Do You Have a Dull Achy Pain in Your Knee?

Knee Osteoarthritis and How It Can Affect You


Osteoarthritis Knee Pain can be relieved with Circulatory Boost

If you have osteoarthritis of the knee, the cartilage over your knee joint bones gets scraped and worn down. This leaves the bones in your knees with little or no cushioning and as the cartilage becomes very thin it can result in friction, damage, pain and inflammation. Even small bone fragments that float into the joint cavity can cause more aggravation. Osteoarthritis of the knee usually develops slowly over the years.

Osteoarthritis affects approximately 12% of the United States population (approximately 21 million adults; it is the most common type of knee arthritis. It is a progressive musculoskeletal, degenerative disease that wears away the articular cartilage and underlying bone in your knee joint, triggering chemical reactions within the knee joint that cause destruction. It can be very painful, weakening and eventually deforming.

A study published by the Louisiana State University Health Sciences Center reviewed radiographic evidence and estimated that osteoarthritis of the knee affects 25% - 30% of people between 45 - 64 years of age, 60% of people older than 65 years of age, and 80% of people older than 75 years of age.


Common Symptoms of Knee Osteoarthritis

Osteoarthritis in the knee causes degeneration of the articular cartilage and bone

The symptoms of knee osteoarthris can differ widely from person to person. Ranging from very debilitating and occuring suddenly to mild developing gradually over time. You may experiencing few symptoms even with obviouly degeneration in their knee joint as shown on an X-ray. It is not unusual for someone with knee osteoarthritis to go pain-free for months or even years between episodes of greater pain symptoms.

Knee osteoarthritis symptoms don't generally affect other areas of your body. They are generally localized to one area; however they can affect people in different ways. Some people will only have a problem with 1 knee, others will have it with both knees, some experience gradual pain with little change over the years, others experience vast changes over the years. Often the cartilage on the inside of your knee, wears out faster than on the outside of your knee.

Early Knee Osteoarthritis Symptoms

When you have early osteoarthritis in your knee you generally will experience the following symptoms:

Osteoarthritis knee pain can be treated with a Knee Inferno Wrap.

Constant or Recurring Pain or Tenderness - Pain and tenderness in your knee joint can be ongoing and feel like a dull tooth ache pain, or it can be a sharp, throbbing pain with sudden movements. Often you will feel pain and tenderness along the sides of your knees, over your knee joint line (where tibia and femur meet) and in front of your knee.

Pain is often worse in the morning or evening, or when you move your leg from a bent to straight position (or vice versa), or when you participate in a prolonged walking or standing activity (non-movement). Changes in weather or different seasons of the year can make a difference to the sensitivity you feel in your osteoarthritic knees (however, knee pain can be experienced in all weather environments). As the atmospheric pressure falls, the nerves in your knee are sensitive and react to pressure changes.

Stiffness will often be experienced in your knee joint, which will limit your range of motion so that you are not able to bend or straighten your knee all the way; making it difficult to climb stairs, or get in and out of chairs or bathtubs. This can result from periods of inactivity (morning stiffness, sitting or standing for long periods of time), or after vigorous movement in athletic or work pursuits. It generally lasts up to 30 minutes however it can persist for longer periods of time. It will often be difficult to use or move your knee joint normally during this time.

Osteoarthritis makes your knee feel very stiff. As a result, your joint cavity produces extra fluid in the joint which is comprised of destructive proteins and enzymes that cause the cartilage and bones to deteriorate further. This causes your knee to swell up (known as "water on the knee"). The surrounding knee bones react by growing thicker. The bone at the edge of your knee joint eventually grows outward and develops into bony spurs (osteophytes), which affects your femur, tibia and patella.

Your knee joint tries to repair itself by creating these bony spurs however they generally just make your knee more painful and difficult to move; leaving thin parts on some areas of the knee and thick parts on other areas. Your joint capsule and ligaments then slowly thicken and shrink, and your leg muscles weaken (atrophy), which in turn creates instability in your knee joint (it gives way when you walk or put weight on it).

Swelling of the knee due to arthritis

Swelling in your knee joint can occur either immediately if your blood vessels are disrupted because of a traumatic event, or within 12 hours after your joint tissues become inflamed. Swelling over time is a result of synovial fluid filling the joint cavity, as your body tries to protect itself (this is often called "water on the knee"). Warmth and redness that sometimes accompany swelling are normally not associated with osteoarthritis.


Progressive Knee Osteoarthritis Symptoms

As your knee osteoarthritis progresses, you may start to develop the following knee symptoms:

Deformity and joint enlargement will eventually result as your cartilage degenerates and bones become damaged. Bone spurs, cysts or overgrowths can develop as a result of ongoing knee symptoms due to your osteoarthritis. These are often tender when your skin is rubbed over them; and can result in irritation of other tissues and swelling. They can make it difficult to move your bones and can change the shape of your joint which force the bones out of their normal position and lead to deformity - knock-kneed/bowed-legged appearance.

Knock-kneed joint due to osteoarthritis in the knee

Grinding, Popping or Locking - Knee joint grinding, clicking, popping or locking when you try to bend or straighten your knee can result from arthritis, as well as other knee injuries. This can range from being annoying to downright painful and can last a few seconds or be persistent for a few weeks. Joint locking often occurs after long periods of inactivity, when the meniscus fragment does not work its way out of being lodged between your bones. You will often feel a click or snap when it eventually unlocks. Sometimes you may have to manually move or manipulate your knee to get relief. You may experience your knees giving way because your thigh muscles have weakened, you've damaged ligaments or you have a Popliteal or Baker's Cyst (soft lump at the back of your knees leading into your calf).

physical limitations resulting from arthritis.

Difficulties Performing Activities - Functional limitation as a result of osteoarthritis is very common in daily activities, work and/or recreational pursuits. This makes it very difficult to stoop, bend, kneel, stand more than 2 hours, walk 1 mile, push a heavy object, climb a flight of stairs, lift or carry 10 pounds, sit more than 2 hours, reach above your head and/or grasp small objects (as noted in the figure below).

Depression and anxiety will often be experienced as the osteoarthritis symptoms progress and you start to feel like a hostage in your own body. These often leave you feeling fatigued, irritable, restless, hopeless, and guilty. Your pain and inability to participate in everyday activities may make it more difficult for you to concentrate and make decisions, and your interest in the people and things around may start to decrease. Overall your self-esteem and self-image really decline. However, it is possible to treat your osteoarthritis symptoms, you can start to feel more like your old self and begin to return to the activities you enjoy.

Unfortunately, there is no cure for osteoarthritis but symptoms can be controlled and, for most, you can find relief from the pain.


Causes of Knee Osteoarthritis

Arthritis is your knee's biggest enemy, and it can result over time from injury or disease. Osteoarthritis in the knee is the most common type, and there are a number of causes that influence your risk of developing it. These can be broken down into 2 types: primary osteoarthritis and secondary osteoarthritis.

Primary Osteoarthritis of the Knee

This is a slow, progressive arthritis condition that usually begins after 40 years of age. It mainly affects weight-bearing joints (like knees and hips) as a result of excessive loads placed on normal joint tissues, or reasonable loads applied on inferior joint tissues. The exact cause is not determined however it is believed to be affected by:

Maintaining a health weight will help reduce your arthritis pain in your knee
  • Family history and/or genetics - The occurance of osteoarthritis in several members of the same family suggests there is a genetic link in type of arthritis
  • Obesity - Excess weight on the knee joint increases the stress load that the cartilage in the knees must withstand. This can cause damage and inflammation in the joint to occur. According to the 2002 National Health Interview Survey, obese adults are up to 4 times more likely to develop knee osteoarthritis than normal weight adults; approximately 66% of adults with arthritis are overweight.
  • Aging - As the water in cartilage increases with age it changes the protein makeup making the cartilage more prone to damage, irritation and inflammation.
  • Wear and tear - As your knee joint experiences wear and tear there is a release of destructive enzymes which break down the cartilage to the point where the bones of the knee joint rub together and develop sclerosis (a hardening of tissue) as well as tiny fractures, cysts and bone spurs.
  • Gender - Males are at greatest risk of experiencing the affects of Osteoarthritis before the age of 45, however, by the age of 55, the number of women sufferers surpasses men.
  • Lack of activity - Without exercise or activity, muscles weaken and you begin to lack the proper muscle support. This can cause excess load on the knees and hips or your weight may be distributed unevenly within your knee joint causing damage to occur.

Secondary Osteoarthritis of the Knee - This type of arthritis often appears before 40 years of age. It is the result of a clearly defined cause, such as:

  • Acute trauma from a knee injury, loose joints, or joint surgery (bone injury or fracture, ligament, tendon, meniscus or synovial tissue damage), especially if it never healed properly. Osteochondritis dissecans results in fragments of loose cartilage in the joint, and often leads to osteoarthritis.
  • Osteoarthritis is more common in women than men.
  • Repetitive stress movements or strains that result in excessive bending, excessive walking, or overuse of your knee joint at work or play.
  • Blood disorders or joint infections (such as gout or septic arthritis).
  • Metabolic imbalances resulting from increased levels of uric acid, calcium deposits, or ongoing use of medications.
  • Hormone disturbances as a result of diabetes or growth hormone disorders that affect cartilage wear. Menopause often increases the progression of osteoarthritis of the knee.
  • Poor bone alignment or posture (your joints don't line up properly) can result in Chondromalacia patellae (Patella femoral syndrome and Runner's knee), which involves degeneration of the cartilage on the back of the knee cap. Women are more prone to this condition as they tend to have wider hips than men, which creates a wider angle at their knee. This can affect tracking of their knee cap and cause imbalanced weight on their joint, which can pose problems with instability, dislocation or pain (like a tire that is out of alignment, the treads will wear out on one side of the tire). You can often look at your shoe treads to see if one side of your heal is worn out more than the other to determine if you have alignment issues.

Progression of Osteoarthritis can be classified into 5 stages of severity:

  • Grade 0 - Normal, no loss of cartilage or damage
  • Grade 1 - Chondromalacia involves early onset of osteoarthritis; softening of cartilage, joint surface stress, and fluid filling the joint cavity. As the condition progresses your knee gets inflamed and swollen, but there is no major joint surface damage at this point.
  • Grade 2 - Fissuring, tearing or cracking of joint cartilage; this damage often goes unnoticed.
  • Grade 3 - Fibrillation indicates later onset of osteoarthritis; very torn and worn appearance, damaged cartilage covering bone (bone is still in tact). Your damaged joint surface breaks into loose pieces which release enzymes that aid in destructing your joint surface. Up until now minor surgery can help your cartilage to heal.
  • Grade 4 - Exposure and damage of underlying bone; healing without surgery is low.


Diagnosing Osteoarthritis in the Knee

As mentioned previously, the most common form of arthritis in the knee is osteoarthritis; however you can be diagnosed with more than 1 form of arthritis at a time. Medical professionals (such as an orthopedic surgeon or physician) will be able to assess and test whether you have knee arthritis, and then will determine what type you have through a variety of processes.

To help your doctor achieve a proper diagnosis, he/she will begin with a medical history about you, your current condition and symptoms. They will inquire about the intensity of your present pain, the duration of your symptoms and the limitations you are experiencing. Details about what instigated the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury.

A doctor assessment will help to diagnose osteoarthritis.

A physical examination will be performed to determine if you have any signs of knee arthritis or other knee injuries. Your doctor will visually assess and palpate (feel) the bones and soft tissue in and around both of your knees to evaluate symmetry and recognize differences. This will identify any abnormalities, such as mild or severe inflammation, fluid, bone deformity, and weakened muscles. He/she will press on the injured side of your knee joint to test for point tenderness and help determine the main location of your injury. He/she may ask you to complete a series of knee and leg movements such as moving your knee from a bent to straight position (or vice versa), or rotating your knee to see what motions cause pain, weakness, instability and/or grinding, catching, popping or locking. These sounds or restrictions will often indicate a soft tissue tear and/or arthritis in your knee.


Common Knee Osteoarthritis Diagnostic Tests

A medical professional will sometimes recommend diagnostic testing to obtain more detailed information, and assess the amount and/or type of damage done to your knee. There are a variety of different tests available to help them analyze the situation; however these will be dependent on the degree of your injury.

X-Rays

X-rays will provide a two-dimensional image of the overall structure of your knee. It is helpful in identifying loss of joint space, arthritis, abnormal bone shapes such as bone spurs or bone cysts, fractures, and degeneration (wear and tear) on the joint. X-rays can be helpful to exclude any other possible causes of your knee pain and assist the doctor in determining if surgery should be considered for your specific situation.

Knee X-rays normal knee and an osteoarthritic knee.
Knee MRI of osteoarthritis patient

The image above is an anonymous example of an MRI of the knee. As you can see, the MRI scan is very valuable as it is really the only way to get a great visual of deep soft tissue without the need for surgery.

MRI (Magnetic Resonance Imaging)

Knee joint aspiration to relieve pain.

MRIs (magnetic resonance imaging) will provide more detailed information and will help to evaluate the soft tissues in and around your knee joint (muscles, tendons, ligaments, menisci, other connective tissues).

It can identify ligament and meniscal damage, and help to determine the extent of your injury, the displacement and degree of your tear, fluid on your knee, a discoid meniscus and/or other associated conditions.

Joint aspiration (arthrocentesis) involves withdrawing and analyzing fluid from your knee via needle and syringe. This will help to determine if there is inflammation and the cause of your joint swelling, for instance gout or some kind of infection. Arthrocentesis can be performed in your doctor's office.

Blood tests cannot diagnose osteoarthritis, but may be ordered to rule our other causes of knee pain, like rheumtoid arthritis.

Arthroscopy is used to visualize and repair damage to the knee. A small incision is made in the knee and an arthroscope with a camera is inserted to look inside the the knee joint and assess any damage.

Further diagnostic tests such as CT or CAT scans (computerized tomography) or diagnostic ultrasound can be used to determine the degree and location of your injury if required.


Scar Tissue & ReInjury

Resting the area of injury, for our natural process to heal the tissue needs time. Not resting an injury can bring about the issue of an injury not going away (chronic). To repair damaged tissue, the bodies quickest way to heal is to create scar tissue and adhesions - this is good in the short term, but in the long term will be problematic.

The growth of scar tissue and adhesions can lie in any direction. Ultimately what causes stiffening in the tendon and muscle, entrapping a nerve, restricting movement, less elasticity, poor circulation, and flexibility.

Unfortunately, scar tissue may plague you for weeks, months and maybe even years, depending on your level of activity and the amount of conservative treatments you have done during your rehabilitation. Scar tissue is a major problem, especially when it comes to re-injury of your tendon or muscles. When dealing with scar tissue it is always important to:

  • listen well to your physician and if conservative treatments are recommended and remember to stick to your (daily) treatment plan using these therapies
  • frequent use of the Cold Compress or Ice Pack will help reduce the swelling very quickly. Much of the pain you feel will be from the swelling, and you will be surprised how fast the pain drops off once the swelling is down.
  • TShellz Wrap® is a safe medical device that will help reduce scar tissue and increase blood flow to the area (thereby accelerating the body's own healing process).
  • when applied before stretching, the TShellz Wrap® will help flush the area with fresh blood. This will help improve your range of motion and prevent re-injury.


Knee Osteoarthritis - Home Conservative Treatment Options

Cold Therapy

When a tear first occurs or when it is irritated by overuse or re-injury, you experience swelling and inflammation in your knee. Using ice packs to treat your knee reduces pain, swelling, and tissue damage.

Icing works by slowing nerve and tissue function in the knee. This is important because once blood vessels are damaged, they can no longer carry oxygenated blood to the meniscus and tissues begin to break-down.


Circulation Boost

Once inflammation and swelling have been reduced in your knee, nourishing and strengthening the tissue in your joint is the goal. Circulation Boost (Circulatory Boost) promotes blood flow to the treatment area bringing the necessary oxygen and nutrients to the knee treatment area.

Remember, when you rest your knee, you are not creating the natural blood flow your knee usually receives when your knee is active. With the use of Circulation Boost you can help augment this loss of circulation and help maintain good knee health while inactive. Our Knee TShellz Wrap® provides effective, non-invasive, non-addictive pain relief with no side effects.

When dealing with degerative conditions, keeping your knee as healthy, flexible and strong as possible is the goal - basically fighting the effects of knee inactivity. The Knee TShellz Wrap®, available exclusively from MendMeShop®, provides effective, non-invasive, non-addictive pain relief with no side effects.

A TShellz Wrap® treatment before activity is an easy way to warm up the knee tissues and prepare them for use. This in turn, will reduce your risk of knee strain or further soft tissue injury due to "overdoing it". End your day with another treatment to prevent tightness from setting in overnight.

Knee tshellz Wrap

Conservative Treatment Tools Our Clients Have Used to Help
Limit Damage & Boost The Body's Soft Tissue Repair Process to the Knee at Home:

  • A Cold Compress or Ice Pack to reduce inflammation wherever there is pain and/or swelling (as soon as possible).
  • A Knee TShellz Wrap® to increase blood-flow to the treatment area (Circulatory Boost).
  • MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.
  • A High Quality Knee Pillow if you are experiencing discomfort when resting or trying to sleep (or you want .
  • A Knee Support Sleeve for light joint compression and support for knee instability.
  • An Exercise & Stretching Plan to prevent muscle atrophy and shortened tendons in the Knee joint. A proper plan will increase elasticity and strengthen the muscles and tendons in the hip, knee, and ankle.

Conservative treatment tools just like these have been used successfully by thousands of knee injury sufferers - just like you.

TShellz Wrap® = Enhanced Blood Flow in the Treatment Area

We believe the use of TShellz® Circulatory Boost Wraps for boosting blood flow to soft tissue in the area of application is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment helped relieve their pain while increasing blood flow in the knee.

With regular use of the Knee TShellz® Circulatory Boost Wrap:

  • Your pain will be reduced*.
  • Due to increased blood flow, soft tissue in the treatment area on the knee will be expected to recover at an accelerated rate with reduced potential for re-injury*.
  • Tissue in the treated area should experience a larger range of motion and increased extensibility of collagen tissue* due to the heat effect on soft tissue. This should translate into a reduced rate of re-injury occurrence as soft tissue is known to lengthen and become more flexible when exposed to warm temperature. (*Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)

*Know that every personal soft tissue injury is unique and the TShellz Wrap may not work for everyone. This is why we offer a 60-day money back return on all our TShellz Wrap devices.


In examining thousands of pages of research, we can conclude that the TShellz Wrap® energy will produce the following results:


Effectively helps to enhance blood circulation and
increase the levels of oxygen within your blood.

This, in turn, improves immune system function which increases the body's ability to eliminate toxins and other waste by-products resulting from damaged tissue within the knee. This allows the knee to more easily stimulate the self healing process.

Stimulates the production of collagen,
which is a building block for human tissue.

Many knee injuries are the result of trauma to a tendon or muscle, usually causing the tissue to tear. As a result of the tear, your body triggers a natural healing process resulting in pain, inflammation, and the creation of scar tissue, then eventually reinforcing that band-aid solution with flexible tissue (proliferation). Increased blood flow will make this process more quick and efficient in the majority of cases.

Heat will enhance the extensibility of damaged (& surrounding) tissue

This is a very important point. Many people with knee conditions often re-injure their knee due to the fact the damaged muscle or soft tissue is tight and the range of motion of the knee is restricted. Even the most minor of activities can cause a recovering knee to strain, sprain, or even tear. Every time this happens, your recovery is delayed. This is why using the TShellz Wrap® not only now, but also into the future, is wise. Heat energy emitted from the TShellz Wrap® is absorbed by tissue, gently warming it, and thereby increasing the elasticity...all without risk of causing further harm and greatly reducing your chances of re-injury.

Reduces stiffness in the knee joints.

Osteoarthritis in the knee occurs when the articular cartilage begins to degenerate. Over time, the femur (upper leg bone) rubs against the tibia (lower leg bone) with little or no protection from the articular cartilage. This lead to pain in the knee joint. The space within the joint starts to decrease without the cushioning and stiffness in the knee becomes a problem. The TShellz Wrap® excels at emitting a soothing heat, allowing for less stiffness and better range-of-motion. It obviously won't fix arthritis, but it will alleviate the symptoms and perhaps reduce your risk of secondary strain injuries by improving tissue flexibility in the area.

Contributes to your overall well-being.

Use the TShellz Wrap® before activity to reduce risk of further injury, before bed to prevent tightness from setting in during the night, and again in the morning to make your tired body come alive.

Believe me when I say this; words alone cannot accurately describe what the TShellz Wrap® can do for you. It truly is something you need to experience first-hand.


A Recap of the Benefits of the Knee TShellz Wrap®..

  • Our Knee TShellz Wraps® can fit ANYWHERE on the knee - side, back and front.
  • It can be used before activity or exercise to warm up tissue in the knee to reduce the risk of further injury
  • knee T•Shellz Wrap
  • FDA Registered medical device for use in home or clinics - very high quality
  • Temporarily increases flexibility and length of soft tissue (reducing the re-injury factor)
  • It soothes pain and whisks away toxins.
  • Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily.
  • A boost in blood flow helps maximize the body's ability to recover from soft tissue damage. This can be beneficial in saving time and money when associated with doctor or physical therapist visits.
  • For degenerative conditions, such as arthritis, the heat effect combined with the boost in blood flow from a TShellz Wrap® will help combat atrophy (shortening and wasting away of connective tissue), while reducing inflammation due to lack of active use of the knee. The intent of such treatments is to help keep your knee as healthy and flexible as possible despite the degeneration.
  • A boost in blood flow will help maximize the body's ability to recover from tissue damage quickly. This can be beneficial in post-surgery rehabilitation, getting you back to work faster. Do not use until at least 6 weeks after surgery, and only after approval from your doctor.
Knee tshellz Wrap

Should You Seek Medical Attention?

Seek medical attention when you experience osteoarthritis symptoms

This is up to your discretion; however any continued discomfort in your knee should be investigated. If you experience any of the symptoms for more than 2 weeks, or you find the symptoms interfere with daily living (can't complete normal task) and you've tried the initial conservative treatments. It is recommended that you seek professional medical attention when you experience:

  • Increased or constant instability or inflammation of the knee (swelling, pain, heat or redness) that lasts longer than 3-4 days.
  • Locking, catching or buckling of your knee on a regular basis, or very limited range of motion (can't fully extend, bend or rotate your knee or lower leg).
  • Constant clicking, popping or grinding sounds in your knee.
  • Unable to participate in activities or work due to the pain or limited range of motion.
  • Knee looks deformed or you have significant bruising around that area.
  • A traumatic accident may have broken or dislocated a bone.
  • Any other unusual symptoms.

Taking measures to protect your knees and maintain healthy joints is something everyone can do to prevent knee pain. Should knee injury or disease become a part of your life, understanding your condition is the first step in determining the appropriate treatment.

Get an accurate diagnosis from your physician and discuss your options. Proper treatment will allow you to resume your activities faster and safer.

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Our customer service lines are open 5 days a week helping people understand their injuries and how to treat them. Simply call toll free 1-866-237-9608 to talk with one of our knowledgeable Product Advisors. They have the ability to answer questions and even put together a treatment plan for you.


Knee Osteoarthritis: Quick Links
Symptoms
Causes
Diagnosing
Treatment
Conservative Treatments
Alternative Therapy
Medications
Surgery
Prevention


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Learn More About SUPERIOR Knee Treatments

Learn more about Knee Surgery and Post-Surgery Recovery

Learn more about how the TShellz Wrap® stimulates blood flow.

Learn more about Ice vs Heat Treatments for Knee Strain


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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!



Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before using any of our outstanding products to make sure they are right for you and your condition or if you have any questions regarding a medical condition. Always see your doctor for a proper diagnosis as there are often many injuries and conditions (some very serious) that could be the cause of your pain.

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