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Shoulder Impingement Tips

8 Exercises You Should Ignore To Safeguard Your Body!

Dr. Kiran Kumar Lakkampalli 90% (10 ratings)
BPTh/BPT
Physiotherapist, Hyderabad
8 Exercises You Should Ignore To Safeguard Your Body!

People who regularly work out can go on about its benefits and also show off a toned physique. However, a bad or improper movement can be more harmful than no exercise at all. Read on to know some common exercises that are best avoided for their potential harmful effects. 

  1. Dumbbell punches (Punching the air with dumbbells in hands): By holding dumbbells and punching them forward into the air, you are just spending your energy for absolutely no benefit. It is good as a conditioning one if done for a long time but does not help the shoulders or the arms. Bicep curls and triceps extensions yield much better results than these punches.
  2. Shoulder Shrugs (Rolling shoulders with dumbbells in hands): The only muscle that gets worked here is the trapezius, which is at the joint of the shoulders and the neck. The arms and the back do not get any benefit and shoulder shrugs can actually cause postural problems and increase shoulder tension. It is best to avoid this exercise if you are not a professional bodybuilder.
  3. Thigh machines (Pressing weight through legs): One of the most ineffective machines in the gym is a thigh machine. The poor posture and no workout for the abs are few of the reasons why the outer and inner thigh workouts should be avoided. Better results can be achieved with squats and lunges, which also help more muscles and help in losing weight.
  4. Plank rows (Push-up posture & lifting hands one by one): Plank rows or board lines are almost ineffective for back and arm strengthening. Better results are achieved with the usual lines for these areas.
  5. Squatting on a Bosu ball (Squatting on a specific machine): This colourful equipment might be alluring but can be really dangerous and cause ankle and knee injuries. It can also result in meniscal tears or disruptions.
  6. Crunches (Laying on floor and pushing head upwards with hands): When improperly done, crunches produce the same position as one achieves while working on a computer - head forward and rounded shoulder. Crunches are meant to be done by pulling up on the head and not using the abs, as most people incorrectly do.
  7. Lat pull-downs behind the neck (Pulling down weight behind your back): This can be very harmful for people who have even minor shoulder joint problems. The idea is to build arm, torso, and back muscles by pulling a weighted bar down the front and back of the chest area. This can cause misalignment, shoulder impingement, or a tear in the rotator cuff, and in severe cases, even cervical vertebral fracture.
  8. Military Presses Behind the Head (Pulling up weight behind your back): Similar to a lat pull-down, here also, a barbell is lifted up and down behind the head and can cause the same problems as the earlier one, including fracture of the cervical spine.

Make sure you get a professional trainer's advice on the right ways to work out so as to get the maximum benefits and avoid injuries.
 

3838 people found this helpful

Causes and Symptoms of Subacromial Impingement

Dr. P. Sharat Kumar 90% (109 ratings)
FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Causes and Symptoms of Subacromial Impingement

The rotator cuff is made up of four muscles and the tendons attached to them under the shoulder roof that lowers and raise the arm. Acromion is an extension of the shoulder blade. Subacromial bursa lies in the space between the acromion and the rotator cuff. Subacromial bursa is a sac filled with fluid that allows the rotator cuff beneath the acromion to glide smoothly when the shoulder is moved.

If the four tendons in the rotator cuff are injured, strained or a bone spur develops on the acromion, it can result in the swelling of tendons and also in the rubbing or pinching against the acromion as space between the tendons and acromion gets narrowed. The tendons get irritated when they pass through this acromial space. This is called subacromial impingement.

Subacromial impingement is also known as shoulder impingement syndrome, supraspinatus syndrome, painful arc syndrome, thrower's shoulder and swimmer's shoulder.
Repeated activity where the shoulders are moved overhead like in tennis, painting, swimming, lifting and abnormalities in bones and joints are the risk factors of subacromial impingement.

Causes:
The exact cause of impingement is not explicitly known.

  1. Tendon may split if there is continuous wear and tear
  2. It may be caused by minor injuries. However, this injury may be triggered by repeated overhead activities as well.
  3. Age is another cause. As one grows older, bone spurs may develop on the acromion. Also the tendons are prone to tearing after the age of 40.
  4. Sometimes the acromion shape can make people prone to subacromial impingement.

Symptoms:
Subacromial impingement presents itself with the following symptoms:

  1. Reaching above behind your back and reaching overhead with your arms gets difficult.
  2. Shoulder muscles weaken
  3. The tendons can actually tear in two if injuries persist for a considerable duration. This can result in rotator tear cuff. Elevating your arms gets very difficult.
  4. Bicep tears are common if impingement persists.
5360 people found this helpful

Shoulder Impingement - What Is The Right Way To Diagnose?

Dr. Shailesh Mishra 85% (40 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Ortho, Fellowship In Knee Replacement & Arthroscopic Surgery ( Knee & Shoulder )
Orthopedist, Mumbai
Shoulder Impingement - What Is The Right Way To Diagnose?

Shoulder impingement occurs when there is impingement or change in the position of the tendons or a bursa (fluid filled sac or cavity, which causes friction in the joints) in your shoulder. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours.

How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should visit a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.

Symptoms of shoulder impingement:

  • You will have difficulty in completing tasks which involve your back.
  • There may be a weakness in your shoulder muscles.
  • Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
  • Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.

Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.

Treatment of shoulder impingement:

NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.

Physiotherapy for Impingement-

Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation

In case you have a concern or query you can always consult an expert & get answers to your questions!

3504 people found this helpful

Shoulder Impingement - Did You Know Stretching Can Actually Help?

Dr. Rajinder K. Sharma 91% (3335 ratings)
MBBS, D.O. Orthopedic Surgery
Orthopedist, Chandigarh
Shoulder Impingement - Did You Know Stretching Can Actually Help?

Shoulder impingement is a serious condition leading to severe pain in the shoulder blades of a person. Such kind of shoulder pain may affect anybody anytime. It basically affects the area of your shoulder facing stress due to any sort of overhead action. An impactful pressure on the tendons of bones constituting your shoulder gives rise to this disorder. This syndrome can affect a person who paints, swims, lifts or plays tennis on a regular basis. Once caused, persistent rendering of similar activities can worsen the case. If you are suffering from shoulder impingement syndrome, treatment under an experienced medical practitioner is indeed necessary as otherwise, you may have to suffer from tendinitis or bursitis.

Take a keen look at the symptoms of shoulder impingement
1. Disabling pain in and around the shoulders
2. Under the effect of such excruciating pain, a person has restricted use of his or her arms and neck. He or she will face difficulties in reaching to a higher position above his or head. Aiming up behind your back will also be a challenge with the existence of this syndrome.

3. There is considerable weakness in the muscles of your shoulders, preventing you from working with full vigor
4. If left unattended, shoulder impingement can worsen to cause Rotator Cuff Tear where the tendons tear into two distinctive parts.

Available modes of treatment
1. A doctor might prescribe you anti- inflammatory drugs to relieve you from excess pain. These drugs should only be taken under the close monitoring of a specialist as they might have acute side effects. You might feel nauseous or might have an upset stomach after consuming these medications.
2. Stretching your arms above your head while holding your body in an erect posture can be of great help. This stretching exercise should be tried out in a warm shower for better results.
3. Other exercises under the supervision of a physiotherapist can come to your rescue as well. You should try to move your thumb up your back to recuperate from shoulder impingement.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2687 people found this helpful

Shoulder Impingement - 4 Factors Behind It!

Dr. Nitin Bansal 85% (11 ratings)
MS - Orthopaedics
Orthopedist, Bathinda
Shoulder Impingement - 4 Factors Behind It!

Shoulder impingement syndrome is a condition of the shoulder that is characterized by feeling of pain and weakness while lifting the arm overhead. A tendon, known as the rotator cuff tendon, attaches the tip of the upper arm to the shoulder. Impingement of the shoulder occurs when this tendon is trapped in the sub acromial space. The sub acromial space is the space near the shoulder joint where the tendon goes through.
When the tendon is trapped, it tends to scrape against the bone, resulting in excruciating pain. The pain aggravates if you are performing overhead movements such as painting or swimming.

The symptoms of shoulder impingement syndrome are:

  1. Feeling of pain while lifting the arm overhead
  2. Any lateral raising movement may also cause pain
  3. Sleeping at night may be problematic as lying on one side of the body may cause pain
  4. Clicking sounds while performing exercises such as the overhead press

Shoulder impingement syndrome can be caused by a number of factors; some of them are:

  1. Swelling of the rotator cuff: The rotator cuff tendon may swell on account of a shoulder injury.
  2. Bone spurs: If there are bone spurs in the sub acromial space, then it may narrow down the space making it easier for the tendon to rub against the bone.
  3. Accumulation of calciumIn some cases, calcium deposits tend to accumulate in the rotator cuff tendon leading to shoulder impingement.
  4. Inflammation of the bursa: The bursa is a sac filled with fluid cushions bones; inflammation of the bursa may also result in shoulder impingement

If you are suffering from a shoulder impingement syndrome, you may adopt the following strategies to deal with it:

  1. Rest: Make sure you do not perform activities that could aggravate the pain; allow the affected area to rest so that it heals faster.
  2. Medications: Medicines such as NSAIDs help in reducing the pain to provide temporary relief.
  3. Exercise: Adopt various external rotation exercises to strengthen the rotator cuff tendon and prevent shoulder impingement syndrome.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4229 people found this helpful

How Physiotherapy Helps Manage Shoulder Impingement?

Dr. Ajay Rao 90% (31 ratings)
MBBS, DNB - Orthopedics, Fellowship in Upperlimb and Limb Reconstruction (Australia)
Orthopedist, Bangalore
How Physiotherapy Helps Manage Shoulder Impingement?

Shoulder impingement occurs due to bursitis, tendinitis or bony impingement. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours. 

How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.

Symptoms of shoulder impingement:

  1. You will have difficulty in completing tasks which involve your back.
  2. There may be a weakness in your shoulder muscles.
  3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
  4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.

Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.

Treatment of shoulder impingement:

It should not be given in partial or complete tear of the rotator cuff tendon. NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.

Corticosteroid injection is helpful in relevant pain as it reduces inflammation. It should not be given in partial or complete tear of the rotator cuff tendon.

In the shoulder, they are particularly useful in the management of:

  1. Rotator cuff disease (degenerative tendonosis, impingement, subacromial bursitis)
  2. Adhesive capsulitis (or ‘frozen shoulder’)
  3. Glenohumeral osteoarthritis
  4. Acromioclavicular joint disease (osteoarthritis or osteolysis)

Physiotherapy for Impingement:

Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation
  6. ultrasound Massage

And in case physiotherapy fails, arthroscopic sub acromial decompression is the best treatment option. 

2694 people found this helpful

Shoulder Impingement: 4 Symptoms Behind It!

MBBS, MS - Orthopaedics
Orthopedist, Chennai
Shoulder Impingement: 4 Symptoms Behind It!

Shoulder impingement occurs when there is impingement or change in the position of the tendons or a bursa (fluid filled sac or cavity, which causes friction in the joints) in your shoulder. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours.

How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should visit a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.

Symptoms of shoulder impingement:
1. You will have difficulty in completing tasks which involve your back.
2. There may be a weakness in your shoulder muscles.
3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.

Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.

Treatment of shoulder impingement:

NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.

Physiotherapy for Impingement-

Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation
1 person found this helpful

4 Symptoms Of Shoulder Impingement And Its Treatment!

Dr. Abhishek Kumar Mishra 88% (13 ratings)
MS - Orthopaedics, MCH, Membership of the Royal College of Surgeons (MRCS), MBBS, FJR
Orthopedist, Delhi
4 Symptoms Of Shoulder Impingement And Its Treatment!

Shoulder impingement occurs when there is impingement or change in the position of the tendons or a bursa (fluid filled sac or cavity, which causes friction in the joints) in your shoulder. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours.

How it may affect your daily life?

Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.

Symptoms of shoulder impingement:

  1. You will have difficulty in completing tasks which involve your back.
  2. There may be a weakness in your shoulder muscles.
  3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
  4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.

Diagnosis of shoulder impingement:

Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.

Treatment of shoulder impingement:

NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.

Physiotherapy for Impingement:

Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation

When Is Surgery Required?

Recalcitrant cases of shoulder impingement require surgery. If the symptoms do not improve over a period of time with medicines and physio or if it deteriorates patient might need a surgery. The surgery which is done usually is an arthroscopic ( keyhole ) surgery in which the structure causing impingement is debulked and a space is created for the structures to move freely. This surgery usually gives significant pain relief and cure.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2396 people found this helpful

Pain In Shoulders - Most Common Reasons Behind It!

MBBS, MD, PG Diploma In Infectious Diseases
General Physician, Vellore
Pain In Shoulders - Most Common Reasons Behind It!

Shoulder pain while lifting overhead objects might be a result of strenuous activity involving tendons impinging bones of the shoulder. Impingement syndrome is also called swimmer’s syndrome.

What causes it?
It is caused by activities involving tendons and bones of the shoulder, for example strenuous activities, such as swimming, tennis and gym activities involving muscles of the shoulder. Even reaching for overhead objects and painting might aggravate impingement syndrome. If not treated at the right time, the syndrome might become extremely painful as the tendons begin to tear.

Symptoms
General pain in the shoulder is one of the most common symptoms, especially while reaching for overhead objects or using shoulder and arm muscles in general. If it occurs for a prolonged period of time, then it might actually lead to a tendon tearing and leading to a rotator cuff tear. This would overtime lead to decreased ability to use the arm muscles and the bicep muscles might tear as a result of prolonged negligence, despite swimmers syndrome. A doctor would recommend a physical exam and x-ray to rule out possibilities for bone abnormalities and arthritis.

How to prevent and treat it? 
Those who have extreme shoulder pain and have been diagnosed with swimmer’s shoulder are referred to a physiotherapist with whom, regular sessions help restore mobility of the affected areas. The physiotherapist recommends the patient numerous stretching exercises to practise, preferably under a hot shower. In addition to physiotherapy, a doctor will prescribe powerful painkillers which have to be administered orally on a regular basis. 

These oral painkillers, such as ibuprofen have to be taken under the guidance and prescription of a doctor as they will have a host of side effects such as acidity and should be taken post meals. In case of ineffectiveness of orally administered painkillers, cortisone based injections might be given, but it is a double-edged sword as the effectiveness of these injections decrease over time and it might make the muscles and tendons weak. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2280 people found this helpful

Disabling Pain In Shoulder - It Could Be Shoulder Impingement!!

Dr. Prashant Parate 90% (2645 ratings)
Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Disabling Pain In Shoulder - It Could Be Shoulder Impingement!!

Shoulder impingement is a serious condition leading to severe pain in the shoulder blades of a person. Such kind of shoulder pain may affect anybody anytime. It basically affects the area of your shoulder facing stress due to any sort of overhead action. An impactful pressure on the tendons of bones constituting your shoulder gives rise to this disorder. This syndrome can affect a person who paints, swims, lifts or plays tennis on a regular basis. Once caused, persistent rendering of similar activities can worsen the case. If you are suffering from shoulder impingement syndrome, treatment under an experienced medical practitioner is indeed necessary as otherwise, you may have to suffer from tendinitis or bursitis.

Take a keen look at the symptoms of shoulder impingement

  1. Disabling pain in and around the shoulders
  2. Under the effect of such excruciating pain, a person has restricted use of his or her arms and neck. He or she will face difficulties in reaching to a higher position above his or head. Aiming up behind your back will also be a challenge with the existence of this syndrome.
  3. There is considerable weakness in the muscles of your shoulders, preventing you from working with full vigor
  4. If left unattended, shoulder impingement can worsen to cause Rotator Cuff Tear where the tendons tear into two distinctive parts.

Available modes of treatment

  1. A doctor might prescribe you anti- inflammatory drugs to relieve you from excess pain. These drugs should only be taken under the close monitoring of a specialist as they might have acute side effects. You might feel nauseous or might have an upset stomach after consuming these medications.
  2. Stretching your arms above your head while holding your body in an erect posture can be of great help. This stretching exercise should be tried out in a warm shower for better results.
  3. Other exercises under the supervision of a physiotherapist can come to your rescue as well. You should try to move your thumb up your back to recuperate from shoulder impingement.

Surgery may also be option of treatment when non-operative treatment fails or pain worsens during non-operative treatment. Surgery is performed to trim part of Acromio bone which is causing impingement on underlying Rotator cuff to provide adequate space for mobility of tendons. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2775 people found this helpful
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