Bunion Surgery SECRETS & FAST Recovery [Bunionectomy vs Lapiplasty]

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Bunion Surgery SECRETS & FAST Recovery [Bunionectomy vs Lapiplasty]

Рет қаралды 54,800

Күн бұрын

🦶We review if bunion surgery is worth it? Types of bunion surgery, bunionectomy surgery, lapiplasty bunion surgery, the bunion medical procedures & bunion surgery recovery time SECRETS!🦶
Bunion Related Videos:
How To Get Rid of Bunions: • TOP 13 Ways to Shrink ...
Bunion corrector treatment: • TOP 13 Ways to Shrink ...
Bunion Surgery Secrets: • Bunion Surgery SECRETS...
Ankle Strengthening Guide: • Fix WEAK Ankles [Stren...
Home Bunion Treatment: • Bunion Home Cure [WOW]...
Ankle Pain Not Better After 6+ Months? • Why is My Sprained Ank...
Is one leg shorter than the other? • One Leg Longer than th...
Big Toe Joint Pain:
Gout: • 🔥What is Gout? TRUE Ca...
Hallux Rigidus (OsteoArthritis) • Stiff Big Toe Joint Pa...
Bunion Pain: • Bunion Home Cure [WOW]...
Bunion Splints: • Do Bunion Correctors W...
Sesamoiditis: • BEST Sesamoiditis Trea...
Chapters:
0:00 Bunion treatment
0:37 What is a bunion?
2:55 Bunion causes?
3:30 Is bunion surgery worth it?
4:58 Are bunions hereditary
5:43 Best Shoes for Bunion
8:12 How to get rid of bunion without surgery
8:47 Bunion surgery recovery time
9:26 Bunion surgery recovery week by week
11:06 Bunion physical therapy
12:32 Types of bunion surgery
13:20 Bunionectomy surgery
14:00 Lapiplasty 3d bunion correction
15:15 Lapiplasty bunion surgery pros & cons
15:45 Minimally invasive bunion surgery
17:19 Bunion surgery gone wrong
17:30 Lapiplasty negative reviews
18:05 1st Metatarsal joint fusion
18:31 Flat foot surgery
18:52 Bunion surgery recovery self care
19:12 Bunion pain relief
19:26 Best Shoes & Orthotics
20:05 How to fix bunions without surgery
👉 Shoes 👈
Best Shoes:
www.michiganfo...
Best Products: www.michiganfo...
If you are in Michigan, consider seeing us at our clinic: www.michiganfo....
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👉 LINKS 👈
(With some links, we use affiliate links and may earn a commission. Check with your doctor before using any product!)
Bunion Home Treatment:
Best Budget Bunion Socks(Combined with gel pad): geni.us/Bunion... (Amazon)
Less Budget-Friendly Bunion Socks (Combine with Socks): geni.us/Bunion... (Amazon)
Toe Separator (Can work with socks): geni.us/ToeSep... (Amazon)
Budget Bunion Variety Gel Pack(See which one works best): geni.us/Bunion... (Amazon)
Best Bunion Gel Pad: geni.us/BestBu... (Amazon)
Bunion Night Splint: geni.us/Bunion... (Amazon)
Yoga Toe Stretcher: geni.us/YogaTo... (Amazon)
Adhesive Bunion Dr. Scholl’s Pads: geni.us/Bunion... (Amazon)
Best Bunion Orthotics:
Best Overall Orthotic: geni.us/PowerS... (Amazon)
Best Heavy Duty Orthotic: geni.us/HeavyD... (Amazon)
Best Women’s Orthotic: geni.us/BestWo... (Amazon)
Best Affordable 3/4 Orthotic: geni.us/ShortL... (Amazon)
Best sub $25 Soft Orthotic: geni.us/Budget... (Amazon)
Best sub $25 Budget Orthotic: geni.us/Budget... (Amazon)
DISCLAIMER:
Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2x traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board-certified in Podiatric Medicine and Foot & Ankle Surgery. Dr. Biernacki is a licensed podiatrist & surgeon in Michigan. This video should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best to not change your health regimen or diet before consulting a physician and obtaining a medical exam & diagnosis. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.

Пікірлер: 90

@DrTomBiernacki 9 ай бұрын

Bunion Related Videos: How To Get Rid of Bunions without surgery: kzfaq.info/get/bejne/bt97jJeDy5Ozd58.html Bunion corrector treatment: kzfaq.info/get/bejne/bt97jJeDy5Ozd58.html Bunion Surgery Secrets: kzfaq.info/get/bejne/jtuWlLyU39KzdY0.html Foot Strengthening Guide: kzfaq.info/get/bejne/kK9gpqR_vqqqZoE.html Home Bunion Treatment: kzfaq.info/get/bejne/hMyZmZSfqs-yep8.html Ankle Pain Not Better After 6+ Months? kzfaq.info/get/bejne/g5OZldSp3teppIE.html Is one leg shorter than the other? kzfaq.info/get/bejne/m7B-gKt30921g4E.html Big Toe Joint Pain: Gout: kzfaq.info/get/bejne/d7ake7SK2crNpI0.html Hallux Rigidus (OsteoArthritis) kzfaq.info/get/bejne/rpyip6hm3MzMlmQ.html Bunion Pain: kzfaq.info/get/bejne/hMyZmZSfqs-yep8.html Bunion Splints: kzfaq.info/get/bejne/o7x-n9iFy8zJYpc.html Sesamoiditis: kzfaq.info/get/bejne/f9qnmc2bvZjDhZc.html If you are in Michigan, consider seeing us at our clinic: www.michiganfootdoctors.com/. g.page/r/CaxJ9b-O6o27EAE 👉 Shoes 👈 Best Shoes: www.michiganfootdoctors.com/podiatrist-recommended-shoes/ Best Products: www.michiganfootdoctors.com/recommended-products/ 👉 LINKS 👈 (With some links, we use affiliate links and may earn a commission. Check with your doctor before using any product!) Bunion Home Treatment: Best Budget Bunion Socks(Combined with gel pad): geni.us/BunionSock (Amazon) Less Budget-Friendly Bunion Socks (Combine with Socks): geni.us/BunionSocks2 (Amazon) Toe Separator (Can work with socks): geni.us/ToeSeparator (Amazon) Budget Bunion Variety Gel Pack(See which one works best): geni.us/BunionGelPack (Amazon) Best Bunion Gel Pad: geni.us/BestBunionPad (Amazon) Bunion Night Splint: geni.us/BunionSplint (Amazon) Yoga Toe Stretcher: geni.us/YogaToeStretcher (Amazon) Adhesive Bunion Dr. Scholl’s Pads: geni.us/BunionGluePads (Amazon) Best Bunion Orthotics: Best Overall Orthotic: geni.us/PowerStepOrthotics (Amazon) Best Heavy Duty Orthotic: geni.us/HeavyDutyOrthotics (Amazon) Best Women’s Orthotic: geni.us/BestWomensOrthotic (Amazon) Best Affordable 3/4 Orthotic: geni.us/ShortLengthOrthotics (Amazon) Best sub $25 Soft Orthotic: geni.us/BudgetSoftOrthotic (Amazon) Best sub $25 Budget Orthotic: geni.us/BudgetOrthotic (Amazon)

@Badr0mantic 3 ай бұрын

I’m only 16 and I am currently in recovery after a bunion surgery. It’s painful but it’s going to so worth it when it’s alll over

@_ladymarie277 7 ай бұрын

I am 29 yo and I have had bunions ever since I was a little girl. My grandma had em!

@erricapayton8819 7 ай бұрын

Girl me too. I have the same feet as my dad. And my youngest daughter has the same feet since birth as well. I didn't even know my feet were DIFFERENT until I was like 13 while swimming with friends 🙃

@DrTomBiernacki 7 ай бұрын

kzfaq.info/get/bejne/bt97jJeDy5Ozd58.html Check out this video and tell me what you think

@Childspport2024 7 ай бұрын

Agreed me too

@levity90 6 ай бұрын

Same. It's annoying how many people think it's due to footwear. It's mostly genetic. The amount of doctors who also perpetuate the idea that it's due to footwear is pretty astounding given the evidence that it is largely due to genetics and flat feet etc which leads to bunions. A doctor in NYC I went to go see who has been doing surgery for decades straight up said it has nothing to do with wearing heels. If anything wearing flat shoes which allows for over pronation of your feet and puts stress on that joint is more problematic.

@_ladymarie277 6 ай бұрын

Yeah! I didn't know there was many reason to have bunions! Shopping for footwear has always been a problem for me, I have arched feet, and my bunions have not grown what so ever, I was just born with them 🤷🏻‍♀️

@Spuffy1 7 күн бұрын

I must also say the hardest part of it is to manage the recovery, to rely on people. You cant drive, cant walk very good, cant cook cant go shopping groceries and so on.... I had the luck my girlfriend was with me and i thank her more than anything, managing everything for about 1-2 months. After 3 months and 1 week i was able to make my first step in the shower. But still Bunion surgery was the best thing i could do and recommend it if nothing else is helping your pain or aesthetic. I had pain but it was managable. Mine went from a mild variant (genetic, thanks mom) into a severe one cause of an accident in school back in the days. I then incorrectly charged it for weeks and had a bit of a limp when i was 13 years. I absolutely hated the look of it since i was only 24 (Im 26 now) years old and a male. The pain of the surgery itself was not painful at all, of course it is not the best feeling but pain can be very different from person to person. But i must say i was extremely dazed since we got good healthcare in Germany. Im also an Natural Bodybuilder since 16 years old. I still can Squat heavy, i can walk forever, sprint, jump etc. Only pain i have is on the non-operated foot were i have a mild hallux valgus with fallen arch.

@reeseb8520 9 ай бұрын

I wish I lived near Michigan because I'd definitely come in for a consultation. I appreciate you giving us nuanced info on managing bunions. 🙏🏻

@DrTomBiernacki 9 ай бұрын

We appreciate you watching! I wish we could help more 😀 If possible, we would appreciate a quick rating (hopefully good), as it makes a HUGE difference! g.page/r/CSzlpzp7G82TEBM/review We are working hard every day to make better and more meaningful content! This is what keeps us going, for sure.

@dk.650 7 ай бұрын

My daughter's started growing at 7. At 14 they were removed and feet straightened. The pain she endured was excruciating. Shoes were not the reason. Doctor mentioned he had never seen such a young severe case in all his years of practice.

@oceaque 5 ай бұрын

Congratulations to your daughter for getting rid of the condition and pain. Which surgery did she have? How long has it been since the surgery and how are her feet coming along now? Thank you for your help.

@DrTomBiernacki 9 ай бұрын

Thanks for watching, let us know if that helped or didn't help?

@francesmalzahn9994 4 ай бұрын

I had my first bunion surgery nine years ago. It was an ideal recovery, however, it was very long (just like he said.) I don't regret it at all because the bunion was causing me pain. I just had my second surgery 2.5 weeks ago. It's been a very different experience. Same procedure as the first one but my pain level has been minimal. I'd call it more of a discomfort. I haven't needed narcotic pain meds at all, just Tylenol occasionally. I attribute a lot of this to the fact that I am in better shape now. I began doing yoga and have benefited both mentally and physically. I know I still have a long road to full recovery, but I'm on my way!

@user-it2ld6ec1d 3 ай бұрын

Every sympathy with you! I have got very low in mood at times. The recovery is taking alot longer for my left foot than it did 4 years ago for my right. Remains very swollen. My husband has been very supportive so I am very fortunate

@francesmalzahn9994 3 ай бұрын

@@user-it2ld6ec1d I'm glad your husband has been supportive. My family has as well. I can't imagine what recovery would be like if they weren't. I think surgery is as much a mental thing as it is a physical thing which is why our moods are so greatly affected. My foot is still pretty swollen but I'm ready to start physical therapy and move on to the next phase. Stay strong and happy healing vibes!

@armor1z 29 күн бұрын

I'm 37. I've had a bunion for as long as i can remember. My mom had one as well. Same right foot. My dad gave me high arches on top of that. I just saw a foot doctor yesterday to ask about surgery as i haven't had much luck with using splints, toe spreaders to attempt to naturally correct it. I'm constantly on my feet all day, i wear wide work boots and insoles for my high arches. I really don't want to do a surgery to correct it but I'm about at my wits end with it. My balance is messed up because on both feet I'm basically standing on tripods with my high arches.

@cassy8834 Ай бұрын

I’m getting this done in August as well as a heel and my baby toe fixed both on the same foot

@naya4607 9 күн бұрын

My bunion pain isn’t at the bunion site but at the metatarsal-cuneiform joint. My surgeon doesn’t recommend lapidus surgery bc it can decrease mobility w/ the fusion

@aj.meso26 Ай бұрын

You answered every single question I had 👏 I have a small bunion, not severe at all, and was glad to know the recovery time won’t be too long if I get surgery. Thank you for your insight!

@MonicaMarshall-rm4ro Ай бұрын

My shoes were two small as a child causing deformity.

@jaycadelina6431 4 күн бұрын

Hey doc, for very active people, (running, jumping) which bunion surgery is most successful in addressing pain without affecting overall athleticism. What was recommended by my podiatrist was the lapidus. Thank you!

@what_u_want8638 23 күн бұрын

Thank you SO much for this video. I have moderate bunions that are painful at times, and I found a doctor that does minimally invasive surgery, but he says he doesn't use screws or plates, only taping and splints. I am nervous about this because then, how does the bone hold up? I dont understand. He is very popular and was thinking about going to him, but this video made me rethink my decision. How can MIFS be done without screws? Im afraid i have more chances of the bunions coming bavk since they ate genetic, and I have somewhat of a flat foot. Any advice?

@cassy8834 Ай бұрын

I have even lost feeling in my big toe because of nerve damage from this bunion they told me even after surgery I’ll never have feelings again

@begulagulali4187 5 ай бұрын

I have right hand and left leg affected with poliomyelitis since child now I need more exercise

@michellegoulart266 9 ай бұрын

I had lapidus done,two screws and was told I could do full weight bearing after two weeks. That turned out to be a non union and broken screw.. Second surgery done seven months later, plate, screws,and bone graft put in, NO weight bearing whatsoever for three and a half months. Absolutely horrible. Just had hardware removal surgery in September and everything seems to be good so far. I think walking after only two weeks was NOT good advice given to me per my second opinion podiatrist.

@DrTomBiernacki 9 ай бұрын

I'm sorry you had to go through that, I know that's not easy for sure. I've gone through this journey with many patients (previous non-union), and I'm very happy it worked out great for you!

@DrTomBiernacki 9 ай бұрын

Let me know how it goes for you, and your experiences. Wish you the best!

@user-it2ld6ec1d 3 ай бұрын

Been advised by my surgeon not to take NSAID's for pain e.g. ibuprofen because they interfere with bone healing. Also recommend surgery if possible during winter months, very frustrating if you are a gardener and can't enjoy the gardening and lovely weather!!!! Also, request 2 surgical boots!!! One only causes lop sided walking which causes musculoskeletal problems. I needed to wear surgical boots for 7 weeks. Ideally also a pair for indoors and outdoors so you don't mess up your floor/ carpets.I had right foot done 4 years ago and have just had left one done. Recovery much slower this time and swelling and bruising much worse. I am 28 days post op. Patience is definitely wearing thin !!!

@KenjiEspresso 9 ай бұрын

Also AVOID Canola Oil. That will wreck all your digit joints ;)

@DrTomBiernacki 9 ай бұрын

😊

@user-it2ld6ec1d 3 ай бұрын

I have been gently massaging vaseline on the scar line

@user-it2ld6ec1d 3 ай бұрын

My surgeon advised me not to use NSAID's as they interfere with bone healing

@jenniferagee2450 7 ай бұрын

I have a bunion on my right foot, I have been working in a factory building cars on an assembly line(temporary position) for two years . I’ve had a sore that won’t heal on my second toe due to the big toe pressing against it ( I’ve had the sore for about three months) I wear steel toed shoes at work. I don’t know how to get this sore to heal I have to keep a bandage on my second toe where the sore is. I have not seen a doctor yet due to I am starting this job as a Full time employee soon. I need some sort of temporary fix, what can I do? Thank You in advance (I also do not have diabetes)

@jcline87 4 ай бұрын

Imagine being 34 and having foot/toe problems because of a stroke. That's my reality, I've had hammer toe correction with a bunionectomy (plate/fusion). Really that's my only problem that I have, the inability to walk is debilitating.. I couldn't walk pre surgery because my small toes were hammering 24/7 and my big toe was pointing almost straight up all the time and crossing the 2nd and 3rd toe, sometimes pushing down on them. Surgery has straightened my toes out and am 3 months post surgery, all pins removed and I have been walking primarily on my heel. I seem to have forgotten how to roll weight through my ankle/foot to walk normally.. it has been 2 years since I've actually walked normally so I'm wondering if my issue is more mental than physical at this point. My big toe has been really swollen and occasional soreness. I have like a mental block or anxiety when trying to put weight down on the middle/front of my affected foot. Would really like to be able to walk again when fully recovered. I have been seeing a specialist in podiatry but I know my underlying condition isn't at the foot, the foot problem is just a symptom, but is also debilitating. I miss life.

@corinayuen2487 3 ай бұрын

I feel for you. Thank you for sharing. Wishing you continued recovery!

@murrayharrison 4 ай бұрын

I have a Bunion.

@DrTomBiernacki 4 ай бұрын

I have several videos focused on bunions and home remedies and treatments: www.youtube.com/@DrTomBiernacki/search?query=Bunion Thank you for supporting us! 😊❤🙏 If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us! g.page/r/CZWo3fJqJrVpEBM/review Thank you for being such a great fan; we appreciate you watching! All the best to you!

@cassy8834 Ай бұрын

I’ve tried everything you can think of nothing helps. That’s why I’m getting Surgery.

@austinjoseph2881 Ай бұрын

What about the Arthrex tight rope bunion procedure?

@Speed-Gvng 6 ай бұрын

I think I just need a clean out. I'm hoping it's not a bunion cause that's why I'm thinking. I've been in this pain for awhile and I tried fixing it but I got no results. I hope they fix it cause I'm really scared of this healthcare crisis we have

@austinjoseph2881 Ай бұрын

I had a lapidus fusion. WORST decision of my life. I can barely walk without pain Do not get that fusion surgery. Destroys your foot

@elliecates2608 3 ай бұрын

Is better to remove the middle toe that its knuckle in protruding the ball of the foot

@vradimmvradi1472 9 ай бұрын

Thanks🙏

@DrTomBiernacki 9 ай бұрын

Thank you so much! ♥️

@cc-fn3mc 4 ай бұрын

I like to cross country ski that seems to push my toe in more and irritate it more

@denitam917 7 ай бұрын

I’m female and have bunions and have never worn heels or narrow shoes. My parents do not have bunions. I was never obese. The bunions started in my early 30s. It’s because of the crap diet I ate and am now paying for it in many ways. I’ve cleaned up my diet (a proper human diet now) and a lot of symptoms are gone (bunions no longer painful/throb) but I will get surgery to fix them because I don’t like the way my feet look.

@DrTomBiernacki 7 ай бұрын

Excellent, there is absolutely nothing wrong with these surgeries! They do an amazing job, good luck

@DrTomBiernacki 7 ай бұрын

Have an amazing 2024!

@msnam324 3 ай бұрын

What’s the down time for um if they just send the bunion down

@katsm-wo9704 9 ай бұрын

I developed bunions on both feet at the same time as developing increasingly painful neuropathy. Do you think they were likely to have been as a result of the foot changes from neuropathy. I have a soft orthotic and wearing bunion shields for past week or so

@DrTomBiernacki 7 ай бұрын

Frequently bunions are the results of the feet flattening out(overpronation, tight calf's, hamstrings, back), this changes the angles of the muscles and ligaments

@DrTomBiernacki 7 ай бұрын

This can be very related to neuropathy for sure!

@kaydublin5164 7 ай бұрын

My second toe is being bent to the side with pain, I’m getting surgery in two weeks.

@DrTomBiernacki 7 ай бұрын

Let us know how it goes, I wish you the best of luck! 😊🙏

@soysan34 6 ай бұрын

Can you have both feet done at same time or do you have to wait?

@ciarabarros1683 5 ай бұрын

Absolutely not and why would you want to 😂 I just got surgery and I can’t imagine doing both feet omg I’m in agonizing pain

@1234letsgo 5 ай бұрын

Not the best idea You wouldn’t be able to get up at all Recovery time 3-6 months

@tamral2489 4 ай бұрын

Back in the day my sis did both. Now days they do one at a time. I would never recommend both at the same. I'm still recovering from surgery from 2 mos ago and still can't walk normally w/o pain.

@user-it2ld6ec1d 3 ай бұрын

@@ciarabarros1683totally agree!!!!

@abinashabi6227 9 ай бұрын

How to correct my feet

@tobycokes1 4 ай бұрын

I ❤ my bunion

@zombeets9432 7 ай бұрын

Get to the point, doc. A lot of time wasted by advertising your several previous videos. Makes this video annoying instead of informational.

@DrTomBiernacki 7 ай бұрын

Apologies, I will speed it up and cut those out for the future! ❤️🙏😊

@mhaberstock 6 ай бұрын

Never mind! In my opinion your video was just perfectly timed and I appreciate that you advertise additional videso on that matter.@@DrTomBiernacki

@JS-te1dg 4 ай бұрын

@@DrTomBiernacki no I disagree with this person. This video is incredibly helpful and thorough at the current speed. If someone wants to skip to a certain part, they are free to do so. Keep doing what you are doing and keep the “long” informative videos!

@user-it2ld6ec1d 3 ай бұрын

@@DrTomBiernacki I think your video was very well presented and helpful. Thank you. Especially, your advice about 'patience'...you're not kidding!!!! I've had bunions since a teenager, inherited from my mother. Always embarrased by my feet..sought orthopaedic advice years ago..advice 'leave unless painful.' I left them but severe deterioration in my late 60 's bursa, blood clot and skin break down necessitated emergency attention. Much harder coping with surgery when I was 60 plus than if I'd had attention in my late 30 's. R foot done 4 years ago and now 28 days post op having had L done aged 71!

@ronniechristie5599 6 ай бұрын

This is crazy. The average person has to spend $10,000 just to get their foot fixed. It’s ridiculous.

@DrTomBiernacki 6 ай бұрын

It is really crazy! I agree. Also, it is crazy how many and how high various fees, taxes, insurance payments, license fees, and other payments are required from doctors by the government, insurance, various organizations, pharmaceutical companies, and suppliers in the USA. Most of these fees and payments are not required from people working in other professions. Unfortunately, the ugly truth is, that doctors to stay in business have to pass these costs to patients. Thanks for the great response! 😊❤🙏 If possible, we would appreciate a quick and easy rating from you, and a good rating makes a BIG difference for us! g.page/r/CaxJ9b-O6o27EBM/review Thanks again for watching!

@ronniechristie5599 6 ай бұрын

@@DrTomBiernacki not Right

@ronniechristie5599 6 ай бұрын

It’s Just Not Fare we need our feet to walk to get places to stand up move around. It should be free covered by the government.

@pamelacampbell754 4 ай бұрын

I am having surgery soon….I need both feet done….should I do ONE at a time?….I want to do both! NO?

@SpykersB 3 ай бұрын

⁠@@pamelacampbell754read comments! People who had one done say no get one done at a time. Did u listen to him how long it takes to heal? How do u plan on walking with both done? Think!!!

@barbhaines2357 5 ай бұрын

I don’t recommend this procedure. I had it done & shouldn’t have. My feet are totally messed up.. I have a birth defect in my feet which has screwed the bone structure of my feet. My ankles are out of alignment even with a total foot reconstruction. I just had a bunion osteotomy & totally regret it. My foot is so out of alignment that it feels like I’m walking on the side of my ankle. If you can live with your foot problems, do it. Your feet will thank you.

@DrTomBiernacki 5 ай бұрын

Thanks for sharing your experience and warnings. It is highly appreciated. 😊❤🙏 If possible, we would appreciate a quick and easy rating from you, and a good rating makes a BIG difference for us! g.page/r/CaxJ9b-O6o27EBM/review Thanks again for watching! All the best to yoU!

@user-it2ld6ec1d 3 ай бұрын

@@DrTomBiernackiI was discharged with 6/52 supply of s.c. enoxaparin to self administer and advised not to take NSAID's as they interfere with bone healing.