Distal Interphalangeal Joint of the Left Index or 2nd Toe joint arthritis- The Ultimate Guide

Distal Interphalangeal Joint of the Left Index or 2nd Toe joint arthritis-The ultimate guide would let you know a lot about your arthritis. If you have Distal Interphalangeal Joint of the Left Index or 2nd Toe joint arthritis or swelling or you already have been diagnosed with arthritis. Then you are in the right place at inoesis.org.

Do you know that arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint is related to the appendicular skeleton and especially the lower limb? I think you should have a little knowledge about the Lower limb so that you can understand the impact of your arthritis disease in a better way.

Your lower extremity or lower limb is consisting of the hip, thigh, knee, leg, ankle, foot, and toes. It has 62 bones with major involving pelvis bone (hip bone), femur, tibia, fibula, calcaneus, talus, small bones of the foot, and small bones of toes.

The Main Neuronal connection in the lower limb is called the Lumber plexus which provides connectivity of the lower limb to the brain through the spinal cord. . Main blood vessels are arteries including iliac, femoral, popliteal, and other small arteries of the leg and foot which send blood from the heart to legs and toes. While main veins include small saphenous and great saphenous veins which take blood from the toes to the heart. The main joints are the hip, knee, ankle joints, and small joints of the foot and toes.

If we talk about the function of the lower limb in primates and other animals, they help to run on the ground, climb trees in monkeys, swim in water like fishes, etc. but the lower limb has a major role in human beings. It has evolved its functions in humans. The lower limb helps in

  • Walking
  • Jumping
  • Running
  • Weight transferring of the upper body to the ground
  • Adaption against gravity so helps in standing
  • All functions depend upon the basic principle of walking

The lower limb is a very essential component in the survival of a human being. For example, if you get arthritis of the knee joint and you cannot run and live a healthy moveable life.  Pain can make you localized to your home. You cannot do traveling, going to outside places like buying groceries for home, etc.

Similarly, if you get grade 4 arthritis of the hip joint, you cannot stand and walk properly. Impact of lower limb Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis can be from mild painful movement to total sitting on a wheelchair for the rest of your life. For the rest of your life depend on the person who moves your wheelchair.

Similarly, Arthritis of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint can have a drastic effect on your social life. But do not be disappointed thanks to advancements in medical sciences and research.

Now in this era of human development, we have a lot of options for the arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Like total hip replacement, knee joint replacement, and even exoskeleton. which not only reduces stress on your lower limb joints but also provides enhanced more powerful movements on natural joints by bypassing the knee and other joints and directly transmitting the weight of the upper body to the ground.

There are a lot of diseases related to the human skeletal system but few diseases affect as many as arthritis; few cases as much pain, disability, and hopelessness. Although some diseases do not have a cure like cancer arthritis can be treated even some types of diseases can be cured.

We at inoesis discuss the issues related to arthritis, so that anyone can understand, what is arthritis and can treat his/her illness in a very simple but comprehensive way.

Although pain in your Distal Interphalangeal Joint of Left Index or 2nd Toe joint can be caused by any reason most of the time it is arthritis (inflammation of Distal Interphalangeal Joint of Left Index or 2nd Toe joint). Especially when you have very severe long-standing pain and decreased degree of motion at the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. To know the basic concept of arthritis click here.

Arthritis of Distal Interphalangeal Joint of Left Index or 2nd Toe joint, a reality you have to Accept

 Arthritis of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint can be due to any cause but there is a reality about arthritis that you have to accept. We start our movement of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint in the womb of our mother and continue to move till our life ends. With passing time we become older. Our bones decrease.

Our Osteoblast cells (cells in bones that generate new bone) become older and weak. As a result, we have less bone repair than our daily bone damage. So at the end of the day, our joints become arthritic. Their smooth surface is replaced by an irregular damaged surface. So when pain, Deformity, and Immobility occur at the Joints of the Left Index or 2nd Toe joint. it is said that arthritis has been established and your hyaline cartilage has been removed.

The integrity of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint has been lost. So as we cannot stop the aging process we cannot stop arthritis. But do not be disappointed arthritis of the of the Left Index or 2nd Toe joint not only can be treated but can be cured.

Tip for arthritis

As arthritis has occurred so if we deal with it in a very comprehensive and effective way we can have a very firm grip on arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. But remember time never stops so arthritis never stops.

The medicine has a very important role in the treatment of the Distal Interphalangeal Joint of the 2nd Toe joint arthritis but you have to treat it in other ways also. Here I need a favor from you. I would tell you the key to success in treating arthritis but you have to share this article on social media like Facebook etc.

The Key to Success

The key to success in treating arthritis of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint lies in this sentence.

“Your arthritis of Distal Interphalangeal Joint of Left Index or would be very effectively managed if your follow the instructions of your doctor, Physiotherapist, giving rest to your Distal Interphalangeal Joint of Left Index or 2nd Toe joint, the exercise of muscles present around Distal Interphalangeal Joint of Left Index or 2nd Toe joint, Weight control, education of disease, good food, healthy changes in daily lifestyle, family support, control of your other diseases like Diabetes mellitus, hypertension or any other illness .”

By surgeon Brevis

The above-written paragraph is a key to success in combating the disease of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Because if you would just follow your doctor and took a pain killer and do not control other measures, your arthritis of Left Index or 2nd Toe joint would not go away.

Let me explain it with an example. If you have 150 kg weight and Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis then just taking medicines would not help you to get rid of Distal Interphalangeal Joint of Left Index or 2nd toe joint arthritis. Stress on your Distal Interphalangeal Joint of Left Index or 2nd Toe joint due to heavyweight is the main factor and if you reduce your weight then it’s going to help you more.

Classification Of Distal Interphalangeal Joint of Left Index or 2nd Toe Joint.

Classification tells you about the surface structure of your joint. What is the Three Dimensional Structure of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint that would determine the movement allowed on that joint? So that you just move your joint in That direction only where the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint easily allows.

Distal Interphalangeal Joint of Left Index or 2nd Toe joint is classified as Hinge type of synovial joint.

Location of Distal Interphalangeal Joint of Left Index or 2nd Toe Joint.

Location of your Distal Interphalangeal Joint of Left Index or 2nd Toe joint is important to know because the same point where you feel pain or have swelling can be because of different thing so your Distal Interphalangeal Joint of Left Index or 2nd Toe joint location is very important especially when you are a non-medical person.

Distal Interphalangeal Joint of Left Index or 2nd Toe joint is located In Lower Limb Between Thigh And Leg.

Bones Forming Distal Interphalangeal Joint of Left Index or 2nd Toe Joint

Distal Interphalangeal Joint of Left Index or 2nd Toe joint is formed between small bones of index toe.

Movements At Distal Interphalangeal Joint of Left Index or 2nd Toe Joint.

Movements that can naturally Occur at the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint are flexion( closing toe), extension(Opening toe).

Symptoms of Distal Interphalangeal Joint of Left Index or 2nd Toe Joint arthritis

The problem you face during arthritis of Distal Interphalangeal Joint of Left Index or 2nd Toe joint and that you can tell your doctor is called a symptom. The symptoms mentioned below can not exactly diagnose that you have arthritis of Left Index or 2nd Toe joint until unless your doctor has properly checked your Distal Interphalangeal Joint of Left Index or 2nd Toe joint. Because some symptoms can miss lead.

Like if you have had neck stiffness for the last one or two days just because last night you slept in an awkward position of your neck. That can also cause stiffness of your neck muscles and your symptoms can mimic arthritis. Therefore proper consultation with your doctor is necessary.

One thing I should mention here before I explain symptoms.

Symptoms of Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis can be categorized into two categories so that diagnosis would be made easy.

                          General symptoms

These are those symptoms that any arthritic joint can have. These include

                                              Pain

One thing I should mention here before I explain the symptom of pain. Cartilage is a smooth covering on the articular surface of bones joining to form a joint. Cartilage in your joint can not sense pain. When arthritis occurs it damages cartilage on the surface of bones. When damaged cartilage is removed it exposes bones to each other. Now when arthritis has occurred and bones have been exposed they rub on each other and produce resistance. This in turn causes stimulation of pain receptors present in bone.

Pain at Distal Interphalangeal Joint of Left Index or 2nd Toe joint further increases in intensity and frequency of pain recurrence when inflammation becomes more severe and all the surrounding area is filled with inflammatory contents.

                                             Aches

Ache is continuous dull pain with less intensity. This occurs when a small portion of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint is inflamed and a small quantity of pain receptors is stimulated.

                                             Swelling

In arthritis of Left Index or 2nd Toe joint when two boney surfaces rub on each other they cause friction. Friction irritates the surrounding tissue. This in turn causes inflammation. Inflammation brings more blood and fluid to the site of inflammation as a result area becomes bigger. This aggregated fluid and blood causes the area to increase in size which is shown in the form of swelling.

                                              Stiffness

Stiffness at Distal Interphalangeal Joint of Left Index or 2nd Toe joint occurs when you feel that motion of the joint is limited or you feel difficulty in moving the joint. It occurs when you hesitate to move your joint because of pain. Stiffness can be in the early morning but that is specifically related to rheumatoid arthritis. Stiffness of the joint can also occur due to immobility or placing jointly at rest for a longer period.

                                                Pain during movement

Pain specifically occurring during movement is because the irregular bone has grown around the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint causes pinching and irritation to the tendons of muscles around Distal Interphalangeal Joint of Left Index or 2nd Toe joint.

Specific symptoms related to Distal Interphalangeal Joint of Left Index Toe joint arthritis;

These are those symptoms that are specifically related to the arthritis of the Distal Interphalangeal Joint of the Left Index Toe joint which means that they only occur in Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. These are as follows;

You can feel pain, reduced motion, swelling, aches, and especially pain during closing or opening fingers of foot . When you have Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis.

The symptoms of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint progress gradually; sometimes they vanish for a significant amount of time but later they came back again with more severity.

Signs of Left Index or 2nd Toe Joint arthritis

The sign is a finding that your health care professional can easily see or detect but they are not told by the patient itself. Signs are detected after a thorough examination of your joint.

Just like symptoms, signs are also divided into two categories.

                     General Signs

                                           Swelling

As described above swelling occurs due to the accumulation of fluid. So your doctor after comparing with the opposite side of your Distal Interphalangeal Joint of Left Index or 2nd Toe joint can tell that either swelling is present or not.

                                              Warmth area

The area over your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint can be warm due to increased blood supply because of inflammation. Your doctor checks warmth by placing the backside of his hand over the skin of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.

                                             Redness

When arthritis occurs it is said that inflammation of Joints of the Left Index or 2nd Toe joint has occurred. the inflammatory process increases blood supply in the area surrounding the joint. This increased blood supply induces red color to the skin over the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.

                                                 Decreased Muscle Mass

Due to pain, you become reluctant to move your muscles around the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. It is a fact that when you do not use your muscles they become small (atrophy of muscles occurs). This is called rheumatoid cachexia. This is detected in a general physical examination done by your doctor.

Specific Signs related to Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis

Specific signs related to Distal Interphalangeal Joint of Left Index Toe joint arthritis include redness, warmth skin over Distal Interphalangeal Joint of Left Index or 2nd Toe joint, reduced motion at Distal Interphalangeal Joint of Left Index or 2nd Toe joint.

Risk Factors involved in Causation of Distal Interphalangeal Joint of Left Index or 2nd Toe Joint arthritis

There are a lot of risk factors involved in causing arthritis of the  Distal Interphalangeal Joint the Left Index or 2nd Toe joint. Genetics also plays a vital role in the causation of arthritis.

First, you should know the main process involved in causing arthritis of the Interphalangeal Joint of the Left Index or 2nd Toe joint so that you know the basis of your disease. That is Cartilage degeneration. Cartilage is the smooth, shiny, resistance-less covering of the bones surfaces which are involved in the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint formation.

This cartilage helps bones move against each other without causing significant resistance and protect against bone damage during impact with one another. This cartilage is thicker in weight-bearing joints like the Interphalangeal Joint the Left Index or the 2nd Toe joint and hip joint. Two main primary processes are involved in the degeneration of this cartilage.

  • Abnormal bone growth due to multiple time trauma and abnormal regeneration.
  • The articular surface becomes exposed to both bones due to the breakdown of hyaline cartilage surrounding the articular surfaces of the joint.

Both of the above-mentioned processes on one hand reduce space between the joint cavities. Secondly, they produce abnormal, irregular, deformed bone called spurs or osteophytes.

 These are as follows.

Joint Trauma

Surgery and high energy hit cause Trauma. Which causes damage to the cartilage in the Distal Interphalangeal Jointthe of the Left Index or 2nd Toe joint. Which after a month or even years appear as arthritis of the Interphalangeal Joint of the Left Index or 2nd Toe joint. For example, if you got a blow on your Distal Interphalangeal Joint of Left Index or 2nd Toe joint years earlier.

In which your ligament (strips of soft tissue around the joint which holds the joint at its tight position) surrounding Distal Interphalangeal Joint of Left Index Toe joint are torn, sprained or stretched. Than chances of arthritis of Distal Interphalangeal Joint of Left Index or 2nd Toe joint increases significantly.

Increasing age

As you become older your power of healing the damaged body decreases. Every cell in your body has more catabolism (Destruction of the body) and less anabolism (Regeneration or healing body). So in older age probability of getting arthritis of the Left Index or 2nd Toe joint increases and your pain and other symptoms increase significantly.

Congenital Defect (Disease present starting from Birth)

Congenital diseases like Gout ( increased uric acid levels in the body), soft tissue disorders like Ehler–Danlos Syndrome, Marfan Syndrome, autoimmune diseases, etc all these kinds of diseases make a person more susceptible to arthritis. Like Gout can cause arthritis of Distal Interphalangeal Joint of Left Index or 2nd Toe joint by depositing uric acid crystal in joint and damaging the cartilage. People with metabolic disorders like diabetes mellitus who have heavy body weight are more prone to developing arthritis in weight-bearing like the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. So mention all diseases to your doctor.

Joint Stress or Multiple Small Long term Injuries

Stress or multiple repetitive small injuries for a longer duration can cause arthritis of the Joint of the Left Index or 2nd Toe joint. This is because whenever you got a small injury your body repairs that area. It needs time to heal that area.

If you got multiple small injuries after a short time again and again your body could not heal properly in that area. This environment of more destruction and less healing becomes the fate of the Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. For example, people working for a longer duration of time, in weights are more prone to getting arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.

Conclusion of risk factors

All above-mentioned risk factors are the cause of arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. But it is not true alwaSometimestime in the absence of any facto,r you can get arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Similarly in the presence of all the above-mentioned factors, you may not get arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.

Therefore here are some specific factors when your get arthritis of the Distal Interphalangeal Joint the Left Index or the 2nd Toe joint. like trauma to Distal Interphalangeal Joint of Left Index or 2nd Toe joint, heavy weight lifting, more stressful job involving heavy weight lifting, or Prolonged Standing.

Diagnosis

Diagnosing the arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint is the work of specialists like doctors, surgeons, and physiotherapists Not a single factor can lead to a diagnosis of Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. There are multiple steps in diagnosing arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Assess each carefully. So that the disease did not miss at all.

Diagnosis starts from an interview or history taking, general physical examination, some blood test, some urine tests, testing fluid from your joint, radiological imaging like x-ray, CT-scan, MRI, After getting all information from these steps, your doctor integrates knowledge so that he can lead to the final diagnosis of Distal Interphalangeal Joint of Left Index or 2nd toe joint arthritis.

Interview or History Taking

In this step, your doctor asks some questions regarding your age, occupation, type of work at a job, working hours at the job site, lifestyle, activities like sports, any previous injury at the location of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. The doctor also asks about the pattern of symptoms like pain character, nature, the duration for lasting pain, factors that increase pain and factors which decrease pain, etc. similarly doctor also inquires about the duration of onset of symptoms, limitation to the range of movements at Distal Interphalangeal Joint of Left Index or 2nd Toe joint.

The doctor will also ask about any Stressful work which involves prolonged standing, heavy lifting job, prolonged low sitting on the ground, any previous disease on Distal Interphalangeal Joint of Left Index or 2nd Toe joint Like Tuberculosis, previous history of diabetes mellitus, rheumatoid arthritis, Accidental trauma at Distal Interphalangeal Joint of Left Index or 2nd Toe joint, etc.

Physical Examination

In this step, the doctor will observe the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint by his other senses like touch, temperature, etc. he will notice any swelling ng, redness by seeing with his intelligent eyes. He would also touch skin over the joint to detect any warm areas over the skin. your doctor would join the joint to check the decreased range of motion, and any sound, resistance, or rubbing sensation from the joint’s articular surface.

 The doctor would also perform some specific moves to detect arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Like flexion and extension at Distal Interphalangeal Joint of Left Index or 2nd Toe joint, anterior draw test, posterior draw test, medial rotation, lateral rotation.

Blood Tests

To narrow down the diagnosis or to find any other causative risk factor. Your doctor may ask for some blood tests so that blood-borne disease should be ruled out. It depends upon the findings detected from history and examination. Like your doctor can ask for serum uric acid level if he finds other joints involved in arthritis including the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. He can also ask for other tests like blood sugar levels, Rheumatoid factor, anti-CCP antibodies, etc.

Arthrocentesis (Taking Fluid from your joint and testing it)

When some specific diseases are responsible for arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Then your doctor may also ask for fluid collection from your joint space and send it to the lab for cytological analysis, biochemistry, culture, and sensitivity for detecting any specific bacteria and drugs to which that bacteria can respond. Like in third world countries tuberculosis arthritis can be the causative factor in causing arthritis. So to diagnose the exact cause time arthrocentesis become essential.

Radiological Imaging

After making a diagnosis now the doctor wants to know the effect of the disease on your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint so that he would be able to Estimate the damage that already occurred. For this, your doctor may ask for an X-ray of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. An X-ray can give significant information about the status of your joint.

But if the x-ray cannot tell the minor details your doctor can proceed to MRI or CT-Scan of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. CT-Scan and MRI give significant micro-level details about your joint.

Finding on x-ray, MRI OR CT-Scan of Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis can be osteophytes, irregular articular surface of Femur, Irregular articular surface of the tibia, ligament rupture, ACL rupture, any hairline fracture of tibia or Femur.

Associated Disease in Which Arthritis of Distal Interphalangeal Joint of Left Index or 2nd Toe joint occurs.

Here is a list of some specific diseases in which arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint can occur. you should be aware of them so that you can treat your Distal Interphalangeal Joint of the Left Index Toe joint arthritis effectively.

  • Osteoarthritis(age-related degeneration of joints)
  •  Rheumatoid arthriDiabetesetes Mellitus

Treatment of Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis

There are many ways to reduce the pain of your Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. Some treatments may be recommended by your doctor others may be recommended by your physiotherapist. Some treatments may help reduce your pain while the same treatment may not work at later stages.

Therefore finding the best treatment for the pain of your Distal Interphalangeal Joint of the Left Index Toe joint arthritis may take time. So you must tell your doctor about the feedback of previous treatment because as with age arthritis status changes, so your treatment in reducing pain may also have to be changed according to severity.

Health professionals involved in Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis treatment

Doctors which are involved in the treatment of Joint of Left Index or 2nd Toe joint arthritis may include family physicians and general practitioners, nutritionists, rheumatologists and orthopedists, physiatrists, internists, ophthalmologists, pediatricians, psychiatrists, podiatrists, nurses, occupational therapists, pharmacists, physical therapists, social worker, psychologists, X-ray and laboratory technologists, certified dietitians.

Therefore treatment of the Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis may be divided into two categories: non-surgical (medical) and surgical. While the non-surgical or medical treatment can further be divided into treatment with medicines, physiotherapy, exercises, pacing yourself, heat and cold, joint protection, food, and, daily lifestyle changes.

Non Surgical treatment of Distal Interphalangeal Joint of Left Index or 2nd toe joint arthritis.

This treatment involves noninvasive strategies which can treat your arthritis of the Distal Interphalangeal Joint of the Left Index Toe joint so that excessive damage from Surgeries could be prevented.

Medicine

There are many medicines available for the treatment of the Distal Interphalangeal Joint of the Left Index or 2ntoeoe joint arthritis. Which helps to reduce signs and symptoms like pain and swelling according to need. Some medicines are available without a prescription while others are prescribed by your doctor and you should be very conscious about these drugs while using without a doctor’s prescription.

We have all medicines available on our arthritis website. Visit the arthritis medicine shop.

Acetaminophen.

This is the most commonly used medicine to counter the pain of the Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. This is available without a prescription. You can buy it by clicking here. This is available under many brands but the most commonly sold is Tylenol.

NSAIDs (Non-Steroidal Anti-inflammatory Drugs)

As you know Distal Interphalangeal Joint of the Left Index or 2nd Toe joint arthritis is the inflammation of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. So if you can block inflammation your signs and symptoms may reduce. NSAIDs work best by reducing swelling and pain at your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Most commonly used NSAIDs are aspirin, ibuprofen, and naproxen sodium.

These are available without a prescription so you can buy them online. You can buy them in our arthritis shop. NSAIDs should be used with great caution as they can cause stomach upset and stomach ulcers. So if you are not taking these medicines you should first consult your doctor and then you should take them. But if you are already taking them then be conscious of their side effects and should immediately consult your doctor.

Aspirin

Is most commonly used for just relieving the pain of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint arthritis as it does not reduce swelling. But aspirin should be used with great caution as it can make your blood thinner and if you have a stomach ulcer, you can bleed from your stomach and would not stop as it affects the functions of platelets (cells that stop bleeding). Both it is available without prescription and also in our arthritis shop but you should use them with great caution.

Steroids

Corticosteroids have strong anti-inflammatory effects and effectively reduce pain and swelling when it comes to the management of the Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. But they have many side effects on our body as they can affect our kidneys, bones, stomach, and many other organs. So you should use steroids only on the advice of your doctor.

DMARDs(Disease Modifying Anti–Rheumatic Drugs)

DMARDs are some special drugs that are used in arthritis management if your Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis is because of rheumatoid disease. Their mechanism of action is not clear in treating arthritis but their long-term use effectively manages arthritis especially caused by rheumatic disease of joints.

There are many other medicines that directly or indirectly have a role in the management of arthritis-like sleeping medicines may provide you better deep sleep and therefore help you to relax your muscles effectively in deep sleep. But all other medicines should be used according to the prescription of your doctor.

The question you should be Asked to your doctor before taking medicines

  1. What is the name of the medicine?
  2. What dose should I take in the 24-hour daily cycle so that you did not exceed the daily recommended dose?
  3. How should I take medicine as some medicines should only be taken with a meal so to prevent gastritis?
  4. When should I take medicine in the 24-hour daily cycle?
  5. How long will it take to reduce my pain so that I would be satisfied with the treatment?
  6. What benefits would I get for the long-term use of this medicine so that my money would be saved?
  7. When should I contact back to doctor for a follow-up?
  8. What side effects can I expect and what are the red signs so that I can contact back to doctor before maximum damage?
  9. When should I not take medicines?
  10. Which foods should be avoided while taking medicines?
  11. Which foods should I use more like taking steroids, milk should be adequately taken to prevent osteoporosis of bones?

Physiotherapy

Physiotherapy is one of the natural ways which help with arthritis. It involves a range of motion and endurance exercises to correct posture. Due to the limitation of motion of muscles around the Distal Interphalangeal Joint of Left Index or 2nd Toe joint due to pain, some of your muscles around the Distal Interphalangeal Joint of Left Index or 2nd Toe joint may become atrophied(decreased muscle mass because of not using effectively).

These weak muscles not only imbalance the motions at the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint but also imparts more stress on other muscles around the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint, whose motion is less painful. Physiotherapy through mobilization, manipulation, stretching, trigger point therapy and soft tissue massage helps not only to strengthen all muscles around joints but also reduce pain and stiffness.

If you want to book physiotherapy then click here.

As there should be an instructor for physiotherapy of Distal Interphalangeal Joint of Left Index Toe joint arthritis and we currently are not able to arrange a physiotherapist for you. So you have to watch this video so that you can learn physiotherapy for Joint of Left Index or 2nd Toe joint arthritis and do that exercise at your home.

For the video click here. video

Exercises

Exercise is a very important factor in the overall management of arthritis. This not only helps to reduce pain but also strengthens your muscles which moves the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint symmetrical and equal in strength in all directions. This equal strength exercise keeps the joint surfaces away from each other at an equal distance which indirectly preserves the identity of articular cartilage of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.

Another benefit of exercise includes:

  • Increases blood supply to the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint which improves healing.
  • Increased blood supply removes damaged tissue from the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.
  • Reduces joint stiffness by increasing movement at the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.
  • Reshapes your muscles which gives you smarter look.
  • Keeps joint flexible, increases range of motion thus helping you when you have an excessive strain on your Distal Interphalangeal Joint of Left Index or 2nd Toe joint.
  • Keeps your heart healthy.
  • Reduces your weight thus reducing stress on your joints.

There are a lot of exercises that you can perform while combating arthritis of the Distal Interphalangeal Joint of the Left Index Toe joint. But we divide exercises into 3 main categories.

  1. Strengthening exercises: these exercises increase the strength of your muscles. Strong muscles in return maintain the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint stable. These strengthening exercises mainly include weight lifting, working with resistance bands, climbing stairs, cycling, push-ups, sit-ups, etc. these exercises should be done daily or on alternate days so that pace should be maintained.
  2. Range of motion exercises:  exercises are those exercises that involve stretching muscles to their fullest extent. These exercises are done by stretching the joint to its point of resistance and keeping it in this state for 5-6 seconds, releasing back and doing this 10 times in a single turn daily. These exercises make joints more flexible.
  3. Endurance exercises:  Endurance exercises are those which involve building your fitness. They keep your overall body fit and healthy by making your heart stronger and reducing your weight. You should do these exercises for 20 to 30 minutes three times a week. The rule of thumb for these exercises is that your heart rate should rise and sustain for your 20 to 30 min duration of exercise.

If you want books on arthritis exercise then click her.

If you have rheumatoid arthritis of the Distal Interphalangeal Joint of the Left Index Toe joint then you can do exercise in the morning after taking a hot water shower. This would not only reduce stiffness of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint but also would keep your joint flexible throughout the day.

If you do not have rheumatoid arthritis of the Interphalangeal Joint of the Left Index Toe joint then you should do exercise at the time in the day when you have the least stiffness of your Distal Interphalangeal Joint of the Left Index Toe joint.

Here are some precautions while doing daily exercise:

  • Start your exercise after warming your body for that you can have a little walk
  • Start exercise slowly and with the least resistance
  • Build up a smaller amount of time initially, maintain it for some days then increase your time
  • Start the exercise with a smaller number of repetitions, main them, and then increase gradually
  • You should exercise at a level during which you can easily talk to another person
  • Never be over-enthusiastic in exercise, do up to a level which your joint and body can bear.
  • If pains in your body or at the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint lasts more than two hours after exercise it means your exercise giving stress to the joint, reducing the intensity of your exercise
  • Stop exercise if your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint feels pain during exercise it is better to give rest to your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.
  • Immediately stop exercise If you feel chest tightness, chest pain, shortness of breath, dizziness, or if your feel sick.
  • Consult your physiotherapist or doctor if you feel uneasiness during or after doing exercise they may change the plan.

Remember that slow and steady wins the race. Doing exercise one day and quitting for weeks then again doing for one or two days is bad behavior towards your treatment of Interphalangeal Joint of Left Index or 2nd toe joint arthritis.

This bad behavior can have a more drastic effect on your Distal Interphalangeal Joint of the Left Index toe joint arthritis. Daily light exercise and gradually increasing up to an acceptable level would benefit you in the treatment and effective management of arthritis of your of the Left Index or 2nd Toe joint.

So be more realist than more passionate regarding your exercise.

Rest

 Giving rest to the joint is a very important treatment for the Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. This gives more time for your cartilage to grow faster without further adding any damage. As a result, your new cartilage begins to grow and the pain receptors become covered. This in return reduces pain and further damage to the joint.

Pacing yourself

Pacing means keeping a balance between rest and exercise. Excessive use causes more damage to the Left Index or 2nd Toe joint and thus increases arthritis. While rest gives some time to heal. More rest can weaken your muscles around the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. Thus there should be some alteration between rest and exercise.

A light exercise can make muscles more strong and more mobile while rest can heal your Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. Therefore doing a little exercise adds more strength and rest heals the small damage as a result your body gains strength. So you should be pacing of rest alternate with exercise ineffective treatment of Distal Interphalangeal Joint of Left Index toe joint arthritis.

Heat and cold

Both Heat and cold have a very effective but limited role in managing the pain of the Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. Heat and cold both can give temporary relief from pain but not permanent. Both have different roles for different patients.

Heat

increases blood supply to that area thus increasing healing by wiping out the damaged parts of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint at the same time giving more nutrients to heal more effectively. You can use heat by applying hot pads, hot packs, hot tubs, heated pools, hot water showers, and rod heated water. All products are available in our arthritis shop. Be very careful while applying hot things on your skin especially with creams as it can cause burn or damage to the skin.

Cold reduces

cold reduces the kinetic speed of molecules and reduces the pain signaling from the Distal Interphalangeal Joint of the Left Index toe joint arthritis area towards the brain. Thus partially blocking the pain signals can give comfort to the patients. You can apply cold with ice packs, ice, and frozen vegetable or by any source on the surface of your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.

You should keep in mind that prolonged cold application can reduce blood supply and thus not only damage the skin but also reduce the healing of the Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. Excessive applications of cold later can develop DOMS (Delayed onset muscle soreness) which can be painful after some time. 

Both Heat and cold should not be used for more than 20 minutes. So you should use heat or cold after consulting with your doctor. When to use cold and when to use heat, for how much time and of which temperature these should be suggested by your doctor, not by yourself.

Joint protection

Joint protection is a very good habit while you are combating arthritis. Some positions can harm your joints more. Some motions can impart more stress on your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint. So you should protect your joint by following ways.

  • Frequently changing your posture prevents joint stiffness.
  • Take care of those positions which cause more pain to your Distal Interphalangeal Joint of the Left Index or 2nd Toe joint so that stress could be removed.
  • Wearing external personal caring arthritis products like wrist brace or Interphalangeal Joint of Left Index Toe brace which keep your joint warm and restricted movements. You can buy them in our arthritis shop.
  • Prevent Placing excessive pressure or stress on your joints.
  • Sliding objects on the ground instead of lifting them.
  • If it is essential to lift objects then always use larger and stronger joints. Like to carry your bag use your shoulder or arm instead of your fingers.
  • Sitting when possible instead of prolonged standing.
  • Use a stool in the kitchen while cooking or washing. Click to buy them on our arthritis shop kitchen utensils.
  • Use lighter and comfortable personal wearing like soft and lightweight shoes, comfortable hand gloves, thermogenic Distal Interphalangeal Joint of Left Index or 2nd Toe brace, etc. 
  • Use specific openers or special knives in daily kitchen households so that you prevent excessive strain on your joints. You can buy them in our arthritis shop.
  • Use a table and chair in the home to prevent excessive strain on muscles. Arthritis household products are available on our arthritis hop.
  • Avoid low sitting chairs which impart more stress on your joints while standing and sitting.

Food and supplements for Distal Interphalangeal Joint of Left Index Toe joint arthritis

Currently, there is no evident direct connection between food and arthritis. Which means no food has the cure for arthritis? But some foods are important when it comes to the cause of arthritis. Like if your Left Index Toe joint arthritis is due to gout (high blood uric acid level) then all those diets which can remove uric acid from your body can be helpful and all those which increase uric acid like meat would worsen your Joint of Left Index or 2nd toe joint arthritis.

  1. Foods that lower uric acid: uric acid in your body comes from two sources one from internal body production and the second from external food intake. High uric acid levels can also cause Distal Interphalangeal Joint of the Left Index or 2nd Toe joint arthritis so you should control your uric acid to the lower side. To keep Uric acid lower side both production and food intake should be restricted. Some drugs like febuxostat and allopurinol decrease internal body uric acid production (never use without prescription) here are the list of some foods which can maintain uric acid to the lower side. these foods are as follows:
    1. Water                        
    2. French beans   (click here to buy)
    3. Apple   (Click here to buy)
    4. Cherries   (Click here to buy)
    5. Apple cider vinegar  (click here to buy)
    6. Berries   (Click here to buy)
    7. Fresh vegetable juices   (Click here to buy)
    8. Lime   (Click here to buy)
    9. Low-fat dairy products    (Click here to buy)
    10. Olive oil            (click here to buy)
    11. Celery seed     (click here to buy)
    12. Vitamin C enriched food  (click here to buy)
    13. Pinto beans   (Click here to buy)
    14. High fiber foods   (Click here to buy)
    15. Grains   (Click here to buy)
    16. Green tea   (click here to buy)
    17. Bananas   (Click here to buy)
    18. Tomatoes   (Click here to buy)
    19. Omega 3    (click here to buy)
    20. Cucumber   (Click here to buy)
    21. Broccoli   (Click here to buy)
  2. Foods that reduce pain and inflammation:  As you know that arthritis occurs due to inflammation. So we have here some foods which decrease inflammation. These includes:
    1. Tomatoes   (Click here to buy)
    2. Olive oil   (click here to buy)
    3. Green leafy vegetables: spinach, kale, collards.   (Click here to buy)
    4. Fruits: strawberries, blueberries, cherries, and oranges.   (Click here to buy)
    5. Nuts: almonds    (click here to buy)
    6. Fatty fish: salmon, mackerel, tuna, and sardines   (Click here to buy)
  3. Foods that increase uric acid:   if you have arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint just because of high uric acid level then you should avoid these foods because they can worsen your pain.
    1. organ meat like kidney, liver, heart, sweetbreads, brain
    2. Red meats
    3. Seafood: herring, trout, mackerel, tuna, sardines, anchovies, haddock.
    4. Alcohol
    5. Shellfish: shrimp, roe, crabs, scallops
    6. Beers
    7. Fructose
    8. Yeast: brewer’s yeast, yeast supplements
    9. Sugar-sweetened beverages: honey
  4. Food that improves healing: the following food can increase healing when you have damaged arthritis Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.
    1. Meat, fish, or poultry   (Click here to buy)
    2. Beans   (Click here to buy)
    3. Milk   (Click here to buy)
    4. Seafood   (Click here to buy)
    5. Nuts and seeds   (Click here to buy)
    6. Tofu   (Click here to buy)
    7. Eggs   (Click here to buy)
    8. Soya nuts   (Click here to buy)
    9. Soy protein products   (Click here to buy)
    10. Greek yogurt   (Click here to buy)
    11. Cheese   (Click here to buy)

If you want to read Books on uric acid and arthritis click here

  1. Supplements that help reduce inflammation. These are supplements that provide extra nutrients to help fight against inflammation. As you already know that inflammation is the main process that is involved in arthritis. So these supplements are the following.
    1. Curcumin       (click here to buy)
    2. Fish oil            (click here to buy)
    3. Ginger            (click here to buy)
    4. Resveratrol   (click here to buy)
    5. Spirulina        (click here to buy)
  2. Supplements that increase lubrication in Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis: following are supplements that increase lubrication inside the joint and help reduce resistance and pain.
    1. Glucosamine    (click here to buy)
    2. Chondroitin Sulfate (click here to buy)
    3. SAMe: S-adenosyl-methionine     (click here to buy)
    4. Calcium     (click here to buy)
    5. MSM (Methylsulfonylmethane)     (click here to buy)
    6. Silicon     (click here to buy)
    7. Vitamin C     (click here to buy)
    8. Ginger      (click here to buy)
    9. Turmeric     (click here to buy)
    10. Mediterranean Diet Foods     (click here to buy the book)
    11. Gelatin     (click here to buy)
    12.  TMG: Tri-methyl-glycine     (click here to buy)
    13. Omega-3 Fatty Acids     (click here to buy)

Supplements that are anti-oxidants:

Oxidants are those chemicals that are harmful to our body like chemicals of our daily use i-e fertilizers, spray, etc. that have to be removed from our body. Our immune system kills all of these oxidants but our immune system can do that and after that, he has to rest to reproduce chemicals for the next cycle to kill oxidants. If we continue adding more and more oxidants our immune system become exhausted and cannot kill normal germs or chemical. This all happens in our liver. So here are some supplements which have the anti-oxidant effect that refreshes our immune system. In this way, our body feels easy in fighting arthritis of Distal Interphalangeal Joint of Left Index or 2nd Toe join. These supplements are as follows:

  1. Vitamin C     (click here to buy)
  2. Vitamin E     (click here to buy)
  3. Curcumin     (click here to buy)
  4. Alpha-Lipoic Acid     (click here to buy)
  5. Resveratrol   (click here to buy)
  6. Spirulina   (click here to buy)
  7. Ginger     (click here to buy)
  8. Green tea     (click here to buy)
  9. Mint     (click here to buy)
  10. Garlic   (click here to buy)

Supplements Which Increases Metabolism And Thus Improve Healing:

  • some supplements especially vitamins increase your metabolism. Boosting metabolism is just like giving a nitro boost to your car. Increased metabolism increases the healing process so they can increase the healing of your body which in turn decreases damage and inflammation and help in the Distal Interphalangeal Joint of the Left Index Toe joint arthritis treatment.
    1. vitamin D     (click here to buy)
    2. Iron.     (click here to buy)
    3. Calcium.     (click here to buy)
    4. Vitamin B complex     (click here to buy)
    5. Magnesium.    (click here to buy)

Remember to buy supplements always from reputable manufacturers; consult with your doctor first before starting any supplements, and follow the dosage instructions of each ingredient supplement.

All the above-mentioned supplements are available in our Arthritis Shop.

Lifestyle changes in Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis

If we say that treatment of arthritis of Distal Interphalangeal Joint of Left Index Toe joint involves a single health profession treatment then we would be wrong about that. Because treatment of Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis imparts responsibility not only on the shoulders of health care professionals but also on patients themselves. As a patient’s lifestyle has a great impact on causation and treatment of Distal Interphalangeal Joint of Left Index or 2nd Toe joins arthritis so it’s his responsibility to change his/her lifestyle as well along with other treatment.

 For example

Any work or movement which increases pain in the Distal Interphalangeal Joint of the Left Index or the 2nd Toe joint should be changed in such a way that stress on the Distal Interphalangeal Joint of the Left Index or the 2nd Toe joint would be reduced. Like if you have arthritis of fingers and you feel pain while lifting your handbag or grocery bag then you should lift with armor at the shoulder. If your knife hearts during vegetable cutting then you should buy an arthritis knife available in our arthritis shop.

So If you have a Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis then you should avoid low sitting instead you should use a table and chair in your kitchen available in our kitchen store. If your feel pain during typing on your laptop and it’s cold outside you should wear comfortable gloves before stepping onto the laptop. These gloves are available in our arthritis shop.

Similarly, if you have ankle joint arthritis then you should wear light and comfortable large sole shoes like those given here. Similarly, if you have gout then you should avoid a high protein diet which increases the uric acid level in your body.

 In short, you should integrate your lifestyle according to the need for treatment. Any move or work outside the plan given by your doctor and physiotherapist would cause big trouble for you.

Weight reduction in Distal Joint of Left Index or 2nd Toe joint arthritis

Weight reduction can play a vital role in reducing arthritis in your joints which are more involved in weight-bearing. Like all joints of the lower limb (region starting from hips, thigh, legs up to fingers of foot) transfers weight of the upper body to the ground. So if you reduce weight, it can significantly reduce your symptoms like pain. And can significantly slow down the process of further damage to the joint. Here is a list of some weight-reducing supplements.

Education; Knowledge is light

This is the best strategy you can have in the comprehensive treatment of your Distal Interphalangeal Joint of the Left Index or 2nd toe joint arthritis. If you know which is the cause, which movement causes more damage, which food reduces your degeneration you can better control your disease. Like if a person knows that his uric acid is the cause of arthritis of the Distal Interphalangeal Joint of the Left Index Toe joint.

Some books are available in our arthritis shop to click here. Then he should avoid any food like meat which increases blood uric acid levels. Similarly, if a person knows that exposure to cold increases pain in arthritis Distal Interphalangeal Joint of the Left Index or 2nd Toe joint then he would wear warm clothes to prevent more pain.

Education plays a vital role in combating the disease process. So you should keep yourself updated about your disease. For this purpose, your doctor, orthopedic surgeon, physiotherapists, nutritionists, yoga specialists, or any other health care provider can give you the best knowledge about your disease. Further, if you know the exact diagnosis of your disease you can search it on Google or you can comment below for any tip or suggestion.

Join the social circle of people affected with Left Index or 2nd Toe joint arthritis

Arthritis of Distal Interphalangeal Joint of Left Index or 2nd Toe joint can vary from patient to patient. Medical knowledge does not provide experiences for all people. Some people may explain pain due to Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis differently than other people. Maybe a person in your city affected with Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis has a food recipe that can effectively reduce your pain.

So it’s very important to join the circle of those people. Find the social circles through your doctor, community social workers, or social media. So that you can interact with other people who have similar diseases and you may learn from their daily life experiences.

Control of other diseases

Control of your other disease is very important when you are treating your Distal Joint of the Left Index or 2nd toe joint arthritis. This would increase with time. Like if you have Diabetes mellitus which affects every cell of your body. It makes the immune system very weak and slows bone regenerating cells (osteoblasts) and healing cells like fibroblasts.

Thus if you have not controlled your diabetes mellitus your damaged cartilage would not grow effectively and in the end, your arthritis of the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint would persist despite your treatment of the Distal Interphalangeal Joint of Left Index or 2nd toe joint arthritis.

Surgical Treatment

Arthritis is such a disease that usually does not need surgery. Surgery of Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis is effective when:

  • All available non-surgical or medical treatment has failed.
  • It’s the terminal stage of arthritis where we do not have any evidence to treat Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis medically.

Currently, there are two options available for surgical treatment of any kind of arthritis joint. In the first type, we shave the articular surfaces of the joint to smoothen and soften it so that the joint moves easily. In the second surgical type, your doctor may refer you to an orthopedic to replace the joint with a metal implant.

Family Support

The family has no alternative to any other person in society around you. Your Family should have in-depth knowledge about your disease so that they can understand and help you. Family helps you in many different ways like if you have Joint of the Left Index or 2nd Toe joint arthritis then maybe your wife would help you do to work instead of you. So family acknowledges is very essential for treating arthritis in the Distal Interphalangeal Joint of the Left Index or 2nd Toe joint.

Patient role in treating of Left Index or 2nd Toe joint arthritis treatment

When it comes to the overall treatment of Distal Interphalangeal Joint of Left Index or 2nd Toe joint arthritis patient himself is a very prime role player. Like if your doctor has given you the best treatment, your physiotherapist has given you the best schedule of exercise, your nutritionist has given best diet plan and you have a good social circle of people affected with arthritis but you did not stick to the plan then all things would go in the van.

You would not get rid of Distal Interphalangeal Joint of Left Index Toe joint arthritis and in return would blame others. There would be a heavy burden on your health budget and your social life would affect you a lot.

So a patient should:

  • Listen very carefully to all instructions provided by doctors, physiotherapists, nutritionists, and social people.
  • Learn arthritis as a whole because treatment of Distal Interphalangeal Joint of Left Index Toe joint arthritis involves a multidisciplinary approach.
  • Follow all the treatment plans given by the doctor.
  • Should give effective and timely feedback to health care providers so that you have better control of disease
  • Keep a positive attitude towards the management of Left Index or 2nd toe joint arthritis.
  • Should join social circles of people affected with arthritis.

I am a doctor and I want to educate society about arthritis because I have gone through all the pains of arthritis. So if you have arthritis it’s better to consult your doctor first. If you need any kind of help from me feel free to comment below or contact me on the social media links at the bottom.

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