Apr 25, 2024 ... 40% rating, $755.28 per month: You can receive a 40% rating if you have an unfavorable ankylosis of your entire cervical spine, meaning your ...The cervical spine (neck) and the thoracolumbar spine (low back) are rated according to the following criteria: As you can see, ROM measurements play a …Meaning whether it's claimed as DDD or Degenerative Arthritis, the 0-100 symptoms still look the same. BLUF: You can only be rated for one set of symptoms, even if 2 conditions have the same set of symptoms. Only 1 rating for both. If, however, one condition has more symptoms that would give you a better rating, go for it. I hope all that made ...Note (5): For VA compensation purposes, unfavorable ankylosis is a condition in which the entire cervical spine, the entire thoracolumbar spine, or the entire spine is fixed in flexion or extension, and the ankylosis results in one or more of the following: difficulty walking because of a limited line of vision; restricted opening of the mouth ...Jul 4, 2021 · In most cases, VA uses the General Rating Formula for Diseases and Injuries of the Spine, combined with the limitations on range of motion, to issue a disability rating. Under 38 CFR § 4.71a, VA generally rates low back conditions as follows: ”100% – unfavorable ankylosis of the entire spine; 50% – unfavorable ankylosis of the entire ... The VA uses diagnostic code 5237 to designate lumbosacral strains and uses the general rating formula for diseases and injuries of the spine to determine a veteran’s rating. These ratings can range from 10% to 100%. Ratings between 10% and 40% are based on limitations to the range of motion.Getting your daily dose of vitamins becomes even more important as you grow older, especially if you suffer from chronic conditions like rheumatoid arthritis (RA). A vitamin defici...When deciding which charity to support, it is essential to evaluate their impact and ensure that your donations are making a difference. One popular charity that supports veterans ...Aug 2, 2022 · Secondary conditions develop as a result of an underlying condition or injury. In many cases, lower back pain is caused by spine, discs, or nerve damage. This damage can occur due to an accident, disease, or overuse. While lower back pain is often treatable, it can lead to chronic pain and disability if left untreated. Introduction. Obstructive sleep apnoea (OSA) is a common disease which is characterised by recurrent episodes of partial or total collapse of the upper airways during sleep 1.Chronic pain is a common symptom in patients with sleep disorders and people with chronic pain often have difficulties with their sleep 2.If chronic pain, sleep disturbances, …Osteoarthritis (OA) is an age-related form of arthritis. OA is what’s known as a degenerative joint disease, and it tends to occur most commonly in the hips, back, hands and feet. ...Symptoms of degenerative disc disease are most commonly found in the low back or neck. The pain may: • Range from mild to severe and disabling. • Primarily affect the neck and lower back. • Extend to the arms and hands. • Radiate to the buttocks and thighs. • Worsen when sitting or after bending, lifting or twisting.But also, the veteran must show, to receive a 70%, sorry a 20% rating, that the– degenerative arthritis produces occasional incapacitating episodes. So, that’s just an additional hurdle that the veteran has to show in order to warrant that 20% rating under that diagnostic code. Maura: Okay. That makes sense.Jun 4, 2023 ... ... VA benefits if diagnosed properly. Generally, Arthritis including Osteoarthritis is rated under Diagnostic Code 5003, Degenerative Arthritis ...Neck Pain is the #5 most claimed VA disability.. The VA rates Cervicalgia under CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Diseases and Injuries of the Spine, DC 5237, Lumbosacral or Cervical Strain (Neck Pain).How the VA Rates Lumbosacral Strains. Lumbosacral strain is a VA disability that can be rated at 10%, 20%, 40%, 50%, or 100% depending upon the frequency, severity, and duration of your symptoms. Lumbosacral strains used to be rated using Diagnostic Code 5295.Lumbar spondylosis refers to a degeneration of the discs in the lower spine, according to PubMed Health. These discs separate vertebrae and offer a cushion between the bones. Lumba...DC 5242 – Degenerative arthritis of the spine; Based on these diagnostic codes, there are two ways the VA determines your disability percentage rating. One method uses range of motion limitations. The more limited your ability to move your back, the higher the VA rating.The Wounded Warrior Project (WWP) is a well-known charity organization that provides support and resources to wounded veterans and their families. As a donor, it is important to co...To account for this, the VA adds an additional 10% to the combined rating of these bilateral disabilities, wanting to offer fair compensation for the increased severity of the veteran’s condition. So for example, if the conditions are rated at 20% and 10% and combined equal 28%, then you would add 2.8% to the rating, bringing it to 30.8%.The difference between spinal stenosis and spinal arthritis is that stenosis is a narrowing of the spaces in the spine that causes nerve compression, whereas arthritis is just one ...VA rates lumbosacral strains under 38 CFR § 4.71, Schedule of Ratings – Musculoskeletal System, Diagnostic Code 5237. Importantly, this diagnostic code follows the General Rating Formula for Diseases and Injuries of the Spine. The rating criteria is as follows: 100% – unfavorable ankylosis of the entire spine. 50% – unfavorable ankylosis ...The VA uses diagnostic code 5237 to designate lumbosacral strains and uses the general rating formula for diseases and injuries of the spine to determine a veteran’s rating. These ratings can range from 10% to 100%. Ratings between 10% and 40% are based on limitations to the range of motion.VA Ratings for Intervertebral Disc Syndrome (IVDS) Intervertebral Disc Syndrome (IVDS) involves the degeneration or damage of spinal cushioning discs, potentially leading to herniation, sciatica, and …The spine is made up of bones, called the vertebrae, and soft spacers between the bones called discs (Figure 2). The vertebrae are made of bone, which is hard and gives the spine rigidity; this is what allows humans to stand upright. The discs are specialized structures that act as shock absorbers between the bones.If the veteran can demonstrate that the original disability caused lower back problems, the VA might award secondary benefits due to disability from the knee arthritis. Veterans can file a secondary claim whenever an additional disability appears. There isn’t a time limit on secondary claims.Osteoarthritis is also known as degenerative joint disease. It is a condition in which the protective cartilage that cushions the tops of bones degenerates, or wears down. This causes swelling and ...September 6, 2018. Updated: November 20, 2023. Intervertebral Disc Syndrome (IVDS) is a back condition in which the discs between vertebrae break down, causing pain in the …May 8, 2024 · The VA rates RA under Diagnostic Code 5002, with possible ratings up to 100 percent based on severity and impact on the veteran’s life. Ratings are as follows: 100% Rating: Awarded if RA results in the veteran being bedridden or completely incapacitated, requiring evidence from medical imaging. 60% Rating: For veterans with four or more ... Only one rating for the entire joint. Now that we understand that, let’s jump into arthritis. The VASRD rates two main types of arthritis: Degenerative Arthritis (code 5003), and Rheumatoid Arthritis (code 5002). All other types of arthritis or similar conditions are rated analogously as degenerative or rheumatoid, whichever is the most …Feb 20, 2019 ... For VAC pension purposes, a "disability" from OA is demonstrated when relevant signs and/or symptoms are present. X-ray evidence alone is ...Pertinent to this claim, the Veteran is currently diagnosed with obstructive sleep apnea, and he is service-connected for a lumbar strain, with degenerative arthritis of the spine (lumbar spine disability). See November 2016 Disability Benefits Questionnaire (VA examination) for Sleep Apnea; see also September 2020 Rating Codesheet.A 20 percent disability rating includes several circumstances, including forward flexion in the thoracolumbar spine of between 30 and 60 degrees or severe muscle spasms and guarding that lead to abnormal gait or contour of the spine. The VA offers a 10 percent disability rating for forward flexion of the thoracolumbar spine between 60 and 85 ...Your spinal stenosis may be accompanied by other back conditions, including degenerative disc disease, arthritis, ankylosis or ankylosing spondylitis. This condition causes small bones in your spine to fuse in place to one another, sometimes resulting in significant range-of-motion loss. ... VA Disability Ratings for Spinal Stenosis. The VA ...Some of which are listed below: 5235 – Vertebral fracture or dislocation: When one of the spinal bones, or vertebrae, is damaged or shifted out of position causing discomfort or …Secondary conditions develop as a result of an underlying condition or injury. In many cases, lower back pain is caused by spine, discs, or nerve damage. This damage can occur due to an accident, disease, or overuse. While lower back pain is often treatable, it can lead to chronic pain and disability if left untreated.20% Disability Rating. Receiving a 20% disability rating for spinal fusion means that your range of motion is significantly reduced. Lower to mid-back flexion is limited to between 30° and 60°, and the range in your neck is 15°-30°.1A. DOES THE VETERAN NOW HAVE OR HAS HE/SHE EVER BEEN DIAGNOSED WITH A THORACOLUMBAR SPINE (back) CONDITION? 1B. IF YES, PROVIDE ONLY DIAGNOSES THAT PERTAIN TO THORACOLUMBAR SPINE (BACK) CONDITIONS: Ankylosing apondylitis Lumbosacral strain Intervertebral disc syndrome …What Are the VA Disability Ratings for Arthritis. A frequent kind of arthritis in Veterans is degenerative arthritis (osteoarthritis), which is classified under Diagnostic Code 5003 as the result of joint overuse or injury. Depending on the symptoms and the number of joints affected, Veterans are mostly given a 10% or 20% grade.The VA assigns ratings from 10% to 100%, reflecting the extent of the condition’s impact on the veteran’s life. Veterans should understand that: Ratings are based on the objective measurement of range of motion and the subjective experience of pain. Both favorable and unfavorable outcomes of spinal fusion will be considered in …Radiculopathy is a medical condition in which the nerves are compressed or irritated in the lower back [1]. This results in pressure on the nerve roots themselves. Radiculopathy is classified as a pain syndrome and can be caused by several lower back conditions such as lumbar disc herniation, degenerative disc disease, and spinal …In order to be granted a VA disability rating for spinal stenosis at 10%, you must meet one of these conditions: The thoracolumbar spine (the part of the spine between your chest and your lower back) can bend more than 60 degrees but not more than 85 degrees. The cervical spine (the part of your spine in your neck) can bend forward more than 30 ...Degenerative arthritis, commonly referred to as osteoarthritis or wear-and-tear arthritis, affects millions of Americans. Over time and as people age, the protective cartilage at the ends of bones wears down. While degenerative arthritis can affect any joint, it mainly affects the knees, hips, spine, and hands.Updated: November 20, 2023. Orthopedic conditions are typically categorized as those that impact the musculoskeletal system. Common orthopedic …The diagnosis was status post cervical spine injury with degenerative arthritis and C5 radiculopathy. ... the VA Schedule for Rating Disabilities contemplates average impairment in earning capacity. For purposes of an increased schedular rating, the Board finds no evidence that the veteran's service-connected cervical spine disability has ...The VA rating criteria for evaluating the Veteran's lower back disorder expressly take into account limitation of motion. See 38 C.F.R. § 4.71a, Diagnostic Code 5242 (degenerative arthritis of the spine), evaluated under a General Rating Formula. Unfortunately, the most recent VA Compensation and Pension examination of June 2011 did not set ...The VA can assign you a disability rating outside of the normal range. This occurs when your level of disability is beyond what the rating criteria typically reflects. While the VA diagnostic code has a maximum rating of 50%, it is possible to get a greater rating if you can prove how your spinal condition limits your function and your life. To ...Degenerative arthritis of the spine is listed as one of the most prevalent service-connected medical conditions in the 2018 VA benefits report, with 505,553 disability benefits recipients for the condition. The report then lists general degenerative arthritis and traumatic arthritis with 268,882 and 258,135 recipients, respectively.If it can get less than 1 inch from the fingers, it is rated 0%.the military disability ratings of the hand. Diagnostic Code 5229: If the index or long finger can’t get more than 1 inch to the transverse crease in the palm of the hand, then it is rated 10%. If it can get within 1 inch of the crease, then it is rated 0%.Also known as noninflammatory arthritis, degenerative arthritis of the spine is the most common form of spinal arthritis, typically caused by the cartilage between vertebrae wearing down over time, due to wear and tear and/or autoimmune triggers. ... Secondary conditions also merit a VA disability rating – which translates into …Examples of common service-related musculoskeletal conditions include: Tendonitis. Carpal tunnel syndrome. Trigger finger. Rotator cuff injuries. Muscle strains. Lower back injuries. Bone spurs in the spine, hip, and knee. There are over 150 different musculoskeletal conditions with varying degrees of short- and long-term health impacts.Because the Veteran's increased rating claim for degenerative disc disease, lumbar spine, is being denied, and because the Veteran's higher initial rating claims for neurogenic claudication of the bilateral lower extremities are being granted in this decision, any question as to the appropriate disability rating or effective date is moot and ...Jun 20, 2017. #2. The second most common rating system for spine conditions is under arthritis. Code 5242: Degenerative arthritis of the spine is used when the limitation of motion is not severe enough to warrant a rating under the general rating formula. This condition is rated as degenerative arthritis, code 5003.Nov 24, 2020 · VA rates lumbosacral strains under 38 CFR § 4.71, Schedule of Ratings – Musculoskeletal System, Diagnostic Code 5237. Importantly, this diagnostic code follows the General Rating Formula for Diseases and Injuries of the Spine. The rating criteria is as follows: 100% – unfavorable ankylosis of the entire spine. 50% – unfavorable ankylosis ... Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage that cushions the ends of the bones wears down over time. Although osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine.Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved …How should the knee be rated for this Veteran (assuming degenerative arthritis, observable on x-ray): ANSWER: Diagnostic Code 5003-5260 (or 5010-5260) should be used to assign a 10% rating for the functional loss of use. Diagnostic Code 5257 should be used to assign an additional 10% rating for instability of the knee.VA rates degenerative disc disease under 38 CFR § 4.71a, Schedule of Ratings – Musculoskeletal System, diagnostic code 5242. The rating criteria for this diagnostic code is virtually the same as diagnostic code 5003, which is used to rate degenerative arthritis. Arthritis of the Spine. When a Veteran's arthritis does not warrant a rating based upon ROM or other miscellaneous situations. The Veteran's condition will be rated under degenerative arthritis. For an explanation of arthritis ratings click HERE. RATER NOTE: Degenerative Disc Disease (DDD) is NOT arthritis, and as such is NOT subject to ... Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). ... Spinal cord injury with respiratory insufficiency. Spinal fusion. Spinal stenosis. Spleen, injury of, healed. ... if you have post concussive headaches that are severe enough to be eligible for a VA rating, then they ...When assigning a Diagnostic Code or rating arthritis severity, a limitation of motion of a joint due to degenerative arthritis or arthritis due to trauma should be rated under limitation of motion rather than degenerative arthritis if it is more advantageous to the veteran (e.g., degenerative arthritis of both shoulders with right (major) arm ...Apr 13, 2021 ... Radiculopathy VA Disability Rating: Cervical, Lumbar, Thoracic ... Winning VA claims: The SPINE ... Arthritis Pain May Qualify for VA Disability ...November 9, 2023. Understanding the VA disability rating system for rheumatoid arthritis is crucial for veterans seeking benefits and compensation. Arthritis affects a higher percentage of veterans (25.6%) compared to non-veterans. [2] This blog post provides an overview of how the VA rates rheumatoid arthritis, highlighting its impact on ...Jun 18, 2020 · Intervertebral Disc Syndrome (also known as IVDS) is a back condition involving the intervertebral disc or disc fragments. With IVDS, these discs may be displaced at the lumbar, cervical, or thoracic areas of the spine. Intervertebral disc syndrome is a common cause of back pain. Those who have this condition will usually find that it is made ... Examples of common service-related musculoskeletal conditions include: Tendonitis. Carpal tunnel syndrome. Trigger finger. Rotator cuff injuries. Muscle strains. Lower back injuries. Bone spurs in the spine, hip, and knee. There are over 150 different musculoskeletal conditions with varying degrees of short- and long-term health impacts.But in veterans, post-traumatic osteoarthritis, the form of osteoarthritis that results from injury to a joint, is more common. The VA may rate bone spurs caused by arthritis under diagnostic code 5003 for degenerative arthritis. In this case, you could earn a rating of 10% or 20% for your arthritis, which caused the spurs to develop.20% Disability Rating. Receiving a 20% disability rating for spinal fusion means that your range of motion is significantly reduced. Lower to mid-back flexion is limited to between 30° and 60°, and the range in your neck is 15°-30°.If it can get less than 1 inch from the fingers, it is rated 0%.the military disability ratings of the hand. Diagnostic Code 5229: If the index or long finger can’t get more than 1 inch to the transverse crease in the palm of the hand, then it is rated 10%. If it can get within 1 inch of the crease, then it is rated 0%.The rating criteria for this diagnostic code is virtually the same as Diagnostic Code 5003, which is used to rate degenerative arthritis. If degenerative arthritis is established by X-ray findings, the veteran’s condition will be rated based on limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved.Get ratings and reviews for the top 7 home warranty companies in Manchester, VA. Helping you find the best home warranty companies for the job. Expert Advice On Improving Your Home...May 19, 2013 ... The VA has acknowledged my Disability but when they made a percentage decision (20%) it did not change my total allowance which is currently 60% ...DC 5242 – Degenerative arthritis of the spine; Based on these diagnostic codes, there are two ways the VA determines your disability percentage rating. One method uses range of motion limitations. The more limited your …Health conditions (e.g., rheumatoid arthritis) Nerve damage, such as from peripheral neuropathy. Obesity. Partaking in frequent high-impact physical activity, such as military training. Service Connection for Flat Feet. To establish service connection for pes planus on a direct basis, veterans must establish three elements: (1) a current ...Jun 4, 2023 ... ... VA benefits if diagnosed properly. Generally, Arthritis including Osteoarthritis is rated under Diagnostic Code 5003, Degenerative Arthritis ...6. The veteran's only service-connected condition other than degenerative disc disease with arthritis of the lumbar spine is left hip bursitis rated noncompensably disabling. CONCLUSIONS OF LAW 1. The schedular criteria for a 60 percent rating for degenerative disc with arthritis of the lumbar spine prior to September 23, 2002, are met.The exact reason why the joints of the spine begin to wear out is not known and may be a combination of factors, such as doing a lot of lifting, having a family history of spine problems or having an injury to the spine. This wear and tear is a form of arthritis, which is where the cartilage in the spine joints begins to wear out. Regardless of ...Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved …1A. DOES THE VETERAN NOW HAVE OR HAS HE/SHE EVER BEEN DIAGNOSED WITH A THORACOLUMBAR SPINE (back) CONDITION? 1B. IF YES, PROVIDE ONLY DIAGNOSES THAT PERTAIN TO THORACOLUMBAR SPINE (BACK) CONDITIONS: Ankylosing apondylitis Lumbosacral strain Intervertebral disc syndrome …Lumbar spondylosis refers to a degeneration of the discs in the lower spine, according to PubMed Health. These discs separate vertebrae and offer a cushion between the bones. Lumba...The rating criteria for this diagnostic code is virtually the same as Diagnostic Code 5003, which is used to rate degenerative arthritis. If degenerative arthritis is established by X-ray findings, the veteran’s condition will be rated based on limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved.How the VA Rates Lumbosacral Strains. Lumbosacral strain is a VA disability that can be rated at 10%, 20%, 40%, 50%, or 100% depending upon the frequency, severity, and duration of your symptoms. Lumbosacral strains used to be rated using Diagnostic Code 5295.The cervical spine (neck) and the thoracolumbar spine (low back) are rated according to the following criteria: As you can see, ROM measurements play a …Degenerative disc disease (DDD) develops when the cushioning in the spine begins to wear away. Spinal discs act as shock absorbers between the bones of your spine, …In order to be granted a VA disability rating for spinal stenosis at 10%, you must meet one of these conditions: The thoracolumbar spine (the part of the spine between your chest and your lower back) can bend more than 60 degrees but not more than 85 degrees. The cervical spine (the part of your spine in your neck) can bend forward more than 30 ...The rating for degenerative arthritis is based on the limitation of motion and the number of major joints or minor joint groups involved, as determined by X-ray ...Yes, Back Pain is a VA disability. The VA rates Back Pain under CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Diseases and Injuries of the Spine. VA Ratings for Back Pain range from 10 percent to 100 percent, with breaks at 20 percent, 30 percent, 40 percent, and 50 percent.The Veteran received an X-ray of his spine in February 2017, and the resident physician who interpreted the X-rays found no radiographic evidence of acute osseous abnormality nor significant degenerative changes within the lumbar spine. A March 2017 VA Addendum Note documented "midline cervical/thoracic/lumbar spinal tenderness, no step-offs ...Mar 25, 2022 · Yes, the VA ratings for arthritis are under two main categories: degenerative arthritis and rheumatoid arthritis. However, arthritis can describe about 100 diseases and conditions impacting the joints and surrounding tissue. An arthritis VA rating can range from 10% to 100%. Degenerative arthritis (Diagnostic Code 5003) results from the wearing ...
Your guide to th VA knee rating chart, which details VA ratings depending on the level of knee pain and its frequency, severity, and duration. ... Osteoarthritis – The most common form of arthritis causes the joint’s cartilage to break down and change the underlying bone structure. Subluxation – A partial dislocation of the knee causing .... Cindi rinehart obituary
VA Disability Rating For Degenerative Disc Disease Posted by Berry Law on June 18, 2018 in Veterans Benefits Military service can place an incredible amount of stress on the body. Whether from the physical rigors of combat, from the psychosomatic effects of stress and anxiety on the body, or from other factors, many soldiers can leave …Depending on what joint is affected, there will be an identifying diagnostic code assigned to the condition. For example, the specific code for degenerative arthritis of the spine is 5242. However, the VA still rates degenerative arthritis of the spine under the criteria listed for diagnostic code 5003.Generally, the VA rates spondylosis at 10%, 20%, 30%, 40%, 50%, and 100%, depending on how your condition affects the motion of your spine. The VA rates spondylosis as a back condition, and you can find the spondylosis VA ratings under diagnostic codes 5235 through 5243 38 CFR 4.71a Schedule of Ratings, General …Get ratings and reviews for the top 7 home warranty companies in Manchester, VA. Helping you find the best home warranty companies for the job. Expert Advice On Improving Your Home...Degenerative arthritis of the back occurs when cartilage between joints erodes over time resulting in joint stiffness, limited mobility, and pain. This type of arthritis usually takes place in weight-bearing joints (e.g., back, hips, knees). Arthritis of the spine is a breakdown of the cartilage of the joints and discs in the neck and back.Sacroiliitis VA Disability Ratings. The VA rates sacroiliitis at 10%, 20%, 30%, 40%, 50%, and 100% under diagnostic codes 5235 through 5243 of 38 CFR § 4.71a, General Rating Formula for Diseases and Injuries of the Spine.. Your sacroiliitis VA disability rating will depend on the severity, frequency, and duration of symptoms, …DCM is an umbrella term used to describe progressive compression of the cervical spinal cord due to age-related changes in the spinal axis . Mechanical …A single veteran with no dependents and a total disability rating of 40% would receive $627.61 per month, as of 2020. The same veteran with a 100% disability rating would receive $3,106.04. Disability Benefits by Percentage Rating and Dependent Status (As of 2020) Dependent status. 30% disability rating.Arthritis in the neck, otherwise known as the cervical spine in the VA rating schedule, can make even day-to-day actions unbearably painful and can cause serious disruptions to employment, mobility, and personal autonomy. ... Arthritis is a degenerative disease, so that means that you can expect the conditions to worsen as time goes on. Even if ...Updated: November 20, 2023. Orthopedic conditions are typically categorized as those that impact the musculoskeletal system. Common orthopedic …Aug 2, 2022 · Secondary conditions develop as a result of an underlying condition or injury. In many cases, lower back pain is caused by spine, discs, or nerve damage. This damage can occur due to an accident, disease, or overuse. While lower back pain is often treatable, it can lead to chronic pain and disability if left untreated. The VA can assign you a disability rating outside of the normal range. This occurs when your level of disability is beyond what the rating criteria typically reflects. While the VA diagnostic code has a maximum rating of 50%, it is possible to get a greater rating if you can prove how your spinal condition limits your function and your life. To ...Degenerative disc disease (DDD) develops when the cushioning in the spine begins to wear away. Spinal discs act as shock absorbers between the bones of your spine, ….
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