This is because they are all designed to do one thing numb the painful nerve. Ice, heat, and tens give a little temporary relief. Do not powerlifting or do steroids kids. I had a 10 mm rupture of the C6-C7 disc and had to either have fusion or artificial disc replacement surgery. People with a herniated disc do not usually need surgery, and doctors often recommend physiotherapy to treat symptoms. Sometimes patients will be diagnosed with a bulging disc and be curious as to how that differs from a herniated disc. I feel your article helps to explain these feelings, as you state that the nerves being affected control these areas. It relieves to know tgat this is a common issue and can be treated. Click on "Watch later" to put videos here, Video taken from the channel: Young Lae Moon, Stephen Daniele, MA, CFSS, taking IFBB Pro Evelyn Mihaly through the C6/C7 ELDOA which is terrific for people who suffer from neck pain or shoulder pain..ELDOAs and Myofascial Stretches are very specific and complex techniques that require strong attention to form and correct progressions. So, can I do these exercises because of my L4? Very good article. It can also affect your motor skills in the region of the neck, the upper hand, and arm. 10 exercises for a pinched nerve in the neck, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, tingling, numbness, or weakness in the leg or foot, tingling, numbness, or weakness in one arm. Imagine you are standing up straight and trying to recreate that spinal alignment in a prone position. She will likely recommend physical therapy exercises to reduce your pain and promote flexibility. But Im at the point where the lack of exercise has made my endurance almost non-existent. Sir ye cure ho sakta he?me wait nahi utha pa Raha because of this.I want to continue my gym..how much time it will take to cure this. Top 3 exercises for a cervical disc herniation. Sit or stand against a wall with your arms by your side. Lower one heel at a time to the floor while tightening your . A tip from me, if you don't find that your doctor or surgeon is hearing you, get a second opinion. seated abdominal crunch. DOI: Neck pain overview: A patients guide to neck pain (overview). C6/C7 is the last intervertebral disc fully contained within the cervical spine. A lot of the exercises I see online are for lumbar spinal herniation. The recent MRI showed C6C7 degeneration and herniated disc. Bt now I ill doing skipping exercise. the ice pack was given to me immediately after surgery by an occupational therapist and it really does help. Try These Stretches and Exercises, Activities That Will Aggravate a Herniated Cervical Disc, Neck Strengthening Exercises for a Herniated Cervical Disc, NeckSolutions: Neck Exercises: A Key to Posture Correction and Neck Pain Relief, SpineUniverse: Mount St. Joseph University: Cervical Spine Anatomy (Neck), Dohrmann Consulting: How to Sit at a Computer. Let me give you a very specific example, since this article is about a C6 C7 disc that is herniated. I always knew I would have issues with the obvious areas near the neck but I am amazed that I can now explain away my few and less annoying issues with the lungs and heart area. Whatever exercises we are going to discuss also applies to other cervical levels, like C3-C4, C4-C5, C6-C7 disc hernia. About 30 minutes later my lower back started hurting, then I noticed my upper body shifted. I was just diagnosed with herniated discs in my c4 c5 c6 and c7 also with a disc tear in my c6 c7 and multilevel degeneration. In the beginning the pain was almost unbearable. I stopped taking them because of this and still sweated. Responsibility disclaimer and privacy policy | About Us | Site Map, NOAH BRYANT WEIGHTLIFTING, STRENGTH, & CONDITIONING. By user:debivort, CC BY-SA 3.0, Link. Herniated Disc C6-C7 Defined. Slowly draw your chin in toward your neck, away from your finger, without dropping your head or looking down. A doctor will usually recommend a few days of rest after experiencing a herniated disk. In this video, Dr. Seth Neubardt discusses how some exercises can actually aggravate symptoms from a cervical herniated disc. Lie on the back with the knees bent and both heels on the floor. I am currently doing yoga (exercises that mainly arch the back inward). Can I get back to actively playing soccer after a herniated disc? Pain and/or numbness into your arm are more worrisome so if you experience any increase in these symptoms, stop, and do not perform that exercise. By the time you get to repetition number 8, 9, 10, this should be challenging. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. A herniated disc may require 1 or 2 days rest to alleviate pain. I was recently diagnosed with L4 L5 S1 bulging disc and 2 months later have severe sciatica with intense pain in the butt and hip,it then skips the thighs and reappears in the calf.Is this normal? Maintain straight wrists while typing.(5,6). What can we do when the disc is desicated? The head is a large and heavy object on a rather thin pole of vertebral bones and even thinner spinal discs. Video taken from the channel: Dr. Neubardt & Dr. Stern -The Neuro-Ortho Team-, Cervical Disc Herniation Exercises.Also watch, how to properly use a cervical neck collar: https://youtu.be/5ZWQA_BRozk.In this video, we will learn 6 best cervical disc bulge exercises for cervical radiculopathy in Hindi. breaking news kittanning, pa. true freshwater flounder; lululemon goals and objectives Arch Phys Med Rehabil. See Cervical Herniated Disc Symptoms and Treatment Options. Treatment of the C6-C7 spinal motion segment includes both surgical and nonsurgical methods. Sit-Ups. Whats even worse is that its not just pain you will experience you will also experience problems with whatever the aggravated nerve is controlling. My primary cant see me for 7 more days and insurance requires I see him first. This will stretch out the neck and upper back muscles (Scalene & Upper Trapezius) which can get very tight on individuals with this forward neck syndrome. This is an activity that you should avoid because the velocity in which your head comes into contact with the water allows a significant force to be placed on your neck. Ive got 3 bulging disk in my neck and 2 in my lower back with 1 herniated disk and nothing has helped. While doing these exercises do the chin tuck. It seems to have reduced but I still feel some discomfort. Now doing physical therapy, traction and massage, and starting another prednazone pack. Lie on the back and hold both knees toward the chest. Performed lying down, sitting or standing, neck rotations are an excellent way to increase mobility. Read about causes, diagnosis, and treatment options. I wish I would have done that and saved myself a year of agony. great white shark population graph; clarence gilyard net worth 2020 Pull in your stomach (do not arch your back). Back Sleepers - Choose a thinner pillow to avoid tilting your head at an upwards angle. To prevent these, exercises must be done that will improve the posture of the spine. Copyright 2022 - NoahStrength.com. The good news is that herniated c6 discs can heal with time and proper treatment. al. Different exercises can help be able to helped depending on where the herniated disc is and how you respond to these exercises. Find out here about the different surgical options and their. The feedback link Was this Article Helpful on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. There are several treatment approaches for a herniated disc. by Steven R. Garfin, Frank J. Eismont, et. Start by standing with your feet hip-width apart, back straight, chin slightly tucked and arms hanging loosely . al. Herniation of the C6-C7 intervertebral disc may irritate or . Don't forget to always practice good posture, pulling your shoulders slightly back and looking straight ahead. Any suggestion will be helpful, Dis is what exactly i am Suffering thank you so much god bless youDear Sir how to contact you.. please share me your contact details. National Library of Medicines list He is passionate about strength and conditioning, rehabilitation, corrective exercises, injury prevention and all things movement based. Arch Phys Med Rehabil. The nerves that are present at C6 C7 levels control the muscles that help to move your fingers and also move the muscles of your triceps. Slowly and gently raise your head up, extending your neck against gravity. I have had bulging disc L5-L4 for 15 years now and your videos are super helpful and of course fun to watch. Check out this article to learn the 10 steps to a proper sitting posture. 2009;89(7):632-642. doi:10.2522/ptj.20080283. These exercises can be done in many positions. Get To Know What Possibly Could Be Causing Your Symptoms! These can jar the spine. (n.d.). Last medically reviewed on March 20, 2020. All rights reserved. Certain exercises may place too much pressure on your neck, shoulders or arms. Sleep with pillows under knees or on side with pillow between legs. Interesting! Sir mujhe cervical spondylitis hua tha physiotherapist d.r se treatment krne ke baad totally pain relief hua tha bt sir 2 years ke baad fir se right hand pain start ho gya, I have pain in my piriformous area starter while hiking on uneven terrain. The dry humor is the only thing that makes me cringe watching these videos lol, agar left hand me disc ka pressure hai to Kya stretching right side ke musscles ki karna hai, jisse left hand me disc ka pressure Kam ho jaye, please reply. Thank you. Chronic neck pain and exercise interventions: frequency, intensity, time, and type principle. This makes no sense to me. BULGE AT C5-C6 AND C6-C7 INDENTING THE VENTRAL THECALSAC WITH MILD NARROWING OF NEURAL FORAMENS BOTH Sides please suggest me kon sa exercise mai karu, I tried the upper back pain which u had taught in this video siri got relief aftee trying it for the first timd itself.. Helpful videos. Fortunately, most patients with a cervical hernia do not require an operation. Lie on your back on a table or bed with the bottom of your neck in line with the edge. This is because the C6-C7 level is the weakest point in the cervical spine, and is also the most commonly injured level. Hold this position for 10 to 30 seconds, and return your head to the starting position. Similar to the deadbug exercise, bird dog involves extending one arm and the opposite leg without moving your spine or rotating your hips. A thick, protective band that features a gel-like substance underneath it surrounds the discs. You have helped me so much in just one day using your self traction, lift ups and sleeping suggestions. Patients most commonly present with pain. I broke my back a while back when i was thrown from a horse i was in hospital for 7 weeks and after i had slight pain but For nearly 2 years now iv been going to my Dr with tingling in both legs and lower back pain, when I cough or sneeze it gives me shooting pains in my back, I went back to my Dr in November say this needs sorting out now its been going on to long I hot sent for an MRI and I have a bulging disc and thats where its been left iv heard nothing since so 8 months since MRI, IM SO FED UP. Now stretch your spine up and over the back of your chair. In this video, I perform an upper quadrant neurological screen, identify the level of the lesion and make treatment recommendations.These exercises are best suited for people (with their doctors approval) with cervical degenerative disc disease. Hold your chin in for a few seconds, then slowly release back to the starting position. And I can feel my pain centralised and now it feels altogether in my lower spine.Please guide me. There can also be a total loss of movement.(1,2). P.S: Ive had my disc injury for about 4 years now. This topic, no one really talks about: Discs and itss various health issues! Exercises that might exacerbate symptoms of patients with disc herniations include hyperextension exercises, isotonic truck flexion exercises such as sit-ups, and exercises involving trunk torsion. Your symptoms sound like ms! This can worsen the disk herniation or increase your risk for a second herniation. * Cervical Lordotic curvature is straightened. Let us take a look at them. By checking this, you agree to our Privacy Policy. While core strength is crucial for rehabilitating a herniated disc, the goal is to reduce spinal movement. To perform a back flexion stretch: A knee to chest stretch will work the muscles on each side of the body separately for a gentler stretch. 8 Things to Stop Doing If You Have a Bad Lower Back. A cervical herniated disc can occur from a neck injury and trauma. It also contributes to the nerve branches that power the muscles that bend your elbow. Because of this, if a C6 C7 disc herniates, it is very common that a person will not only experience neck pain, but you may also experience pain in the arms, weakness in the hands and arms, shoulder pain, chest pains, uncontrollable sweating, headaches, etc. Thank you! Discs are between the vertebra in the spine and act as shock absorbers and cushions. What are the symptoms of a pinched nerve at C5 C6? So all I can do is lay in bed in pain or walk around with a cane in between injections. I have pain from last 2-3 years. Now I can barely walk or bend over. sit up with twist. These muscles also help to straighten the elbow. Im on the 4th day. by Susan B OSullivan, Thomas J Schmitz, George Fulk. First article I've seen that actually seems to be written from experience and not a cut-n-paste job from the wider internet. (2014). We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Well Explained VideoI have been searching for the perfect video for these exercisesyour simple presentation gets all the creditsSo loud BGM..No VFX Straight and SimpleValuable..Thank you so kuch.. Dont lift weights. Exercise therapy and Posture re-education- working on correcting posture and postural strength is generally the first line approach in that it can tackle one of the possible root causes of the pain. Shoulder-Blade Squeeze - To target the lower cervical region, try the shoulder-blade squeeze. The result can be pain in the neck and shoulders and numbness or tingling in the hands and arms. I have drop foot for about 3 weeks with just numbness no pain at all anywhere. Thanks very much sir. By fully lengthening the muscles that attach to or surround the neck, herniated or degenerated cervical discs will be allowed to heal. Sir,you use very simple method to explain every problem with their solutions you make very informative videos which is very simple to understandI got my answers from your video in detail which I didnt got from orthoe till dateI am suffering from minor spondityis from 1 yearsame cervical pain which goes to left hand and right side back pain which goes to end of toe.I get relief but again it happens againpls give permanent solution for this, Hi docI have straightening of cervical lodarsis due to which i have disc bulges at C4 C5 C6 C7 and at L4 L5 S1 so Im having radiating pain one side Please suggest exercise for cure also plz let me how to sleep with prob do i need to use cervical pillow or without pillow?Kindly reply doctor Ibe grateful for the reply, Doctor said I have spondylitis, and I have the similar problem in that you mentioned in this video I have pain till my right hand, and stretching is too difficult, I could hardly do it.Is it still recommend to try these exercises? To protect the neck, you'll want to avoid any exercises that may shock the cervical spine, such as weightlifting . orthoinfo.aaos.org/en/diseases--conditions/cervical-radiculopathy-pinched-nerve/, drjoseguevara.com/top-3-exercises-for-a-cervical-disc-herniation/, orthoinfo.aaos.org/en/diseases--conditions/herniated-disk/, umm.edu/programs/spine/health/guides/neck-pain-overview, The Best Sleeping Positions for Lower Back Pain, Alignment Tips, and More, Bulging Discs: About That Pain in Your Neck, Kick Off National Nutrition Month with 10 Healthy Finds. A cervical . Doing gentle activities and exercises will strengthen the muscles that support the spine and reduce pressure on the spinal column. Every year, an estimated 20 cases of herniation are . Repeat on the other side. increasing the pressure on a herniated disc. I now have two bulging discs in my lower back that are causing pain in the back and right leg. However, in this another video https://youtu.be/7TjXTMkQewEof the same time (coincidentally), you stated that it is bad to bend backward, albeit you were standing during that time. After 3 physiotherapists, I was ready to give up! So, being older I thought I just had to deal with it. Also helped a friend who had same front thigh numbness. The cervical region comprises 7 vertebrae from C1 C7 which are present in the neck. 2005-2023 Healthline Media a Red Ventures Company. Youve helped me relieve so much pain already and Im looking forward to learning more! Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. OMG just read your comment I had a work accident in May 2017injury results from accident c6 c7 herniated discs. Intense cardiovascular exercise, like sprinting or high-intensity aerobics, also may place too much strain on the spine, damaging herniated discs. Performing gentle stretching exercises and cardiovascular exercises that do not cause sudden, jerking motions can help you to feel better in the days to weeks it takes for your neck pain to subside. C6-C7 is the nerve that runs from the left side of the brain to the right side of the body. A C5 C6 bulging disc may lead to: Pain in the neck, arms, hands or shoulders. This exercise will activate and strengthen your deep cervical muscles (front of the neck muscles). Workers comp has denied everythingand because of that I now have a two-level disc herniation with an s-1 nerve root compression and severe radiculopathy going all the way down the left side to my toes. Cervical collar or physiotherapy verses wait and see policy for recent onset cervical radiculopathy: Randomized trial. Keep your body in the pain free zone. I've never read about the storing of oxygen, etc., so I am also wondering if that may play a part? Tuck your chin in toward your chest, making a double chin. I want to move to the area you guys are in so you can give me physical therapy. Laying down for a few minutes on my stomach is all Im willing to do now unless under the guidance of a PT. We avoid using tertiary references. Genetics. I normally have pain in my legs, just cant put pressure, sometime cant walk. Your C6 and C7 vertebrae are near the base of the neck, and nerves at these levels supply muscles that straighten your fingers as well as the triceps muscles that straighten your elbow. Avoid holding a phone between your ear and shoulder this can increase nerve pressure caused by your herniated disc. Exercises to Treat Numbness From Poor Posture, Pinched Nerve in the Shoulder? Beat back pain permanently https://program.crushbackpain.com/. I retired from work and its been a year and still have a burning or pain under my shoulder blade on the left side I stopped tingling down my arm and got the feeling back but the pinched nerve in the neck still bothers me I did go to a pain management dr and got a shot well that has worn off I do exercise but I have to be careful with my lower lumbar my tail bone hurts when I sit and im trying to lose weight because I gained when I couldnt workout my 5 days a week. If a disc herniates in the neck or upper spine, it can cause pain to radiate down the: This pain is called cervical radiculopathy. A disc herniation can shrink or disappear as a result of treatment. You can learn more about how we ensure our content is accurate and current by reading our. In some cases, the pain can be severe enough to make it difficult to use your arm. It seems like everything I should be doing hurts something else. The nerves arising from C1 C7 mostly supply the upper body including the neck, shoulders, hands and fingers. Pressure on the nerves in the neck can cause pain in the neck and shoulder muscles. My book: Size and Strength Blueprint: The Ultimate Encyclopedia of Proven Workouts, C6/C7 ELDOA for Neck Pain and Shoulder Pain, Exercise For Non-Surgical Treatment Of The Cervical Herniated Disc, 4 Best Cervical Disc Herniation Exercises & Exercises to avoid in Hindi. - Begin this exercise by lying on your stomach (prone position) and slowly prop yourself up on your elbows while keeping your hips in contact with the floor. As long as it doesnt cause pain. And being a housewife I cant avoid forward bending like while cooking, Washing or etc. You may be experiencing nerve spasms and pain that would make exercise difficult. My recommendation is to do Ice and Self massage for a while for soft-tissue pain. People who have a herniated disc may need surgery to alleviate pain and other symptoms. These vertebrae are mobile, allowing your head to rotate and turn. I had a steroid epidural a week and a half ago but it doesnt seem to help. I have lower back pain since 9 years. Thnk u sir par sat sat main meri saas lene mein kabhi kabhi taklif hoti hain chest mein block hoti hainplsss bata sakti ho. Bring your shoulders up and then again roll them back and down. There are also devices that allow. I suffered for several days there was NO way I could put a towel behind my back or do those sway back moves. Discs. (3) These exercises help to strengthen your muscles and improve the pain with passing time. Repeat 10 times. I have a c6-c7 herniated disk with nerve impingement that causes horrible pain in upper right back and behind my right arm into my elbow. McKenzie exercises have never helped my sciatica. Smoking. Chin Tucks. This will depend on the level of your injury and also the extent of the rehabilitation that must be brought about. Thank you men your brilliant, Ive just tried the exercises a couple of times and I feel better already. Can't Turn Your Neck? Learn more here: https://physiosunit.com/muscle-bone-pain/cervical-radiculopathy-exercises-symptoms-treatment/.Other things to take care of in C5 C6 neck pain exercises.1) Avoid Pillow: One must also take care of the proper way of sleeping to avoid #NeckPain. Celebrate National Nutrition Month with 10 healthy buys Healthline editors are obsessed with. All Right Reserved. No canal or foraminal stenosisC5-C6 and C6-C7: post. Things that work for me, no sitting! The C6 C7 disc is also referred to as the 6th Cervical disc. Gently tuck your chin in and retract your head backwards. bulge is seen indenting the ventral thecal sac with mildnarrowing of neural foramens both sides.CORD IN A-PC2-C3 =1.31 cm C3-C4 = 1.17 cm C4-C5 =1.19cm C5-C6 = 1.13cm C6-C7 = 1.04cmPERISPINAL SOFT TISSUES: Normal in signal intensityIMPRESSION:POST. Find position that aliviate or eliminates sciatica pain completely. At the same time, use your fingers to keep the chin tucked in the entire time. This will help to strengthen the muscles of the spine and will also reduce the pain in the region of the neck and spine. The good news is that in most cases 90% of the time pain caused by a herniated disc will go away on its own within six months. Do I need to get a injection or what:(, My report is as under DISK SPACES:Disk signals are normal.C2-C3: No disk bulge / herniation is seen. Short golfing life just about 5 years but pain avoidance had instigated some weird swing accommodations after back and neck issues. A C6 C7 disc that is herniated can be one of the most painful and debilitating conditions a person could ever suffer with. Thank goodness i decided to talk to other such patients.. I also have a meniscus tear in the left knee and a rotator cuff tear in the right shoulder. Im 22 and I have a bulging disk at L4 and L5 and a hernated disc at L5 and S1.Im really scared that my life wont be normal again. No canal or foraminal stenosis,C3-C4: No disk bulge / herniation is seen. (4), Neck Rotation Exercise: You can do this exercise in any type of posture whether sitting, standing, or even while lying down. I have terrible pain in my back and left leg, my S1 root has moderate lesions on both sides. At this point I cant cook, clean, do laundry, or even walk around the block. It starts in the early hours of the morning. Left shoulder joint B/V No bony lesion is seen Restricted abduction is seen in jointNo soft tissue abnormality is seen, sir have u make any video about my problems. Ive been put on nerve pills, muscle relaxants, starting physio and acupuncture. This high-quality randomized control trial leaves little doubt that exercise can help heal cervical radiculopathy faster than waiting it out. Some muscular discomfort (burning) is ok, but pain in the arms or neck is not. The spine is composed of many bony vertebrae, separated by jelly-like discs. The symptoms of c5-6 disc herniation include numbness or tingling, burning and weakness. See Surgery for Neck Pain. I think my disc slides in and out of position. . For me that was lying on stomach. Keep your wrists straight while typing. by Curtis W. Slipman, Richard Derby, et. Physical Therapy of the Shoulder. Do decompression on pull up bar or on chairs. It gives me intense pain to be on my feet or walking for more than just a few minutes. I have a herniated disc, bulging disc, annulat tear, DDD, and mild stenosis. Hi Dr. Sunit,Since 4 years my mother is suffering from cervical and lumbar spondylitis, from past 1 year her left shoulder became frozen, doctors have advised for 2 (neck & down back surgeries) Kindly advise how to proceed It will be great if you could provide me with your email / WhatsApp number to msg u the MRI reports, Ser mere lept sahid drd he kamr me jaha ham hat lagate he niche muje kya karna kbhi 2 pachan shakti kamjor ho jati jisse problem ho jati 2 number ki kya kru sar please kament me batvona. Dr. Oliver has been practicing in Massachusetts since 2007. Doing gentle exercises and stretches can help ease the pain and pressure of a herniated or slipped disk. Exercises at home are aimed at improvement in flexibility of the thoracic spine and may include extension in lying, standing, and sitting performed six to eight times throughout the day. Finally in desperation I rolled on my stomach on a large yoga ball, stretching my spine in the rounded way you said was bad, and finally got some relief. Gray JC, Grimsby O. Interrelationship of the spine, rib cage, and shoulder. My next piece of advice is to be careful with your sleeping position. I had spine surgery 2010. microdisectomy L5 / S1, now I have prolapse of L5 / S1 disc with osseous tissue that narrows the spinal canal by 10 mm, and bulging L4 disc that narrows the spinal canal by 11mm. Gained so much info. And to be SPECIFIC, the McKenzie Protocol is what has helped me get out of pain. Thank you, I am going to try ice more often now and get a therapy ball. I finally understand what's happening with my c6 and c7 discs as they are both herniated. Well, this jelly is very unique, because this is where the discs of the spine store the oxygen and nutrients they need in order to stay healthy. To begin with, look straight ahead and then clasp both your hands so that you cannot move your shoulders. While keeping your elbows locked, slowly move your arms out and back behind your body. Hold for a few seconds and release. Hold this position for 30 seconds, rest, and repeat 3 to 5 times throughout the day. Repeat 3 to 5 times throughout the day. Only go out as far as comfortable. by Maksym Borysov, Marc Moramarco, et. Contact me to find out more about my personalized online training and how I can help you reach your goals. Lie on your stomach on a table or bed with your arms by your side and head hanging off the structure. If it is pressing on a nerve, there may be pain, numbness or weakness in the area of the body to which the nerve travels. May I know if the Wing Chi Machine to create oxy for C6 & C7, Also the neck traction device help my neck. C6-C7: Here, the disc . I fell in my garage yesterday carrying a box, Got back up and thought nothing of it. ** You should feel like the back of your neck is lengthening or pulling up, and there will be packing in front of your neck. Do hip hindge and lundge. I am seeing a neurologist to talk about my recent MRI for, what I believe, is a c6c7 disk problem, and you have forearmed me with very helpful knowledge. I would like to know how bad is the situation and can both discs heal permanently?? Consult a physical therapist for safe exercise instruction with a cervical herniated disc. Physical therapy and low-impact exercise, such as short and frequent walks, will be key in your recovery after the C5-C6 cervical hernia operation. At first I had symptoms as pain in shoulder and radiating in left arm.
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