can do it seated, you can sit down on a chair. – You want me to sit there? – Yeah, well, yeah, why don’t you do it seated on that way. I was gonna show a different way. – Oh.
– But you go ahead, yeah. Put it up on the seat itself. – A firm chair works really
more than a cushion one because, and that’s the thing, you need a stick that has
something that doesn’t slip or poke in and damage
the chair that you’re on. – [Bob] And it needs to
have pretty good length too. – About an inch, inch and
a half in diameter’s easier to grab, that’s the thing
about the Booyah Stik, they just have a lotta grip, you don’t have to grab tight
and your hand sticks to it. So you start out with your hand like in the Statue of Liberty pose, and then go up as high as you can and then you simply lean
forward and as you lean forward it stretches that arm
out and that will help stretch out that caracoid– – Coracoacromial ligamant.
– Right, that ligament that we were mentioning,
and who is the doctor that wrote the book. – Dr. Kirsch?
– Dr. Kirsch, yeah. – Yeah, we’re not gonna
take credit for this one. This one he’s written a
whole book on basically hanging and he was talking
about using like a pull up bar, which you can do too, by the way, it would work just as well. We just assume a lotta people
don’t have a pull up bar, but he’s got a lot of case studies. Orthopedic surgeon, he
goes into great detail, we recommend you get the
book if you are curious about this method, but
you know, Brad and I, I think we were a little
bit skeptical at first. – Oh, I was initially, I thought it didn’t make a lotta sense, but
after going through the book and then working with it. – Yeah, it’s worked well
with a lot of our patients and so we’re become big fans. I just, a lotta people
don’t have a pull up bar, I thought this is a great way to do it without having one. I actually do it in the mornings, I stretch my calf muscle off the step, so I’ll put this on top of,
so I got steps going up here, you gotta picture this. – Sure. – And I’ll just lean like
this and I’ll stretch my calf and stretch my
shoulder at the same time. – Right, so he’s thinkin’ about stretchin’ this calf or this heel
down, we’re not gonna get into that, but look at the shoulder. – I can put it up even
higher, ’cause the steps are even higher, but you
know what I’m sayin’. – Right, yup.
– My steps go up, way up like this, actually,
so I’m really getting a good stretch while I’m doin’ this. And that’s the beauty of
these, they take, you know, it’s gonna be a lot shorter
than this video (laughing). I mean, they take 60 seconds, I mean, that’s way plenty.
– Right. – So two 60-second stretches. – As a matter of fact, Dr. Kirsch, I believe he initially started
out with 10 to 30 seconds, depending on how your shoulder responds. – Yeah, it’s hard to hang,
if you haven’t hung before. – Right, your grip strength and what not.
– Your grip and everything else. All right, the second
exercise is one we invented. And I wanna make sure
you know how to do this because I was showing this to my son and I couldn’t believe how
much trouble he had doing this. So you’re gonna go ahead and you’re gonna put it behind you like
this, and that’s where the Booyah Stik is real
nice, ’cause it’s slippery, and you’re gonna grab on, where are ya? There you are, and you wanna make sure this is not hitting your head like this. – Sure.
– This is what Matt was doin’. You’re gonna go off to the side. So you’re goin’ off to the
side of the head like this, you’re gonna pull it up, yup, and then you’re gonna
crank it back like this, so you’re actually doin’, like,
Brad called a chicken wing in wrestling, right? – [Brad] Yep, very similar to that. – So, you give it a good stretch, pressure on, pressure off. Slide it up, pressure on, pressure off. Slide it up, pressure on, pressure off. – [Brad] How many repetitions
would you recommend, Bob? – I would go ahead and do 10. – Okay, now you told me
that you would do this, you would have shoulder pain. – Yep. – You would do this stretch,
it was not a painful stretch, so that’s a good sign
you can continue with it, and then after you did the stretch– – After I did the stretch I’d immediately, I’d right now, I mean,
I feel no pain at all. You know, so I mean, it
gave me immediate relief. – And that’s I think
exactly what you should do. You should try it. If you’re goin’, you know,
impingement typically hurts when you go up, or this motion. Do it, do the stretch, maybe
only five times to start with, and then immediately do the same motion and if it feels better afterwards– – Yeah, you’re definitely
on the right path then. And I wanna say, you know, it’s not gonna, just because it takes
the pain away originally, there’s still irritation there from that being pinched so many times.
– Sure. – And so that’s gotta calm down, that’s what I think takes the two weeks. – Sure. – And plus, I think we’re stretchin’ the posterior capsule,
that’s our theory here. – Right. – And that’s what’s happening,
why this is getting better. It takes a while to stretch that out and keep it stretched out, and you know, you wanna work on your good posture too, while you’re doin’ all these. – Right.
– So you always wanna make sure that’s a role too. But I just, I’ve been amazed. I mean, it just, I am having my patients do these now too and so far
good luck with those two, so. – Yeah, very good, Bob. – All right, well, booyah,
and if you haven’t already, like we said, make sure
you subscribe to us. – There you go.
– We’re gonna remind people. Take care.
– Thanks.