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Leg Pain Tips

Shin Splints - How To Treat It?

Dr. Atul Mishra 85% (15 ratings)
Fellowship In Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Shin Splints - How To Treat It?

Shin splints' is a condition, which is characterized by pain in the shin bone, the bone that is present in front of the leg. Shin splints tend to occur quite frequently in runners and dancers as their activities tend to stress the shin bone.

Causes: When excess force is applied to the shinbone, it may result in swelling of the muscles, causing pain and inflammation. It may also occur from stress reactions to fractures in the bone. Cracks tend to develop due to constant application of force in the bones. If the area is not well rested then these cracks will not heal and ultimately lead to a complete fracture.

Some other causes of shin splints are:

  1. Muscle imbalance in the glutes or the thighs
  2. Anatomical deformity such as flat foot
  3. Not using proper form during training
  4. Lack of flexibility
  5. If you wear improper shoes during workouts, then it may lead to shin problems
  6. Running downhill may lead to excessive stress on the shin leading to shin splints

Symptoms:
The symptoms of shin splints are: 

  1. You may experience swelling in the lower leg
  2. A dull pain in the front portion of the leg
  3. Tenderness around the shin area
  4. Numbness around the shin area
  5. Inflammation in the shin area
  6. You may experience severe pain while walking

Treatment: The basic treatment for shin splints is the RICE (rest, ice, compression and elevation) protocol. It means allowing the leg to rest, applying ice packs and wearing compression bandages. It is recommended to take rest and not exert the leg beyond a certain point to limit the damage. The complications that may result from shin splints are compartment syndrome, where there is buildup of pressure in the muscle. In some cases, where the muscle tears off from the bone, a surgery may be required to treat this condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

2394 people found this helpful

Leg Cramps - 6 Homeopathic Remedies For It!

Dr. Akash Kumar Sen 88% (101 ratings)
LBS Homoeopathic Medical College, Bhopal
Homeopath, Bhopal
Leg Cramps - 6 Homeopathic Remedies For It!

Leg cramps is a very common condition which is characterized by tight and painful leg muscles. The calf muscles are the most commonly affected; it can spread further down to your thighs and feet. Once the cramping gets better, you might experience a tender leg coupled with a numbing feeling for a few minutes.

The causes of leg cramps are varied. If it is caused due to an underlying condition, it is known as secondary leg cramps. The causes of secondary leg cramps include vigorous exercises, pregnancy and usage of certain medications. The cramps cause the muscles of the leg to shorten and contract, thus making you lose control of the affected muscle.

How can homeopathy help?

Homeopathy is a system of medicine which is very holistic in nature. The goal of homeopathy is to focus on the causes of a disorder rather than just curing the symptoms. Homeopathic remedies do not yield any side effect unlike the conventional treatments. Apart from treating the symptoms, homeopathic remedies also help improve your overall wellbeing.

There are many homeopathic remedies that can be used to treat leg cramps. The remedies are focused on treating any underlying condition that may be causing these leg cramps, apart from relieving the symptoms. The first step of the treatment is to diagnose the condition, which is done by a trained practitioner. You will be asked questions pertaining to the cramps and your diet. Once the diagnosis is complete, the medications are prescribed based on the diagnosis.

There may be certain dietary restrictions that you may have to follow for the medicines to work at their optimum best. This system of medicine might also require you to not carry out any form of heavy work that involves the legs as rest is required to boost the process of recovery.

The various Homeopathic offerings are:

  1. Causticum

  2. Calcarea carbonica

  3. Arsenicum album

  4. Colocynthis

  5. Pulsatilla Nigricans

  6. Arnica montana

Foot Drop

Dr. Anuradha Sharma 91% (15988 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Foot Drop

To avoid dragging the toes, people with foot drop may lift their kneehigher than normal. Or they may swing their leg in a wide arc.

Foot drop can happen to one foot or both feet at the same time. It can strike at any age.In general, foot drop stems fromweakness or paralysis of the muscles that lift the foot. It can have many different causes. Treatments for foot drop vary according to the cause. Most common causes and treatments for foot drop.

What causes foot drop?

  • Foot drop is a symptom of an underlying problem, rather than a disease itself. It can be temporary or permanent. Causes of foot drop include:
  • Nerve injury
  • Brain or spinal disorders
  • Muscle disorders

Here's some more detail on these causes:

Nerve injury. Most commonly, foot drop is caused by an injury to the peroneal nerve. The peroneal nerve is a branch of the sciatic nerve that wraps from the back of the knee to the front of the shin. Because it sits very close to the surface, it may be damaged easily.

An injury to the peroneal nerve may also be associated with pain or numbness along the shin or the top of the foot.

Some common ways the peroneal nerve is damaged or compressed include:


How do doctors treat foot drop?

Treatment for foot drop will depend on the cause. Early treatment may improve chances of recovery.

Treatments may include:

  • Lightweight braces
  • Shoe inserts (orthotics)
  • Physical therapy
  • Surgery
  • Lightweight braces are the most common treatment. They're used to support the leg.
  • Physical therapy is used to strengthen foot and leg muscles. It may improve a person's ability to walk. In some cases, electronic devices that stimulate the leg nerves during walking may be appropriate.
  • Surgery may be recommended to try to repair or decompress a damaged nerve. In cases where foot drop is permanent, surgery to fuse the foot and ankle joint or to transfer tendons from stronger muscles may help improve gait and stability

Foot drop, sometimes called" drop foot" is the inability to lift the front part of the foot. This causes the toes to drag along the ground while walking.To avoid dragging the toes, people with foot drop may lift their kneehigher than normal. Or they may swing their leg in a wide arc.Foot drop can happen to one foot or both feet at the same time. It can strike at any age.In general, foot drop stems fromweakness or paralysis of the muscles that lift the foot. It can have many different causes. Treatments for foot drop vary according to the cause. Most common causes and treatments for foot drop.
 

What Can Be The Reason Behind Radiating Pain In One Leg?

Dr. Sachin Mittal 88% (11 ratings)
FIPM, DA, MBBS Bachelor of Medicine and Bachelor of Surgery
Pain Management Specialist, Ghaziabad
What Can Be The Reason Behind Radiating Pain In One Leg?

In recent times, there has been an upsurge in the instances of leg pain. People from all age groups, irrespective of their gender, are being affected. Needless to say, this painful and uncomfortable condition throws life in jeopardy and adversely affects and interfers with a person's daily activities. While the pain can be in both the legs, many people also suffer from severe radiating pain in one leg.

What causes radiating pain in one leg?
More than often, this kind of pain is triggered by nerve problem or disorder. If you experience a shooting pain that originates in the lower back and gradually radiates down to one of the legs (from the buttocks to the back of the leg), chances are you are experiencing sciatica.

In sciatica, the nerve affected is the sciatic nerve. The sciatic nerves originate from the spinal nerves L4 to S3. From the lower back, the nerves (two sciatic nerves) extend downwards to the back of each leg. The sciatic nerves further divide into a tibial and peroneal nerve. These nerves are mostly responsible for the sensation and motor functions of the legs and the feet.


Sciatica can be an outcome of
The discs present between the vertebrae provides them with a much-needed cushion, preventing injury or damage. In case, of a degenerative disorder of the disc, the protective cushion gets affected resulting in the pain and associated symptoms.

  • Lumbar spinal stenosis: A medical condition where the spinal canal in the lumbar area narrows down, exerting pressure on the sciatic nerve.
  • Spondylolisthesis or a slip disc: The condition mostly affects the lumbar area (base of the spine) whereby there is slippage of one of the bones over the adjacent bone (the bone located just below it).

A muscle pull in the buttocks can also trigger sciatica and many times, a pregnant woman may also experience sciatica. The sciatic pain can be:

  1. Chronic sciatic pain: As the name suggests, chronic sciatic pain is intense and more severe, with the symptoms persisting for a longer time (more than three months). Arthritis, severe nerve damage or scarring (tissues) are often responsible for chronic sciatic pain.
  2. Acute sciatic pain: An injury to the nerves, muscles, spinal joints or discs can cause the pain. However, as instantly as the pain starts, the condition improves within days (at times weeks).

In addition to the radiating pain, there may be other symptoms associated with sciatica such as

  1. Difficulting in leg or foot movement.
  2. Weakness
  3. Sciatica can also trigger a pain in the back of the leg which aggravates when a person is in a sitting position
  4. Hip pain
  5. Numbness, and often a tingling or burning sensation radiating down the leg
  6. In some people, sciatica can cause a shooting pain (which worsens when a person tries to stand up)
  7. The pain (in some cases) can extend to the foot and toes

There can be many underlying factors responsible for the pain radiating to one leg. Neglecting the condition will only worsen the situation further. In case you have a concern or query you can always consult an expert & get answers to your questions!

4607 people found this helpful

Surgical Treatment For The Infected Diabetic Foot!

Dr. Krishna Chaitanya K H 90% (10 ratings)
MBBS, MS - General Surgery, MCh - Vascular Surgery
Vascular Surgeon, Bangalore
Surgical Treatment For The Infected Diabetic Foot!

Diabetes is a lifestyle disease which is increasing in incidence. A number of people are being affected, and the age of onset is decreasing. The issue with managing diabetes is that it is a multi-system disease, and affects almost the entire body system. The circulatory, nervous, and musculoskeletal systems and overall metabolism are all severely affected as the disease progresses. Therefore, early detection is highly helpful as it aids in controlling the progression of the disease as well as in arresting its symptoms.

Infections, especially in the leg, which lead an individual to suffer from a diabetic foot are due to two reasons:

  • Nervous system: Diabetes results in a reduced sensation of the nervous system, especially in the distant organs like the toes and legs. As the sensory perception is reduced, small hurts and wounds in the legs go unnoticed and the person does not feel any pain.
  • Skin: Once diabetes sets in, the collagen formation and wound-healing capability is reduced. The rate of regeneration of tissues is reduced. So in addition to the reduced sensation, the rate of healing is also reduced.
  • These wound infections could be limb threatening or non-limb-threatening. As the infection progresses from mild to moderate to severe, the wound progresses from a small ulcer to cellulitis involving the infection of the subcutaneous layer. This then progresses to gangrene, which refers to the death of the underlying tissue due to chronic infection. This infection gradually reaches the bone to cause osteomyelitis.

The primary problems with severe cases of diabetic foot include:

  • Hypoxia it reduces the oxygen supply
  • Debris due to infection and death of subcutaneous tissue
  • Nutritional deficiencies is a common side effect of diabetes
  • Lack of vascularity due to atherosclerosis and arteriosclerosis

How does surgery help?

  • Sharp surgical debridement: This is done in cases that only have a deep cellulitis or gangrene. The infected tissue is marked out along with a good margin of normal tissue, completely debrided leaving normal margins. This allows diagnosing the extent of the infection, clear debridement, and also promotes wound healing. The skin closure is done with skin grafts from another portion, usually the thigh or torso. Postop care is essential for success.
  • Amputation: In people where the infection is quite deep, with or without osteomyelitis (bone involvement), amputation may be required. This amputation may be only of the toes, the foot, or below or above the knee depending on the stage of identification and extent of infection. This helps in improved diabetic foot control as well as re-ulceration, which can be quite complicated.

While surgery comes with its own set of complications, it sometimes helps in treating severe diabetic foot infections. In case you have a concern or query you can always consult an expert & get answers to your questions!

2044 people found this helpful

Posture And Ergonomics - How Physiotherapy Can Help?

Dr. Hitesh Khurana 84% (40 ratings)
MPTh/MPT, Bachelor In Physiotherapy, Mater of Physiotherapy
Physiotherapist, Delhi
Posture And Ergonomics - How Physiotherapy Can Help?

Most people these days spend hours working on computers, owing to the sedentary nature of their jobs. Desk-bound office jobs require you to sit in one place for long hours. This often leads to nerve and muscle tension related to posture. A good posture refers to how you carry your body- keeping your back straight in an erect position, placing your arms and legs in the correct position so that the joints are not bent or twisted.

Unfortunately, most people do not pay attention to correct posture and end up complaining about backaches and joint pain. If you don’t keep your spine aligned, or if your feet do not touch the ground while sitting on a chair, then you may experience pain and discomfort afterwards. The pain is severe in people who work for about 8-10 hours daily while sitting in the same posture throughout.

Signs to watch out for-
Poor posture can result in mild to severe pain. The usual symptoms are-

  1. Lower back pain
  2. Stiffness and pain in the neck
  3. Muscular tension and shoulder pain
  4. Pain in the forearms and wrist
  5. Lumbar disc bulging
  6. Irritation
  7. Pain in the joints (knee and hips)

If these symptoms are not treated soon, then poor posture can lead to chronic health conditions like arthritis, spondylitis, slipped disc etc.

How does office ergonomics help manage your posture?
Most people don’t even realize the importance of maintaining a good posture. A healthy posture not only makes you feel comfortable at work but also prevents muscle-related problems. Here are a few tips to improve your posture at your workplace-

  1. Choosing the right chair is more important than you can even imagine. A chair with proper support system will prevent your back form bending too much, and thereby reduce the risk of back pain. Make sure your back is in an erect position so that your spine does not bend.
  2. Don’t keep your shoulders rounded and don’t bend your neck forward to lean on the computer screen. Otherwise you will have a stiff neck leading to spondylitis. Keeping your shoulders and head straight will prevent shoulder ache and neck stiffness.
  3. It’s important to rest your foot on the ground. If you find it difficult to reach the floor, arrange for a footrest. If the chair is too high for you, adjust it as per your convenience to prevent ill posture. Resting your feet evenly on the floor will prevent leg pain.

How does physiotherapy improve your posture?
Physiotherapy plays a great role in improving poor posture. Physiotherapy evaluates your body mechanism, mobility and strength to determine what exactly needs to be done. The commonly used techniques are-

  1. Joint Mobilization- This is a hands-on treatment technique for musculoskeletal conditions. Usually this method is targeted towards the synovial joints to achieve therapeutic effect.
  2. Dry needling- A needle is inserted gently into your skin to target the muscle that’s triggering the pain. A jump response upon inserting the needle is a good sign. It indicates that the therapy is working fine. It increases blood circulation in the targeted area and helps relax your muscles.
  3. Exercise- Moderate exercises, especially yoga and pilates, are very effective in treating posture-related pain. Yoga poses like bhujang asana, dhanurasana, padmasana stretch your muscles, spine and reduce body pain.

Other than these, frequent walking (at an interval of every 1-2 hours) can help reduce pain and help flex your muscles. Physiotherapy is a safe mode of treatment with much lesser side effects than other conventional methods. A proper diagnosis, treatment and frequent follow ups can improve poor posture and keep you active. In case you have a concern or query you can always consult an expert & get answers to your questions!

4187 people found this helpful

Old-Age Problems And Homeopathic Treatment!

Dr. Sonia Gupta 92% (620 ratings)
BHMS, MD - Homeopathy, Gold medallist
Homeopath, Navi Mumbai
Old-Age Problems And Homeopathic Treatment!

According to the reports published by Centers for Disease Control and Prevention, over 73% of older people belonging to the age group 60-69 years are affected by a number of health disorders. As you age, your body and immune system undergoes several changes due to various reasons - hormonal imbalance, change in eating habits, lifestyle changes, and underlying medical conditions. Among several old-age health conditions, the commonly observed ones are -

  1. Prostate gland problems- the prostate gland is the reproductive organ in male body. This small walnut-sized organ is present at the base of the bladder. Through the urethra, urine flows from the bladder. When the prostate gland becomes enlarged, it obstructs urinal flow through the urethra. As the urethra constricts, the bladder starts to contract forcefully so you get an urge to urinate frequently. Symptoms of an enlarged prostate may include- slow or weak urinary stream, frequent urination, urgency to urinate especially at night.
  2. Joint problem- musculoskeletal or degenerative disorders can lead to wear-and-tear of bone cartilages. Such a condition over time can cause joint inflammation or other orthopedic disorders like arthritis, gout, osteoporosis etc.
  3. Urinary incontinence- refers to uncontrollable leakage of urine. This condition is more common in women than in men. Overactive or weak bladder muscles, nerve damage, pregnancy, menopause are some of the factors responsible for urinary incontinence in females.
  4. Sciatica- this condition occurs when the sciatic nerves are strained by bone spurs on the vertebrae or a herniated disk in the spine. It is characterized by a constant sharp pain in the lower back along the sciatic nerve. You may feel the pain one side of your leg or hip.

Role of homeopathy in treating old-age problems-
Homeopathy is considered the most frequently used alternative form of medicine for treating old-age problems/disorders, and rightly so. This branch of medicine uses natural substances to stimulate palliative reactions in individuals suffering from orthopedic or nephrology disorders. Homeopathic treatment depends on the symptoms and severity of the condition. Owing to its safety and efficacy, homeopathic drugs like Arnica, Nux vomica etc are a preferred choice of treatment.

Homeopathy drugs are non-addictive and gentle without any adverse effects. They not only help reduce symptoms of old-age problems, but also help you regain overall health. Once you recover from the disease, you will continue to experience long-lasting positive effect on your health.

These natural remedies rejuvenate your body naturally. Self-medication can be harmful. Take homeopathic medication under guidance of good qualified homeopathic physician only as they are aware of pathological and physiological changes of your body and adjust doses and treatment accordingly.

5062 people found this helpful

In Your Third Trimester? How Should You Take Care of Your Baby?

MBBS, MD - Obstetrics & Gynaecology
IVF Specialist, Delhi
In Your Third Trimester? How Should You Take Care of Your Baby?

Pregnancy is one of the most important period in a woman’s life. This is a time when she should indulge in the best of everything when it comes to diet, rest and exercise, depending on the recommendations of the doctor. As the pregnancy progresses, there are many myths and facts that take over. These usually reach a crescendo by the time the pregnancy reaches the third trimester. Let us find out ways and tips, which you can use to care for your baby and yourself during the third trimester of your pregnancy.

  1. Travel: This an often debated aspect that one has to consider, especially during the third trimester of one’s pregnancy. While many people say that it is not appropriate to travel during the third trimester, this really depends on the state of your health during this time. If you are suffering from problems like blood clot formation, then you may want to avoid travel as this can lead to blood clots due to long hours spent sitting in a flight or a train. Travel during the third trimester must also be avoided so as to avoid undue exposure to infections when you use public restrooms. This should be avoided, especially if you have fallen prey to infections in the beginning of the pregnancy. Also, long travel by cars should be avoided. If you have to travel, then you must stop often to stretch your legs on a regular basis.
  2. Movement of the Baby: One of the most important signs that shows you that your baby is thriving and is doing well is the movement of the fetus. This must be monitored and not ignored at all. It is important to keep in touch with your doctor regarding the number of movements that you should ideally feel during 24 hours. If you are not feeling anything close to that number, then you must have the same checked up by the doctor so that any complications may be unraveled on a timely basis.
  3. Sleeping: How you sleep also affects the health of the baby. You need to avoid sleeping on your back during the third trimester, as this can lead to oxygen supply problems. The uterus tends to become heavy during this part of the pregnancy and it can come to rest on the feotus in case you sleep on your back. This lead to a reduction or lack of the blood and oxygen supply to the baby. You should ideally sleep on your side, with a pillow to keep your legs at a proper level and support your aching back as well. You should also try and sleep on your left side as this promotes better blood flow to the baby inside.
1 person found this helpful

How Restless Leg Syndrome Can Be Controlled?

MBBS, MS - General Surgery, Mch - Neuro Surgery
Neurosurgeon, Ghaziabad
How Restless Leg Syndrome Can Be Controlled?

Restless leg syndrome is a condition where the nervous supply to the lower legs (and sometimes hands) is affected. The person has a constant urge to move the legs due to the tingly sensation or the pins and needles sensation and so this condition is called as restless legs syndrome (RLS). It is almost never a standalone condition and is often associated with other nervous system conditions.
It is a progressive condition and aggravates with time. The patient may experience episodes of this disease. Most people might experience this problem at night due to which a lot of patients complain of disturbed sleep and restlessness while sleeping.

While there is no permanent solution to this condition, there are various home remedies and techniques which can help control the condition. Read on to know more.

  1. Trigger agents: Some people are able to identify triggers like caffeine or chocolate which induce the condition. The first step would then be to avoid using these, especially before sleeping.
  2. Exercise: Any form of exercise, which gives a good workout for the leg muscles is recommended. This could range from a 30-minute brisk walk to stretches depending on the person’s overall health status. This is known to induce a good sleep, reduce muscle tension and relax the mood. Choose yoga, gym, cycling, or any form which suits your overall health and schedule.
  3. Massages:Hot or cold massages, often used alternately, can help in relaxing the muscles. This also helps in reducing tension and improving overall sleep. The ideal time for the massage is the evening so that RLS does not affect during nighttime.
  4. Diet: A diet rich in vitamins and minerals can prove to be helpful. This is because proper muscle and nerve function requires various minerals like zinc, potassium, calcium, sodium, etc. Diet rich in these helps in improving muscle and nerve function and thereby control RLS.
  5. Sleep pattern: Sound sleep practices like having an early dinner, a quiet room free of digital media, optimal temperature, and relaxing ambience helps in a better sleep. This has shown to reduce the incidence of RLS and evidence of sound sleep.
  6. Medications: RLS can also cause mild to moderate pain in the affected legs, and so pain killers can be used once in a while if the pain is not bearable. These should be used only rarely and continued use can lead to stomach ulcers and bleeding. The above mentioned nonmedical methods should be tried before trying medications. Anticonvulsants have been used to control RLS if pain killers alone are not adequate. In more severe cases, antiparkinson drugs are used with great success. In case you have a concern or query you can always consult an expert & get answers to your questions!
3395 people found this helpful

Know Your Back or Lumbar Spine

Dr. Vishwas Virmani 93% (21767 ratings)
MPT, BPT
Physiotherapist, Noida
Know Your Back or Lumbar Spine

If we look at the human backbone or spine , we can see that the  vertebrae rest upon one another similarly to a stack of cotton spools .

The spine is divided into regions. There are seven vertebrae in the cervical region (neck), twelve vertebrae in the thoracic region (upper back), and five vertebrae in the lumbar region (lower back) ..

Beneath the lumbar vertebrae are found the sacrum and the coccyx. It is the lower back or lumbar and sacral regions that concern us most.

Each vertebra has a solid part in front, the vertebral body, and a hole in the back .When lined up as in the spinal column, these holes form the spinal canal. This canal serves as a protected passageway for the bundle of nerves which extends from head to pelvis-the spinal .Special cartilages, called the discs, separate the vertebrae. The discs are located between the vertebral bodies just in front of the spinal cord . Each disc consists of a soft semi-fluid centre part, the nucleus, which is surrounded and held together by a cartilage ring, the annulus or annular ligament.  The discs are similar to rubber washers and act as shock absorbers.  

The are able to alter their shape, thus allowing movement of one vertebra on another and of the back as a whole.The vertebrae and discs are linked by a series of joints to form the lumbar spine or low back. Each joint is held together by its surrounding soft tissues-that is, a capsule reinforced by ligaments. Ligaments can be likened to the stays that hold a mast in place on a sailing ship. If a stay were to give way, the mast will likely fall when subjected to extra strains.

Muscles lie over one or more joints of the low back and may extend upward to the trunk and downward to the pelvis. At both ends each muscle changes into a tendon by which it attaches itself to different bones. 

When a muscle contracts, it causes movement in one or more joints.Between each two vertebrae there is a small opening on either side through which a nerve leaves the spinal canal, the right and left spinal nerve . Amongst other tasks, the spinal nerves supply our muscles with power and our skin with sensation. In other words, it is through the nerves that we can move ourselves and feel temperature, pressure and pain. The nerves are really part of our alarm system: pain is the warning that some structure is about to be damaged or has already sustained some damage.In the lower part of the spine some of these nerves combine on each side to form the right and left sciatic nerves. The sciatic nerves service our legs, and when compressed or irritated, they may cause pain in the leg which often extends below the knee. This is then called sciatica.

Functions of the lumbar spine:

In animals that walk on all fours, the weight of their body is distributed evenly by DISC their four legs. Most of the time the spine is held in aIl more or less horizontal position and the compressive forces that exist in upright man do not occur.

In human beings, the spine is held in a more or vertical position, at least during waking and working hours. When we are upright, , lumbar spine bears the compressive weight of the body above it transmits this weight to the pelvis when sitting and to the feet when  standing, walking and running. Thus the lumbar spine, providing  flexible connection between the upper and lower half of the body protects the spinal cord and also has a greater function in weight  bearing. In the evolution of the horizontal-spine posture of animals to the vertical-spine posture of man, the discs between the vertebrae have adapted to support heavier weights. In addition, the  spinal column has developed a series of curves that ingeniously allow for better shock absorption and flexibility.

3 people found this helpful
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