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Book Rapid Recovery from Back and Neck Pain

Download or read book Rapid Recovery from Back and Neck Pain written by Fred Amir and published by . This book was released on 2002-11 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the second edition of this tilte, originally published in 1999. It is a companion book to Dr. Sarno's Healing Back Pain, Mind Over Back Pain, and The Mind Body Prescription.

Book The Back Pain Healing Book

    Book Details:
  • Author : Lora Lewis
  • Publisher : Independently Published
  • Release : 2021-08-17
  • ISBN :
  • Pages : 156 pages

Download or read book The Back Pain Healing Book written by Lora Lewis and published by Independently Published. This book was released on 2021-08-17 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lоw bасk pain (LBP) or lumbago is a common dіѕоrdеr involving thе muscles, nеrvеѕ, аnd bоnеѕ оf thе back. Pаіn саn vary frоm a dull соnѕtаnt асhе tо a ѕuddеn ѕhаrр feeling. Low bасk раіn mау be сlаѕѕіfіеd by durаtіоn аѕ асutе (раіn lаѕtіng lеѕѕ thаn 6 wееkѕ), sub-chronic (6 to 12 wееkѕ), оr chronic (mоrе thаn 12 weeks). The соndіtіоn may bе furthеr classified bу thе underlying саuѕе as either mесhаnісаl, nоn-mесhаnісаl, оr rеfеrrеd раіn. Thе symptoms оf low back раіn uѕuаllу іmрrоvе wіthіn a few wееkѕ frоm thе tіmе thеу start, wіth 40-90% оf реорlе recovered bу ѕіx weeks. In mоѕt еріѕоdеѕ оf lоw bасk раіn, a ѕресіfіс undеrlуіng саuѕе is nоt identified оr еvеn lооkеd for, with thе pain bеlіеvеd to be duе to mесhаnісаl рrоblеmѕ such as muѕсlе оr jоіnt ѕtrаіn. If the pain does nоt gо away with соnѕеrvаtіvе trеаtmеnt or if іt іѕ ассоmраnіеd bу "red flаgѕ" ѕuсh аѕ unеxрlаіnеd wеіght lоѕѕ, fеvеr, or significant рrоblеmѕ with feeling or mоvеmеnt, furthеr tеѕtіng mау bе needed to lооk for a serious undеrlуіng рrоblеm. Ready to know more? Read This Book And Discover Systematic Ways to The Self-Treatment of Lumbago

Book 7 Steps to a Pain Free Life

Download or read book 7 Steps to a Pain Free Life written by Robin McKenzie and published by Penguin. This book was released on 2014-12-30 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: A fully revised and updated edition of the program that’s sold more than 5.5 million copies worldwide—plus a new chapter addressing shoulder pain Since the McKenzie Method was first developed in the 1960s, millions of people have successfully used it to free themselves from chronic back and neck pain. Now, Robin McKenzie has updated his innovative program and added a new chapter on relieving shoulder pain. In 7 Steps to a Pain-Free Life, you’ll learn: · Common causes of lower back, neck pain and shoulder pain · The vital role discs play in back and neck health · Easy exercises that alleviate pain immediately Considered the treatment of choice by health care professionals throughout the world, 7 Steps to a Pain-Free Life will help you find permanent relief from back, neck, and shoulder pain.

Book The 15 Minute Back Pain and Neck Pain Management Program

Download or read book The 15 Minute Back Pain and Neck Pain Management Program written by John McArthur and published by Createspace Independent Publishing Platform. This book was released on 2014-02-18 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An orthopedic surgeon in Plano, Texas, who has performed thousands of spine surgeries, says: "If you're currently experiencing back pain, and you're thinking about having surgery to solve the problem, think again. If you can recover from back pain without surgery, you're much better off, surgery can have unforeseen complications, from infections to nerve damage." More than 250,000 back and neck operations are performed each year. The immediate question is; how successful are these operations? * The Cochrane Collaboration, an international network of health-science researchers, that review clinical trials, says: "the scientific evidence for most [back surgical] procedures is unclear." * Studies have confirmed that whether or not a person undergoes back surgery, four (4) years later the outcome is the same with or without surgery. Back and neck pain is the second leading cause for doctor visits in the United States; in fact it is the leading cause of disability for people under the age of 45, and lower back pain is the third most common reason for surgery. A spokesperson for the American Chiropractic Association says: "45% of those folks will have repeated back attacks." The worrying aspect is that most people are not even aware of the things that they do that are causing this enormous medical problem. Posture and symmetry are the most crucial elements in recovery and one of the most commonly overlooked issues in the diagnosis of pain's root causes and it is sad that so few people (including doctors) don't even know it or recognize it. Yet it could cure up to 80% or more of all back and neck pain problems. It has been proven that proper stretching and exercise routines, when done consistently, is the most permanent cure for chronic back pain and neck pain. A Quick Glance at the Contents 1.In Many Cases Surgery Might Not Be Necessary 2.The Causes of Back and Neck Pain 3.Neck and Shoulder Pain 4.Quick Pain Relief Techniques 5.13 Non Surgical Treatment Options 6.All about Posture, Symmetry and Balance 7.4 Sets of Stretches for Pain Prevention and Better Posture 8.5 Sets of Therapeutic Stretches for Back Pain Relief 9.2 Sets of Therapeutic Stretches for Neck Pain Relief 10.4 Sets of Exercises for Strength and Support of Lower and Upper Back 11.Exercises for the Neck 12.Relief from Sciatica Pain 13.Relief from Scoliosis Pain

Book Rapid Recovery

    Book Details:
  • Author : Stephen P. King
  • Publisher : Trafford Publishing
  • Release : 2006-12-13
  • ISBN : 1412218934
  • Pages : 248 pages

Download or read book Rapid Recovery written by Stephen P. King and published by Trafford Publishing. This book was released on 2006-12-13 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: It only took eight years in the making, but I have finally completed my book on a variety of rapid recovery and healing techniques that I use in my counselling practice and with athletes. Many workshop attendees had asked that I put these techniques in an easy-to-follow format, with an explanation as to why certain things work the way they do. I believe I have now achieved that goal. These methods are helpful for maximising mind/body maintenance by clearing fears, phobias, addictions, obsessions, compulsions, traumas and all forms of self-sabotage. They can help optimize all aspects of our lives and open us to the fullness of life's possibilities.

Book Walking Well Again

    Book Details:
  • Author : Stuart M. Goldman Dpm
  • Publisher :
  • Release : 2016-01-13
  • ISBN : 9780996111911
  • Pages : 350 pages

Download or read book Walking Well Again written by Stuart M. Goldman Dpm and published by . This book was released on 2016-01-13 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: For millions of Americans living with chronic pain, Walking Well Again is the pathway to rapid recovery. It provides clear guidance for both patients and clinicians to properly investigate symptoms that may be severe, but are often easy to resolve without medicine, injections, or surgery. The most common symptoms addressed include back pain, knee and hip arthritis, and foot and leg pain. They make it difficult for people to walk well, stand comfortably, sleep comfortably, sit or get up from a seated position without pain, and bend over to pick things up. These symptoms are most often attributed to Arthritis, Spinal Stenosis, Fibromyalgia, Diabetic Neuropathy, Poor Circulation, Painful Swollen Legs, or Restless Leg Syndrome. Even if present for years or decades, symptoms can resolve within 1-2 days of proper treatment. Within the practice of the author, patients with these complaints rapidly improve over 70% of the time. Less frequently, he also sees improvement in neck pain, headaches, balance problems, and depression, as is addressed within the book. Over 85 stories of individual patients are included in the book, to help the reader best understand the evaluation techniques that identify the hidden causes of pain, along with tools properly manage them. These 85 are among the over 3500 patients that have enjoyed great relief of chronic symptoms under the care of the author, Dr. Stuart Goldman. Video interviews of over 120 patients, many from the stories within the book, are included on the web site WalkingWellAgain.com. Most of the information is presented so that it can be followed by non medical people without difficulty. Several sections are labeled "For the Clinician and the Very Curious," and have information in greater detail than would be needed by individual patients seeking help. Even those sections are written in a layman's language, with explanation of medical vocabulary. The book includes 28 chapters, and is formally divided into 4 sections. The first section provides a path to understanding symptoms, which are often mistakenly thought to be from common medical diseases or even the normal aging process. The second section focuses on Spinal Stenosis and PseudoStenosis, which are most often the hidden causes of pain. PseudoStenosis is an original classification of the author, who has published many articles related to the subjects of the book. The second section presents the classic understanding and treatment of Spinal Stenosis, Dr. Goldman's original Positional Management approach, and also provides great detail into the importance and management of PseudoStenosis. The third section focuses on common causes and patterns of chronic pain, and facilitates reevaluation of the symptoms and presents paradigms for management, based upon the use of information from Section 2. Conditions specifically addressed include Peripheral Neuropathy, Peripheral Artery Disease (poor circulation), Painful Swollen Legs, Arthritis including Fibromyalgia (two chapters), Shortness of Breath, Restless Leg Syndrome and night time symptoms, Balance problems, Depression, and the resumption of playing Sports. The fourth section has two chapters. Chapter 27 includes 40 stories that either provide new specific insights or reinforce essential concepts through the power of the tale. Chapter 28 provides an overview with direction for larger scale research, and the potential benefits of such research. Finally, there are two appendixes, and an index. In addition to many articles published in Podiatry, Diabetes, and Family Practice journals between 1997 and 2013, Dr. Goldman has also lectured at many Podiatry state and national scientific meetings. He is eager to share the information with both patients and clinicians, and is therefore pleased to present this book with a one month money back guarantee.

Book Cervical Laminoplasty

    Book Details:
  • Author : K. Nakamura
  • Publisher : Springer Science & Business Media
  • Release : 2003-07-24
  • ISBN : 9784431703044
  • Pages : 216 pages

Download or read book Cervical Laminoplasty written by K. Nakamura and published by Springer Science & Business Media. This book was released on 2003-07-24 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cervical laminoplasty for the treatment of ossification of the posterior longitudinal ligament was developed and refined in Japan during the 1970s. Since that time, various cervical laminoplasty techniques have been further analyzed and modified, and have proven to be clinically successful. Until now cervical laminoplasty has been practiced primarily in Japan, and surgeons outside Japan had only limited access to the detailed English literature needed to make full use of the procedures. This book fills that gap in English information and provides a detailed, up-to-date guide to performing safe and effective cervical laminoplasty. Drawing on the latest knowledge from Japan, the book covers the history of cervical laminoplasty, surgical anatomy, basic procedures, modified procedures, possible complications, and perspectives on the future of expansive laminoplasty. This volume by leaders in the field is an excellent guide for all surgeons interested in laminoplasty.

Book Healing Back Pain

Download or read book Healing Back Pain written by John E. Sarno and published by Balance. This book was released on 2001-03-15 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. John E. Sarno's groundbreaking research on TMS (Tension Myoneural Syndrome) reveals how stress and other psychological factors can cause back pain-and how you can be pain free without drugs, exercise, or surgery. Dr. Sarno's program has helped thousands of patients find relief from chronic back conditions. In this New York Times bestseller, Dr. Sarno teaches you how to identify stress and other psychological factors that cause back pain and demonstrates how to heal yourself--without drugs, surgery or exercise. Find out: Why self-motivated and successful people are prone to Tension Myoneural Syndrome (TMS) How anxiety and repressed anger trigger muscle spasms How people condition themselves to accept back pain as inevitable With case histories and the results of in-depth mind-body research, Dr. Sarno reveals how you can recognize the emotional roots of your TMS and sever the connections between mental and physical pain...and start recovering from back pain today.

Book 690 Correct Affirmations to Rapidly Relieve Back and Neck Pain

Download or read book 690 Correct Affirmations to Rapidly Relieve Back and Neck Pain written by Nicholas Mag and published by Nicholas Mag. This book was released on with total page 784 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Miracle! In this book Nicholas presents you a practical, unique, subliminal, very simple, detailed method of how to Rapidly Relieve Back and Neck Pain. You will feel the effects immediately and the results will appear very quickly! So it was in my case. You will not achieve fulfillment and happiness until YOU become the architect of your own reality. Imagine that with a few moments each day, you could begin the powerful transformation toward complete control of your own life and well being through this unique, subliminal method combined with positive affirmations. The order of words is extremely important for every book written by Nicholas. These are arranged to be traversed in a certain way so as to eliminate certain blockages in the human being, blockages that are bringing disease or failure on various plans. You don't need a big chunk of your time or expensive programs. Everything is extremely simple! Health, money, prosperity, abundance, safety, stability, sociability, charisma, sexual vitality, erotic attraction, will, optimism, perseverance, self-confidence, tenacity, courage, love, loving relationships, self-control, self-esteem, enthusiasm , refinement, intuition, detachment, intelligence, mental calm, power of concentration, exceptional memory, aspiration, transcendence, wisdom, compassion. You have the ability to unlock your full inner-potential and achieve your ultimate goals. This is the age-old secret of the financial elite, world class scholars, and Olympic champions. For example, when you watch the Olympics, you'll find one consistency in all of the champions. Each one closes their eyes for a moment and clearly affirms & visualizes themselves completing the event flawlessly just before starting. Then they win gold medals and become champions. That's merely one example of how the real power of mind can elevate you above any of life's challenges. By reading this book, you will feel totally that life deserves to be lived and enjoyed every moment and that everything that you propose for yourself becomes easy for you to fulfill. Nicholas will guide you to touch your longed-for dream and will make you see life from a new perspective, full of freshness and success. This book helps you step by step, in a natural way, in just 3 minutes a day, to change your misguided way of thinking and to Rapidly Relieve Back and Neck Pain. (NOTE: For good, Nicholas keep the price of the book as lower as he can, even if is a hard work behind this project. A significant portion of the earnings from the sale of the book are used for these purposes: for charity, volunteer projects, nature restoration, and other inspired ideas to do good where it is needed. If you can not afford to buy the book please contact Nicholas and he will give you a free copy.) You, also have a bonus in the pages of the book that makes you live your success by doing a seemingly trivial thing. You will feel the difference. Yes. The Miracle is possible! Get Your Copy Now!

Book Mind Body Medicine

Download or read book Mind Body Medicine written by Daniel Goleman and published by . This book was released on 1998 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: Practical, thought-provoking, and authoritative, Mind Body Medicine gives you the most up-to-date information on what is now known about the vital role of the mind in health.

Book Selected Health Conditions and Likelihood of Improvement with Treatment

Download or read book Selected Health Conditions and Likelihood of Improvement with Treatment written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-07-12 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.

Book Pain Management and the Opioid Epidemic

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Book 3 Minutes to a Pain Free Life

Download or read book 3 Minutes to a Pain Free Life written by Joseph Weisberg and published by Simon and Schuster. This book was released on 2005-04-26 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: Relieve and prevent chronic pain forever with this simple, safe, and sure-fire three-minute daily program! Imagine a world free of aches and pains...no back pain, headaches, joint stiffness, or arthritis; no expensive ergonomic equipment or pain medications. With Dr. Joseph Weisberg's revolutionary new system, a pain-free life is now within reach of everyone—even those who have endured chronic pain for years. At the heart of Dr. Weisberg's system is the 3-Minute Maintenance Method--a unique program for all ages and fitness levels that eliminates the conditions that cause pain in the first place. By utilizing six different thirty-second therapeutic movements the program makes it possible for the body to keep itself free of pain. Thanks to Dr. Weisberg's groundbreaking program, relief—and a lifetime of healthy muscles and joints--is finally at hand. In fact, it's just three minutes away!

Book Back and Neck Pain

Download or read book Back and Neck Pain written by Loic Burn and published by . This book was released on 2000 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: The treatment and management of back pain - a massive problem for many people world-wide - costs staggering amounts of money in terms of days lost from work and health care treatment. In the USA, The Agency for Health Care Policy and Research published guidelines advocating major new changes in the way back pain was treated. In the UK, The Clinical Standards Advisory Group and the Royal College of Physicians published further guidelines, advocating important new changes of considerable significance to sufferers. In this text, these guidelines have been translated for sufferers of back and neck pain. Providing user-friendly and clear advice, this book shows you how to take control of your problem, find relief from your pain and ensure that you are armed with the facts you need to know about all the possible treatments.

Book Releasing Pain

    Book Details:
  • Author : Nancy Griggs PT
  • Publisher : Xlibris Corporation
  • Release : 2018-01-26
  • ISBN : 1543459889
  • Pages : 494 pages

Download or read book Releasing Pain written by Nancy Griggs PT and published by Xlibris Corporation. This book was released on 2018-01-26 with total page 494 pages. Available in PDF, EPUB and Kindle. Book excerpt: —Do you suffer from shoulder pain, TMJ or headaches that have stubbornly refused to respond to any type of treatment? —Do you experience sciatica, hip or knee pain that has yet to be corrected through multiple conservative approaches? —Does pain in your neck or lower back persist in spite of your attempts to strengthen your abdominals or after having multiple failed injections or even after surgical intervention? Intriguing new perspectives reveal how all these conditions have more in common than you would imagine! Incomplete recovery from a motor vehicle accident or fall can later manifest through these and many other problems. Find out how they can all be treated with the same home exercise program!

Book Effortless Pain Relief

    Book Details:
  • Author : Ingrid lorch Bacci
  • Publisher : Simon and Schuster
  • Release : 2007-11-01
  • ISBN : 1416583211
  • Pages : 274 pages

Download or read book Effortless Pain Relief written by Ingrid lorch Bacci and published by Simon and Schuster. This book was released on 2007-11-01 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contrary to popular belief, the most frequent causes of neuromuscular, joint, or skeletal pain can be traced to your lifestyle: unconscious habits that involve the way you breathe, stand, and move and the way you store physical and emotional stress in your tissues. Given this fact, if you suffer from chronic pain, or treat people suffering from chronic pain, you may need to consider replacing expensive, often inefficient pain treatment with self-help methods for reversing the way physical, mental, and emotional stresses affect your muscles, joints, and bones. Effortless Pain Relief presents a unique mind-body program for overcoming chronic pain, developed by acclaimed alternative health-care practitioner Dr. Ingrid Bacci. In Effortless Pain Relief, you'll find a simple explanation of how stress creates chronic pain, along with clear, simple, and powerful self-help techniques for reducing and even eliminating pain. The guiding principle in this program for self-healing from chronic pain is to develop greater awareness of your body and sensitivity to it. You can change your lifestyle habits -- and eliminate your pain -- by adopting body awareness techniques that eliminate tension. Chapter by chapter, Effortless Pain Relief shows you how to release deep physical, mental, and emotional stresses through simple breathing techniques, to reduce consciously the effort and tension in your muscles, and to master and eliminate stressful emotions like fear and anger by learning to control the physical tensions that these feelings create. Dr. Bacci also guides you in a process that will allow you to let go of mental and emotional attitudes that unconsciously create stress and physical pain. She shows you how to release emotional conflicts that contribute to pain and teaches you how to conquer the fear of physical pain -- which can actually trigger pain. Dr. Bacci cites numerous case studies from the thousands of patients she has helped during the past fifteen years. She also tells the extraordinary story of her own complete recovery from three years of being bedridden and crippled from a severe case of the chronic pain syndrome fibromyalgia. The curative techniques through which she healed herself, and with which she has helped her thousands of clients achieve freedom from pain, are now available for everyone in Effortless Pain Relief. Dr. Bacci's groundbreaking, accessible program offers deceptively simple yet profoundly effective ways to leave pain behind, enhance your vitality, and find an effortless route to a pain-free life.

Book New Technique of No Mesh Inguinal Hernia Repair

Download or read book New Technique of No Mesh Inguinal Hernia Repair written by Mohan DESARDA and published by . This book was released on 2019-04-05 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: Desarda Repair is a mesh free, tension free pure tissue repair based on physiological principle. It gives a complete understanding of new concepts of basic aetiopathology of inguinal hernia and its operation technique based on those new concepts. The book will give you complete idea about the cause of hernia, new concepts, operation technique in detail as well as in short, its complications, recurrences, pain and how to treat them and much more for under graduates, post graduates, consultants and also the non medical general public. Be careful about mesh used in hernia surgery. It is a simple piece of synthetic cloth !!!NEWS IN TIMES OF INDIA Pune surgeon's hernia work lauded at world conference, T NN | Ma y 2 2 , 2 0 1 5 , 0 6 . 2 7 PM IS T PUNE: City-based senior surgeon and hernia expert Mohan Desarda was invited faculty and guest speaker at the first World Hernia Conference which was held at Milan in Italy last month. The invited experts demonstrate their work to surgeons from all over the world so that they can carry this knowledge to their country for the benefit of society at large," said Desarda who has done basic invention in the hernia disease. Desarda challenged the old concepts that cough or weight lifting causes hernia and established that hernia occurs only because of a defect in the muscle. Desarda also developed a new operation technique of muscle transfer to close this defect. The technique is now included in the medical text books of international repute. "In traditional operations done today, surgeons stitch a mesh by open or laproscopic surgery. Mesh being a foreign body has many inherent disadvantages and complications. And these complications are much more serious in laparoscopic surgery because mesh is stitched inside the abdomen. Desarda did not register patent of this technique so that any surgeon can use this freely for the benefit of their patients. Patient can bend, squat, climb up the staircase, carry luggage and travel or go to office within couple of days after surgery. Please circulate this message to your friends and groups in the interest of general public. I have no personal interest involved in this.