♪ Bob and Brad the two most famous ♪ ♪ physical therapist on the internet ♪ Hi folks I’m Bob Schrupp physical therapist Brad Heineck physical therapist together we are the most famous physical therapists on internet In our opinion of course Bob Brad we like to expose you know fabrications or lies on our channel we like to give the truth to the people exactly so today we’re going to talk about the big lie about flat feet and custom arch supports
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-All right I did a lot of work on this one Brad I looked up a lot of studies and first off I found out that arch supports are very helpful for people who have flat feet Let’s show what a flat foot is
-Okay So, be careful this is my foot so just be prepared Bob as well as you know– that when you get over 50 your feet do nothing but get worse They look terrible Bob! -So we’re talking about, really, a flexible flat foot basically
-Sure Because there’s some people that are born, Brad, where the bone is actually down there there’s never an arch there [Brad] Right, they’re– they’re flat when they put their foot down. [Bob] Almost like a club foot
But in Brad’s case here he’s got a really good arch when he’s just putting his foot up on here but when he put some weight on it, you can see the arch goes down a little bit He still has a good arch. He doesn’t have a flat foot A flat foot would go all the way down
You couldn’t even get a finger underneath [Brad] Right, it will flatten right out [Bob] The problem with the flat foot is that it affects everything up the chain It affects ankle, knee, knee cap [Brad] Can we show the rotation of that, Bob? [Bob] Oh, yeah! I can– yeah exactly [Brad] If you look at the tibia line right there and now just watch what happens with that if you focus right on that You got that Loni? Now when I flatten–
[Bob] Yeah, the tibia internally rotates [Brad] You can’t see it, but it is– I mean you can see it but it’s not really obvious unless you’re looking for it but it rotates in, so your bone rotates this way which changes the mechanics of the knee slightly [Bob] Yup and that can often– result in like patellofemoral syndrome So, yeah. I did– I looked up some studies, Brad You know, and arch supports They found out that they were very helpful when it comes to patellofemoral pain which is up here, Medial knee arthritis, which is right there We’ll go over some of these later too, Brad Actually, what I was surprised at is lower extremity groin pain So you have a child that is having leg pain
-mm-hmm and they have flat feet They actually corrected it on some of these kids in the pain got better -By putting our support in their shoe
-Yeah! Surprisingly so! Foot pain, back pain,
plantar fasciitis, but… What I did not find– what is the big lie here, Brad… is that– the big lie is that you have to have a custom orthotic -Right
-What we found is that the prefabricated ones or the ready-made ones, the ones that are off the shelf They were just as effective as the orthotics that were made -But you just can’t grab any one off the shelf because there are different varieties I was just in the shoe store last night and they have a whole shelf full of different arch supports We got three right here
We’ll get into that -But if you look at the difference in cost, Brad.. I mean- Funny, one of the quotes I read, Brad was if you want to– It doesn’t bother you to spend $300-350
on a custom orthotic verses $30 -60, then go ahead! You know? But otherwise, if you’re– you know, cost conscious…
-Right And you know you think about how many of these you could try and see if they work before you spend $360-350
-Exactly Has it been your experience, Brad… and it’s been mine definitely, I’ve had people who come in, we were seen him for a foot issue, and they’ve had custom-made ones and they’re not even wearing them -Right, exactly. Particularly the ones that are rigid, hard ones.. which I never understood anyways but yeah they say I’ve got, you know, the $300 and I’ve worn them for a week They don’t feel well, so they’re in my– -Yeah
-You know so… and sometimes I’ve even given them one off the shelf and they like that one -Right,
-So I mean it’s… I mean, to me unfortunately, I think it is a money maker for a lot of organizations The posi– the podiatrists out there are screaming at us
-Yeah, I know It’s– Read the studies!
So… Alright, Brad Why don’t we show some of the arch supports here that are off the shelf -Sure! You bet!
-So.. you want to talk or do you want me to talks? So this is just a real thin one that really isn’t doing anything -Right, it actually– you know it says right on here It says comfort insoles. If you need just a little cushion in your feet but– It’s flat. There’s– It’s just like… Yeah, that’s not going to provide any arch support This is probably for someone who’s on their feet all day and just wants a little bit of support -Right, and even that, it’s pretty thin.
I would get a little bit more beefy or double it up -Hard to believe that does much of anything -But again, it’s $11 You’re not paying much for it Maybe that’s all you need is something in there to absorb some sweat for foot odor So, you know that’s available, but it’s not going to do anything for any support We’ll actually go to the next step up Now, are you are you zoomed in Lonnie? So this one is– The arch support, it does have– you can feel it right here where your arch is [Bob] It’s still a fairly soft material, isn’t it?
[Brad] Right, this is cushiony. You can squeeze it with your finger, but you know– It’s not hard, but it’s not real soft either It’s not like a real light material And, under the heel, you can tell there’s some beef there. There is some cushion, which can be helpful. A couple things that that does is– it’s a cushion so when you walk it takes up some energy.. [Bob] Some of the stress
[Brad] Right, through your joints But the other thing that a lot of people aren’t aware of… When you raise up your heel a little bit, it puts a little slack… [Bob] On the Achilles tendon
[Brad] On the Achilles tendon If you have an Achilles problem or you have problems in your calf muscle by putting a heel wedge or our support that has a heel riser in it takes stress off the Achilles and that calf muscle group [Bob] And this might help somebody with the growing pains, too [Brad] Right
[Bob] you know with a kid.. Just a softer arch support like that [Brad] Exactly, you know I went to a course…
[Bob] How much is that, do you know? [Brad] Yeah let’s take a look at–
This is a Spenco, and this was $20. [Bob] Sure
[Brad] It’s not a big-ticket item This is one of those things if you bought them, and you wore them, and you didn’t like them [Bob] Right
[Brad] You’re not out $300 [Bob] Right, exactly [Brad] Actually, I used to wear these all the time running I’d buy my run my running shoes…
[Bob] I did too! [Brad] And I’d put these in right away because I was– That was when I ran on it
It was a heel-toe striking [Bob] Same with me, and I went away from them too, Brad, because I don’t need them anymore right because we’re both of us which to [Brad] Right, because we’re– both of us switched to forefoot running versus heel-toe striking But for walking these could be very good, too [Bob] Right [Brad] You know, Bob, I just want to step back to that… part about why the growing pain got better with arch supports and I’m really thinking, it must have to do with– When you flatten that foot the whole leg
-Internally rotates internally rotates, slightly So every time you step you get a little bit of this, a little bit of this… and after a few hundred, a thousand steps, it all adds up
-It’s torquing So, when you stabilize that, you get the foot in the sagittal plane again, you know, by using that arch support. Now, you want to go to the next one?
-Sure! Let’s show the rigid one here. Okay, actually this is a semi-rigid
-Semi-rigid, I’m sorry And if you can feel this, it feels rigid but if you push on it… Let’s put it right here!
-Is there, like, some plastic in there? Yeah, I don’t know what the material is. It’s a plastic or some kind of a plasticy foam but see how that actually fits.. This actually feels good
-Yeah that actually fits you well Yep, but if I push on here it gives
[Bob] A slight amount, but it’s gonna hold [Brad] So it’s called semi-rigid Now, the rigid ones I’ve seen, they’re solid hard plastic, and they don’t give it all. I don’t– I don’t quite understand that concept but anyways, I know they sell them. [Bob] They’ve kind of moved away from them to some extent [Brad] So, you can see that this feels good and I’ll do this in the store I’ll take them out, and I’ll put my foot– I’ll have my socks on and I’ll put my foot on it just to get a general feel You know, if it’s like ah that feels good there, then I’ll put it in the shoe The problem with putting these in the shoe,
is they make one size like this one Ah, let’s see… It’ll tell you on the box what size shoe it’s for -Yeah, and you have to cut them down a lot of times
-Yeah, exactly Well Brad, can we show some of the things you might use an arch support for? Sure, you bet! Good idea!
Let’s put your foot up there [Brad] Some “diagnosiseses” (chuckles) [Bob] So, let’s start off with.. let’s just look at the foot here If you got achilles tendonitis,
you’re going to have pain right here that– The studies have shown that arch support will often help that If you have posterior tibial tendonitis… So that would be pain coming around the inner heel like this, and attaches right here. That might give you some some relief. If you have– We’re going to show the bottom of you– Well, let’s show one over here, Brad If you have shin splints So you’re going to get pain right along this
bone right here… It might be helpful. Or, you might have pain over here on the outside [Brad] Right on the muscle, it’s an anterior shin splint. [Bob] If you’ve got plantar fasciitis– You’re going to have to sit down for this one, Brad. Or, put your foot up… I’ve got to show
the bottom of the foot So that’s going to be right here. [Bob] That’s where it’s going to give you trouble.
[Brad] Ooo that tickles, Bob! [Bob laughs] [Bob] If you have– Oh! You’re going up to the knee now! [Brad] Yeah, let’s just– I’m getting kind of embarassed showing my legs, Bob. [Bob] (laughs) So, if you got knee pain
on the medial side here Which often means that your knock-kneed [meant to say bow-legged] This will often help with that
[Brad] Right If you have general pain all the way around the patella,
or the kneecap and you have patella femoral syndrome, this is something that quite often you want to correct I had a look at our time, what we have left.
Looks like we’re doing fine, Brad I think– Is there anything else you want to add?
[Brad] No, no I think we’ve covered it well [Bob] We’ve got you all marked up!
[Brad] Yeah, now what’s my wife going to say? [Bob] Well….well what would she say?!
(Both laugh) By the way, Brad and I can fix just about anything. Except for… look at this, Bob.
-Oh you’ve got the heart there. You can put a big one up there, too.
-I’m gonna put a big one up, too. But look at that… [vvvt]
(Brad laughs) We’re working on it
We’re working on it