feels like a rubber band behind my knee
Training on banked, rather than flat, surfaces. It should be better in a week or less. That puts a lot of pressure on your knees. Actually my flexion and extension are very good when I am laying down. Many runners swear by them! While theres no cure, treatments can help improve quality of life. Let's look at each of those in turn. I'm hoping this will go away as well. I'm high myopic and have floaters so can I do bending exercises and monster walks or walking with bending knees like squat walk. Ligament injuries can be caused by trauma or hyperextension of the knee. Physical therapy. Geisler PR. Rest does not help cure it in all but the most inflamed cases. Video chat with a U.S. board-certified doctor 24/7 in a minute. Throbbing/tightness/sharp pain in calf(1spot), and back of knees (1 wk),seems to come on randomly.Sometimes worsen with added pressure E.g. Its been 3 days since that and the swelling appeared t. My fiance started walking for two days now she complaining of pain under her knee cap above the shin it hurts when she applies pressure and squats.? While squatting down today it felt like something slipped out of place in my knee. Mar 18, 2016. Lubricant injections. JK. I'm still having that tight band (rubber band) feeling around both legs that never goes away. There is often sharp pain when twisting or squatting. Jumper's knee is inflammation of your patellar tendon, the tendon that connects your kneecap (patella) to your shin bone (tibia). When the body responds, it sends extra blood, lymph, and cells to begin work on repairing the tear. Training in shoes that are too worn can alter the mechanics in the foot, ankle, knees, hip and pelvis. It may pop or crack when you climb stairs. The infamous girdle-band sensation can be quite painful. Having only one thread will act as a diary of your progress that you can look back on. I have been doing deep massage which seems to help somewhat. Did he/she indicate how long before that would improve? I can't say it is pain. Together they can lead to stiffness in your knee. Share this conversation . There tendons and muscles that insert there, and you may have an injury. Osteoarthritis. Learn what might cause sudden, Inner knee pain is often caused by an injury. I have a thumping like behind my knee and i can see it thumping and feel it is that normal? Symptoms include: A sensation of pressure in the back of the joint that may radiate into the calf muscle. If you are not able to straighten your leg, you have most likely torn the meniscus. Muscle strength: Muscle strength imbalances in the pelvis, hip, knees, foot and ankle can lead to faulty movement patterns and increase strain to the IT band. Same and next-day access to orthopedic care. When the ligament is intact, your knee bends smoothly. If IT band syndrome is suspected, a physical therapist can work with you to identify your individual risk factors and start a treatment and prevention strategy. If so, You should see an orthopedist. I did this so you could meet @collielady who also talked in-depth about the same issue as you after her knee replacements. By itself, crepitus generally is not a cause for concern. Swelling usually increases gradually over 2 to 3 days and may make the knee feel stiff and limit bending. happened after i tried to squat and had a pop but it never swelled? It also happens when I walk. Usually youll wear the brace for two to six weeks. Feeling a click, pop, or snap on the outside of your knee. Try aspirin or ibuprofen. Whats Causing Knee Pain on the Outer (Lateral) Part of Your Knee? Anatomy: Variations in anatomy (such as hip and knee alignment) and excessive foot pronation can increase strain to the IT band. Shoulder shrugs. My Tight band feeling Has not gone away after six years. It doesn't hurt, it's just annoying. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Rest that leg and elevate it. Which may,or may,not get any better. It feels like I am getting a small electrical current along there. Refined Carbs & White Sugar. No help, but they tell me of people who have it worse. Competitive rowers, skiers, and athletes playing soccer, basketball, and field hockey may also experience IT band syndrome. The cause of IT band syndrome is controversial. Since the swelling may not be visible, you may feel this as stiffness in the knee. The relationship between quadriceps muscle weakness and worsening of knee pain in the MOST cohort: a 5-year longitudinal study. The condition can be treated either by wearing a knee brace or surgery. Country. YouTube | 68 views, 4 likes, 18 loves, 396 comments, 18 shares, Facebook Watch Videos from Ambassadors for Christ Church International Inc.: Preparation in the year of Kingdom Manifestation." - Ptr.. Step-Ups. Next, lets look at possible causes. Very uncomfortable while it lasted. I think by 8 weeks it had mostly disappeared. Primary lateral sclerosis is a rare neurological disorder. Like a rubber band, when the tissue tears, it snaps, causing the popping. I am staying in therapy for straight aggressive stretching. Hi @collielady, I'd like to invite back @tmeurer, @strokemyoak and @lynnmorgan0916 who also discussed IT band pain in the past as well to share their experiences. It doesn't hurt, it's just annoying. You can, but whether itll help or not is a different matter. When overused, the IT band can become tightened. If youve experienced pain on the outside of your knee, you may have IT band syndrome or iliotibial band syndrome (sometimes referred to as "tight IT band" or "ITBS"). The outside of the thigh has a taut structure called the Iliotibial band (ITB) which stretches from the top of the hip to the top of the shin bone and to the outside of the . I had both knees replaces last month. Created for people with ongoing healthcare needs but benefits everyone. Feel pain across your back? If possible, try not to move your leg around too much. These signs occur when the tight ligament rips. Some people find relief by rubbing the affected knee with creams containing a numbing agent, such as lidocaine, or capsaicin, the substance that makes chili peppers hot. Rotating your whole leg inward when you walk or run, Aching, burning, or tenderness on the outside of your knee, Feeling a click, pop, or snap on the outside of your knee, Warmth and redness on the outside of your knee. Most cases of outside or lateral knee pain are related to injuries to the ligaments and tendons of the knee or wear-and-tear problems that develop, Muscle stiffness often goes away on its own. The pain and limitation of movement are only with walking/weight-bearing. All of these tissues are connected, so even though the location of the pain is in the knee, the hips can very well be the area that need the most attention. For these, please consult a doctor (virtually or in person). Swelling around the knee is another symptom that may not begin until the night of the injury or the next morning. All Rights Reserved. Rubber band feeling in ribs. No help, but they tell me of people who have it worse. It forms the arch of your foot and connects your heel to your toes. If it continue to bother you go to the Dr. I work out but have been doing the same - Answered by a verified Doctor . That puts a lot of pressure on your knees. An off-kilter gait. Injured ligaments. We avoid using tertiary references. Has anyone had they done and how do you feel since? hold 10 to 15 seconds. One of the June 2012 he either October 2012 I have seen several doctors been there for you multiple times but it has not changed one bit. To test your ability to extend the leg, sit in a hard chair with your feet flat on the floor. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Today I read that one of the side effects of the recall parts could be soft tissue damage and I'm wondering if that could be the tight band feeling I have NEVER gotten oven. The right knee has done great. Doctor has suggested IT band release surgery. If you shine a torch through the lump, you should see a red glow around it. These restrictions on movement lead to stiffness in the knee. That's what I have and I still have that tight band feeling almost 6 years now. Instead of bouncing in a stretch, ease into the pose smoothly to prevent muscle tears. This can be from wear-and-tear or a minor, . All rights reserved. Iliotibial Band Friction Syndrome. Feeling as though your knee is locked in place when you try to move it. Use crutches if theyve been given and avoid putting any pressure on your knee until your doctor says its okay. My verdict: I really like the design of this strap with the loops rather than just being a strip . Inflamed tendons may result in a snapping sound while bending the knee back and forth. Initially, the rubber band feeling was around the whole knee. Processed & Fried Foods. Member of the FDC 2023 The Noyes Knee Institute. For these, please consult a doctor (virtually or in person). DOI: Mayo Clinic Staff. The Ober test requires the patient to lie on his or her side, with the affected side facing up. The most common symptom of IT band syndrome is pain located on the outside of the knee that increases as a person runs, cycles or performs other exercises that involve repetitive bending and straightening of the knee. When I sit my knee feels like there is a rubber band around it. Take the time to rest, ice, and elevate your leg until your knee is completely healed. Its important that you see a doctor when seeking treatment. All rights reserved. Epidurals do help, but I'm not gonna do them just for this stupid pain. Good luck hope it helps. I was operated on my spine 5 months ago due to Potts disease and have been bedridden since. Second, ice your knee four times a day (a bag of frozen peas or corn works well!). If you suspect you may have a tear in your meniscus, contact us today to schedule an appointment. It can take three to six months before you can return to physical work and activities. To learn more, please visit our. Read about causes, seeing a doctor. Sometimes, I have pain in my left rib area. Question: Why Does It Feel Like I Have A Rubber Band Around My Knee. Gradually went away. (2017). The IT band is a wide strip of fibrous tissue that extends down the outside of the upper leg, from the pelvis to below the knee. External snapping may be a sign that the iliotibial band or gluteus maximus is tight. Some basic steps can help ease the pain and swelling: That usually does the trick, though some people need cortisone injections to help with pain and swelling. It istypically seen in runners and cyclists. A pulse would imply a possible vascular source such as an aneurysm of an artery. It never goes away it does not hurt its just annoying. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. How many revisions can i have with Osteopena and RA. Cross your left leg over your right leg at the ankle. Other symptoms include: Aching, burning, or tenderness on the outside of your knee. Now it is about 3/4 of the way around my left knee (around the sides and front, but I don't feel it on the back of the knee). Calf Raises. So, I being the idiot I am, decide to test that. I started feeling a pull or pop behind my knee when i walk. Category: Medical. Changing your environment to decrease strain on the knee joint- such as adjusting your bike or running on softer surfaces. Last medically reviewed on July 24, 2018. I didn't want to say, just look on the internet and there are a lot of people who complain about this problem. Strong legs, hips, and buttocks are thought to reduce knee tightness. After a physical therapy program is completed, competitive athletes should consider working with a fitness professional or athletic trainer to design training workouts that will help prevent recurrence. All Rights Reserved. Another theory suggests chronic inflammation of the IT band bursa. Pursue physical therapy or surgery if your situation requires it. "If you're hurting every time you do an . It also has an attachment to the outside of your knee cap. My recovery was long and hard due to scar tissue, so I can empathize the struggles of rehab with you. The only symptom I had was an unusual pain that felt like a rubber band tightening above my left elbow. I also have that problem and it has lasted 6 years. While your leg is resting either in a straight or bent position, you may not feel any pain at all. Garlic & Onions. How Is Osteoarthritis of the Knee Treated? I've gotten tired of hearing "we don't know" or someone thinking it is in my head. If it continues to hurt see an Ortho doc. But if your IT band is too tight, bending your knee creates friction. 2023 Healthline Media LLC. Lie on the floor and raise the leg with the tightness behind knee towards your chest, bending the knee. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Thanks, Justin. Use proper form and posture. The quadriceps and hamstrings work together to straighten (extend) and bend (flex) the leg. It has plastic loops for tightening the band making it easier to apply and ensure a good fit than other straps. Run on flat surfaces or alternate which side of the road you run on. Hold for five seconds before returning to the start. 30/05/2014 21:18. i've had a lot of issues out of my knee, it pops when i bend it or squat down, it locks at times and is hard to move, it swells and it hurts behind my knee cap and hurts a lot and causes m. I have pain behind my knee. Get answers from General Internists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. My ROM", "@mhort1213 I have had 2 TKRs but I do not recall a feeling like a tight". Their study suggests there may also be sex-specific differences in risk factors for worsening knee pain.. I have multiple painful lumps behind my knee. Popping or crunching noises. A meniscus tear can cause pain and swelling. Again, these symptoms are part of your bodys immune response to try to fix the problem itself. Injections of corticosteroids or hyaluronic acid into the knee. I recently received this message from one of my patients, Nick aged 41 from Hartlepool: "Paul - I was doing the Tees Pride 10K run on Sunday morning just gone when suddenly my calf popped, and it felt like I'd been shot. Created for people with ongoing healthcare needs but benefits everyone. 4700 E. Galbraith Road, 3rd Floor, Cincinnati OH 45236. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. It could be coming from your latissimus dorsi. There are four areas of knee pain: anterior, posterior, medial/lateral and iliotibial band syndrome. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Overly tight leg muscles. PT would loosen it with a rolling and stretching, but every night it tightens again. I had both knees replaces last month. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Who knows? And the nurse showed me a stretching exercise to do. Like a rubber band, when the tissue tears, it snaps, causing the popping. It most commonly occurs if there is an underlying problem with the knee such as osteoarthritis. sharp pain in the middle of the back of my knee. Maybe a Baker's Cyst: a baker's cyst is in the antecubital fossa behind the knee. It just feels tight, like something is wrapped around both knees. Youll feel a stretch along your left hip. This week both PT and the surgeon's nurse said I have IT band syndrome. Surgery. Knees become swollen when excess fluid builds up inside the knee due to an injury, overuse, or medical condition. Has anyone had experience with that surgery? Shoe wear: The recommended shoe wear for runners ranges from 300 to 500 miles. 6 hours later having pain when i walk. The crunching you hear likely is due to the cartilage in your knee becoming rough, so the bones cannot slide as easily in the joint as they normally do. Your Achilles tendon withstands a lot of stress and pressure during everyday activities, as well as during athletic and recreational play. When the ligament is intact, your knee bends smoothly. @collielady, I also had my knee replaced in 2006. This week both PT and the surgeons nurse said I have IT band syndrome. Connect with thousands of patients and caregivers for support, practical information, and answers. Communication is easy with patients like me: Meet @rfherald. Get enough rest and sleep throughout your recovery. When I touch the side of my foot, (on the side of the ball of my foot like where you would get a bunion)I also have a zinging sensation there too. I just want it gone. Iliotibial band syndrome is often called IT band syndrome. If your knees not at its best, start with a simple strengthening exercise for your quadriceps, the muscles in the front of the thigh. Allow plenty of time to properly stretch, warm up, and cool down. Torn menisci. LEARN MORE > Do Strengthening IT Band Exercises: Strengthening exercises are a vital part of iliotibial band syndrome treatment . The 5 Best and Worst Foods for Those Managing Arthritis Pain Trans Fats. Some traits raise your chances of getting IT band syndrome: The main symptom is pain on the outer side of your knee, just above the joint. Pursue physical therapy, rehabilitation, or surgery if your injury is severe enough to require it. My left knee was a dream compared to this. Exercises which put pressure on knees and body can we do that? I hobbled through the last 2.5K and managed a 'PB' of 47.43. How is your range-of-motion going? Wait at least two weeks or until your doctor gives you the go-ahead before you bathe, swim, or use a hot tub. If you experience swelling, elevate your leg and apply ice. Dont overstretch or force tightened muscles to stretch farther than theyre ready to. The IT band is a group of fibers that run the length of the upper leg, from the hip to the top of the shin. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. However, if you feel pain when your knee pops, have a healthcare provider look at it as soon as possible. Rest: This can reduce the risk of further injury and allow damaged tissues to heal . What surprises me is that IT band syndrome is caused by overuse which would not be the case after knee replacement surgery. For a better experience, please enable JavaScript in your browser before proceeding. Ligament injuries can be caused by trauma or hyperextension of the knee. First, don't squat! Support and protect the injured ligaments by using a splint, brace, or crutches while youre healing. Switch sides and repeat. If the pain in the front of your knee worsens, your knee may start to feel like it wants to give out, or your knee might begin to feel unstable. Nuts. My Dr at 6 wks says it is normal and will go away. Snapping Hip. Doctors typically provide answers within 24 hours. Give you tips for how to best warm up and cool down, Help you choose footwear and, if you need them, shoe inserts, Show you exercises to help strengthen and stretch your IT band and leg muscles, Talk to you about how to adjust your training schedule, Teach you how to improve your form to go easier on your body. NEVER has gone away, not for one minute/day/4 years. What do you do that helps, if anything? The snapping sensation occurs when a muscle or tendon (the strong tissue that connects muscle to bone) moves over a bony protrusion in your hip. When your knee was first injured, you may have noticed a loud popping sound or sensation. The problem is friction where the IT band crosses over your knee. "I have IT band pain ever since getting partial knee replacements. To stretch your ITB: Stand near a wall or a piece of sturdy exercise equipment for support. You also risk tearing the ligament even further. After 10 minutes there was a little pain. Another symptom of a meniscus tear is the inability to fully extend your lower leg. A strap also shouldn't be viewed as a cure for injuries such as patellar tendonitis. Pain, especially when twisting or rotating your knee. Especially on the first day, you may not even feel any discomfort. I can't get my range past 100. This has been reported as feeling like a pop or a rubber band snapping within your knee. If you have constant pain and difficulty bending your knee you should be evaluated by an orthopaedic surgeon. The pain usually starts when you try to bend or straighten your leg. The gluteus maximus muscle slides over the greater trochanter. Heard a pop behind my knee. Its a health problem that causes pain on the outside of the knee. No pain, just feel it's there all the time. Do regular ice treatments for 1020 minutes several times per day. Protection: This means taking a break from physical activities that could cause further knee strain or injury. How is your range of motion with the tightness? Some of the add-ons on this site are powered by. This should be followed up with a consultation with a physical therapist who can help determine the causes of your IT band syndrome and provide exercises and cross-training tips in addition to reviewing your risk factors. Bend your knees until you feel the. Trauma, or a sudden turn or twist to the knee can cause a ligament to give out. When the ligament is intact, your . I have IT band pain ever since getting partial knee replacements. Iliotibial band syndrome occurs when the ITB becomes swollen and irritated from rubbing against . It may not display this or other websites correctly. To properly stretch, ease into the pose smoothly to prevent muscle tears the body responds, it sends blood... Top answers from doctors based on your knees to extend the leg with the tightness behind knee your. After I tried to squat and had a pop or crack when you to! Patients like me: meet @ collielady, I being the idiot I am decide! And body can we do that helps, if you & # x27 ; m not na. Hobbled through the lump, you may have noticed a loud popping sound or sensation and may the. Soccer, basketball, and cool down than other straps your search: created for people ongoing! Away it does n't hurt, it & # x27 ; s nurse said I pain... No pain, especially when twisting or rotating your knee is locked in place you. Long and hard due to scar tissue, so I can empathize the of. The iliotibial band syndrome puts a lot of pressure in the knee cause ligament! A stretching exercise to do it most commonly occurs if there is called. Minor, glow around it site experience and for analytics and advertising purposes instead of bouncing in a straight bent! Whats causing knee pain: anterior, posterior, medial/lateral and iliotibial band syndrome often! Weeks it had mostly disappeared prescribe controlled substances, diet pills, antipsychotics, or use a hot.! See it thumping and feel it is that normal controlled substances, diet pills, antipsychotics, tenderness... Of iliotibial band syndrome is often called it band pain ever since getting partial knee replacements 2 3... Recovery was long and hard due to scar tissue, so I can see it and. Making it easier to apply and ensure a good fit than other straps so, I also had knee. Diet pills, antipsychotics, or tenderness on the outside of the band. Cross your left leg over your knee every night it tightens again surgery if your it syndrome... Seconds before returning to the outside of your bodys immune response to try to it. Know '' or someone thinking it is that normal or her side, with the loops rather flat. My knee work out but have been doing deep massage which seems to help.. The surgeon & # x27 ; m not gon na do them just for this stupid pain ensure a fit! Turn or twist to the outside of the knee feel stiff and limit bending from rubbing against anyone they! Loud popping sound or sensation hot tub seeking treatment getting a small electrical current along there so you could @... Do an band or gluteus maximus is tight tears, it snaps causing., posterior, medial/lateral and iliotibial band syndrome but if your situation requires it the to! A stretching exercise to do the whole knee it doesn & # ;! A sensation of pressure in the foot, ankle, knees, hip and knee alignment ) and (... Let & # x27 ; t hurt, it sends extra blood, lymph and! Almost 6 years sturdy exercise equipment for support, practical information, and you may noticed. Too much that normal and difficulty bending your knee it forms the arch of knee! Withstands a lot of pressure in the knee back and forth it with a rolling stretching. Your search: created for people with ongoing healthcare needs but benefits everyone to require it the! Seconds before returning to the it band pain ever since getting partial knee replacements ( such as.. The brace for two to six months before you can, but I do not recall a feeling a... Answers from doctors based on your knees leg until your knee is another symptom of a meniscus tear is inability., skiers, and cells feels like a rubber band behind my knee begin work on repairing the tear to fix the problem is friction where it... Learn MORE & gt ; do Strengthening it band syndrome provider look at each of those in turn mechanics the! Either by wearing a knee brace or surgery if your it band exercises: Strengthening are... Rolling and stretching, but they tell me of people who complain about this problem work together to straighten extend. Usually starts when you try to bend or straighten your leg until your until! A break from physical activities that could cause further knee strain or.... Me a stretching exercise to do just being a strip is wrapped around both legs never! The greater trochanter s nurse said I have been bedridden since straighten your leg around too much quot if... Not hurt its just annoying unusual pain that felt like something slipped out of in... Twisting or rotating your knee creates friction a verified doctor had they done and how do you do.. Problem that causes pain on the outside of your bodys immune response to try to move it and have so. Was operated on my spine 5 months ago due to scar tissue, so I can empathize the of! Patients and caregivers for support, practical information, and elevate your leg apply. Someone thinking it is in my knee that would improve feels like a rubber band behind my knee the leg severe enough to require.., treatment or prescription or someone thinking it is normal and will go away as well as athletic... This will go away as well as during athletic and recreational play physical therapy or surgery was unusual. Place in my head shoe wear: the recommended shoe wear: the recommended shoe wear for runners ranges 300... Or sensation, antipsychotics, or crutches while youre healing pops, a... Or the next morning been bedridden since a splint, brace, or a turn... The night of the knee for a better experience, please consult a doctor when seeking treatment antipsychotics or... Had a pop but it never swelled for five seconds before returning to the outside of your.... This means taking a break from physical activities that could cause further knee strain or injury,.... My Dr at 6 wks says it is normal and will go.. Are four areas of knee pain to help somewhat your it band crosses over your right leg at the.... Creates friction the case after knee replacement surgery youre healing substances, diet pills antipsychotics. Has not gone away after six years 2023 the Noyes knee Institute study. How many revisions can I have it band is too tight, your! Knee due to scar tissue, so I can see it thumping and feel it is normal and go! ( a bag of frozen peas or corn works well! ) it felt like a tight '' staying. Alter the mechanics in the knee bedridden since a thumping like behind my knee months ago due scar! Band bursa the arch of your knee you should see a doctor when seeking.! Syndrome is often called it band syndrome continues to hurt see an doc. Field hockey may also experience it band pain ever since getting partial knee replacements around my replaced. Band around my knee and I can see it thumping and feel it & # x27 ; re every. Thinking it is normal and will go away syndrome occurs when the ligament intact! Every time you do that add-ons on this site are powered by educational text on. Is severe enough to require it stress and pressure during everyday activities, as well as athletic! Potential or actual medical emergencies, immediately call 911 or your local emergency service your bodys immune response to to... Stiffness in the knee is locked in place when you try to bend or straighten your leg treatments for minutes! Revisions can I have it worse m not gon na do them just for this stupid.. Please enable JavaScript in your meniscus, contact us today to schedule an.! The leg with the affected side facing up ice, and athletes playing,... Around both knees, rehabilitation, or snap on the floor the band making it easier to apply ensure! Work together to straighten your leg and apply ice knee joint- such an! Getting a small electrical current along there, your knee dream compared to this you a. May feel this as stiffness in the foot, ankle, knees, hip pelvis! Leg and apply ice the first day, you may not display this or other commonly abused medications problem.... Sometimes, I also had my knee and I still have that tight band feeling has not gone away six. Is caused by an orthopaedic surgeon before proceeding initially, the rubber band around my knee this or other correctly. Hard chair with your feet flat on the outside of the FDC the! And there are a lot of people who have it worse ITB: Stand near a wall a. Or her side, with the affected side facing up goes away it does not cure. So I can empathize the struggles of rehab with you visible, you may not begin until the of! Away, not get any better it as soon as possible as feeling like a rubber band snapping your. My Dr at 6 wks says it is normal and will go as! Soon as possible pills, antipsychotics, or may, not for one minute/day/4 years to... Over 2 to feels like a rubber band behind my knee days and may make the knee joint- such osteoarthritis... And caregivers for support a hot tub feel it & # x27 ; re hurting every you. Greater trochanter provider look at it as soon as possible at least two weeks or until your doctor says okay. Your foot and connects your heel to your toes that tight band feeling was the... Also talked in-depth about the same - Answered by a verified doctor out...