♪ Bob and Brad ♪ ♪ the two most famous ♪ ♪ physical therapists ♪ ♪ on the internet ♪ - Hi folks, I'm Bob
Schrupp, physical therapist. - Brad Heineck, physical therapist. - Together we are the most
famous physical therapists on the internet. - In our opinion of course, Bob. - Today we wanna talk
about the six big lies about hip pain, hip
arthritis, and surgery. These are common
statements that Brad and I have heard over what, 50 some years of treatment? - Combined. - Combined, yeah not 50 alone. But we hear these
commonly occurring themes and so we're going to address that. So hip pain obviously
can occur at any age, you know if you had
like a sporting injury, or you have trauma. But, as we age, it can actually can show up
for no reason whatsoever. I mean, all of a sudden, you know, you're 50, 60, 70 years old. - Right. - All of a sudden it pops up one day. - Right, right. But you know, it can go away too. - Yeah, it can go away too. - And so that's what we're
going to address a little bit. - Yeah, so we're going to talk
about the typical scenario. So someone goes in they're 50, 60, 70, they go into the doctor, 'cause they're having hip pain, just started on its own. First thing the doctor's going to do maybe an X-ray, MRI, CAT scan not the first thing, but maybe. - Yeah. - Depending on the doctor. - Right. - But eventually what
they're going to show, you're going to see these
results of your scans, and it's going to say, there's degeneration and
osteoarthritis in your hip. It might be bone on bone, even. - Right. - And you're gonna, oh my gosh that's, now I know what's causing my pain. So they're going to do
medications, injections and maybe even surgery. - Sure. - But what we have found is that and study after study
has shown this is that it's really osteoarthritis degeneration is just part of the normal aging process. - It's like getting gray hair. There are some things
that may increase it. For example, maybe some muscle tightness around the joint is making it worse and if we can loosen those muscles up, the pain can decrease and
actually improve things. - Exactly. So it's not necessarily what
you're seeing is the problem, 'cause the studies they've done is they looked at people with no hip pain, did X-rays or MRIs on them and they found lots of these same things. - Right. - They found, and the other thing, Brad, I'm sure you've
seen this a million times. Somebody comes in and they have, they're gonna need surgery on both knees, but they're doing it on
the one that looks better to start off because that one hurts more. - As far as. - Surgery first. - X-rays. - Yeah, X-rays of both knees. - Right. - They're both bad, but
one really, really hurts and that's the one they're
going to do surgery on and that one doesn't look
as bad as the other one. - Right, so the X-rays and the pain level, they don't always. - Match. - Add up, you know. And it's just. - And that, I bet you right now, we could do an X-ray of our hip Brad and I bet you they find stuff. - Oh yeah. - I know they would. - All right. I want to say that, you
know, two episodes and you, I worked with you on both of them I had severe hip pain
where I had to use crutches and I thought, well maybe I better go in and get this X-rayed. And I didn't and both
times within three days, the hip pain got better and actually it went back to completely normal, I was. - And it probably helps
that Brad's a therapist because he knew what you know, what to do as far as
calming the pain down. And also, you know, that's
the part of this whole, this video by the way, is a part of a series
of videos on hip pain. If you go to Bobandbrad.com
go to the program section look for the one on hip pain and we've got a whole series of videos and you can look through'em, pick out the ones you wanna watch, but they're going to tell you what to do to calm your hip down and not possibly take the pain away. - Sometimes it's stretches,
sometimes maybe strengthening heat or ice or strengthening and, - Well they're all about 10 minutes long. - Yeah might be poor daily habits. - Right. - And hip inactivity too, if you're not moving your hip enough. - And another big one here, I don't know if we have on the list, Bob, oftentimes you can get
pain here in the hip and we find out it's from the back, a referral pain, which, you know even doctors
can get that mixed up. It can be tricky. The human body with referral
pain can be a tough. - For those of you who are
listening to the podcast, he was pointing to his back, the back of the hip there so. All right. The second lie, if you have arthritis it's going to just get
progressively worse. That's not necessarily true. They've done studies and
they've done scans of people and you know, a couple of years later, and sometimes it's no
longer, it's not worse and sometimes it even
gets slightly even better. - Right and maybe if your
activity level improves and the pain goes down, that's what we're looking for even if the X-rays
didn't show it got better but you can move better
and you're feeling better. You know, that's where we're looking, that's where the bread and butter is. - My wife doesn't like
when I mentioned her, but she is an example here. I'm even going to tell her age, 56 when she was 54, her knee. - I remember this - Fired up and it got so
bad she was on crutches. She thought she was going in for surgery. She, I was like, ah, you know, she couldn't even walk. I mean, and not even think
about running, 'cause she was. - She was using a cane or a crutch. - She was using two crutches first, then she went to one crutch. - Sure. - But we worked on it and she's back. She ran like three,
four miles this morning. - Really? - Yup, she's been running, no pain. It's just awesome. - I suppose, running away from you. - Yeah, it's a motivation, so. Number three lie is I wore out my hip
because all all my life I've been running or hiking or roofing. I hear like farmers say, because I I wore out my knees because of milking. - Right, right. - And in that case, it
might be actually true. - Well, especially on those concrete surfaces as well. - But actually it's not true
as far as running or hiking because active people have better joints. - Right. - If you're using a joint, it's going to be actually
healthier than if you, you know you increase that synovial fluid, increase the blood flow to the area, it's the inactive people
or sedentary people that start having the hip problems and arthritis that doesn't go away easily. - And there's always exceptions. But as a rule. - As a rule. - People who move more
within reason, of course and not doing excessive, extreme things, the body likes it, it adapts
to it, it's healthier, all the way around. - Number four. I don't want to make it worse,
so I'm going to rest it. Now, that is okay to some extent, but people rest it too long or they like, we like the fact that if you can take some of the weight off the hip. It can actually maybe
decrease the pain for a while and calm it down. - So a good example is you have hip pain when you walk or when you stand. So, you know your body's telling you, don't stand, don't walk so what you can do is alternative, possibly as someone a good alternative that's not very practical for
a lot of people's swimming. - Right. - But who has a pool or access to, install a stationary bike, maybe a nice non-weightbearing motion. - You're still moving the hip, - Yep. - But, and you can even do, lie on your back and bring your knees up and rotate them back and forth. That even gets a little
movement in your hip. - Right, and we do have
a number of these videos, we'll show you, motions you can do
without stressing the hip with weight bearing. - Number five lie. My mom had arthritis so I'm pretty much destined to have it too. And the fact is. - That's a possibility. - There's a possibility but. - When you do that, it kind of pre-programs
you and it's like you're. - Yeah. - Yeah. - I'm destined to have
arthritis, no matter what I do. And the fact is almost everybody gets some arthritis at some point. And lifestyle, your lifestyle and exercise are more important than
the heredity factor. So if you can go ahead
and do the things that we're going to recommend
in these upcoming videos, you can help knock the
pain down or keep it down. - Exactly. - Go ahead Brad. - Well, I was just going to say, I'm reading a book right now about a woman who teaches
Pilates and other motions, and she focuses it around, works with people specifically
with pain in their joints. - Oh, sure. - And the whole concept of keeping moving, doing the right motions
that don't irritate it. - We're reading some
of the same books Brad because I'm doing the same
thing right now, two of them, it's always about motion. - Right, keeping things moving with proper motion that
doesn't irritate it, which isn't always easy
to find for some people, but you gotta look for it and that's why therapists are here and that's why she's there. But, and that's why we have our videos that help you all to find those. - Yeah, because it can make
a big difference in your life especially if you're
having some chronic pain. - Yeah, exactly. - Number six, the final, big lie. I'm going to need a hip replacement anyway so I might as well have it now. Now first off, it may not be true that you're going to
need a hip replacement. And again, we talked about
the arthritis possibly could you know, stall out and not get worse. And if you do some of the
exercises and stretches and the strengthening and proper habits, you may never need one. - Right. I do want to mention, you
know, they may say, well I saw my orthopedic surgeon, and he says that hip needs a replacement. And that may be, however if you go to another orthopedic doctor, he might say, well I've seen
a number of hips like this and had some therapy and they're able to get away without it. So a second opinion can
also be very helpful. - And you know, if you
have a hip replacement when you're two young,
obviously they wear out. - Right, the replacement does. - And you could end up
having to have another one, you know, in 15, 20 years and so you want to delay it as
much as you can, if you can. And as long as you're healthy, I mean. - Because if you get one at 45 years old and say if it lasts 20 years, you're 65 and that's called a
revision when they redo it, any surgeon will tell you that it's much harder to do a revision because you got the
whole hardware removed. Yep, it's a big challenge
and they like to avoid that. So it's. - When you're 45, 65 seems
like a long time away but it's not. - It comes around pretty quick. - So yeah, again, check
out the program on hip pain and each program, or each video has a PDF. - PDF printout and it prints out the
highlights of the exercises, so that you can review that and then you don't have to go
back and look at our faces. You can actually just, you know, see if. - Well if you want to come
back and look at our faces. - Well, yeah, you can, but you know I understand if you don't. - All right, that's why podcasts are nice, you don't have to look at it us All right, thanks for watching. (upbeat music)
