♪ Bob and Brad ♪ ♪ The two most famous ♪ ♪ Physical therapists ♪ ♪ On the internet ♪ (claps) – Hi folks, I’m Bob
Schrupp, physical therapist. – Brad Heineck, physical Therapist. – Here we are, the most
famous physical therapists on the internet. – In our opinion of course, Bob. – Today Brad, we’re gonna
talk about seven big lies about treating knee
arthritis you should know. – There’s a little controversy,
we’ll talk about it as we go through it. – Sure. 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 every day. Also you wanna join us on
our social media channels ’cause we are always
giving something away. Always.
– Always. – Right now, we’re giving away the ergonomics innovation donut cushion, and this is great for sit bone pain, or tail bone pain, or
some people just like it. – If you broke your tailbone or fractured, a lot of pain there, and you
need that hollow spot there to relieve the pressure, it’s there. – I guess it’d work for
hemorrhoids too, wouldn’t it Brad? – Absolutely, Bob. – So this is a study that
was first done in 2009. I shouldn’t say study, they looked at hundreds of studies, Brad. This is the Royal College, Royal Australian College
of General Practitioners. So they got this huge group, they look at hundreds,
maybe thousands of studies. – Sure. – Regarding knee arthritis,
and actually hip arthritis too. – Okay. – They first did it in
2009, they redid it in 2018. So it’s guidelines for
non-surgical management of hip and knee arthritis. Today I’m just going to
talk about knee arthritis. Since that’s what the title is. What they do is they do various
degrees of recommendations, like they’ll say strongly
against or conditionally against. Which is not as severe. And they also go strongly
for or conditionally for. – So there’s that gray zone? – Yeah right.
– So to speak. – So lets start of with
the first one Brad, ’cause I get a lot of
people that ask me this. Should I use Glucosamine and Chondroitin? – And what’d the study say? – They said they were
against the use of it. They didn’t see any benefit to it, concerning the cost. – So it’s strongly against? – I’m sorry I don’t remember, ’cause I just put recommended against, I didn’t do the conditional ones on those. – I don’t think with those, there’s any particular bad side effects from taking that product
– No. But again they’re like, why do things that aren’t going to help basically. – Right, right, they’re scientists. – The second one is going
to even maybe surprise you a little bit. Recommended against use of an ice pack. To me, it always makes sense, because I mean a lot of times
arthritis is inflammation. – Mhmm. – So you think you wanna put ice on it, but the thing is it generally, they found out a lot of
people with arthritis, they like the heat. – Sure.
– Feels a lot better. They recommended against
use of an ice pack. – I have to admit I had a patient that had severe, severe knee arthritis. Couldn’t even walk, and
she did not like heat. And she was very alert, and
she kept ice packs in her room. And would put it on, so there’s- – There may be exceptions
to the rule there so. – Right. – This is the biggest one,
I think, of the seven, Brad. – Okay. – They recommended against
arthroscopic, meniscectomies, cartilage repair, all these surgeries. Unless the knee was actually locking. – So a mechanical clarity-
– Yeah. And you say, well how can they recommend, I’m having a lot of pain. They found out that if
you had the surgery, like five, six months later, you’re back to right
where you were before. – Okay.
– So. – We’re not talking about
knee replacements though. – Not knee replacements, we’re talking about just
arthroscopic surgeries, or where they go in and replace
or trim off the meniscus and all that.
– Right. – This is a big one,
’cause a lot of people, I think they still do recommend, you’ll find doctors
that do recommend this. – Right, go in there and
clean it up a little bit and see how things hold off.
– Yeah. But I have to be honest. A lot of the people that I
know that did have it done, yeah, they were back to
square one fairly quickly. It’s a little discouraging. – They wouldn’t go to the
therapist if it worked. (laughs) – No, and that’s the thing. You always wanna recommend
conservative things to try first – Sure. – Before you try things like that. – Right. – They recommended, I kind of
threw three of them together here on number four. They recommended against
acupuncture, kinesiotape, and topical capsaicin. I just heard of it, I’ve never
used it, topical capsaicin. It’s just a rub, I believe.
– Yeah, here. I get some kinesiotape on here. – Yeah, we got the kinesiotape. You see it, very popular. You see the Olympic athletes wearing them. Everybody thinks, oh
boy, that’s really cool. But the studies have just
not held up on these, sorry. – And we have people comment that they love their kinesiotape, it helps.
– Yep. – I personally, if it works,
and you really think it helps, I don’t think there’s any
negative side effects to using it. – No, it’s a placebo effect sometimes. And if it’s a placebo, it works, placebo. – It’s better than taking pain pills if it does that.
– That’s right. Alright, that was the things they- Well they had a whole bunch of things they recommended against. Those are the ones I kind of singled out. – Sure. – But here, I’m gonna give you
some things they recommended. – Okay. – And unfortunately with
the knee, you are limited. There’s not a great amount of things. They strongly recommended
land based exercises. What is that? That means versus water based exercises. So, they thought it was better
that you actually exercised out of the water than in the water. – So, walking. – Walking, muscle
strengthening, and tai chi was really high in the
recommended, or was recommended. – Okay, so that’s a slow form of exercise. – Do you know how to do it at all? – No, it’s a martial art, I
train in a different style, quite a bit drastically different, but from what I understand, you go through movements very slowly. – Very slow and controlled.
– Which makes a lot of sense. It’s gonna help with your balance, range of motion, strength.
– And your strength. Give that a shot, but
definitely the walking. Also, number six, they
recommended, and this makes sense, just shock absorbing footwear.
– Mhmm. Put something in your
shoe and no high heels. ‘Cause you know, that’s
gonna put great stresses on there.
– Right, yep. – So you’re gonna stop
wearing high heels, Brad? – No, not me. (laughs) – Stick them right on. – You’re gonna stick with your fashion. (laughs) – Alright, number seven,
no surprise here either. Recommended weight loss. And while you’re trying to lose weight, sometimes this is a motivator, you could use a cane or
a crutch or a walker. My wife was having some knee pain, and it was to the point
where, at first she said, “There’s no way I’m gonna
use a cane or a crutch.” But she ended up using a crutch because it was so bad that
she was limping so bad, she couldn’t walk. – So with the crutch, it was much better. – Yeah, this was actually
the one she used. I actually got some padding for her. – Right.
– ‘Cause Under the arms gets really sore, and your hands get really sore
from using it all the time. – That was very nice of you.
– Yeah it was. – Bob, to do that for your wife. – But after awhile, it calmed down. And now she’s back to walking. And it’s not an issue.
– Sure. – I did some manual things on it too. – Well, we don’t have to get into that. – What are you talking about? (laughs) – Just saying, let’s go on. Let’s carry on.
– So that was it, Brad. That’s number seven, you gotta try to take some
of the weight off of it, so you can use the cane
or a crutch or a walker. – Well, I did wanna say one thing. I wanted to back up a few steps. I’m really surprised
that the water exercise wouldn’t be good for it because it’s- I think most people would question it. – Yeah, I’m surprised
they talked about it. I don’t remember if they
actually recommended against it or if it was a recommendation, but it was a lesser recommendation. – Right. – I think there’s something about actually taking the
full weight through the leg, and the effect that it has on the knee, and creating some of the oil there. – You lost everybody. – Yeah, I lost it, I lost my thought. – (laughs) That’s okay. – I’ll get chopped off anyway. – I’m saying if you got a swimming pool, and it feels good to get
in there and exercise, ’cause I recommend that to my patients, but the problem is it’s very few people that have that option. – Right, and I think that’s part- They take into account everything. – Sure.
– They take into account the convenience of it, the cost of it. So they’ll recommend things
that are a lot easier to do. – Right.
– You’re more likely to do. – Sure, that makes sense. – So right. – Then I concur. – Alright, well we
welcome all your comments. And sorry for the little
pause there I had (laughs). Thanks for watching.