Yes, the initial few weeks were painful and challenging. Hold for 10 seconds and slowly lower. Im supposed to start physical therapy this coming week which hopefully will expedite healing but with the pain and swelling Im still experiencing it seems a bit premature. Its also important to remain positive. While I was aware of this fact, I didnt anticipate how much this foot surgery would hurt. Around two weeks after your operation, your bulky dressings and stitches will be removed and youll be given a toe alignment splint to wear, as well as exercises to help with your recovery. Went to see surgeon this week for check up after 6 weeks and told him the syptoms and he has assured me that the pain in the ball of my foot is still swollen tissue as a big deep neuroma had been removed, and the pain in my toe is part of the nerve pain which will settle down in time,( It is like when you lose a limb, and can still feel your . You can return to low impact sports after around six weeks, and by this point will be able to move your foot normally. Do you have any tips that youd like to share with my readers? It will take 7 to 10 weeks before you can safely perform activities like hiking, running, cycling, tennis, etc., after a big toe fusion. Anyway, if you have any additional suggestions , Id love to hear from you. I have been given permission to walk in a shoe. I was able to walk an easy five-mile mountain trail. Adjustment is important. Appointments 216.444.2606. Big toe fusion surgery is often recommended for patients suffering from big toearthritis and severe bunions. Use life-giving positivity to put the breaks on your negative thoughts and negative life-draining negativity. NOTE: This blog post provides general information to help the reader better understand regenerative medicine, musculoskeletal health, and related subjects. Tandem Walk Tandem walking is a great balance exercise that also helps you regain a normal gait pattern after a surgery. Keeping this cookie enabled helps us to improve our website. Additionally, the doctor can help you understand what to expect when . Can anyone recommend a good slipper to wear that would support & protect the corrected foot and prevent requiring surgery in the other? I got 3 different opinions before electing for surgery and all three agreed fusion was my best option. Used to treat hind foot pain and/or deformity. The swelling will disperse over the . hXioF+1Aaq#W"NHMDi7-70;>R83iP&45%^TL R3e0pyM bh$0!anyAvWLCCI2C@*EO&-889)jvzS Should a Middle Aged Person Have Medial Meniscus Surgery? Higher impact sports can be done around ten to twelve weeks after your operation. No exercises are necessary. Looking for more insight? You will need to rest while your leg is up in the air, placed on the pillows. In the majority of cases, youre sent home on the same day unless the surgery was performed later in the day, then you may be advised to spend the night at the hospital. Sandy. Both will help you in the long run. __________________________________________________, (1) Otter SJ, Lucas K, Springett K, et al. The fusion of the smaller toes has actually given me more trouble than the big toes. I was able to start golfing again at three months post-op and started jogging again at 4 months. Since then the nerve pain has gotten worse and its worse at night so I be been getting zero sleep which turns me into a grouchy monster the next morning. Thereafter, I was able to gradually increase the weight I distributed on both of my feet. She will have to go see a doctor about it. Do it between ten and twelve times. This invitation provided an incentive to reach an obtainable goal. Hold this position for 1 to 2 seconds before lowering back down again. Tailors Bunion Surgery: A Comprehensive Overview, From Diagnosis To Recovery: Navigating Your Journey With Posterior Tibial Tendonitis, Understanding The Benefits Of Sports Medicine For Foot And Ankle Injuries. Patience and a positive attitude go hand in hand with the recovery process. Then, push your toe upward and downward, holding for three to five seconds. Check out our previous posts: Disclaimer: Any information provided in this blog is not intended to replace medical advice given by qualified professionals. Wow! HOW TO DO IT: Sit in a chair with your bare feet on the floor. I hope that by now you are doing better and that you can see the light at the end of the tunnel. therapy and exercise are critical to the success of a lumbar fusion. I just want to be active again pain free! Most patients can tolerate nearly any activity after fusion of the big toe, especially since their Repeat 10 to 15 times. Just a few weeks ago, I felt like there was a sliver in my incision. Stretch your legs in front of you and wrap the towel around your toes. She shares her experiences and recommendations on this blog and on other websites. Z.s2RbLn-"UE9RBCJLDC%fTGi*d9Z(esB8tBY9JNn/TPeLP\hRB+yBP |.$VRO.gH9xi{9?('5]|>>3'%\%C#r }7i\0-^vvCU7b3 e$Con$2Qo0@.\q!qQI2HHB! ->gdb8 I had no real pain after the surgery just discomfort. 147 0 obj <> endobj 168 0 obj <>/Filter/FlateDecode/ID[<58C81D8E26B0384FAEE6C40116D36DEC>]/Index[147 64]/Info 146 0 R/Length 107/Prev 518608/Root 148 0 R/Size 211/Type/XRef/W[1 3 1]>>stream You can look to other peoples experiences as a guide, but its unwise to believe that youll follow the same path. I have never had an Op before or been in Hospital apart from Maternity. The surgeon conveniently scheduled her surgeries on Thursdays and routinely uses nerve blocks to minimize pain in the first 3 days and sends her patients off with 3 days of pain medication. Im working on it. Ei|a[chKbWW#YMrcm$By/ Bj2Z_-AJI>$;)!ICB!8OzK SBqBdhJ{0Y14F-P ,MDSFZ\hi30/=GP\j\!PbLA)?nTK)E63 RK4Q]#@eJ38-b2@hUrLWP4J%?2F2ZSnj@ }+1Y&) &_2x>||.!=w Sandra Bornstein is a freelance travel and lifestyle writer. Be sure to keep your knee straight for the entire exercise. My situation was a bit more complex since my pre-surgical foot pain prevented me from completing the physical therapy for my knee. Orthopaedic Specialist Partnership LLP 2022 | Privacy policy | Cooking settings. Help? Tandem walking is a great balance exercise that also helps you regain a normal gait pattern after a surgery. *DISCLAIMER: Like all medical procedures, Regenexx Procedures have a success and failure rate. So thats what we did and it was determined that the cast the surgeon put on was way too tight and not able to expand with the swelling so the cut into it to reduce the pain and sent me home. I believe New Balance are a good shoe for recovery and I tried on some lightweight, non leather, Dr Martens recently which I think will work for later on, as what shoes will I be able to wear is a major concern! This morning first time I have showered in a normal shower I have a Motel complex so have a disabled shower with a seat mostly just sponge bathed unless needed to wash my hair. Over time, I put more and more weight on the surgical foot. However, if your work involves operating heavy machinery and walking around, you may only be able to return to such an occupation after 3 months. Patients can begin putting as much weight on the foot as they can tolerate and start range of motion exercises right after surgery to prevent stiffness. You may be a good candidate for bunionectomy, After surgery, most people can resume their activities in six to 12 weeks. The Foot & Ankle Orthopaedic Surgeon 1.68K subscribers Subscribe 93 Share 19K views 1 year ago This video goes through the chance of. Brenda, Do you have experience dealing with foot surgery? Thanks for sharing your story,its really very helpful. Most people are not able to resume all their usual activities for at least 6 months, and it may be 1 year or more before . The surgery, involving an incision on the upper part of the big toe, extraction of bone spurs, and fusion of the big toe joint with low profile thin plates and screws; is performed under a general anesthetic. Hold this position for 3 to 5 seconds before releasing it. Compared to preoperatively, patients rated 27.4% of activities as less difficult, 51.2% as the same, and 21.4% as more difficult. After your big toe alignment is improved with surgery, regaining your range of motion (how much you can move a part of the body) is an important focus. While Im still not back to my pre-injury state, Im diligently working toward my goal of skiing this December. Raise your good foot in the air as you attempt to balance on the affected leg. This means your foot will be numb during surgery and a few hours post-procedure ensuring minimal pain is felt. The operation in general will involve 1-2 incisions around each toe that requires straightening. As with any fusion, this surgery is a dog with fleas. Sandy, hi I loved this article, I have put off having the surgery for 1 years due to being afraid of the down time etc. This surgery is usually for hallux rigidius (great toe osteoarthritis) and is known as a 1st metatarsophalangeal joint fusion. Ideal for anyone trying to lose weight, increase muscle tone, or rehabilitate after injuries. Due to the time needed to heal my bone graft, I was advised to avoid high impact activities for at least six months. Grasp the big toe near the base of the toe close to the big toe joint. 1st MTP Joint Fusion: If the big toe knuckle joint has a lot of arthritis or a very large deformity, fusion surgery will be recommended. This website uses Google Analytics to collect anonymous information such as the number of visitors to the site, and the most popular pages. At this point, overexerting the fused toe will cause the fusion to break, causing extreme pain and bone damage. The pain meds were to run out on a Sunday night so we contacted the hospital resident to get a refill and were told by a first year resident that due to the opioid crisis, he had no authority to refill the prescription and the surgeon wouldnt be in till Tuesday. Hi Rebecca, I slowed my pace when I approached the uneven rocky surfaces and the wooden footbridges that crossed small creeks. Its tempting. Who is a good candidate for big toe fusion? With this in mind, however, focusing on regaining flexibility and strength typically results in the greatest chance of returning to your normal activities. No sports until 3 months after surgery . My therapist, Mike, provided a progression of exercises and also worked on my foot scar as well as the soft tissues and muscles in my foot, ankle, leg, and hip. If youre an active person, it will be harder to deal with your lack of independence. Without curling your toes, draw your arch upwards by sliding your toes closer to your heel. Still, the care of your feet shouldnt stop when surgery ends. However, the correction process shouldnt end up there. After a couple of weeks, I flew to Chicago. While there are a few medical problems that truly need a fusion, based on my experience, this surgery should never be used as a way to commonly treat pain with surgery. It may look a bit funky, but Im able to walk around the house without pain. The only exception is when the toe is not yet completely fused. I have observed this increased strength in people who exerted a little more pressure on their pain point, hence giving them an edge towards handling their pain. The shoe saleslady directed me to similarly constructed shoes. Big toe fusion surgery is covered by both Medicare and private health funds only when performed by an orthopaedic surgeon (medical doctor). Important note My hip started to suffer from the unevenness of my gait. This will help you regain movement in your big toe. Your doctor will remove your stitches about 2 weeks after the surgery. Toe pushes x 20: Push toe down with hand to pain and hold for 3 seconds, relax Rehabilitation Exercises - After 1 week Post Operatively (or sooner if you are able) (5 times / day) 6. From a business standpoint, you can take a medical screw or plate made in China for $5 and sell it for $1,000 or more. Stretching and Toning Stretching and toning exercises can also be used to flex your entire foot from your toes to your ankles. How to do it: Standing up straight, try keep your knees straight, pull your toes towards your head and then stand on your toes. The surgery, involving an incision on the upper part of the big toe, extraction of bone spurs, and fusion of the big toe joint with low profile thin plates and screws; is performed under a general anesthetic. Given that there is no way to undo the big toe fusion surgery, outside of treating her ankle to keep it hanging in there, there was no solution to that issue. You can set your browser to block or alert you about these cookies, but some parts of the site may not work then. I realize that sometimes surgical procedures do not resolve the original issue and can sometimes create other problems.Like so many things in life, nothing is ever guaranteed. I was on crutches for a few weeks, then my surgeon transferred me to a boot for another 6 weeks. The most common type, axillary crutches, are made of wood or aluminum and fit under the arms. To do toe lifts, you start with one foot flat on the ground. Put the foot on the opposite tight, place your finger between the toes, and squeeze them together. With the support of the walker, try toe raises, heel raises, and hip rotations. At approximately five weeks, I graduated to an orthopedic shoe. Focus on the long-term goal of returning to your former lifestyle. This past week I transitioned to a full size boot which is equally as heavy and tightly confining as the casts, but thankfully Ive been able to remove it a couple times a day which feels 500% better , although it needs to be worn at night when the worst pain comes.I guess my number one question is, when can I expect the pain to subside because this is not what I thought I had signed up for. You many need to spend one night in hospital. Eventually, I regained all of my independence and drove my car again to Denver. Take care, Sandy. I sincerely hope that your procedure will eventually improve your situation. After you return home from the hospital, you will still need to stay off of your feet as much as possible. What Exercises Can I Do After Bunion Surgery? 6-10 weeks Once your surgical boot has been removed our physiotherapists will begin to work on perfecting your walking pattern. Toe exercises such as toe crunches and taps, however, should be performed even after the surgery after consulting with a medical expert. After accepting the invitation to attend the media trip, I worked toward being able to walk a mile and to stand for at least 10 minutes. Symptoms of osteoarthritis of the big toe include tenderness, achiness and pain at the joint, and occasionally, a burning sensation. But, at about five weeks post-op, I rounded the corner. Hi Sandra, I was so happy when I tried this shoe on. A little TLC may be warranted. Stretch your legs in front of you and wrap the towel around your toes. Swimming and Water Aerobics In theory, water activities can be started relatively soon after surgery. Repeat the process ten times, and then start with the exercise again, but this time move in the other direction. June 2016 in Health + Injury. I made sure that the organizers of the trip were aware of my limitations. i(YR$]d-QFzvG=vwwxaw[?rPSf{BJv4LhMN}4L . Thank you for sharing and allowing others to as well. #1: Toe Lifts These simple exercises work the upward mobility of your big toe joint. Try not to lean your body or extend your arms to the side. . I love how you talked about focusing on the benefits of the surgery rather than the frustrations. Once fusion is successful, you will be able to wear most shoes, including a high heel if desired of about one and a half inches. I learned that it was a dissolvable stitch that was trying to come through my skin. The revision procedure involves removal of the implant and reconstruction of the great toe to restore function and relieve pain. Many people decide to undergo hammertoe surgery to increase comfort, reduce pain, and improve the look of their feet. This stretch helps you improve the flexibility in your calf and assists with regaining a normal heel to toe walking pattern. Joseph, Thanks for adding a suggestion. I purchased a second pair to wear when I go swimming. Perform three sets of 10 repetitions daily. Pull the toes towards your body with the help of the towel and keep that position for up to thirty seconds. Hold this position for 30 seconds before releasing the tension. Yoga/Pilates Yoga is another exercise that you can jump right into after surgery. so allow yourself to feel the exercise some. Im wondering when it will go away because I just want to go to the gym and slowly get back into a routine. This apparatus made me feel off-balanced when I hopped around on crutches. . It is possible to return to low-impact sports in six weeks. 86 clinic locations offering non-surgical Regenexx solutions for musculoskeletal pain. Today, I will share what I learned from this foot surgery and simultaneously offer tips for people who are contemplating foot surgery or are presently going through the recovery phase. September 6, 2017 By Sandra Bornstein 35 Comments. Predictably the pain was unbearable by Saturday night and of course the doctor couldnt be reached. Try lying on your back and pulling your . Tips for Handling Multiple Doctors Opinions. portions of bone, ligaments, and tendons of the affected foot based upon the severity of the bunion. I really want her to be positive about it if that is what happens. I know how hard it is to remain sedentary when you want to be active. A second opinion can help determine if your recovery after surgery was normal or if you need to be concerned, particularly if you're experiencing post-surgery symptoms. #2: Toe Scrunches Sit in a chair with your affected foot flat on a towel or blanket on the floor. Wrap a towel around your foot and pull up towards you until a moderate stretch is felt in your calf. 4 0 obj Week 2-6 Light exercise may be undertaken under the guidance of your doctor. Adjacent segment disease. You can find out more about which cookies we are using or switch them off in settings. The woman I saw this week was actually in to have her low back treated. I like how you said that its good to stay positive. So thankful to have found this post. It is expected that you will be able to walk normally with your foot at this point. To my surprise, I walked up a steep portion of the Oregon Trail. Lesser Toe Surgery 5 PIPJ Arthroplasty/ PIPJ Arthrodesis/DIPJ Arthrodesis 5 Correction MTPJ Lesser Toes/ Stainsby Procedures 5 MIDFOOT PROCEDURES 6 First Tarso-Metatarsal Arthrodesis for Severe Hallux Valgus 6 Tarso-Metatarsal Arthrodesis (1,2 & 3) 6 ORIF Metatarsal Non-union/ First Tarso-Metatarsal Arthrodesis 6 Mid-foot Arthrodesis 7 The steps would focus on strengthening and supporting the lower body, especially when standing. So take heart, be patient and don't push it. Bev, Forsome bizarrereason, one of the treatments is to fuse the MTP joint solid with one or more screws. Toe touches. Sandy. Good luck! Sandy, I wish my doc had given me some post op instructions for a ganglion toe cyst. The goal of surgery is to make the great joint solidly aligned and immobile. I walked out of the store delighted that I could walk in shoes again. Anyone contemplating a surgical procedure that isnt in an emergency situation, should also take the time to consult with more than one doctor. HOW TO DO IT: Sit in a chair with your foot resting on a towel. Please see our privacy policy for more information relating to GDPR. My doctor did the foot surgery anyway but I do feel like I was thrown from a tall building instead of having had surgery. The bruising covered the top half of my foot. When it gets bad, it can result in lost range of motion in the metatarsophalangeal (MTP) joint, and the medical term for this is hallux rigidus (Latin for rigid toe) (1). During that visit, she mentioned that her rightankle was hurting. However, when you fuse the big toe, that energy has to go someplace. While surgery is not always the appropriate response, it can be an effective way to eliminate or minimize pain. I have been in excruciating pain. My dad might have to get foot surgery. I was instructed on how to use crutches so that I could be partially weight-bearing. I was thrilled that I could do this at less than 6-weeks post-op. Your toe joint will be stiff and quite sore and swollen. I will definitely pass along all of your great tips and information to my dad if he does end up needing surgery. Read More: Exercises After Metatarsal Fracture. In addition, any significant increases in swelling or pain should be reported to your physician as they may be a sign of something more significant like an infection or a blood clot. She also recounted how a big toe fusion recovery that she endured was awful in that it took a full year before she felt somewhat normal. You will be given a special shoe you can wear for 6 weeks. Each person has his or her own recovery story. Walking carefully and slowly for short distances over level ground, or around the house, rolling on the ball of my foot and lesser toes. March 1, 2023 12:23 pm . High-impact sports should still be avoided but swimming is generally fine. During the surgery, the cartilage will be Thanks for taking time to comment. The upshot? Caz2901 . In this post, I answer most peoples questions regarding the surgery. While the surgeon offered to retrieve it, Ive chosen to wait and see if it heals on its own. For more details about recovering from big toe joint fusion surgery, read our downloadable patient information leaflet. stream x\j^7*JO#y-ZQo[/ He advised us to go to the ER an hour away if the pain didnt improve with elevation and extra strength Tylenol . Good luck in your recovery process. Overcorrected bunion hallux varus deformity, How Do You Treat Accessory Navicular Bone, Plantar Fasciitis Stretching for Runners: A Comprehensive Guide, Class 4 Laser Treatment for Toenail Fungus, Limb Salvage for Diabetic Foot Problems/Wound Care, Onyfix Non-Surgical Treatment for Ingrown Toenails, 4875 Eisenhower Avenue, Suite 230, Alexandria, Virginia, 22304. You don't have to spend hours exercising your feet! cookielawinfo-checkbox-non-necessary. Our physiotherapists will be able to provide you with an exercise programme to gradually begin to increase the range of movement within your affected foot. Repeat twelve times. Big toe arthritis for some of us happens as we age. For the first couple of weeks, my foot was wrapped in an oversized soft cast. As a result, I had to be extra careful so that I wouldnt topple. It will help protect your foot and keep your bones in the right position. Attempt three sets of 10 repetitions each day. While each of the exercises listed above can be beneficial, it is extremely important to check with your doctor prior to beginning the regimen to ensure it is appropriate in your particular situation. Pain and swelling are common side effects and each type of operation has its own unique challenges. Begin by looking at your feet while you balance. Mayo Clinic has developed a unique revision surgery for people who experience a failed first metatarsophalangeal joint replacement. By lightly pulling on the towel, slowly bring your toes back towards you until you feel a stretch. Since the alignment of the foot is maintained by not only the muscles of the foot, but also those of the hip, knee, and core area, your therapist will also assess your overall lower limb alignment and prescribe strengthening exercises for any areas that require it. Leave the heel planted on the floor while lifting the toes. Given those profit margins, there is an entire army of orthopedic sales reps who sell this hardwareto surgeons and hospitals. When three sets of 10 repetitions are easy, attempt the exercise using only your recovering leg. For additional information, I recommend reading Tips for Traveling With Crutches. We would be happy to help you in any way you need us to, so dont hesitate to get in touch. Once your feeling more like yourself, youll be prone to want to do more and more. I think the patient has to mentally strong enough to cope up with the bad days. Thank you for stating that you should ask questions when getting foot surgery. This created a hobbling effect. Physical Therapy Guidelines for Hallux Valgus Correction (Bunion Reconstruction) This was written and developed by the therapists of MGH Physical Therapy Services. Patience is the key. Some patients go home the day of surgery. It exclusively focuses on travel. Six months after surgery patients are usually able to return to their normal activity levels, including participating in high impact sports. Also, this alters your gait in ways that cant easily be fixed. HOW TO DO IT: Stand in a long hall way or an open room. Other exercises like walking uphill and climbing up the steps is a great way to increase the flexibility in the big-toe joint. Hold the posture for a count of 10 seconds, or less if you can't tolerate the pain for 10 seconds. When the cast was removed, I was placed back into an orthopedic boot. Hence, given the business plan, its not surprising that fusion surgery has become so popular. Its more common in women, and weve observed its more common in people with chronic low-back pain. endobj Degenerative arthritis results from wear and tear on the joint surface over time. I was able to participate in a weeklong press trip which uplifted my spirits. Physical therapy after hammertoe surgery is crucial if you want to achieve faster healing and increase mobility and flexibility. I hope that your recovery is going well and you are able to return to most activities.Good luck. Dave, 1 0 obj Once it has completely dried up and healed, you can go swimming and apply moisturiser to the wound itself to reduce scarring. These cookies are necessary for the website to function and cannot be switched off in our systems. That way he can tell me how to fix my knee. Try scrunching up the towel with your toes and pulling it underneath your foot, but make sure your heel stays connected to the ground. Whilst still in hospital, youll be shown how to walk using crutches and a surgical sandal. While admiring the view, I breathed in deeply. She also stated that a few months after her big-toe fusion, the ankle began to hurt. Many patients use crutches after surgery to keep their affected foot off the ground. I m a very active type A personality so I cant wait to get back on my feet! <>/Metadata 64 0 R/ViewerPreferences 65 0 R>> What did you use when you first started swimming to help brace your foot? At about 5 weeks post-op, I went on a business road trip. If physical therapy isnt required, read about different ways that you can regain your strength, flexibility, range of motion, and stamina. Loop a towel around the toes on your surgical foot. It was almost three months post-op before my foot cooperated and I could drive my car again. You should, however, try to wriggle your toes during these first two weeks this exercise will aid your recovery without causing damage. My husband is able to push me up the road to a Cafe for lunch etc. This technique helps to activate the intrinsic muscles in the foot that help to stabilize your arch while you stand and walk. If youre flexible enough, you wont need the towel at all just pull your toes with your hands. This exercise focuses on strengthening your gastrocnemius, a bulky muscle in your calf that helps you push off while walking. Hold this position for 3 to 5 seconds before releasing it. Sandy. During the post-op recovery phase, you should avoid activities that could cause re-injury. When I returned to walking I had very painful plantar fasciitis for a couple of . After disc protrusion surgery, there are some exercises you will want to avoid. Yoga and Pilates promote strength and flexibility, while also getting your heartrate up and improving circulation. Yes, active people struggle when they need to be in a rehab mode and cannot do everything that they want to do. Prior to leaving the hospital, a physiotherapist will teach you how to navigate around using a pair of crutches. In most cases, you will be able to leave hospital on the same day as your surgery, but some patients spend a night in hospital. I am overweight and have a habit of walking barefoot around the house, which I have read is not good. Once you do, start returning toes to the ground, one by one, starting from the small toe. Joint resection. Following a well-structured conditioning program will also help you return to sports and other recreational activities. You can use ice cubes behind your knee to prevent swelling. No high heels to worn until 3 months after surgery. These are indications that you need to slow down your pace. We can all gain something from reading about how others handle their rehab process. As you stretch out your feet and point your toes, draw circles or trace the letters of the alphabet. Finding the delicate balance between increasing activity levels and managing discomfort can be tricky. I want to start swimming but I am nervous about moving my foot around too much when swimming. You had some really great ideas and the thought of staying positive always helps. The most common were walking, biking, weightlifting, swimming, running, and golf. This procedure involves fusing (or "soldering") the great toe joint (first MTP joint) together. Hallux rigidus is a degenerative type of arthritis that affects the large joint at the base of the big toe (sometimes called the great toe). I have googled womens slippers bunionectomy post-recovery in various formats and it just gives me shoes, which is becoming very annoying. %PDF-1.5 % This means your foot will be numb during surgery and a few hours post-procedure ensuring minimal pain is felt. Although this exercise is used mostly with an unoperated hammertoe, it can be helpful after the surgery, as well. The foot pain will intensify and the toes may swell. Gradually, increase the amount of time you spend upright. My injury happened at the gym 6 weeks ago when I lifted what I didnt know was 100lb plate. Pain isnt always a bad sign in my opinion. Perform three sets of 10 repetitions daily.
Dr Calvin Jung Plastic Surgeon,
Is It Safe To Swim In Owasco Lake?,
Articles E