Hand & Finger Arthritis - The Very Best Self-Help Ideas

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  • Опубликовано: 29 янв 2025

Комментарии • 284

  • @sherrievenuti566
    @sherrievenuti566 7 месяцев назад +13

    The disfigurment of my finger joints has been going on since 2001 ish. So 23 years and now the pain has started. I have so much hope after listening and reading all the comments. Thank you everyone. Together we can overcome or at the very least minimize our struggles.
    Forever grateful

  • @wmanadeau7860
    @wmanadeau7860 Год назад +22

    Compression gloves that provide slight compression - I wear them often. I have nodal arthritis and lymphedema, gloves are very helpful. Could not play guitar for years, now I'm back to playing.

  • @rredding
    @rredding Год назад +146

    Very interesting!
    I got rid of my pain in wrists and fingers, and I can say that four of my friends repeated it. Two things:
    1) Related to what you mentioned :)
    These days our packaged food is loaded with sugar, refined carbs, cheap vegetable seed oils that cause insulin resistance and chronic inflammation. Quit using that, return to the food your great grand parents ate. Too bad that over 90% of the supermarket isles are a no go area... All this food promotes inflammation, and yes, arthritis IS inflammation 🔥
    2) Almost no doctor knows this, but some pharmacists perhaps know it.. In countries where the soil has no BORON (an element with properties close to Silicon), like Haiti, arthritis is abundant.
    In areas where Boron is mined, and it is in drinking water and vegetation, almost no arthritis occurs, like in Israel, Turkey and some areas in the USA.
    I make my own supplement, a low dose of boron in water. After 4-8 weeks I was pain free, and this works for 70-80% of people. Do your own research! Don't believe me on my blue eyes, everybody is responsible for his/her own health!
    You may search and download pdf's "Nothing boring about Boron" and "The Boron conspiracy".
    Then there is a Dr. Jorge Flechas with presentations on RUclips. Very interesting and useful. You have to be persistent, but you'll find him.
    Again, it worked for me.
    So: Avoid inflammation and insulin resistance, those are leading causes for inflammation, disease and early death.
    Having said that: if you smoke, or use alcohol: QUIT doing that.. Not helpful.
    If you can, quit or minimize pain medication like Tylenol, Ibuprofen. It is a burden for your liver.
    Also stop using all the bad vegetable oils, only saturated oils are ok, butter ok, avocado, coconut, olive oil ok. Bad are rape seed, canola, cottonseed, soy, sunflower oils, margarine. They are easily oxidized and promote chronic inflammation.
    I hope you are not a vegan or vegetarian, meat is ok, processed meat only occasional. Forget the junk food, prepare your own stuff with products your great great grandmother would use. Eggs are super, if you can afford organic source. Seeds like pumpkin and sunflower seeds are good, some nuts, if you like it: fatty fish! Caught, not farmed.
    If you use refined carbs and sugar, quit those as much as possible.. Not easy, I know. Treat yourself as being diabetic, unless you lived a healthy life.
    I do intermittent fasting, I always skip breakfast. Oh, bread and cereals, cookies, cakes, deserts, sweets, most chocolate, sweet fruit, sodas are refined carbs too ❌
    If you use medicines, find out for yourself what undesired effects they may have.. In that case do your own research for better alternatives and discuss this with your doctor. Never make changes without medical advice.
    As said. I use Boron, that is a great supplement for bones! It regulates calcium, magnesium and phosphor. Also regulates testosterone, estrogen, and helps your brain. It is anti-inflammatory, and anti-molds. May help sleeping better.
    *Very good against osteoporosis, when combined with vit D3 (best amounts above 4000 IU daily), K2 (most important, at least 100 micrograms per day, use the MK7 form), magnesium. at least 350 milligrams per day. Please note that when you are on Warfarin or Coumarin type blood thinners, you have to task to your doctor to change to another type of blood thinner. K2 and these drugs cannot be combined*
    I make my own Boron supplement. I purchased borax on the internet. Some $10=€10 per kg, this is good for 30 years of use! Dead cheap!!
    I dissolve 10 grams borax in 500 ml water. 1 ml solution contains 2 mg of active Boron. I take 5 ml daily, that equals 10 mg elemental Boron.
    Most important is healthy food and doing your own searches on Google and RUclips. 🙏🏻💚

    • @cccynova
      @cccynova Год назад +9

      Thank you for the info!!

    • @pamelastorer8570
      @pamelastorer8570 Год назад +7

      I do have one bad arthritic finger and mild in my hands, and like yourself, I was advised to take BORON, and did and after two months the reduction in pain and swelling is at about 80%. I still have the nodes, but they are reduced in size, so I assume that where I live is Boron deficient.

    • @rredding
      @rredding Год назад

      @@pamelastorer8570 Hi Pamela, Boron is anti-inflammatory. Most people have some kind of low-grade inflammation, without knowing it. It is usually caused by the diet. We became used at buying lots of products in our supermarkets that didn't exist in the time our great grand parents lived. Since then, we became used at "vegetable oils" like sunflower oil, rapeseed-, peanut-, soy- safflower- and other oils. We fry in it, restaurants use it and to us it's completely normal, but it's not! Same for margarine: they are bad and cause this low grade chronic inflammation.
      This is because they react with the oxygen in the air and actually become rancid. This can also happen in your body. They also contain a lot of omega 6 fats. Your body needs them in low amounts, but we get way to much, and that also promotes information.
      Healthy are (grass fed) butter, avocado oil, coconut oil and extra virgin olive oil. Also fatty fish, cod liver oil, or vegan algae oils are important, they reduce inflammation!
      Then sugar, artificial sweeteners and refined carbs like ice cream, desserts, pastas, cookies etc. They raise insulin in your body, which has nasty results in the long run.
      If you are able, do your own research. Google low grade chronic inflammation and you may learn what causes your arthritis problems. Boron is a good helper, and lack of it results in this problem, but eating like they did 150 years ago will improve your health!
      Sadly enough, 80-90% of your supermarket contains all this packaged stuff with long ingredients lists that doesn't help you. I avoid them! 💚

    • @maewest5169
      @maewest5169 Год назад +7

      Just wow,extremely informative

    • @kellyb8237
      @kellyb8237 Год назад +3

      Dr Gundry, avoid lectin rich foods.

  • @anneg8319
    @anneg8319 Год назад +19

    Protect against irritating knocks and bangs... that is a great suggestion. Thank you.

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Yep. Coban is great for that 👍

  • @carrie4558
    @carrie4558 Год назад +23

    So glad to see your video about fingers and hands treatment for osteoarthritis, it is such a terrible thing. I used to have lovely slim fingers but arthritis is destroying them not to mention the pain and discomfort that comes with it.

    • @PhysioMSK
      @PhysioMSK  Год назад +7

      Learn to love your finger bumps Carrie. I know it’s difficult but they are a unique part of you and the symptoms can usually be managed. Best of luck.

    • @msyt232
      @msyt232 Год назад +3

      I also hide my hands when being photographed…they’re so badly disfigured. Even my toes are deformed!

    • @ForceFreeTrainergirl06
      @ForceFreeTrainergirl06 Год назад +2

      I completely get that. I've got small hands and they used to be nice. Now they feel ugly. I cannot wear any of my lovely rings any longer. I've had my wedding and engagement rings resized several times. Its the knuckle they can't get over, and if they are resized for that, they are loose on my finger. To get my wedding ring off now, I would need to get it cut off. The only thing that I feel I can do is to always have my nails looking decent which helps me feel my hands are not so ugly.

  • @elliewegman1846
    @elliewegman1846 Год назад +32

    I have been issued with a wrist binder for wearing overnight. There is absolutely no way I will now sleep without them!. I wake without pain! My Dad used to use wax baths and swore by them. I am awaiting operation for carpel tunnel which complicates my condition, so I would urge others to check this out. I save my night dishes til the morning. Doing dishes in hot water with gloves really helps.

    • @PhysioMSK
      @PhysioMSK  Год назад +4

      Doing the dishes in the morning is a great tip. Thanks for sharing.

    • @roseharper2648
      @roseharper2648 Год назад +1

      Hi I’ve found the same, now I never go to sleep without my wrist supports

    • @ToddDouglasFox
      @ToddDouglasFox Год назад +1

      @@PhysioMSKimagine reversing OA entirely. We do not imagine it, we have done so for all joints over a period of 30 years including those of the finger, thumb, and wrist. There is only one treatment that will regenerate joint tissue and that is properly executed regenerative treatments with a few protocols. Yes, we cure these conditions. Unfortunately I cannot guide you to us because it’s unethical to do so on someone’s channel but you can start by looking into micro injury of ligaments and tendons. Note: We don’t recommend stem cell for joints and most orthopods do not perform anything close to what is needed. This is why you don’t know that an alternative exists. Good luck with your mind getting blown! If you were in our clinic for a a couple of months, you would be more than amazed. it’s humbling to see what the body really can do, it is the solution (with a little bit of stimulus in the right direction).

    • @Agapy8888
      @Agapy8888 Год назад

      If you go under the knife for carpal tunnel it will come back.

    • @ToddDouglasFox
      @ToddDouglasFox Год назад +2

      @@Agapy8888 all peripheral nerves can regrow. This is why you say it “comes back”. The determination of the underlying cause for carpal tunnel is the a priori error. Again, look into regeneration of the wrist or any joint, (no stem cell). Nerves do NOT feel, they conduct. Figure out where 95% of the nerve fibers are in the musculoskeletal, therein lies your solution. Yes there is compression of the nerve but it is NOT the cause of the syndrome. The surgery is to remove the tissues that hold the joint, so it’s not the same as nerve ablation, in which the nerve grows back and then conducts pain again. But in either case, destroying the tissues that hold the joint, i.e., ligaments or ablation, burning of certain nerves, (for example in the back), the nerves can conduct pain signals once again after surgery.

  • @paulbond4812
    @paulbond4812 Год назад +26

    Great advice . My nodal arthritis is even more pronounced than that shown in your photo showing Heberden's and Bouchard's nodes .I can no longer play guitar owing to pain and discomfort but I took up piano accordion six years ago and this seems to give my fingers some gentle exercise whilst still allowing me to play accompaniment to songs .Cheers , Paul.

    • @PhysioMSK
      @PhysioMSK  Год назад +3

      Yes I’ve heard that keyboard instruments have been really helpful for some people with nodal hand OA. Indeed someone else made a similar comment on this video a few months ago. It’s just another type of functional exercise and one that appeals to folk with a musical background. Best wishes. Stephen.

    • @guitarslave
      @guitarslave 8 месяцев назад

      I was using 13s on my acoustic and then after a while I got a node in my left middle finger. Sucks. I switched to an extra light gauge yesterday. Hopefully this helps.

  • @sharondoan1447
    @sharondoan1447 Год назад +6

    What clear and helpful explanations and instructions. I am very grateful.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Thanks Sharon. I’m glad that you found it helpful.

  • @lindapalmer4523
    @lindapalmer4523 Год назад +11

    I find that washing dishes by hand helps with the pain. The hot water feels good on my hands and handling the dishes keeps the joints moving.

    • @PhysioMSK
      @PhysioMSK  Год назад +3

      Thanks Linda. Yes that’s been suggested by others too. One person suggested leaving them until the morning when their hands are most stiff.

    • @ForceFreeTrainergirl06
      @ForceFreeTrainergirl06 Год назад +2

      I put on dishwashing gloves and put my hands in hot water when the pain gets really bad. Also compression arthritis gloves are very good.

  • @jorgemerigo3536
    @jorgemerigo3536 Год назад +10

    This might only be wishful thinking but I have found some kind of emotional relief through gaining mobility through the exercises done while learning how to play the piano. Like going through the Hanon method exercises. Obviously this will not apply to all types of arthritis, nor to all degrees of development of the condition nor to really everybody, I am just hoping that my comment will help as many people as possible because it did help me feel better through a more agile mobility of my fingers. Plus I have fun playing the piano, additionally. There has been a notable difference vs when I started, in mobility of my fingers I mean.

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Hi Jorge. That’s a great idea. Piano is a wonderful exercise for the fingers and even better when it’s an enjoyable activity. I will definitely be recommending this to my patients and I will update the website to include piano. Keep it up 👍

  • @jeffarcher400
    @jeffarcher400 6 месяцев назад +1

    For quick easy heat my Japanese mom has a cloth bag(sock can work) filled with uncooked rice.
    A minute or two in the microwave and it is ready. It molds to fit and can be used on the neck,back,and knees wherever it's cold and achy.
    It can last for months but does have a peculiar cooked grain smell that increases over time.
    I've got a surf knob growing on my first fist knuckle.
    I think it's from bumping my phone in my pocket.
    I have a phone in one front pocket and my wallet in the other since a chiropractor said don't sit on your wallet.

  • @RavenMadd9
    @RavenMadd9 8 месяцев назад +1

    Thank you Doc.....the wraps made my fingers better

  • @hughtempleton8640
    @hughtempleton8640 10 месяцев назад

    Great video thanks for sharing ❤

  • @janjiguere638
    @janjiguere638 Год назад +2

    Thank you so much for the information. God bless you😊

  • @bonniehoke-scedrov4906
    @bonniehoke-scedrov4906 Год назад +1

    This is my first time enjoying your RUclips channel. Great content! Looking forward to hearing more from you! Your video was so informative. Thank you so much!

    • @PhysioMSK
      @PhysioMSK  Год назад

      Welcome aboard! Thanks very much for the feedback. Much appreciated.

  • @debstayblessed9549
    @debstayblessed9549 11 месяцев назад

    Thank you Thank you. Straight to the point, clear, and very helpful!!!

    • @PhysioMSK
      @PhysioMSK  11 месяцев назад

      Glad you found it helpful. Thanks for commenting.

  • @CalistroVC
    @CalistroVC 11 дней назад

    Beautiful.

  • @mlight7402
    @mlight7402 Год назад +1

    Excellent information!

  • @Diana-007
    @Diana-007 Год назад +4

    Great video thank you so much for all the practical advice lovely and clear instructions, so good to have different things to tackle this annoying and painful disease. You have a lovely calm and soothing voice too! Thank you again.

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Thanks v much for the kind comment. I hope you find something that helps.
      Best wishes. Stephen.

  • @life19499
    @life19499 Год назад

    Thank you for the video and all the informative comments.

  • @2wheeledwillie395
    @2wheeledwillie395 Год назад +6

    Very informative thank you...just ordered the coban tape 👍

    • @PhysioMSK
      @PhysioMSK  Год назад

      Hope it helps. Thanks for commenting 👍

  • @jewlzbulls
    @jewlzbulls Год назад +3

    didn't think of the coban wrap!! Good tip!!

  • @tammywinter9268
    @tammywinter9268 Год назад

    You are more informative than my RA DR. Thank you! I can no longer close my right hand. I don’t like to shake hands as people often squeeze your hand, Your videos are very good…I subscribed!

    • @PhysioMSK
      @PhysioMSK  Год назад

      Oh the shaking hands thing is so true. They are basically doing a metacarpal squeeze test on you! Best of luck with managing your condition for the future.
      Stephen.

  • @hegarklasye
    @hegarklasye 8 месяцев назад

    Very thorough. Thank you so much

    • @PhysioMSK
      @PhysioMSK  8 месяцев назад

      You're very welcome!

  • @missdollydaisy
    @missdollydaisy Год назад +17

    Castor oil is supposed to help with arthritic joints, especially if you use it with a warm wrap. I am experimenting with this at the moment.

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Interesting. Please let me know how you find it.

    • @mkaspersen9135
      @mkaspersen9135 Год назад +8

      Castor oil rubbed into the affected fingers at night has provided amazing relief and pain levels have dropped significantly for a family member. They use cold pressed castor oil.

    • @missdollydaisy
      @missdollydaisy Год назад +7

      Apparently castor oil is absorbed better than any other oil, and has anti inflammatory properties. Used on its own, or with cayenne pepper in a wrap, it can help with gall bladder, liver, gut and digestion problems. A magic combination.

    • @BootHeel54
      @BootHeel54 Год назад +1

      What did you use to wrap your fingers in? And how long did it take before you saw improvement? Ty!

    • @karoc52
      @karoc52 9 месяцев назад

      I use it cold it really helps . Sometimes I rub it in and wear compression gloves. I apply it several times a day like I would with hand cream. It also is great for your skin ,nails and many of my age spots have disappeared and lightened. It has many uses and I add some coconut oil to the mix

  • @cccynova
    @cccynova Год назад +11

    I have symptoms of nodal finger arthritis, in addition to symptoms of carpal tunnel syndrome, and talked to my doctor about it. I saw the doctor twice, actually. She did some tests, including a blood test. Diagnosis: um...nothing, really. Get a different pillow and do some neck exercises (there is evidence some of my problems stem from my neck). My chiropractor told me it was osteoarthritis and told me to take vitamin B6. I haven't had the money to get on a regular regimen of nutritional supplements which could help me. But, I am still annoyed that my doctor did not recognize classic symptoms of either osteoarthritis or carpal tunnel.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Being a generalist doctor is a difficult job. They can’t be experts at everything. Their job is to rule out serious things (like with the blood tests) but then refer to specialists when they need to.

    • @lisaschooler9992
      @lisaschooler9992 Год назад +1

      That must be frustrating! Even just suggesting possible osteoarthritis, would at least lead you in the right direction, since there is a huge amount of difference between osteoarthritis and rheumatoid.

  • @artandcreationsbyyvettecre2308
    @artandcreationsbyyvettecre2308 Год назад +1

    Thank you for all your advice,

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Hope it helps & keeps you crafting for many more years. Best wishes. Stephen.

  • @Sophia-uw2se
    @Sophia-uw2se 8 месяцев назад +3

    I have nodular arthritis in every finger. 3 fingers have fused and the others are on their way. Im 53 and this started 5yrs ago but become much more aggressive in the last 2 yrs. Im a tiler by trade and it's effecting my work. Only my thumb and middle finger work on my right hand. It's extremely painful. I have an appointment with a surgeon next month to see about joint replacements.
    It's a very depressing condition as you need your hands for everything

    • @PhysioMSK
      @PhysioMSK  8 месяцев назад +1

      It sounds like you have quite advanced and aggressive nodal OA for your age. I hope the surgeon can help.

    • @SonyaOutThere
      @SonyaOutThere 7 месяцев назад +1

      Hi what happened at the surgeon’s office?

    • @Sophia-uw2se
      @Sophia-uw2se 6 месяцев назад +1

      @@SonyaOutThere He said they don't do replacements on index fingers because there is too much side to side movement so they don't last long. As my index finger is fused straight he would only re fuse it in a curved position so it's more comfortable. He would do replacements on my other fingers but I still wouldn't be able to do my job so absolutely no point in having it done. He said every joint has gone and he only sees arthritis like mine in people over 70. I'm totally screwed.

  • @cattycorner8
    @cattycorner8 Год назад +1

    Great advice!

    • @PhysioMSK
      @PhysioMSK  Год назад

      Thanks. Glad you found it helpful.

  • @garden4561
    @garden4561 Год назад +2

    Is there anything similar to Coban tape that doesn’t have latex in it. I as well as many other people get serious skin inflammation from latex.

    • @PhysioMSK
      @PhysioMSK  Год назад +2

      Yes there is. Since I made this video they now make a latex free version. The Amazon link is here amzn.to/47MqT0M

    • @garden4561
      @garden4561 Год назад

      @@PhysioMSK thank you so much. Ordered,

  • @maryannisgood
    @maryannisgood 5 месяцев назад

    Excellent

  • @artandcreationsbyyvettecre2308

    Thank you. I have subscribed so I can get all your information. Thank you

  • @bonitareardon5987
    @bonitareardon5987 Год назад +6

    You can use a Crock Pot and a candy thermometer to do wax baths.

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Great idea. Thanks for sharing 🙏

  • @mahpohyong2676
    @mahpohyong2676 Год назад

    Thsnk you so helpful

    • @PhysioMSK
      @PhysioMSK  Год назад

      You’re very welcome ☺️

  • @supercool2218
    @supercool2218 Год назад +2

    Thanks

  • @elleeo1495
    @elleeo1495 Год назад +1

    Thank you for your information on OA. I've just found your videos & have watched a few. It's been very revealing. I put a wrap on my bad Heberden node joint & was amazed at how much it protects it. I'll be trying your other suggestions as well. Thank you for providing so many easy, everyday options to try. Best wishes for your channel. With much gratitude...

    • @PhysioMSK
      @PhysioMSK  Год назад

      Thanks Ellee. I’m glad you found it helpful. Thanks for taking the time to comment.
      Best wishes.
      Stephen.

  • @allykatharvey
    @allykatharvey Год назад +2

    Think about whether or not you have an RSI. I got a node on my finger from holding my mobile a certain way!

    • @PhysioMSK
      @PhysioMSK  Год назад

      Yeh good call. Not an arthritic node though. That will be a soft tissue response to repetitive stress. Might have to a video for that !

  • @lisaschooler9992
    @lisaschooler9992 Год назад +4

    For those that have use the wrap, how long approximately does it take to get used to keyboarding while keeping the wraps on? I need to type a lot at work and have fairly pronounced Heberden’s nodes…

    • @shosho5306
      @shosho5306 Год назад

      Me too.

    • @PhysioMSK
      @PhysioMSK  Год назад

      It depends on how many wraps you use (how many times around the finger) and how bad the arthritis is. Usually just a few days. Try it and let me know.

  • @hamwa4eis
    @hamwa4eis Год назад

    Wow what a comprehensive help thank you I will check boron out😊

  • @sonialightfoot5562
    @sonialightfoot5562 Год назад

    Thank you

  • @ForceFreeTrainergirl06
    @ForceFreeTrainergirl06 Год назад +3

    I find that wearing compression arthritis gloves when my hands hurt helps a lot. I usually wear them at night which is when my hands seem to hurt the most. I often only need to wear them a couple of hours and the pain subsides to its usually dull feeling instead acute and sometimes shooting pains. They come almost to the ends of my fingers and cover that last joint. However, If you've got giant hairy dogs like me, they aren't too practical to be wearing around the house during the day because they are a hair magnet and before I know it, they are covered in dog hair! Wearing that in bed at night is the lesser of two evils!! I've got two pairs. I bought them on Amazon and they were only around $20. One of the things that help me is to put on some normal dishwashing rubber gloves and place my hands in hot water. I don't bother with olive oil because it's messy and I don't think it's necessary. I do type a lot and I believe that does keep my hands from seizing up completely. For most of my working life in an office I typed for various reasons and so thats probably helped. Even now that I work for myself, I still use the keyboard a lot. It doesn't help my back much, but my hands, certainly! I
    I've asked about having joints replaced in my hands and I was told it wasn't possible to do. Yet I've heard of other people having replacement joints in fingers etc. If they can replace joints in other parts of the body, why not hands? Many years ago a cousin of mine had finger joints replaced. Our hands are one of the most important things in our every day lives. My nodal osteoarthritis which is in both hands and affects all fingers badly, to the point where some are bent downwards and sideways, but hardly my thumbs (I know not why) affects my everyday life to the point of me not being able to do certain things. As I run my own business still, I need to be able to use my hands and it is affecting me greatly that I can't.

    • @PhysioMSK
      @PhysioMSK  Год назад

      They can replace the PIP and MCP joints, but not they DIP joints which they can fuse instead if needed. Injections are often worth trying first though as they can be very helpful in settling down a flare up of joint pain and the results can often last for years.

  • @JJ-cv9ow
    @JJ-cv9ow Год назад

    This is very helpful thank you - off to watch the exercise one now

    • @PhysioMSK
      @PhysioMSK  Год назад

      I’m glad you found the video helpful. Thanks v much for letting me know. Best wishes. Stephen.

    • @jackiecorbett7415
      @jackiecorbett7415 Год назад

      Great practical suggestions..thank you.

  • @cheryl2103
    @cheryl2103 Год назад

    Thank you.

  • @patkarpf4386
    @patkarpf4386 Год назад +1

    My mother did wax baths in the 50's but she melted paraffin in a saucepan. I know she was very careful to be cautious that it was not too hot. She would wrap her hands with a towel to preserve the heat.

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      What a great story. It’s amazing how old some of these treatment are !

    • @signalfire6691
      @signalfire6691 Год назад +1

      @@PhysioMSK I used to work as an histology technician - we made microscope slides and part of the process was dipping our hands into a hot mix of plasticene and wax that made up the part of the slide that held the tissue specimens. After doing this every day, not only did it feel good on the hands (smooth skin!) but our nails became indestructible. They would grown out long and you could bend them back on themselves without them cracking.

    • @PhysioMSK
      @PhysioMSK  Год назад

      @@signalfire6691 ​​⁠that’s really interesting ! Same effect as a wax bath. Sounds like a great way to strengthen nails too. Our paraffin wax baths didn’t have that effect though.

    • @signalfire6691
      @signalfire6691 Год назад

      @@PhysioMSK It actually might with prolonged use, I would think paraffin would make the nails flexible and maybe stronger. I take collagen orally and it definitely makes my nails much stronger, it just takes a while to show because the nail has to grow out.

  • @titin6808
    @titin6808 Год назад +9

    Thank you!!

  • @akj721
    @akj721 Год назад +5

    Hello Sir, i am from India, 10 yrs back i had a tingling sensesion in Right hand ring finger right side tip, gradually increase the pain from rist and slight pain in elbow, i Will do the exersise sugested by you, any advise please it will be very helpful to me. Thank you🙏

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Hello. If your symptoms are tingling in the little or ring fingers then it is more likely a nerve condition. The most common causes are either a trapped nerve in the neck or in the elbow. In the elbow it’s called ‘cubital tunnel syndrome’ and I’ve done another video all about that including the treatment options. I would suggest watching that first.

  • @missmerrily4830
    @missmerrily4830 Год назад +1

    Oh I remember those wax baths which were sometimes recommended for home use, mostly because they quite often caused fires from being forgotten while heating on a stove top! I answered a knock on my door one evening to find a burly fireman with my elderly neighbour under his arm when her kitchen caught fire. I’m sure there are safer ways to use one now! But she did say how soothing it was as a treatment.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Yes it can be an effective treatment if used regularly… and safely ! We had one in our physiotherapy department in Liverpool where I took my first job. Modern wax baths are as safe as any other appliances and they can be very helpful. Thanks for commenting. Best wishes. Stephen.

  • @jademacachor5823
    @jademacachor5823 Год назад

    Thanks doctor🇵🇭🥰

  • @Bernard-l2k
    @Bernard-l2k 6 месяцев назад

    Besides covering up the pain, Do you have any advice for reversing heberden's nodes?

    • @PhysioMSK
      @PhysioMSK  6 месяцев назад

      You can’t reverse Heberdens nodes I’m afraid.

    • @Bernard-l2k
      @Bernard-l2k 6 месяцев назад

      @@PhysioMSK Is there anything one can do to prevent arthritis?

  • @paulvr3158
    @paulvr3158 Год назад

    Thanks

  • @NoorAlishbas
    @NoorAlishbas Год назад

    I diagnose 8 yrs ago...but I recovered in start.

  • @stephanieplatt6138
    @stephanieplatt6138 Год назад +1

    India has a ring that looks like a spring you put it on roll itbup and down the fingerand it forcces the fluids to flow through the effected area i used it it saved my job and my ability to earn a living i used it for a few months and have not had to do so now for some years

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      You didn’t have arthritis then. It might have been trigger finger or another tendon issue but you can’t cure arthritis or reshape arthritic boney nodes in this way.

    • @singatune
      @singatune Год назад

      I tried using jewelry ring sizer trying to keep knuckle size down so I could wear my rings. Helped a little probably soft tissue. Bone is bone. That is another sad thing about OA, not being able to wear your rings. All types of arthritis is sad.

  • @susanfarley1332
    @susanfarley1332 Год назад +3

    My grandmother had horibbly swollen finger joint. All of them. I think it was rheumatoid arthritis. Recently realized i am now older than she was when i started living with her and so far, i have no arthritis in my hands. A few years back i started having pain in my right hand thumb that bothered me but i started taking a supplement that i cant really spell or remember the ehole name of it but part of its name was chodritum (?). My memory is not reliable about the name. Took a pill daily. Used up two big bottles and then i didnt have to money to buy more. But that was ok because the thumb joint hasnt bothered me since. My index finger has a joint near the nail that has started getting bigger. No pain but im concerned.

    • @PhysioMSK
      @PhysioMSK  Год назад +6

      Hi Susan. The supplement you took was probably Glucosamine with Chondroitin. Some people find it helpful but it’s worth has never been proven in large clinical trials which is why I didn’t recommend it. The new bump in the joint near the nail will probably be an osteoarthritic Heberdens Node but if you are concerned then best to get it checked out. Best wishes. Stephen.

    • @cynthiagonzalez658
      @cynthiagonzalez658 Год назад

      Glucosamine chondroitin worked for me. For about 2 months only 🤣

  • @singatune
    @singatune Год назад +1

    I find kinesiology tape helps. I like CKeep because it can be cut easily. It gives support and some warmth and not bulky, making typing essier. Not reusable.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Thanks for sharing!

    • @rajsodhi
      @rajsodhi 5 месяцев назад

      What's your approach for wrapping the KT tape? I learned there are many methods.

  • @celiarodriguez2999
    @celiarodriguez2999 Год назад

    Very helpful.Thank you so much.Oct 2023

  • @evelynking7315
    @evelynking7315 Год назад

    Thanks ❤❤❤❤❤You For Sharing IHave All Over Body And Hands And Feet I Keep Moving That Help When I Can Do It ❤❤❤ Good Important Thanks You ❤❤

  • @edenadam872
    @edenadam872 Год назад

    NICE OF YOU TO TALK ABOUT JOINTS REPLACEMENT SURGERY: pros and cons; thanks

    • @PhysioMSK
      @PhysioMSK  Год назад

      I’m not a hand surgeon Eden. I’m a physiotherapist.

  • @sandysue202
    @sandysue202 Год назад +2

    Many thanks for this video!!

  • @sharondiaz137
    @sharondiaz137 3 месяца назад

    I have a big nodule on my wrists for about 5 years now is it possible to get rid of it

    • @PhysioMSK
      @PhysioMSK  3 месяца назад

      It depends if it’s a bony nodule. An x ray would tell. If it is bony then no, it won’t go away.

    • @sharondiaz137
      @sharondiaz137 3 месяца назад

      @@PhysioMSK it is bony so I guess it will stay there but it is very ugly looking I hate it

  • @diptiprakashharia7034
    @diptiprakashharia7034 Год назад

    Thank you 😊 Kindly let me know which blood tests?

    • @PhysioMSK
      @PhysioMSK  Год назад

      Hi. I check FBC, ESR, CRP, uric acid, rheumatoid screen with anti CCP antibodies. Sometimes serum iron and ferritin if index and middle finger MCP’s to check for haemachromatosis.

    • @diptiprakashharia7034
      @diptiprakashharia7034 Год назад

      @@PhysioMSK Thank u Soo much for yr advise & informative videos 🙏😊

    • @PhysioMSK
      @PhysioMSK  Год назад

      You’re very welcome

    • @diptiprakashharia7034
      @diptiprakashharia7034 Год назад

      @@PhysioMSK 🙏😊

    • @shosho5306
      @shosho5306 Год назад

      @@PhysioMSK I was told by Dr and. Consultant there is no blood test for rheumatoid arthritis. My hands and wrists are very painful and debilitating at times. I have very bony growths on my right index and middle finger after getting Covid. My middle nail split and came off. It’s interesting that you mention those two fingers as these are the worst for me with searing heat shooting pains at times. What is MCP check for haemachromatosis? I had 2 different X-ray for my hands and have have both nodes you mentioned which were diagnosed by a Dr and consultant. Both said cannot do anything for it and it will get worse. I had two sets of blood tests. They said they were ok. Do you meant metacarpals? I then got tennis elbow. And had to get a hydrocortisone injection. Also had previous frozen shoulders. What more can I do. Nothing helps. I will try the wraps you mentioned. Thank you.

  • @sam31a
    @sam31a 11 месяцев назад

    I have arthritis in my spine, feet, hips, beginning in my wrists. Doctors say now in my hands but nothing they can do!
    My fingers are twisting, quite a lot of pain.
    Would the banage help?
    I

    • @PhysioMSK
      @PhysioMSK  11 месяцев назад +1

      It’s worth a try Sarah. It’s fairly inexpensive. After that, I would ask about the injections.

  • @murielford464
    @murielford464 3 месяца назад

    Just discover this on my thumb smh it’s getting slightly bigger and at night I find it hurts a lot going to the docs soon

  • @1ofthedudeswatching57
    @1ofthedudeswatching57 Год назад +5

    Level teaspoon of dried ginger in a glass of water everday .

  • @marianne6876
    @marianne6876 Год назад +1

    Glucosamine with Chondroitin works extremely well with no side effects for me. I only found out how well it works when I couldn't afford to buy more tablets and was without them for 3 weeks and then I was in pain again, pain that I had forgotten about which showed that these tablets work. Haven't missed a day since and very little pain and also very little extra boney growths either. I excercise my hands and have not stopped knitting and don't take anything else for it.

    • @PhysioMSK
      @PhysioMSK  Год назад +2

      Thanks Marrianne. I’ve included this in a follow up video due out this weekend 👍

    • @life19499
      @life19499 Год назад +1

      Diabetic patients must be careful with Glucosamine use since increase the blood glucose

  • @dianarockwell6256
    @dianarockwell6256 Год назад +2

    They look at my hands and go, hmm. No one ever says one way, or the other, yup you have arthritis. I bought some gloves with the copper infusion, and they seem to really help. However, the most recent formation is in my index finger in the middle joint, and I cannot bend it completely, and anything I do with my right hand, which is my riding hand is painful. Just sitting here is painful. And it’s the whole length of the finger that’s painful and not just the joint. I’ve even had to stop crocheting and knitting for about a month because the pain is so great.

    • @PhysioMSK
      @PhysioMSK  Год назад

      If the arthritis is severe and you’ve tried everything you can do yourself then it’s time to see a hand specialist. Joint injections or joint replacement surgery can sometimes be helpful.

  • @SonyaOutThere
    @SonyaOutThere 7 месяцев назад +1

    I started developing Bouchard nodes in the last 2 months of my pregnancy about 6 years ago.
    I think this may be in part due to general swelling as well as the fact that my blood sugars went up unusually high the last two months of my first pregnancy.
    Can Bouchard nodes, in any way shape or form, ever be surgically removed?
    This makes me very self conscious about my hands especially since I used to have model-like hands and fingers 💅.

    • @PhysioMSK
      @PhysioMSK  7 месяцев назад

      Hi. No they can’t be removed surgically I’m afraid. But if the swelling came up in pregnancy then they might not be Bouchards nodes. They might just be joint swelling. You’d need an X-ray to be sure.

    • @SonyaOutThere
      @SonyaOutThere 7 месяцев назад +1

      @@PhysioMSK it’s been years and it’s become permanent . I felt both general swelling and the difference in bone shape towards the end of the pregnancy and the bones did not go back thereafter
      My rings got small

    • @PhysioMSK
      @PhysioMSK  7 месяцев назад

      Learn to love them Sonya.

  • @christinekane6059
    @christinekane6059 Год назад +1

    Extremely helpful ❤. Very many thanks for illustrating the various grip aid options 🎉. I never knew there were so many on the market 😂. And the info about the plaster grip was such a surprise, ie: it's reusable as well as washable 😅

  • @caseyandrews7
    @caseyandrews7 Год назад +6

    1 tsp of turmeric powder & 1 tsp ginger in coconut yogurt every day reduced my arthritis by 80%. I add a few other spices that also help, but believe the turmeric has been the key ingredient. Also follow low sugar/low carb/ drinks lots of rain water and avoid lectins

    • @PhysioMSK
      @PhysioMSK  Год назад

      Thanks Casey. Keep your eye out for a new video soon which summarises all these suggestion plus a few others.

    • @rajsodhi
      @rajsodhi 5 месяцев назад

      I see a lot of food oriented recommendations. Definitely worth an experiment.

    • @jmc8076
      @jmc8076 3 месяца назад

      These herbs can help many but for those with GI isssues like gastritis, chronic heart burn etc need to be very careful with them and any diet changes. Try small changes one at a time and see how you feel. Best of luck all.

  • @ithacacomments4811
    @ithacacomments4811 Год назад

    I use Oval 8 plastic splints.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Yes they can good for the DIP joints but they don’t allow much movement. Great that you’ve found something that works for you.

  • @jojoshane
    @jojoshane Год назад +4

    How did he say 'mouse trousers' without even smirking!

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Practice Jo. Years of practice 😂

  • @mariecurie7491
    @mariecurie7491 Год назад +6

    I guess my hobby of bread and pastry making is therapeutic, for my arthritic hands as well as for my mind 😄. Aged 70, in Italy

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Yes definitely! Thats a great functional exercise. And tasty one too 😋

  • @johnmolina9496
    @johnmolina9496 Год назад +3

    I've got a swollen and hard pinky joint that ached all the time. I've been on a carnivore diet for months now and the pain has gone. I can squeeze the joint and no pain. My gums have stopped bleeding too

    • @PhysioMSK
      @PhysioMSK  Год назад

      Interesting. I hope it stays good. Some foods can irritate arthritis (tomatoes, citrus fruits, refined sugar etc) so it maybe the omission of those which has helped. Best wishes. Stephen.

  • @Ava-oc1dg
    @Ava-oc1dg Год назад

    Once the middle finger is bent can it become straight again. Without surgery

    • @PhysioMSK
      @PhysioMSK  Год назад

      It depends how long it's been bent for, how bad the angle of bend is and how severe the arthritis is on X-Ray. The only option other than surgery is to stretch the joint regularly every day. If there is any potential to improve the degree of bend then you should notice a very slow improvement over a few months. The stretches work better if the hand is warmed in hot water for a few minutes first. Its always worth a try as there is nothing to loose.

    • @lindabender1713
      @lindabender1713 Год назад

      Mine did. I was in a drumming class. It finally straightened out.

    • @SonyaOutThere
      @SonyaOutThere 7 месяцев назад

      Mine is not bent but I do have those bony outgrowths or expansions.

  • @susanjackett9268
    @susanjackett9268 Год назад +1

    Know it's my toes, but I now wear a gelvtoe separator between my big toes and the next one, with some lightwieghr socks to keep them on. I no longer suffer agonising toe cramps.

  • @katiejo1095
    @katiejo1095 Год назад +2

    I had hand and toe Arthritis. I accidentally found that I had asymptomatic blethritis, a strong solution in my eyes and it felt like something melted away and my Arthritis was gone instantly.

    • @PhysioMSK
      @PhysioMSK  Год назад +3

      It wasn’t arthritis then Katie. I’m glad you’re hands and feet are feeling better though.

  • @BAFANABAKASI9276
    @BAFANABAKASI9276 Год назад

    Hallo my wife's hand get pain after washing the dishes and clothes or touching water is there any medication to help her also shop and price please

    • @PhysioMSK
      @PhysioMSK  Год назад +6

      I think the best solution is for you to do the washing up for your wife.

    • @BAFANABAKASI9276
      @BAFANABAKASI9276 Год назад +1

      @@PhysioMSK yes I do during my off days

    • @PhysioMSK
      @PhysioMSK  Год назад

      She needs a diagnosis first. I would advice seeing a health care professional.

  • @susanne1756
    @susanne1756 Год назад

    Do these wraps reduce the size of the nodules. Would a laser remove the boney protrusion

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      I’m afraid not. Learn to love them Susanne. They are you’re unique nodules.

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      @@OwwitsmuggyoutsideI often advise olive oil but I will give that a try. Thanks.

  • @geauxp
    @geauxp Год назад

    Stopping gluten and carbs and losing 40 pounds made a huge difference in my pain levels for my back and hips, but not hands. The only thing that helps the hands right now is turmeric, which I make myself as a paste from the turmeric User group.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Just be careful with turmeric as there is increasing evidence that it can cause hepatitis. Make sure the dose is appropriate.

  • @arribaficationwineho32
    @arribaficationwineho32 Год назад +107

    Stop gluten and processed foods. My hands improved greatly when avoiding these things as well as sugar and white carbs.

    • @PhysioMSK
      @PhysioMSK  Год назад +20

      Yes that’s a commonly reported effect of such dietary improvements. Doesn’t work for everyone one and clinical trials show inconclusive results. I’m glad you’ve found something that works for you.

    • @arribaficationwineho32
      @arribaficationwineho32 Год назад +14

      @@PhysioMSK that worked for me plus loss of belly fat

    • @WVgrl59
      @WVgrl59 Год назад +9

      Very true.
      They cause inflammation.
      One doctor said that eating sugar/HFCS was like taking a little bit of cyanide every time you ate it. Apparently they are very similar except for one is a slow death the other is fast.

    • @deedeesmith3073
      @deedeesmith3073 Год назад +9

      This doesn’t work for everyone so it’s good it helps you but we are all different . Gluten isn’t a problem for me nor are carbs , although I don’t overeat them. I think a lot of people overeat them.

    • @LinA-it9vd
      @LinA-it9vd Год назад +1

      Didn’t work for me. I’m glad it does for you.

  • @mohamadabdul4391
    @mohamadabdul4391 Год назад

  • @JBryan-sx8qs
    @JBryan-sx8qs Год назад

    Excellent video.

  • @johannakamstra-schickendan7380
    @johannakamstra-schickendan7380 Год назад +1

    Had it also, no sugar no prepared food with all the killing ingredients and can see it’s disappearing by the day. So simple advice; cook your own food from scratch and it will go away but it takes patience and time.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Thanks for sharing. I think this can really help, particularly in the early stages, to reduce inflammation. Unfortunately though, once it reaches a certain point, it becomes irreversible (on X-Ray) although symptoms can still be improved.

  • @Dr.Jas-AyurvedaExpert-se9mi
    @Dr.Jas-AyurvedaExpert-se9mi 4 месяца назад

    Planet Ayurveda's Coral Calcium Support and hakam churna will help in this condition.

  • @joycekepic8947
    @joycekepic8947 Год назад

    It is so painful I’ll take any suggestion

    • @PhysioMSK
      @PhysioMSK  Год назад

      Give it a go Joyce. You’ve nothing to loose. Good luck & best wishes. Stephen.

  • @irenedavo3768
    @irenedavo3768 Год назад

    Remember to Subscribe

    • @PhysioMSK
      @PhysioMSK  Год назад

      Ahh that goes without saying now … doesn’t it ?

  • @alexthai2456
    @alexthai2456 Год назад

    is trigger finger arthritis???

    • @PhysioMSK
      @PhysioMSK  Год назад

      No. Totally different.

    • @PhysioMSK
      @PhysioMSK  Год назад

      See my other video on trigger finger

    • @alexthai2456
      @alexthai2456 Год назад

      @@PhysioMSK if so how am I know is my problem is trigger finger or arthritis Sir??? thanks

    • @PhysioMSK
      @PhysioMSK  Год назад

      @@alexthai2456 if you watch both videos you will have all the information you need.

  • @KenneithTV
    @KenneithTV Год назад +1

    when i use riveter nail gun my finger joint started stiffness.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Thick gloves might help. But this is a job that puts a lot of stress through the hand.

    • @KenneithTV
      @KenneithTV Год назад

      @@PhysioMSK ok tnx 4 the info

  • @simplyme-88
    @simplyme-88 7 месяцев назад +2

    Change what you eat first and see. Stop sugar and CH.

  • @harwoods11
    @harwoods11 8 месяцев назад

    Mine was caused by autoimmune condition 😢

    • @PhysioMSK
      @PhysioMSK  8 месяцев назад

      That’s not Osteoarthritis then. That sounds like Rheumatoid arthritis or similar.

  • @NoorAlishbas
    @NoorAlishbas Год назад

    Its reason acidity in blood....mostly when you eat lot of meat....or may be drink or spicy food. Inheritance also reason.movement hands

    • @PhysioMSK
      @PhysioMSK  Год назад

      There is no evidence for what you say but ... you might be right. We just haven't discovered the cause yet.

    • @NoorAlishbas
      @NoorAlishbas Год назад

      @@PhysioMSK my father was in medical ...I read about it in indian airvadkbook

  • @JessiV111
    @JessiV111 Год назад

    My poor dad his fingertips are so crooked and they hurt him so bad he drops things and they get stuck

    • @PhysioMSK
      @PhysioMSK  Год назад +2

      Hopefully he might find some relief by following some of the treatments discussed. If his fingers are ‘sticking’ though, he might have a different problem called trigger finger. I have another video on the channel all about this and it’s worth a watch because it’s a much easier condition to treat and get better than arthritis.

    • @JessiV111
      @JessiV111 Год назад

      @@PhysioMSK is there anything he can do to slow down the progression of it ? So far he’s negative on all the tests you mentioned . The dr said degenerative arthritis . I feel so bad for him he’s only 65

    • @PhysioMSK
      @PhysioMSK  Год назад

      Following the advice on the video will help get the best out of his finger joints but unfortunately there is no cure. I often find that the pain improves with age though, mainly because the joints stiffen and can eventually fuse (particularly the end joints) and when they stop moving they stop hurting. But also because activity levels reduce with age. Nearly every 80 year old will have finger osteoarthritis but most won’t be very painful.

  • @barbbirdyard
    @barbbirdyard Год назад +1

    Does playing piano help?

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      I’ve had a few comments from people who have found benefit from playing the Piano. So I would say yes 👍

  • @garyjagoe9541
    @garyjagoe9541 Год назад +1

    I went full carnivore and all my pain and stiffness disappeared after two weeks.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Yes - A few people have told me the same thing. I’m glad you found something which helped.

  • @rajsodhi
    @rajsodhi 5 месяцев назад

    Really well presented. Thank you!!!
    My situation is a breaking down of the cartilage that speaks loudly when I type (as I'm doing now) or playing piano or buttoning my shirt. When I got diagnosed a couple weeks back, it was not a good day.
    Sometimes when I used tape around my DIP joint, it would become even more stiff and tender. Like you predicted, resistance exercises tend to flare it up. So far I've been icing, but I'll try the heat idea. I suppose just dipping in hot water might work too, right? I'll also try the Coban tape idea. I suppose KT tape is similar? About 1 month back I saw this video and tried her approach. ruclips.net/video/VyrPsd1OfCE/видео.html. It didn't work very well for me.

    • @PhysioMSK
      @PhysioMSK  5 месяцев назад

      It’s about management rather than cure. The DIP joints are rarely painful in the long term though. They slowly stiffen and eventually fuse. At that point they usually don’t hurt any more. And so long as the PIP and MCP joints on the same finger are generally ok, a fused DIP won’t be a problem. Coban is much better than K tape as it’s far more elastic. Heat (the wax bath can really help) is often useful. I hope you find something that works for you. Best wishes. Stephen.

  • @gilbertayala1069
    @gilbertayala1069 Год назад

    🤔🤔🤔
    Focus on the inner body instead...
    Get control of your uric acid in your bloodstream.
    Level your uric acid & Alkaline in the your bloodstream. You will see mayor results.
    This will take awhile to see results and you continue to change certain types of food intake...

  • @furiousdoe7779
    @furiousdoe7779 Год назад

    Vinegar

    • @PhysioMSK
      @PhysioMSK  Год назад +1

      Rubbed into the joints or taken orally ? Any particular type of vinegar?

  • @mariadange06
    @mariadange06 Год назад +2

    Go to the root cause... carbs, sugar, fructose. KETO diet monitors osteo & rheumatoid arthritis, all flare ups and pain disappear...

    • @PhysioMSK
      @PhysioMSK  Год назад

      Yes I have discussed things like diet in a separate video here ruclips.net/video/5x-U0pJJnsk/видео.htmlsi=5-q4ACeB2rpeNy2W

  • @cynthiagonzalez658
    @cynthiagonzalez658 Год назад

    Not too helpful for me.

    • @PhysioMSK
      @PhysioMSK  Год назад

      Sorry about that. Hope you find something that does help 🤞

  • @NoorAlishbas
    @NoorAlishbas Год назад

    Gluten free food...no beef,mutton,less salt.

  • @carinegevaert3775
    @carinegevaert3775 Год назад +2

    Ibuprofen????? Got nothing better to sell...I pass

    • @Rae-qf7xv
      @Rae-qf7xv Год назад

      Old fashioned useless NHS training. No cure. No new treatments.