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Dr. Lokesh M

Orthopedist, Bangalore

130 at clinic
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Dr. Lokesh M Orthopedist, Bangalore
130 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Lokesh M
Dr. Lokesh M is a popular Orthopedist in BGS Global Hospital, Bangalore. He is currently practising at Fatima Hospital in BGS Global Hospital, Bangalore. You can book an instant appointment online with Dr. Lokesh M on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 39 years of experience on Lybrate.com. You can find Orthopedists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Languages spoken
English
Professional Memberships
Indian Orthopaedic Association
Indian Medical Association (IMA)

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Fatima Hospital

Pinangode Road, Kalpetta. Landmark: Fatima Hospital Link RoadBangalore Get Directions
130 at clinic
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I have been facing neck pain since two weeks sometimes its OK when taking the medicine after medicine over same problem is taking place now what to do just help me?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take IFT and laser Therapy for 9 days followed by strengthening exercise from Neuro physiotherapist best wishes
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I had byke accident. My right hand was fractured and memory loss what can I do my hand bone is not joining since 11 months.

Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma in Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopath, Navi Mumbai
Take homoeopathic medicine symphytum q 1oz 10-10-10 drops in 1/2 cup of water after half hour of meal.
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Back Pain Management

BPTh/BPT
Physiotherapist, Pune
Back Pain Management

Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.

  • Medications: your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
  • Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
  • Opiates, for example, hydrocodone, for pain relief
  • Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
  • Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
  • Home treatment: in case your condition is less severe, you can attempt a couple of things at home to treat it:
  • Take an over-the-ounter pain reliever, for example, acetaminophen or a calming medication, for example, advil or aleve.
  • Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
  • Exercise routinely to help you recover quickly.
  • Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
  • Acupuncture: acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
  • Bed rest: severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (dvt, blood clots in the legs).
  • Support/brace use: temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
  • Lifestyle: losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Once the conservative treatment fails:

Early aggressive treatment plan of back leg pain has to be implemented to prevent peripherally induced cns changes that may intensify or prolong pain making it a complex pain syndrome. Only approx 5% of total lbp patients would need surgery approx 20% of discal rupture or herniation with neurologically impending damage like cauda equina syndrome would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then. Depending upon the diagnosis one can perform combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon patient`s pathology response to treatment. Using precision diagnostic therapeutic blocks in chronic lbp, isolated facet joint pain in 40%, discogenic pain in 25% (95% in l4-5 l5-s1), segmental dural or nerve root pain in 14% sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of lbp after conservative treatment has failed.

Need for non-surgical options: outcome studies of lumber disc surgeries documents, a success rate between 49% to 95% and re-operation after lumber disc surgeries ranging from 4% to 15%, have been noted. “in case of surgery, the chance of recurrence of pain is nearly 15%. In fbss or failed back surgery the subsequent open surgeries are unlikely to succeed. Reasons for the failures of conventional surgeries are:

  • Dural fibrosis
  • Arachnoidal adhesions
  • Muscles and fascial fibrosis
  • Mechanical instability resulting from the partial removal of bony ligamentous structures required for surgical exposure decompression
  • Presence of neuropathy.
  • Multifactorial aetiologies of back leg pain, some left unaddressed surgically.

Epidural adenolysis or percutaneous decompressive neuroplasty is done for epidural fibrosis or adhesions in failed back surgery syndromes (fbss). A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ l. A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope sciatica gets complicated by pivd with disco-radicular conflict causing radicular pain sometimes disabling. In this era of minimally invasive surgery lot many interventional techniques have evolved to address the disc pathology. We are still working for the ideal, safe effective technique to tackle disco- radicular interphase. Here now we have devised a mechanical neuroplasty or foraminoplasty technique using an inflatable balloon tip catheter with guide wire via targeted transforaminal or interlaminar route aided by drugs instillation. Selected patients are procedured fluoroscopic guided with local anesthesia under prescribed sedation aseptically via preselected route depending upon location type of pivd causing root insult. First a suitable size needle is placed at desired site confirming with radiolucent dye through which hyaluronidase with saline or la was injected. A flexible guide wire is passed at selected location direction on which the inflatable balloon is threaded to the area of interest.

Adhesiolysis is achieved mechanically with inflating balloon for 10 seconds at a time location. We inflated the balloon with contrast agent to have visualization of adhesiolysis opening up of adhesions or root route. Here the balloon pressure time has to be kept in minimum to avoid neurological damage, for which we inflate balloon for 10 seconds at a time. Close observation is made to balloon shape, pressure patient`s response. Once dilatation is done the drug mixture of steroid with la or hynidase/ hypertonic saline is instilled over nerve in epidural space. We have logically used same approach for our balloon neuroplasty foraminoplasty as it is safe targets exactly the area of disco-radicular interphase or conflict. We can manage to address both the exiting and traversing nerve roots with single entry just by manipulating our guide wire to the place of offence. The procedure can be done via transforaminal route at level or level above or below, especially via s1 foramen. Now we are employing this technique for fresh cases coupling with intradiscal decompression aided by instant disc retrieval by epidural balloon inflation with good results. The idd is done by coblation/ laser/ dekompressor or rf biacuplasty. There is scope of coupling this technique with endoscopic spine surgery. By adding “balloon neuroplasty” to the armamentarium of the interventional pain management many patients can be benefited relieved of previously interventionally unmanageable disco-radicular pain including fbss sufferers.

Intradiscal procedures:

Provocative discography: coupled with ct a diagnostic procedure prognostic indicator for surgical outcome is necessary in the evaluation of patients with suspected discogenic pain, its ability to reproduce pain (even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options in assessing previously operated spines.

Percutaneous disc decompression (pdd): after diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed.

Ozone-chemoneucleoplasty: ozone discectomy a least invasive safe effective alternative to spine surgery is the treatment of choice for prolapsed disc (pivd) done under local anaesthesia in a day care setting. This procedure is ideally suited for cervical and lumbar disc herniation with radiculopathy. Total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at european countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post operative discomfort or morbidity and low cost. If despite the ozone therapy the symptoms persist, percutaneous intradiscal decompression can be done via transforaminal route with drill discectomy/ laser or coblation nucleoplasty/ biacuplasty/ disc-fx / endoscopic discectomy are good alternatives before opting for open surgerical discectomy; which has to be contemplated in those true emergencies, as mentioned above as the first choice. In biacuplasty radiofrequency energy is used in bipolar manner heating shrinking the disc  making it harder as well for weight bearing. It also seals the annular defect ablates annular nerves relievingback pain. In laser or coblation nucleoplasty energy is used to evaporate the disc thereby debulking it to create space for disc to remodel itself assisted by exercises. 

Dekompressor: a mechanical percutaneous nucleotome cuts drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression. A mechanical device cuts drills out the disc material debulking the disc reducing nerve compression curing sciatica brachialgia. It comes in needle size of 17g for lumbar discs 19 g for cervical discs. In lumbar region postero-lateral approach is used  in cervical discs anterolateral approach is used. 

Disc-fx : endoscopic discectomy: in this novel technique a wide bore needle is inserted placed sub-annular in post disc just under the disc protrusion. Disc is then mechanically extracted with biopsy forceps to empty the annular defect. This painful sensitive annular defect supplied be sinuvertebral nerve is thermo-ablated with radiofrequency which also seals the defect to prevent decrease recurrences. Next higher procedure, endoscopic discectomy is done with endoscope put through sheath inserted via posterolateral transforaminal or posterior interlaminar approach. Mostly done under local anaesthesia its fast becoming standard of care for disc protrusion extrusions causing spinal canal stenosis with root or cord compression with leg pain.

Laser discectomy done for closed bulging discs is an outpatient procedure with one-step insertion of a needle into the disc space. Disc material is not removed; instead, nucleus pulposus is debulked by evaporating it by the laser energy. Laser discectomy is minimally invasive, cost-effective, and free of postoperative pain syndromes, and it is starting to be more widely used at various centers. 

Seld: epiduroscopic laser neural decompression is considered an effective treatment alternative for chronic refractory low back and/or lower extremity pain, including lumbar disc herniation, lumbar spinal stenosis, failed back surgery syndrome with morbid adhesion neuritis that cannot be alleviated with existing noninvasive conservative treatment. This procedure is done under vision via an epiduroscope inserted via caudal canal or transforaminally employing front or side firing laser fibers /or fine instruments. If you wish to discuss about any specific problem, you can consult a pain management specialist.

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My aunt is a housewife whenever she walks like for a distance of around 100 metres or so she reports of heavy knee pain she tried many pain reliefs, ointment but they dint fetch any good results. So can you suggest any good pain relief for her. Her age is around 35 & she is a mother of 2 children.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
My aunt is a housewife whenever she walks like for a distance of around 100 metres or so she reports of heavy knee pa...
Advice. Avoid sitting cross legged. Avoid squatting- quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day. Sports taping- stretch the tape from both ends and apply on the affected area contrast fomentation (hot and cold).
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I'm suffering from knee pain for almost 10 years. I consulted everywhere but I'm not satisfied with the medications or treatment. I only feel pain while walking. I do exercise and yoga daily.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I'm suffering from knee pain for almost 10 years. I consulted everywhere but I'm not satisfied with the medications o...
This is a general strain due to excessive walking or standing and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes. One time you can do hot water fermentation that would help to reduce the muscle strain.
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When I complete sex. That day I have pain in back bone. Not doing sex that day I don't have backache.

MPTh/MPT, BPTh/BPT
Physiotherapist, Guwahati
When I complete sex. That day I have pain in back bone. Not doing sex that day I don't have backache.
U may be having some spinal problem, or core muscle weakness which causes this pain as the back muscles get fatigued easily while doing the act. You need to do few exercises for strengthening your back muscles and follow some guide for maintaining proper posture, not only during sex but during other activities. Also, change or modify the way/ the position which you use mostly during the act, and see if changing the position causes no pain afterwards.
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My wife is suffering from pain in left arm and thumb from last six months. Despite of allopathic medical treatment from last four months, no benefit. Kindly suggest. Her age is 45 Years.

Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
My wife is suffering from pain in left arm and thumb from last six months. Despite of allopathic medical treatment fr...
Hi may be your wife is suffering from cervical spondylitis she need to consult physiotherapist. They will give you some treatment and exercise. She will be OK don't worry. If don't get physio near you r place then you can come to my clinic.
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I have pain in nerves near about my intercourse membrane and I also have back pain, When I am walking there no pain at all, But when ever I can sit down for some time (3/4) minutes and get there will pain again on both, Back and near interosseous membrane But when I am walk there is no after 5 to 6 seconds, When ever I am trying to touch my foot again there is pain, I can run easily with no problem at all after running I can stretch and there is no pain, If I am trying to stretch without running I have pain what is this? Is that problem of over weight, My weight is 97kg and height is 5.8"

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have pain in nerves near about my intercourse membrane and I also have back pain,
When I am walking there no pain a...
Yes it might one of the cause do not try without stretching as it is very harmful to muscles prone to fatigue and other pathological problems for back pain do take ift and laser therapy for 10 days followed by strengthening exercise from neuro physiotherapist best wishes.
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I am a 21 year boy. I have a problem in my leg and my back is big. In my leg I can not stand properly some times what to do? Please give me a proper solution for this prole I can not walk sometimes I am so irritated with this. Please?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am a 21 year boy. I have a problem in my leg and my back is big. In my leg I can not stand properly some times what...
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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My wife is physically ill. Her knee so much pain in winter and she have a calcium problem, doctor said that she is authorities patients and there is no helpful treatment for her. She is week and now a days her blood is not growing due to this infection. And in this days her bone is dissolving before 5 year she is fit but now I tried so much. So what is best treatment for her in home made.doctor declared that there is no medicine for her. Please give me a favour.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
My wife is physically ill. Her knee so much pain in winter and she have a calcium problem, doctor said that she is au...
Do massage with warm sesame oil or suitable oil for 15 min., afterwards take hot fomentation for 10 min. Start natural calcium supplement. Do regular stretching exercise In yoga DO BHUJANGASAN, HALASAN & SURYANAMASKAR. she needs to improve her immunity ayurved will helps great in that case
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My uncle is suffering from severe knee pain he finds a lot of difficulty in walking.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
My uncle is suffering from severe knee pain he finds a lot of difficulty in walking.
Dear lybrate-user, Get X-ray or MRI done to rule out any structural joint abnormalities. Meanwhile, gentle massage over knees with lukewarm herbal pain relieving oils daily for about 15-20 minutes and hot fomentation afterwards will greatly help in subsiding the pain. Ayurveda’s Panchakarma offers specialized treatment of JANU BASTI for knee pains - these procedures would give strength to your knee and reduce the pain and stiffness. Regular oiling the joint will improve the lubrication also. Use knee caps over the joints and avoid over exertion of the joint. Avoid sitting crossed legs. This will greatly help. Although some herbal medicines might also help you but after proper history taking. For that you may consult me privately over Lybrate. Please update with your valuable feedback after 15 days.\
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I' m suffering from frozen shoulder from last five months and my left arm is lifting till 90 degree only with continuous pain. Let me know what to do?

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
Treatment of frozen shoulder is done by exercise and physiotherapy. Sometimes it can take months to get relief. In severe cases manipulation of the shoulder is done under anesthesia to give quicker relief. Ice packs immediately before and after physio will help reduce the pain during physio. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Manoj kumar khemani
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I am female 61 years. I am not able to sit on floor with cross legs. I want to know how to take care of this and knee problem to avoid knee operation in future.

BPTh/BPT
Physiotherapist, Delhi
I am female 61 years. I am not able to sit on floor with cross legs. I want to know how to take care of this and knee...
Helo mam. First of all I would like to tell you that It s an age factor related thing. So you don't need to sit on the floor. You must go for Physiotherapy that will surely help. A Physiotherapist will tell you all the Do, s and Don't s so better if you can go to Physiotherapy central nearby or get Physiotherapy at home thank you.
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I can feel less energy in my arms. I am not able to give more force through my arms in any sport. What can be the reason?

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
I can feel less energy in my arms. I am not able to give more force through my arms in any sport. What can be the rea...
It can be disorder of nerve, muscle, joint problem or rarely manifestation generalized metabolic disease.
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I am 33 years old I have pain in right hand starting from my little finger upto my elbow. Due to biting by my younger brother during a fight among us. I am not able to lift things nd cant grab things with my normal effort. Kindly help

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Can you kindly tell me where exactly were you bitten by your brother? and maybe you can send a clinical picture of that area? you have actually mentioned inability in lifting things, is that due to pain or weakness of muscles. See what we have to rule out is whether there is any nerve injury of any kinds which usually does not happen in bites etc? I might have to see a neurological (motor and sensory) examination of your involved limb preferably done by a good physical therapist so that I can understand the situation. Also tell me whether any tests have been done to establish a diagnosis. Do not hesitate to contact me if you need any further assistance.
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I am 37 years old male and suffering from back pain. Please suggest me what I do?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 37 years old male and suffering from back pain. Please suggest me what I do?
Apply prasarini oil or pranacharya restopain oil on your affected part then give hot fomentation twice a day. Take mahayograj guggul 1-1 tab twice a day. Take maharasnadi kwath 2-2 tsf twice a day. Avoid tea. Coffee. Junk food. Fermented food. Spicy food. Rice. Walk for atleast 30 minutes a day. Do pranayama early morning. Sleep for atleast 7 hrs per day.
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Hi, I'm 26 working for a MNC in Pune. My neck is paining from last 3-4 weeks. Maybe a problem of posture. Can someone please guide me how to remove this pain? Any exercises, correct posture and medicines?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hi, I'm 26 working for a MNC in Pune. My neck is paining from last 3-4 weeks. Maybe a problem of posture. Can someone...
This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or other metabolic disorder. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac 100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Avoid direct flow of AC or Cooler. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for Neck & shoulders. Arms. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again (through this platform) Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed). For emergency treatment visit nearest hospital. I hope I have answered your question to your satisfaction. Kindly rate the answer. Wish you a quick recovery & good health.
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