The guest doctor is very good! Thanks for all the doctors you get who are nice enough to help you guys!
@cris_miko5 ай бұрын
I had similar pain from using a "mouse" on my computer. It forced me to learn more keyboard commands and switch to my non-dominate hand. Retirement helped a lot more 😊😂
@jasonbannan40242 ай бұрын
The wrist brace and Physiotherapy (PT) exercises really helped me. The anti-inflammatory meds functioned more as analgesics, allowing me to more effectively do the PT exercises without extreme pain. PT is a must for any hope of improvement and one can do these exercises effectively at home with proper instruction. I also noticed sleep position was aggravating it, either sleeping on the affected arm, or bending the wrist on the affected arm when sleeping on the opposite arm. Wearing the wrist brace at night greatly improved the condition. Thanks for your informative video.
@joecasalena82635 ай бұрын
My hobby is mountain bike trail building and I’ve injured the both elbows over the years. As I get older (58 now!) it seems to take more than a year to get back to normal. Grip exercises seem to work best for me. Didn’t know about PRP though! Thanks so much!
@Ve-suvius5 ай бұрын
Exercises definitely.
@KeepingItReal-USA12 күн бұрын
I had trouble with this for five plus years from the computer mouse. I have popping and locking. I had an MRI but, doctor does not want to do surgery. I just get lots of shots.
@philipjamesparsons5 ай бұрын
What worked to cure mine was a theraband, kind of a rubber bar that you twist. I also used a massage ball on the area for relief. It was just a rubber ball that you roll around. Going back to weight training kept it away.
@Wesmosis2 ай бұрын
I second this
@jjjone6832 ай бұрын
I developed this from lifting luggage repeatedly on a three week vacation. And continually irritated it during the trip by picking up small children. No more traveling with someone else’s little kids and their luggage! Very frustrating as I was unable to get to occupational therapy until 6 months after the injury. I hope I-will be able to heal after this long. Also, most of my pain was in my forearm muscles opposite on the top of my arm from elbow to thumb
@GONNALIVEHIKING5 ай бұрын
#me! started a fitness class that involved indoor rowing machine, daily rowing I think was the culprit, been about 8months, now still no relief even with a elbow brace, hoping it improves, thanks for this and all your content!
@mikemccallister9626 күн бұрын
Nice presentation that easy to understand! Thank you.
@simplycows26105 ай бұрын
Laborer here with chronic elbow pain; can't remember when they didn't hurt. Finally saw a physio this winter as the pain was unrelenting, even lifting a water bottle for a drink was a chore. With manual therapy we've broken the cycle of constant pain but it's always right there ready to flare up. Not sure how I'll proceed from here as I don't see it being "fixed" just temporarily managed during the slow season. Appreciate the info on various potential treatments though.
@samanthachung48445 ай бұрын
I had tennis elbow for 4-5yrs, both arms, very painful and tough to work. I tried a lot of different treatments, dry needling and accpunture worked well for me. Taping too.Thank you for sharing.
@andyf42925 ай бұрын
think my job has just given me that 'gift'.... very good advice though! thanks guys!
@GreggBB5 ай бұрын
As always, the information is excellent. Learned a lot on this one, thanks much.
@chanelwalker76524 ай бұрын
This is a great channel. Thank you! Been dealing with bi-lateral tennis elbow for over a year consistently. I have done everything to keep from having surgery, but unfortunately it is inevitable at this point. Tried shots, did OT/PT, I live in Tylenol, etc. loosing use in my right one, and unable to fully extend it. To be honest, this is the worst pain I have ever been in. Thank you for this video as it helped me understand it even more.
@wesadrian69815 ай бұрын
I used a counterforce brace. Worked great 😊
@jackiel.12415 ай бұрын
Using the brace as needed, and most importantly, avoiding palm-down lifting is what has helped me the most.
@malekodesouza72555 ай бұрын
Had LE 15 or so years ago. Had a corticosteroid injection. Came back. Did the PT to no avail. Only got worse. Finally, got an MRI which showed bad tears. Has microfracture surgery and recovery sucked because I’m right handed. Now, it only bothers me if do lots of certain activities but the pain is nowhere near as bad.
@benjaminhorton80135 ай бұрын
That was hilarious, “just type ‘me’.” 😂😂😂😂
@Lazzar19585 ай бұрын
Dr Zalzal always hits the 'funny bone'! 🤣🤣
@jscott44312 ай бұрын
I have a long history of lateral epicondylitis in both arms. I actually needed surgery to repair a tear in my left elbow, which was a success. My right elbow also became a problem for many years. I became extremely frustrated after spending a small fortune trying to cure my elbow, but nothing worked. Imaging did not show a tear, so I didn't consider surgery this time. Then, a small miracle happened. Because it was difficult for me to perform my job, my company doctor suggested I see a massage therapist. No way a massage is going to work. However, after the first treatment my pain of 3 years was gone!! I couldn't believe it. The massage technique is called "Hellerwork" (similar to Rolfing, I believe). Unfortunately, there are no Hellerwork or Rolfing therapist in my area any longer. The treatments are a little expensive but if you can find a therapist and can't deal with the pain any longer it may be something to consider.
@aircataerialarts90092 ай бұрын
Thanks for this. I'm looking for ways to avoid surgery of a partially torn tendon. I'm in a town with plenty of Rolfers! I'll check it out!
@ohilife6 күн бұрын
Thanks for the info
@rhondab67802 ай бұрын
Oh my goodness!! I have this! MEEEE! I overuse my left arm at my job grabbing heavy items and scanning them with my right hand. My left elbow has been on fire with pain off and on especially when gripping something with my left hand. I was told it was tendinitis and ice it and take IBUPROFEN- however you mentioned it was tendinosis- which is what I believe it is. I have had it for about 3 months now. Love this info to be proactive in the healing process. Starting stretches tonight and getting a wrist brace. Thank you so much!
@mudwiser13915 ай бұрын
Hey Docs, great channel. How about an in-depth vid on PRP injections.
@MynewTennesseeHome5 ай бұрын
Can you have this guy address tendonitis/pain in the thumb/palm joint? Been over a year, even after braces, exercise, ect.
@GreggBB5 ай бұрын
would love to hear on that one!!
@dudethatstrippy52094 ай бұрын
@GreggBB I believe I have this condition and I too have very bad pain at my thumb joint when used, and my forearms and even the top of hands and fingers get tight and stiff. Too much Mortal Kombat and Helldiving
@MynewTennesseeHome4 ай бұрын
@@dudethatstrippy5209 I've been using a gum spirit, bentonite clay, comfrey, charcoal poltice that's helping but it doesn't last long. I won't take pharmaceuticals so...?
@Wesmosis2 ай бұрын
Great video, I'm a physician with tennis elbow
@melissabrown62545 ай бұрын
Had this and it took a year wearing the counter brace to get better. Occasionally I get it again and wear the brace again. Personally I think it would be much more impressive if it was from tennis but alas no just from my job.
@RichRich19555 ай бұрын
I've had it twice and strengthening it works. I believe the tear never heals so building new tissue over the tear is the way. Use a theraband flex bar. They come in different strengths. That'll also prevent it if you don't have it. How does it go? A gram of prevention is worth a Megaton of cure?
@beckyandrew532 ай бұрын
I weight train 3x a week. I was dead hanging from a pull up bar. I started having trouble with my right elbow exactly as youve described. The pain actually improves with exery but is rather intense at night.
@sharonerekson5835 ай бұрын
Thank you for this video, I wondered if that’s what I’ve been experiencing, and my symptoms are just what you described. I garden a lot, and spend a good amount of that time pulling weeds, I use my right hand to dig and my left to pull, and it’s my left arm where I’ve been feeling it. I’m active and exercise regularly, and the pain isn’t noticeable until I do certain things, like lifting with my palm down. I might try one of those braces this gardening season to see if that helps.
@deeshea32865 ай бұрын
Thank you so much for this video. It’s exactly the problem I am starting with. Being a gardener, you gave great info on how to place your hand when pulling weeds., along with great explanations throughout.
@leestamm31875 ай бұрын
Had it about 25 years ago, due to repetitive stress from improper positioning of my computer mouse at work. A cortisone shot, along with proper ergonomics took care of it.
@luckent4729 күн бұрын
holding anything too long or leaving my arm palm down makes it hurt like hell after i finally move it. gonna try the brace and band method at night and then work on the stretching and muscles. 60 year old athletic contractor. wearing out. lol. that prp looks interesting too.
@cathyg14655 ай бұрын
Suffered from tennis elbow for 3 yrs. Only thing that relieved it was the elbow bands that had a soft gel type of ball. Ball was placed against the area. Went to ortho who gave an injection which didn't help at all so he wanted to operate. My daughter had just graduated w/ her DR in Physical Therapy. She did some very painful things to my elbows along w/ some light weight exercises. This finally did the trick.
@bangsatriyachannel25313 ай бұрын
what did your daughter do to you ? and what excercises ?
@cathyg14653 ай бұрын
@@bangsatriyachannel2531 I'm unable to explain to you but she's a Physical Therapist, certified in Maitland which I believe helps more than standard PT then she gave me various exercises involving light weights & stretching.
@debbiechadwick8615 ай бұрын
Ahh! How timely! My elbow has been slowly annoying me lately. ❤🎉
@marktait23715 ай бұрын
same ive had both right from hs tennis left work injury is now aggravated once you have any little thing years later can cause a flair up.
@debbiechadwick8615 ай бұрын
@marktait2371 Yes. My original flare up was 20 yrs ago. Glucosamine Chondroitin did the trick. Don't think it will be that simple this time around.
@marktait23715 ай бұрын
yeh i tried gluco didnt see any improvement did you have imaging football trainer suggested years ago but didnt do.
@debbiechadwick8615 ай бұрын
It worked because I was younger.
@debbiechadwick8615 ай бұрын
@@marktait2371 20 years changes everything. ❤️
@Jorgeola7575 ай бұрын
Hi Doctor's , I'm currently experiencing pain at the outside of the elbow as you highlighted in your video. I am currently searching for a Dr to surgically repair the tendon. You're correct that the pain can be extreme. Most of the time I can't carry anything in my hand from the pain in my elbow. Conservative treatments have not worked for me so it's time to repair the site surgically. Would you recommend a Hand Surgeon or a General Orthopedic Surgeon ? Thanks for the video.
@scottwooster41025 ай бұрын
I have had this condition for well over a year bilaterally. the severity does changes so it not always bad but it is always there. I have gone for PT and do stretches on my own. With have the condition for this long, is PRP worth trying?
@robbanks14365 ай бұрын
For “Golfers elbow” medial epicondylitis is everything the same except palm up exacerbates it instead of palm down, etc?
@gordonv.cormack32165 ай бұрын
Anecdote backed by no medical training: I've had both, and they feel similar, only on different sides of the elbow. A couple of weeks with a wrist brace put my tennis elbow on the road to recovery. Golfer's elbow (aka climber's elbow) took a lot longer and for me wasn't as dramatically affected by wrist motion. Just gripping and pulling (e.g. pull-ups). Your mileage may vary.
@krisap5 ай бұрын
BioGel topical rubbed on elbow, then ice pak on top for 20 min a few times/day, small brace below elbow before game available on Amazon , A anti-inflammatory like Advil half an hr before game. Exercises to stretch too. Mine disappeared!
@bangsatriyachannel25313 ай бұрын
@@krisap wow seriously ?
@SchenkinNY29 күн бұрын
Hello, I would like to know what is the best prophylactic thing to do to avoid golf elbow while playing e-sports. Does it make sense to wear wrist cuffs and upper arm cuffs (e.g. Masalo) when gaming (for me while holding the controller) so that the tendons are relieved? I want to avoid getting golf elbow again. I would be very grateful for any answer!!
@robinjones69995 ай бұрын
I had mine operated on some years ago and it worked a treat
@marktait23715 ай бұрын
im thinking about how long was the rehab
@jag.v61635 ай бұрын
good information
@michaeldufresne94285 ай бұрын
I have had this along with golfers elbow at the same time. No idea what triggered the episode. I started nightly exercises and wore the bands near the elbows for a while until it settled down. I occasionally run my massage gun over the tendons involved and these these seem to keep it reoccurring. When I feel like it might be coming back like I do today I get out my bands and massage gun and work on calming it down
@lovebertierose5 ай бұрын
Me! 😂 I have this now. Thanks for the info.
@Galaxy-ho2pk5 ай бұрын
Same here 😉
@anahutcheson65792 ай бұрын
Thank you so useful
@aircataerialarts90092 ай бұрын
Thank you for this info! What questions would you ask when looking for the right physical therapist? I've had pain on & off for 6 years in R elbow. Started after bi-lateral ulnar shortening osteotomies. Have had 3 cortisone injections over the 6 years, 2 MRI's that show a tear, 2018 & 2023. Done PT, the usual strengthening exercises, which made it worse, dry needling helps. Searching for a better PT/bodyworker who can help me make a real difference. Doc & I both don't want another cortisone injection. Waiting for authorization for another MRI.
@marklafferty-xw1ds2 ай бұрын
Should I use a Graston tool on my arm to minimize this condition and help it heal ?
@TalkingWithDocs2 ай бұрын
It works in some patients
@bw60785 ай бұрын
Great video on tennis elbow. I had quite a bout of it years ago that exercise helped. Did you guys need to employ an older weather man? Thats the only occupation I know of that used to write on clear glass backward like the guy you had printing RISK LOL. He had to do it backward. Did a great job.
@buckybarnes38035 ай бұрын
I went to a massage therapist, she worked on it but then told me keep my elbows off the table and chairs and in my car Etc and it helped tremendously
@estakass14827 күн бұрын
I have had tennis elbow for decades. My tendon is extremely thin. How would this be approached surgically. It isn’t torn so much as frayed the whole length of the tendon?
@triz96415 ай бұрын
I have been dealing with this for years. I did physical therapy twice.
@karenrektor9758Ай бұрын
What if all the above have been diagnosed by the docs, physio, chiro, and all the above done and it has been a year, but there is also pinching in the digits on that hand? What would cause that? The Tennis elbow? Hoping you could answer? Been beyond myself with this pain and numbness in fingers. Would PRP help eliminate the pain and pinching in digits. And yes, have mentioned to all above specialists about pinching in digits with no answers as to why? Could the doc elaborate on this?
@pissedoffpennsylvanian5 ай бұрын
I had the ulna nerve decompression it’s no fun and my surgeon had a huge surprise when he went to operate I guess my tendons and ligaments don’t branch out where they should in normal cases. 😂
@stevenhart90043 ай бұрын
I'm just under 59 & always had strong wrists & arms, was always very active, trail bike riding which i still do, climbing, bit of work around the farm & general outdoorsy stuff, love chopping wood for fun. But after a very lengthy time of problems after one time of covid I'm struggling with tennis elbow, a fracture like feeling in my ankle & wrist problems like sprained wrists. I find the elbow ok through the day but when i sleep i wake up in lots of pain & sometimes have to lift my arm with my other one before i can move it again. If i flex & hold the muscle tight for a while & flex & hold the bicep it controls the pain until i've been asleep again. Its a bloody painful thing!
@conniefisher9165 ай бұрын
acupuncture works for tennis elbow
@leestamm31875 ай бұрын
Didn't do a thing for mine.
@jamesbonham53835 ай бұрын
Has never worked for me.
@conniefisher9165 ай бұрын
The acupuncturist has to get the right point. @@leestamm3187
@conniefisher9165 ай бұрын
works if the trigger point is found. @@jamesbonham5383
@jazpwr86133 ай бұрын
Docs what are your thoughts on compression socks for tennis elbow or foot issues???
@chrissiclark40292 ай бұрын
i been dealing with tennis elbow for over a year and half had cortisone shots and had scraping of the nerve and the tendon and physical theraphy. and now the last thing is surgery. how long am i out of work?
@gregwickstrom54795 ай бұрын
I'm a tennis pro and had tennis elbow that persisted for several months. The resulting ablations from the tendon tearing away from the outer bone of my elbow caused a calcification where the outer point of my elbow is now more prominent. I eventually had a full recovery.
@TalkingWithDocs5 ай бұрын
Glad to hear it
@miralori15 ай бұрын
I just started having this. I can’t even lift a drink to my mouth. I know my mouse is causing the pain. Thanks for the advice.
@TheoJansn3 ай бұрын
Oh boy, I have this. Because of tennis and I love the sport 😢
@jasontito76442 ай бұрын
same
@zauberflote685 ай бұрын
I would like to mention about prevention of tennis elbow. Relaxation of body, unit turn, follow through of racket are the keys. Using the racket like a whip. Do not make sudden stop of your hand and racket. Tight body, lack of counter force, and high speed impact flex will cause injury. I got golf elbow once because I hit the ground with a club. LOL. I stay away Golf ever since.
@lanamolczyk51395 ай бұрын
My hair dresser of 35 years had to finally retire because it beat up her body. A rotator cuff repair, feet surgery, AND elbow surgery. All had time off work for recovery but the injuries kept coming back.
@belinda12102 ай бұрын
My right elbow and muscles to that arm are always so sore, painful and my hand is weak. 4 weeks ago i had a steroid shot and helped for only awhile. I have tried a brace which i have on right now, i cant take Motrin cuz of my asthma so it hasn't been fun. I have an appt in July and I'm concerned that i will need surgery. ugh! Did anyone that had surgery have positive results? Give me some good news.
@jameshite99954 ай бұрын
How does Nandrolone help?
@emmancanada5 ай бұрын
Dr. please 😊 we need a video about plantar fasciitis, I have Arteritis in both knees, and every few months, I have to suffer from plantar facilities, which makes my life miserable .
@melissabrown62545 ай бұрын
They have a video about that. Just go to the channel and search for it.
@douglasrandall67375 ай бұрын
I had tennis elbow for years on and off. Then I discovered an acupuncturist who eliminated it, and I’ve not had a recurred since.
@patrickcarney91775 ай бұрын
51 year old male here. I have recently developed this condition and I'm not sure what caused it. I go to the gym 3x per week for 90 minutes (Mon - legs, Wed - back, Fri - chest/arms). Should I refrain from any weight training using my right arm due to potentially exacerbating this condition? That would be a bummer! I have a hard time gripping stuff with my right hand, especially in the morning - OUCH!
@sharonrodgers83905 ай бұрын
Please continue to say physiotherapy instead of physical therapy. It is a Canadian and British term and others will figure out what you mean.
@grantgrow5 ай бұрын
How do you say aluminum?
@Flysfloss91465 ай бұрын
@@grantgrowwe generally spell it aluminum and pronounce it as such. Aluminium is the British spelling, and most Canadians are bilingual in British and US dialects.
@kelly7868813 күн бұрын
I think most people know what they mean 🤔
@elsafischer32475 ай бұрын
What is lazy shoulder?
@kathyberal56233 ай бұрын
So me right now
@TalkingWithDocs3 ай бұрын
Sorry to hear that
@RAWHiTLEYКүн бұрын
What the hell can I do to get rid of this terrible pain. I have been dealing with mines for 5weeks. Now I do go to the ER, they been giving me Ibuprofen Pills and a Steroid Shot in my booty and nothing seems to be working not even the wrist brace. I also been massage it as well nothing still working. So what can I do please help me out. I need someone that takes this PAIN serious cuz I feel my ER is a BIG JOKE.
@carlosherrera5505 ай бұрын
How about if you have your elbow bend and can't put it straight why
@SK-lt1so5 ай бұрын
It's an overuse injury that does not benefit from surgery or PT in the vast majority of cases. Avoid repetitive wrist extension. Fixed
@fluttergrrl2 ай бұрын
After over two years of excruciating pain, I am on a surgical waiting list because the following did not help: physiotherapy, bracing, shockwave therapy, two PRP injections, hyaluronic acid injections, ice, heat, Acupuncture, ultrasound therapy and three different types of laser. I have a small tear that isn’t getting any better.
@dano21ism2 ай бұрын
Have you tried taking time off and fully resting it for a couple of months?
@ThoughtfulAl3 ай бұрын
This video would have been funnier if you could have had a live x-ray showing all your skeletons as you presented the show
@TalkingWithDocs3 ай бұрын
Good call
@RoxinaSolerGamborena5 ай бұрын
I had this for many years....back and forth...sme months over, then back. Till, 4 years ago, thatstarted my journey to Whole Food Plant Based. Its totally over. Together with rehumatoid artritis that is also gone. The food can be your medicine with infmalatory diseases like this...
@ginnyscott72555 ай бұрын
Yes but what was called golfers elbow from my job. I was a test case for WCB. I had to prove that this was where I got it. I could not hold a fork or a pen in my hand. That was 30 years ago and I proved my case and spent a total of 9 months off work in 5 and 4 months. It was not a joke, I had a cortisone shot and the dr hit a nerve. I cried in my bed for 3 days from that new pain, then the physio therapist did more injury to it so more time off.
@user-zh6pk6kz7k5 ай бұрын
Dr. ZalZal, a good typist does not need to look at keys when typing. Even when typing numbers. Just saying.
@leestamm31875 ай бұрын
Unfortunately, touch typing is on its way to becoming a lost art in this era of smart phones. I'm old school and much prefer a keyboard.
@slamfreepoetry18455 ай бұрын
I decided to speed race a kayak one day. Ruined my elbow forever.
@sanjivpatel40162 ай бұрын
Me
@cluckingcrazyhobbyfarm5 ай бұрын
I have had tendonitis in both arms for 4 years now they only figured out what was wrong after 2 1/2 years they kept blaming it on pinched nerves and carpal tunnel and it wasn't. I have done everything from going off work to physiotherapy and strengthening and conditioning to pain meds, icing and steroid shots....now they are going to try shockwave therapy and if that doesn't work surgery and the surgeon told me he would only give me a 70% chance that it would work 😢
@ahliazia1472Ай бұрын
me
@jbhook13393 ай бұрын
I have "guitar elbow"....same deal.
@troyswarts73532 ай бұрын
Me to after 40 yrs playing and finally getting decent. Tennis elbow sucks!
@lancecauley1025 ай бұрын
Me 😩
@peteraldrich10072 ай бұрын
Carrot pulling is palms up😅
@PVVI20155 ай бұрын
Me😕
@candacebradley33755 ай бұрын
Me 🤣😩….. currently!
@mbh40975 ай бұрын
I've never heard the term physiotherapy. We call it Physial Therapy.
@leestamm31875 ай бұрын
It's an older term, not heard often these days.
@Ve-suvius5 ай бұрын
It's from Latin. Physiotherapia, physiotherapiae ( f ). Europe. In The Netherlands for example they say fysiotherapie.
@powdermik5 ай бұрын
At the age of 35 I had terrible pain for months. I couldn't even lift a gallon of milk . I got a steroid shot. The pain went away but then came back . I was really bummed out. I received the same shot again. I am now 56 and it hasn't happened since.
@bangsatriyachannel25313 ай бұрын
whay did you do to your elbow ?
@nilsschear10955 ай бұрын
What’s that saying? An ounce of prevention is worth a pound of cure. You guys didn’t really explain how to prevent this in the first place. All these treatments are great, but if you’re thinking about them you’re already screwed. I’ve had this from weight lifting. I’ve found that straightening your wrist while lifting relives the pain and will allow it to heal in a couple weeks. Using proper technique while performing movements with your hands and arms is better advice. This is a clear over use injury.
@bangsatriyachannel25313 ай бұрын
what kind of treatment did you do ?
@nilsschear10953 ай бұрын
@@bangsatriyachannel2531 Nothing. That’s my point. If you need treatment it’s already too late. I’ve dealt with tennis elbow in the past, and I’ve found that immediately adjusting your form or changing the movement or just taking a rest and stopping whatever it is that’s causing the pain helps tremendously. Hence an ounce of prevention. Don’t ignore the pain until it gets unbearable and you need treatment, do something about it the second you feel it and it will go away. Never ignore an over use injury, or better yet use better techniques so you don’t get one in the first place.
@Zoet505 ай бұрын
They never stated starting off with rest . The only thing that doesn’t cost money
@zaplaabs5 ай бұрын
HOOAH!!!!!
@eegamnayr5 ай бұрын
What are your thoughts on the ever increasing data regarding tennis elbow and the Covid vaccination? I’m a 52 yr old male with no history of elbow problems. Pain started in both forearms in Feb 23 with pain traveling into my elbows. Conservative treatments to include bands, injections, & medication were unsuccessful. An MRI revealed a torn tendon in my left dominant side elbow which was also the Covid injection arm. A surgery will be performed in 14 days to repair the injured area. My assumption is a right elbow MRI will be completed once the left arm is healed enough.
@debbiechadwick8615 ай бұрын
Sign Language Interpreter here. 👍🤟
@tomhaycraft61015 ай бұрын
Not "tennis" elbow, rather "trucker's" elbow! At 55, retired from a corporate job and headed out on the road. Classic overuse injury. Steroid injection, PT, modification of how I grip the steering wheel. Easy enough!
@richiegrey53775 ай бұрын
I talk to the doctor when I do this hurts and the doctor says don’t do it🫵🙌🥂🤟🍾🥂🤣👏👏👏🙌🙌