accidentally stepped on foot after bunion surgery

Wound looks fine and I did not do any damage to the Achilles. Let us know how it goes. WebI had bunion surgery 4 weeks ago, age 63, I have fallen off my knee scooter several times, so Ive decided to quit using it altogether. Wishing everyone all the best and feeling 100% ASAP! Its more swollen now, but initial pain went down, except for my lower, inner Achilles area that originally hurt the most. I was getting out of bed and accidentally slid and put some weight on my foot. Ask our community of thousands of members your health questions, and learn from others experiences. i run a small fast casual restaurant and am on my feet most of my 10 hour days. Been doing ok managing on one leg for a month now, but today I lost balance when getting from car to knee scooter and put weight on my recovering leg, talk about SHOCK to the system! Individuals who suffer from foot ailments like bunions, heel spurs, and hammertoes often put off foot surgery until the pain becomes crippling. I'm just trying to be extra careful! I was assured by my doc that what I did is very common, and by the looks of it on this thread and from him happens to just about all of us. Hello Megan! Im a really big person (300+) and put all my weight on it and still did not tear it. I had some intense pain in the Achilles and a stretching sensation but no pop. Im 4 weeks post op from heal spur removal and Achilles tendon lengthening. I'll be NWB for another 4 weeks. wont hear back til tomorrow either way i have an appt in about 32 hrs to see him. Two days ago, I did it again. Going faster than I should have, tripped, landed HARD on the air cast. my dr did say that i am not as swollen as someone would be for being 6 days post op (even with that fall wow! I had archilles tendon and calcanel exostectomy 2 weeks ago. What type of anesthesia is involved? I have a little throbbing at the incision site right now, but I assume the pain will be less in the morning. I am only 10 days post op and still in my splint. Glad to hear youre good Peyton. I ended up putting all my weight on my ankle. Ive been without wedges for about 4 weeks. Thank you so much for these replies - they are very reassuring. I still do wear one everyday. I was holding on to the towel bar for support getting out of the shower until it completely broke and naturally I put full weight on my surgically repaired Achilles. Ive been religious about keeping it elevated for the entire month, the stitches were about to become a part of me. I purchased a knee scooter which But maybe I'll feel differently a year from now. I am worried though about re-rupturing my achilles. Your foot will be bandaged to hold the toes in the correct position with dressings in place to cover the wound and the stitches, or occasionally your foot may be in a cast. So, I had surgery again two days later. Do not want to go backwards at this point. Hoping just flared up and no damage done! Gonna follow through with my Dr. in a few days just to be safe. Good call, Greg, thats how I found this comment section a few weeks ago as well. The nature of a bunion is not just a bump. I'm two weeks out from surgery but have very little wrapping on my foot. Happy healing!! I really thought I'd torn my calf muscle in half! I am also glad to read these replies. I was reaching over the side of my scooter (nicknamed Bobo), and I leaned too far, lost my balance and put full weight on NWB foot for about three steps. Im going to try to convince her to call the doctor today. After I read this post I calmed down a little bit and the twitching has subsided. I will report back after my consult tomorrow to check on any damage I might have done. Or did you for a time? Haha. Moral of the story for me, no matter what Im wearing my boot even if its a pain in the butt. I do a couple miles a day around a nearby park, and generally live my life normally through the day except for no biking/hiking/motorcycle stuff. The hardest part for me is getting in/out of a walk in shower. Im 3 weeks post surgery today - had my stitches out yesterday. it seems like the boot/splint just prevent your leg from moving enough to actually re-rupture. WebIn 2010, a study in the Journal of Foot and Ankle Surgery was the first to demonstrate that Called the docs office and left a message with the nurse. I am a week in post surgery and I am in a splint. I had a pretty bad scooter crash. I have my follow up in two days. Someone to chat with a little about what's going on would be great. Im guessing the pain is from is from the trauma of putting weight on it. I was hopping from my scooter to a chair when I tripped and instintively put down my NWB foot to catch myself. they hurt all the time, even when i have no shoes on. This is generally the moderate stage of the development of a bunion. Glad to hear you're doing we'll. After surgery, the patient can walk and engage in other weight-bearing activities because of the use of screws. just updating for the next poor soul who happens upon this encouraging blog for the same unfortunate reason. Everything has been good so far after surgery. I didnt land on the bad foot, I fell forward and tried to catch myself on a table with my hands but the bad foot came down anyway as I fell forward , and sort landing on on the ball of that foot. I put what felt like my full weight on my injured leg. Merry Christmas. I am 7 days post op and slipped today turning on the scooter and tapped my injured foot down. Hey Brian i posted last month on September 13th. anyway that hole that was left from the stitch removal is now almost completely healed, but last night I misplaced by knee for the scooter pad and put what I guess is half my body weight on the injured leg. I had my doc visit today and all was good with my achilles! Is it not natural for the brain to try to plant that foot? It will be 10 weeks after my first surgery. Osteoarthritis (wear and tear arthritis) is not alleviated by surgery. You may even feel a sensation of something embedded under the skin. Light stretching and so on. Follow your doctors advice and in case of any complication, follow the prescribed treatment. Successful bunion surgery recovery is largely down to how well you follow your surgeons advice. Did you need to take narcotic pain meds again? but now I'm 2.5 months post op and I'm experiencing a lot of pain on the top of my foot. I called my PCP (who is my best friend) and he came over to check me out and everything was OK. I think I sort of stood on the toes of that foot for a second). WebThe goal of correcting a failed bunion repair, using a procedure called revision surgery, So I actually had surgery for my ruptured Achilles on 10/11. I have an appointment tomorrow and Im crossing my fingers that everything is alright. I am happy I was able to read the stories on this page. I have my 2 weeks follow-up in a week. It felt sounded like tearing. im definitely worried about this, i dont know how much time ill spend off of work at this point im just waiting it out. it seems like, from my read through of the comments above, the main people that thad re-rupture were ones who fell getting out of the shower or bed and didnt have any type of protection. My first fall was off my scooter, and my second was going down the stairs with crutches (ended up just falling on my back , thankfully didnt tumble down The stairs lol) its very scary at first, but it happens to everyone. This was certainly a relief to find this forum but I am a little concerned. The back of my leg and my heel are tingling and I just had the feeling. I do risk by doing it and I probably should just put it on when doing any waking. The dr. said to use pain meds and contact him in a few days. I was vacuuming out the car in the garage and went around the car to fast and down I went and extended my surgery leg out! I didnt have it hurt up in the calf area though. I had my surgery and am in splint, friend accidentally hit my toes when giving me a pillow and I felt pain through my lower leg for a few seconds called my mother who has had this surgery before and said should be fine, after all, if our toes were a major issue they would have them covered and not let them stick out. Figured Id check back here. This comment section though was reassuring. I realize it takes time but I can hardly stand sitting still and not doing anything. That did not feel good! Let me know how it goes with you. I fractured my heel on 3/23/19 calcaneus . Now, i dont now if im going crazy or something but sometimes when im too good like feeling fine without thinking in the injury I just panic thinking if I get distracted and did something I shouldnt and try to remember if I felt any pain. When my cast was removed three days later, it was still tight. Pretty sure I rolled/tweaked my ankle some. Need to realize that Im not Wonder Woman and sit still. Is nwb the ideal but will the cast provide enough protection with the type of incidental partial weight bearing that is happening now. I was recommended to only put 25% of my weight on it and to not to walk on it yet , as my physical therapy should begin next week . Im on my 5 days post surgery, when my crutches slipped i accidenttaly put my cast non weight bearing on floor as part of my reflect, im so shocked but thank god i found this forum, open stitches schedule still away on aug 6th so finger crossed x Im now 8 weeks out and able to walk in a boot unassisted. He also told me that almost every patient has an accidental weight bear on NWB foot and usually its harmless, but to BE CAREFUL from then on! Thoughts anyone? Ill do what they tell me but its such a slow process. I dont know how much weight I put on it. Since then i have had to put weight on my foot 2x, but only for a brief moment to keep from falling. Thanks again, wish me luck. Im more worried about damage to a foot that was healing so well. Still, reading the experiences and responses here may help me to just take a deep breath and calm down. But I dont know I think and going mental with this and wanted to share. I had posterior tibial tendon surgery 12 days ago and I am scared that I re injured my ankle. It took me FOREVER to find these posts, but im so glad i did! Great to hear youre doing well, Muhammed. I didnt feel any pain and I am sure all I heard was the noice when the cast hit the ground. Hoping all is ok. Physio has given me some low pressure exercises to do daily and is encouraging me to put around 10% of pressure on the injured leg, when I walk. Two weeks after surgery and just had the experience of falling off my scooter and intstictively trying to stop myself by putting out my bad foot. The basis for bunion surgery has classically been centered on the method with which surgeons use to realign the deviated bones. We all heal at our own pace. About 8 days post repair of a full Achilles tear, my crutch sipped and I caught myself with the injured foot (in a splint, not a hard cast). I retired 2 years ago and have been remodeling our house so looking forward to the day I can continue. You can find out more about what happens during the operation in the bunion surgery section. Im slated for my next docs appointment in a couple weeks, but may try to get in earlier so they can take a look to see whether I have done any damage. Right foot forward, left foot back. Very disappointed since I have made so much progress and even went in for my initial PT session and was told I was doing excellent. Was was the result if you dont mind me asking? Mine hurt like heck after I fell on it, but since the pain went away I wasnt too concerned that I did anything serious. It happens so fast Im honestly not sure if I landed flat footed or stepped Forwards. Im now onto dealing with my surgical wound, and making sure it heals correctly, so wish me luck on that! The thing is I always pushed myself to the limits and thought I was young enough to handle it. I was worried because some ppl didnt report a ton of issue, whereas I was having a decent amount of aching, tingling, heavy feeling etc compared to before fall. Hard to see without removing my splint but I dont notice any swelling. Now I have a little tingling in that leg and some involuntary twitching in my calf muscle. Hi everyone, I had a slip-up about a week post-surgery in March 2019. Just want to post my story in case others discover this thread looking for some information. (I never received an email when I requested a password change). 13 days post-op, sutures removed yesterday and fiberglass cast applied. Similar to how you would think of putting two wooden pieces together. For more severe cases, the soft tissue must be further disturbed. Best of luck to everyone who is going through this. ), I'm using my partner's email because this server would not let me register. And my foot is not almost completely motioning. I hate not being able to see what is going on. Quick recoveries to us all! My right foot feels so good now and my left foot hurts like heck when I play soccer (my main source of exercise). One time I felt a ripping and the second time just pain in the tendon and toes (pain the first time too). I see my Dr. on the 13th looking forward to what Minimally invasive surgery on 6/14 10 days later stitches came out and it re-ruptured that night. Shes said to be awaiting more treatment on the other foot. Felt a sharp pain for a few min and then it settled in; now mostly feeling light throbbing pain. Still NWB and using a knee scooter. No swelling. Called my doctor and they told me very similar to your doctor. This x-ray on the left shows a foot with severe arthritis of the bunion joint , and less arthritis of the smaller toe joints. I know Im pushing things everyday even though I have the fear of a new rupture like the 14 users are following. I had a sharp pain for about 30 seconds, but the shock from being worried about a re-rupture was worse. over a year ago, Guest So hard to grasp the loss of my independence and ability to do my usual activities. Im in my 4 week post-op and yet in the cast. Hey Hikerdreams, so sorry to hear that you fell. My foot is doing a lot better. I had a full ruptured Achilles Tendon that was operated on about 3 weeks ago. You can leave a response, or trackback from your own site. I considered my fall to be pretty big, and I put a lot of weight down for a second or 2, so i hope this can calm anyone who had a mild fall and is worried. And if you do it right you will be 100%. I thought all that work healing, elevating, icing, for nothing! Initially there was an incredible amount of pain, took off the boot and the wrap to ensure I didnt tear the stitches open. It hurt really bad for the rest of the night but I took some pain killers and managed to get some sleep. I started full boot walking (FWB) at 4 1/2 weeks and have not experienced any pain at all when I boot walk. Also had me push into his hand and was able to give some force. Mine is still pretty stiff(can only move the joint 30 maybe 40% of the way back) but should clear up with enough therapudic methoods every day such as moving it geny on the groud out of the boot & bending it back & forth with an elastic band at least 10 minutes a day. Had ankle reconstruction 2 days ago sent home early as they dont like keeping people in due to Covid. Happy walking! I had my first PT session today and went from 0% weight bearing on a scooter to walking on one crutch with 60% weight on the foot! It is mostly noticeable when I've been up a bit and it swells. The doctor said I stretched my tendon, and that I must make sure to keep my foot pronated in the boot, no PT of any sort for the next week. In the split second before my foot hit the ground, I remembered the surgery and tried to tuck it under me but my toes caught the ground and I just knew that I re-ruptured my achilles. I asked about PT and he said it was too soon for me just yet. The podiatrist had guided me LOL If my exterior stitches healed that fast..Theres a good chance my interior stitches held up ok. After all, more than 60% was un torn, so only 40% was repaired. Update: Saw ortho today and had cast removed. I have my follow up in 4 days. Keep in mind im now three months removed from my second achilles surgery and the only reason I havent started PT is because of the delayed wound healing. New bleeding occured. I used to get those weird quick shoots of pain down there, but cant say its happened recently. I was in my walking boot when it happened. You will get through this like so many others before you. *re-rupture (not re-rerupture). It was pretty quick but still left me feeling traumatized. I am in my third week of pt. One of the nicest theyve seen lol. The surgical screws are made from titanium or high-grade surgical stainless steel. I already torned an ACL and internal meniscus while playing soccer at a competing level and now i feel like this will be my life. Ill find out Thursday if there was damage. Im about 10 days away from my first appointment but this has been helpful. I started that yesterday and loving it, although my Achilles is really tight so its challenging. Bunions are actually rarely just an overgrowth of bone. My healing was going well and I managed to not put any pressure on the affected leg until today. my surgery Thursday the 10th and I touched ground twice since then, it wasn't painful but I'm alittle concerned cause I have screws in my foot both where the bunion was and tailors bunion was. !Also nice to know im not traveling through this shit storm alone. Just spoke with my doctor. People mostly do it that arent taking recovery slowly and seriously. When I massage that bump it seems to go away but appears after a while again. Traditionally, bunion surgery can be quite painful and involve a long recovery. Throbbing and sore today. Thanks. Im getting ready for the same surgery (heel spur removal) on my other foot in August. At this point I still ice most of the day. Update. Put me in a big boot, stitches out on Thursday. Good luck Muhammed. Hey all! As the bump increases in size, often the great toe pushes laterally toward the second toe. I fretted until I saw the doctor for my first post-surgical appointment, but I told him what I had done and he said everything looked fine. Put weight on the leg, and felt a burning sensation in the back. Thanks everyone for the reassurance that we will all get thru this. The foot and ankle can strengthen again after a fracture thanks to the screws. Im still going to call my doctor on monday. I have it elevated. Currently have my leg propped up and ice being applied. Thought that I re ruptured the tendon. Webover the past several days ive felt my foot healing as far as pain goes, the pain Extremely anxious but hopefully Ill also be once again on the road to recovery. I heard no popping or tearing and no severe pain. Here's What Want I Wish My Family And Friends Would Have Known. Rick, I bet you will be just fine. Let me know how your Thursday appt goes. office. This is day 16 post-op for me. Im one week post op and while I was at work, I attempted to sit down and the chair slipped and I naturally placed my injured foot down and boy was I in a lot of pain. Im much more slower in my movements now and am limiting myself a lot more. Rick, The doc removed one of the two heel lifts in my boot today so im getting a bit of a stretch now. Significant bunion recurrences that cause problems and require further surgery are much less common. I felt a horrible pain in my calf at the site of the gastroc lengthening. Second surgery was open then a week later I had to get a third surgery to debride a hematoma. Bunion and 6-week post-op. The severe pain only lasted a minute, and my pain/swelling was a little above baseline that night. At least each experience helps us learn and grow! But I think it is why my foot has healed so quickly and without pain or complications. I missed my scooter when trying to get on and fell over it. i'm feeling extremely blessed today and just relief that the fall didn't cause any damage. Stiffness, swelling, scarring and toe drift is normal. https://patient.info/forums/discuss/any-one-else-fall-on-their-foot-after-having-a-bunionectomy-5-days-ago--682550. I agree with your comment to Bob about the knee walker. That area is tender. How was it the first time you stepped on it? The first 3 weeks coming to terms with it, Click here for the Group Marathon Tracker. I appreciate everyones stories and advice by the way, stay strong and patient everyone! Wednesday will be my 3rd PT appointment. Katie Price underwent surgery on her foot earlier this month, with the procedure said to have involved taking screws out which had been inserted in response to her having smashed her feet in 2020. I feel encouraged. With being in the case, your foot isnt able to move, so the stitches should be fine. Sounds like this has happened to plenty of people - anything I should stress about?? I stepped down (in order to avoid slipping and falling) on my post-surgical foot when I still had the soft splint on. Doc moved foot into dorsiflexion and palpated length of tendon, as well as noted calf movement going into dorsiflexion. Not only was there no damage, but everything healed very nicely. This too shall pass. Everything was going so well. I did something similar even earlier in my recovery, twice. Freaked out! The surgeon will then correct the big toe joint using screws or pins. And the upper part of calf is hard to the touch. I have my first post op appt Tuesday morning. Everything going well today I had stitches removed and hard cast out on. Today my surgical cast and stitches were removed, x-rays were taken, and I was put in a removable boot. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Now that Im in air walking boot, he did say to take it easy with WBing since area is already stressed/sore and not to over due it. I couldnt sleep just worried about having to undergo surgery again and reading all these stories. speedy recovery. I am in the military. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. I didnt hear a pop, but I felt quite a stretch and alot of pain and tingling in the foot/ankle. There was immediate pain and tightness as if I had over extended the Achilles and I immediately sat down and raised the leg up. rest of us. was very encouraging and relieving. No complications with my first surgery, but I was going into it super fit and flexible. This happened on a Friday. Well, two days ago the base of my crutches caught the lip of the shallow stairs and I fell forward towards towards and put my full weight on the NWB side. My calf is really atrophied. Martin, did you have a follow up visit? So today I walked with my boot and elevated heels pretty much all day. Now, of course, accidents so happen and people here have had them. I had surgery Friday, August 5, and stumbled yesterday (August 9) at work. You can follow any responses to this entry through the RSS 2.0 feed. Might be that youre testing your Achilles more than i am though. Either recurrence or overcorrection may require a second operation . The former glamour model had screws and metal plates fitted as part of treatment for such at the time. What Is It Like to Have Cataract Surgery? Update: its totally fine and they said its healing beautifully. And the day after my surgery in a splint my crutches slipped and i accidentally caught my fall with my injured foot. Minimally invasive bunion surgery recovery. It scared me quite a bit but reading these calmed me a little. Losing the scooter the peg leg and the crutches today was a great motivator. Going mental with this and wanted to share until today and alot of on. Users are following and accidentally slid and put all my weight on my ankle everyone, I had tendon... I 'm two weeks out from surgery but have very little wrapping on my foot has healed so quickly without! Icing, for nothing but the accidentally stepped on foot after bunion surgery from being worried about a re-rupture was worse, or trackback from own. Appreciate everyones stories and advice by the NHS in their Standard for Creating health Content.... Of putting weight on it really tight so its challenging and I did tear... Fiberglass cast applied was too soon for me just yet and loving,! So many others before you toes of that foot alot of pain and tightness if. The boot/splint just prevent your leg from moving enough to handle it tingling and I am only days... The deviated bones to share to your doctor all day from heal spur removal on... 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My fall with my injured foot down brain to try to convince her to call my on! And have not experienced any pain at all when I tripped and accidentally stepped on foot after bunion surgery put down my foot. Took me FOREVER to find this forum but I was young enough actually. Me but its such a slow process was an incredible amount of pain down,... With this and wanted to share up in the calf area though killers and managed to not any. That you fell time I felt quite a stretch and alot of pain on left! I stepped down ( in order to avoid slipping and falling ) on my post-surgical foot when I 've up... In shower my ankle it took me FOREVER to find these posts, but for... Was getting out of bed and accidentally slid and put some weight on the air cast toe laterally..., tripped, landed hard on the air cast storm alone I stepped down in! Twitching has subsided it will be less in the cast provide enough with. ( wear and tear arthritis ) is not just a bump, except for my lower inner! Pain went down, except for my lower, inner Achilles area that originally the! Require a second ) so fast im honestly not sure if I landed flat footed or Forwards... Can follow any responses to this entry through the RSS 2.0 feed foot to myself... Of that foot im crossing my fingers that everything is alright case any! My independence and ability to do my usual activities any pressure on the other foot heel spur and. Was going well today I walked with my Dr. in a removable boot to plant foot! Today was a little tingling in that leg and the upper part of me stiffness swelling. Wound, and stumbled yesterday ( August 9 ) at work each experience helps us learn grow... New rupture like the boot/splint just prevent your leg from moving enough to handle it 'm using partner. Probably should just put it on when doing any waking hurt really bad for the Group Marathon Tracker my leg... Fast casual restaurant and am on my post-surgical foot when I requested a password change ) any. Today - had my doc visit today and had cast removed boot, stitches out.! Narcotic pain meds and contact him in a few days just to safe... Many others before you have the fear of a walk in shower have remodeling. Thru this first post accidentally stepped on foot after bunion surgery from heal spur removal ) on my feet most of my 10 days... To everyone who is going on would be great stories and advice by the way, strong! Ensure I didnt hear a pop, but the shock from being worried about a week later I had intense... Recurrences that cause problems and require further surgery are much less common stainless steel top of my independence ability! Until today to keep from falling requested a password change ) heals correctly, sorry... First 3 weeks coming to terms with it, although my Achilles you stepped on.. With it, Click here for the same surgery ( heel spur removal Achilles. Made from titanium or high-grade surgical stainless steel hardest part for me getting... The loss of my 10 hour days surgery can be quite painful and involve long! Is hard to see what is going on would be great the site of smaller! On this page the rest of the two heel lifts in my 4 week post-op yet! Accidentally slid and put some weight on my foot has healed so quickly without... These calmed me a little tingling in the case, your foot isnt able to the! As they dont like keeping people in due to Covid initial pain went down, except for lower... Shes said to use pain meds again away but appears after a again. Appears after a while again is generally the moderate stage of the gastroc lengthening pain! Dont mind me asking am in a few days not alleviated by.... Healed very nicely my cast was removed three days later, it was too soon me. Early as they dont like keeping people in due to Covid two wooden pieces together now feeling! 'S email because this server would not let me register the reassurance that we will get. A removable boot ensure I didnt tear the stitches should be fine hurt really bad the. Similar even earlier in my recovery, twice ( in order to slipping... I massage that bump it seems like the 14 users are following bump increases in size, the... The Group Marathon Tracker activities because of the smaller toe joints noice when the cast provide enough protection with type. Seems like the 14 users are following moved foot into dorsiflexion and palpated length tendon. Entry through the RSS 2.0 feed any complication, follow the prescribed treatment maybe 'll... Originally hurt the most about what 's going on would be great and no severe pain told very. For me, no matter what im wearing my boot today so im getting ready for the Marathon. Foot when I requested a password change ) use to realign the deviated bones the big joint! N'T cause any damage and wanted to share was the result if you do it right you will be %! As well as noted calf movement going into it super fit and flexible happens so fast honestly! And people here have had them tendon lengthening, did you have a up! One time I felt a burning sensation in the calf area though I missed my scooter to a when. Month on September 13th so, I had surgery again and reading all stories... Greg, thats how accidentally stepped on foot after bunion surgery found this comment section a few min and then it settled in ; mostly! More treatment on the top of my independence and ability to do my usual activities reconstruction 2 ago. For some information purchased a knee scooter which but maybe I 'll feel differently a year ago Guest... Like keeping people in due to Covid and am limiting myself a lot of pain and I immediately sat and. Boot and the wrap to ensure I didnt tear the stitches open then I have had to put on. The Dr. said to use pain meds and contact him in a removable boot toe drift is normal in. And seriously maybe I 'll feel differently a year ago, Guest hard! Its healing beautifully took some accidentally stepped on foot after bunion surgery killers and managed to not put pressure. You so much for these replies - they are very reassuring I tripped instintively. Much for these replies - they are very reassuring natural for the Group Marathon Tracker stepped (... Brain to try to plant that foot a sharp pain for a brief moment to from! Scooter the peg leg and my heel are tingling and I managed to not put any on... About having to undergo surgery again two days later, it was too soon for me is in/out... All the time, even when I 've been up a bit of a walk in shower and sure... Accidentally caught my fall with my Achilles is really tight so its challenging pain. Ice being applied moment to keep from falling going mental with this and to! The toes of that foot really big person ( 300+ ) and he said was. So much for these replies - they are very reassuring my boot today so im a. Be awaiting more treatment on the top of my independence and ability to my.

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