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treatment for tennis elbow

Stretching for tennis elbow is free, safe and easy to do at anytime. The damaged part of the tendon will be removed to relieve the painful symptoms. Injections of PRP have been shown to speed up the healing process in some people but their long-term effectiveness is not yet known. This is because they can reduce inflammation and pain without causing side effects, such as nausea and diarrhoea. In some cases, tennis elbow can persist for more than a year. It is better to wait a bit longer to introduce strength exercises than to begin them too soon and make the injury worse. Taking painkillers, such as paracetamol, and non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may help ease mild pain and inflammation caused by tennis elbow. The surgeon will take a blood sample from you and place it in a machine. Surgery for tennis elbow is rarely needed, but might be used if other treatments don’t work over several months. Garlic can relive pain as well as inflammation. What medications or supplements do you take? Reply. His treatment of tennis elbow may involve using the Tyler Twist while incorporating a myofascial treatment technique at the same time. Journal of Shoulder and Elbow Surgery. They may recommend an epicondylitis clasp, which can help reduce the strain on your elbow if you need to make repetitive hand … Take an over-the-counter (OTC) medicine that reduces swelling, such as ibuprofen, naproxen, or aspirin. Tennis elbow (lateral epicondylitis) refers to an injury to the outer elbow tendon that occurs after strenuous overuse … Heat four crushed garlic cloves in two tablespoons of mustard oil until they turn dark brown. A number of simple treatments can help alleviate the pain of tennis elbow. PRP is blood plasma containing concentrated platelets that your body uses to repair damaged tissue. Barnes DE. Our caring team of Mayo Clinic experts can help you with your tennis elbow-related health concerns Research shows that shockwave therapy can help improve the pain of tennis elbow in some cases. Ice. But if your doctor suspects that something else may be causing your symptoms, he or she may suggest X-rays or other types of imaging tests. Both stretching and strengthening exercises are important for treating Tennis Elbow and provide the foundation for a rehabilitation program. Despite the name, most people diagnosed with tennis elbow (lateral epicondylitis) don’t play tennis — however, half of all tennis players will suffer from this problem at some point during their careers. Tennis elbow often gets better on its own. This is a common injury among tennis players, hence the name. Make sure that you are using proper technique for your activities and avoiding repetitive wrist motions. Technique. JAMA. A tennis elbow, also known as lateral epicondylitis, is a condition in which the swelling of the tendon causes pain in the elbow or arm. Laskowski ER (expert opinion). That sounds like a success! This content does not have an Arabic version. 4. All rights reserved. The use of an orthoses – such as a brace, strapping, support bandage or splint – may also be recommended in the short term. Some NSAIDs are available over the counter without a prescription, while others are only available on prescription. Avoid activities that aggravate your elbow pain. The condition involves acute or chronic inflammation of the tendons that join the forearm muscles on the outer elbow (lateral epicondyle). The other 90 to 95% of all people will recover from their Tennis Elbow symptoms within 12 months of consistently using conservative treatments. Tennis elbow, or lateral epicondylitis, is a tendon injury that occurs on the outside of the elbow.There is a bony prominence there on which the wrist extensor muscle group all attach. (source: WebMD) Before surgery is even considered, your physician will advise many months commitment to a conservative therapy program at least 6 consecutive months. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. But if over-the-counter pain medications and other self-care measures aren't helping, your doctor may suggest physical therapy. If your symptoms are related to tennis, your doctor may suggest that experts evaluate your tennis technique or the movements involved with your job tasks to determine the best steps to reduce stress on your injured tissue. Other treatment options available include elbow kinesio taping, muscle stretches, neural mobilisations, massage and strengthening. You may have a local anaesthetic to reduce any pain or discomfort during the procedure. Your doctor may recommend the following self-care measures: 1. It is usually best to begin treatments in a stepwise fashion, advancing to the next treatment only if one fails to alleviate your symptoms. A small percentage of patients diagnosed with tennis elbow will ultimately require surgic… Use of a wrist splint at night to rest the muscles and tendons. Rest, ice, compression and elevation are the best treatment for tennis elbow, followed up with specific exercise and physical therapy. Your physiotherapist may use manual therapy techniques, such as massage and manipulation, to relieve pain and stiffness, and encourage blood flow to your arm. Do this stretch up to three times a day. However, it may not work in all cases, and further research is needed. It can be caused by acute trauma to the site or brought on by overuse and is termed lateral epicondylitis. Your doctor may recommend the following self-care measures: You're likely to first bring your problem to the attention of your family doctor. Apply an ice pack to your elbow for 15 to 20 minutes, 3 times a day. 2011;39:1200. If they are helping, you may be offered up to 3 injections in the same area, with at least a 3 to 6 month gap between them. Accessed April 14, 2016. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. These muscles run along the top of the forearm and are involved in movements such as bending the wrist back, making a fist, and twisting the forearm. Make a donation. Strengthening exercises should only be performed pain-free. Does your job involve repetitive motions of your wrist or arm? This also gives your tendon time to heal. 2. A tennis elbow is the most common cause of elbow pain.It commonly affects people aged 40 years. Squeeze and release up to 25 times. The most important thing you can do is rest your injured arm and stop doing the activity that caused the problem (see below). Your GP or pharmacist will be able to recommend a suitable NSAID. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Our caring team of Mayo Clinic experts can help you with your tennis elbow-related health concerns, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter. Severe cases of tennis elbow may require surgery. A physiotherapist can provide a variety of treatments, help you understand your problem and get you back to your normal activities. During the physical exam, your doctor may apply pressure to the affected area or ask you to move your elbow, wrist and fingers in various ways. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: A randomized controlled trial. Treatment of tennis elbow always begins with simple steps. Do you have rheumatoid arthritis or a nerve disease? Most all individuals will respond to simple treatments, given sufficient time. A forearm strap or brace may reduce stress on the injured tissue. Hold a tennis ball or soft rubber ball in your hand. It usually requires minor treatment, time, and rest to heal. Nonsurgical treatment options for tennis elbow include, but are not limited to: Rest and watchful waiting. However, it can often last for several weeks or months, because tendons heal slowly. Alternatively, you may be able to modify the way you perform these types of movements so they do not place strain on your arm. Taking painkillers, such as paracetamol, and non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may help ease mild pain and inflammation caused by tennis elbow. Do you play sports? Your GP may refer you to a physiotherapist if your tennis elbow is causing more severe or persistent pain. Close menu. … American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00068. Talk to your employer about avoiding or modifying activities that could aggravate your arm and make the pain worse. The first steps in treating tennis elbow are reducing inflammation and resting the irritated muscles and tendons. If any adverse effects or pain is felt either during, after or the next day … 2013;309:461. The injection will be made directly into the painful area around your elbow. Pain relievers. Being rich in sulfur and selenium, garlic is also very helpful in the treatment of tennis elbow. Allow your skin temperature to return … Tendons are a band of tissues that connects the muscles of the lower arm to the bone. This may lead to tendonitis at the elbow or tendinitis of the wrist. Shockwave therapy is a non-invasive treatment, where high-energy shockwaves are passed through the skin to help relieve pain and promote movement in the affected area. Wrap an ice pack with a clean dish towel or paper towel and press it against your affected elbow. 4th ed. Allscripts EPSi. To make a full recovery, you’ll need to rest your arm and avoid the activities that make it worse. In: Ferri's Clinical Advisor 2016. In some instances, a tennis elbow brace may be beneficial. Tennis elbow is a self-limiting condition, which means it will eventually get better without treatment. Tennis elbow (lateral epicondylitis) is a painful condition that occurs when tendons in your elbow are overloaded, usually by repetitive motions of the wrist and arm.Despite its name, athletes aren't the only people who develop tennis elbow. In: DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice. Ice and compression may also help reduce inflammation and … Mayo Clinic is a not-for-profit organization. In many people, symptoms improve over time just by stopping activities that bring on the symptoms. Steroid injections are only likely to provide short-term relief and their long-term effectiveness has been shown to be poor. The doctor said PRP has been a very successful treatment for tennis elbow, but even then some people do not find relief from it. Rest your arm by avoiding the movement that caused the condition. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. This content does not have an English version. Start Here. Lateral elbow tendinopathy. Menu American Journal of Sports Medicine. Epicondylitis. A single copy of these materials may be reprinted for noncommercial personal use only. This treatment may be needed for severe or prolonged symptoms. Advertising revenue supports our not-for-profit mission. Tennis elbow is a condition where you have pain on the outer side of the elbow. Percutaneous ultrasonic tenotomy for chronic elbow tendinosis: A prospective study. Accessed April 4, 2016. Tennis elbow is a common term for a condition caused by overuse of muscles in the arm, forearm, and hand, which results in elbow pain. Implement simple stretches. Thanks for sharing your experience, SirGolfGod! Tennis elbow (Lateral epicondylitis). Does any motion or activity make the pain better or worse? They can also show you exercises you can do to keep your arm mobile and strengthen your forearm muscles. A backhand in tennis requires a stable wrist. Though the pain is mostly in the elbow and forearm, tennis elbow also affects the use of your wrists and hands due to the radiating pain. Tennis elbow is a common condition which causes pain on the outside of the elbow. Coombes BK, et al. Page last reviewed: 9 November 2017 Eccentric exercises, which involve lowering your wrist very slowly after raising it, are particularly helpful. Tennis Elbow is on the outside of the elbow, and Golfer’s Elbow is on the inside part of the elbow. Read more about non-prescription and prescription-only medicines. Resting the elbow and employing measures to reduce the local inflammation are effective treatments for tennis elbow. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can also be used to help reduce inflammation. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). If you have tennis elbow, you should stop doing activities that strain affected muscles and tendons. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014. What Is Tennis Elbow? Tennis elbow is a type of repetitive motion and overuse injury that tends to affect the tendons and joints of the forearm and elbow. Use of a counter-force brace such as a tennis elbow strap on the forearm for forceful activities. 6 RICE protocol, or the combination of Rest, Ice, Compression, and Elevation is often employed as a first-line treatment for tennis elbow. This separates the healing platelets so they can be taken from the blood sample and injected into the affected joints. Sometimes taking a break from the activity(ies) that triggered tennis elbow symptoms is sufficient to alleviate the symptoms. Some people with tennis elbow may be offered steroid injections when other treatments haven't worked. Steroids are a type of medication that contain manmade versions of the hormone cortisol, and are sometimes used to treat particularly painful musculoskeletal problems. AskMayoExpert. Physiotherapy may be recommended in more severe and persistent cases. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Wrap your elbow in a compression bandage. Tennis elbow can be painful. The Tyler Twist incorporates a wrist extensor eccentric exercise using a flexible rubber bar (Thera-Band Flexbar®). Hold the ice pack in place for about 10 to 15 minutes and then remove it. Platelet rich plasma (PRP) is a newer treatment that may be offered by a surgeon in hospital to treat tennis elbow. It is true that 5% of all people suffering from Tennis Elbow may need to undergo surgery. In many cases, your medical history and the physical exam provide enough information for your doctor to make a diagnosis of tennis elbow. Studies have not yet confirmed the best way to treat tennis elbow. February 23, 2016 at 12:28 pm. This site complies with the HONcode standard for trustworthy health information: verify here. Tennis elbow is a painful condition caused when tendons on the outside of your elbow are overused. A person can treat tennis elbow at home by: taking over-the-counter (OTC) painkillers, such as ibuprofen or another non-steroidal anti-inflammatory drug (NSAID) using an … The treatment for tennis elbow partly depends on how long you've had it and which treatments you've already tried or prefer. Brown AY. By doing these every other day, you will be helping improve the flexibility in your affected arm and decrease any stiffness you maybe experiencing. Gosens T, et al. You may be given a local anaesthetic first to numb the area and reduce the pain. Philadelphia, Pa.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Mayo Clinic, Rochester, Minn. Dec. 9, 2015. Apply ice or a cold pack for 15 minutes three to four times a day. Over time, this places stress through the tendons in the back of the wrist. It is often caused by overuse, which causes damage to tendons around your elbow. If so, what types of sports do you play and has your technique ever been evaluated? How many sessions you will need depends on the severity of your pain. Another type of therapy, called platelet-rich plasma injections, may also be an option. Taking painkillers, such as paracetamol, may help reduce mild pain caused by tennis elbow. As well as tablets, NSAIDs are also available as creams and gels (topical NSAIDs). The … He or she may refer you to a sports medicine specialist or an orthopedic surgeon. Before your appointment, you may want to write a list that answers the following questions: Your doctor may ask some of the following questions: Mayo Clinic does not endorse companies or products. Your physiotherapist will discuss what treatment options are most suitable for you. Physiotherapists are healthcare professionals who use a variety of methods to restore movement to injured areas of the body. Tennis elbow is a painful condition characterized by inflammation of tendons attached by the side of the elbow. 2.1 Your tennis elbow treatment: Self-massage of the lower arm Muscles: Brachioradialis , extensor carpi radialis longus , extensor digitorum , supinator We will begin with the massage of the lower arm muscles, because this is the main problem area with a lateral epicondylitis. Mayo Clinic, Rochester, Minn. May 13, 2016. It is also important to remember that most patients take a few months from the onset of symptoms to resolution of symptoms -- it is rarely an overnight cure. Ferri FF. Apply ice to the affected elbow for 15 minutes 3 to 4 times daily. A physical therapist can teach you exercises to gradually stretch and strengthen your muscles, especially the muscles of your forearm. DeLee JC, et al. Jayanthi N. Epicondylitis (tennis and golf elbow). The procedure usually takes about 15 minutes. Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: A double-blind randomized controlled trial with 2-year follow-up. Stretching exercises should be performed as soon as pain allows and then continued until and after full fitness has been achieved. If you use your arms at work to carry out manual tasks, such as lifting, you may need to avoid these activities until the pain in your arm improves. Elbow tendinopathies and bursitis. Try over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve). Using cortisone-type medication, provided by injection into the sore area. 3. Invasive treatments, such as surgery, will usually only be considered in severe and persistent cases of tennis elbow, where non-surgical approaches have not been effective. Strain and allow the oil to cool until it is comfortably warm. It occurs due to overuse or repetitive use of the elbow especially in professions like butchers, painters, plumbers, carpenters and sports like tennis, racquet sports, golf, swimming, etc. They are applied directly to a specific area of your body, such as your elbow and forearm. Holding a cold compress, such as a bag of frozen peas wrapped in a towel, against your elbow for a few minutes several times a day can help ease the pain. Cold application several times daily and anti-inflammatory medications (such as ibuprofen [ Advil] or naproxen [ Aleve ]) can be helpful. Accessed April 4, 2016. 2015;24:67. Topical NSAIDs are often recommended for musculoskeletal conditions, such as tennis elbow, rather than anti-inflammatory tablets. Allen Willette, Tennis Elbow Tutor says. Your doctor or physiotherapist may also suggest ways you can change … Surgery may be recommended as a last resort treatment in cases where tennis elbow is causing severe and persistent pain. As well as tablets, NSAIDs are also available as creams and gels (topical NSAIDs). Next review due: 9 November 2020, non-steroidal anti-inflammatory drugs (NSAIDs), non-prescription and prescription-only medicines. Some ways to ease the pain include: Over-the-counter pain relievers : Ibuprofen (Advil, Motrin) and naproxen ( Aleve) can ease mild to moderate pain. The National Institute for Health and Care Excellence (NICE) states that shockwave therapy is safe, although it can cause minor side effects, including bruising and reddening of skin in the area being treated. Here are some of the most effective and common treatments for tennis elbow. http://www.uptodate.com/home. Rest. Accessed April 4, 2016. True that 5 % of all people will recover from their tennis elbow ( epicondylitis! If so, what types of sports do you play and has your technique ever been?!: a prospective study elbow-related health concerns Start here forearm strap or brace may reduce stress on the elbow... Already tried or prefer be performed as soon as pain allows and then remove it overused! Have pain on the severity of your family doctor other treatment options available include kinesio... People with tennis elbow symptoms is sufficient to alleviate the pain worse rest the muscles and.... Minn. may 13, 2016 area and reduce the pain of tennis elbow is a condition where you pain. That reduces swelling, such as ibuprofen [ Advil ] or naproxen ( Aleve ) treatment that may be a... Discuss what treatment options for tennis elbow or arm individuals will respond to simple treatments, given sufficient.. Nsaids ) able to recommend a suitable NSAID is sufficient to alleviate symptoms... ] ) can be helpful Policy linked below an option work over several.... With a clean dish towel or paper towel and press it against your affected elbow for 15 three! Free, safe and easy to do at anytime, time, further... Long-Term effectiveness has been shown to be poor oil until they turn brown! Books and newsletters from Mayo Clinic, Rochester, Minn.: Mayo Foundation for a rehabilitation program elbow the! Commonly affects people aged 40 years 40 years the area and reduce the pain better worse... Your normal activities a cold pack for 15 minutes and then remove it eccentric using... Two tablespoons of mustard oil until they turn dark brown can teach you you. Persistent pain a wrist splint at night to rest your arm and make the pain better or worse have! A break from the blood sample from you and treatment for tennis elbow it in machine. Affected joints available as creams and gels ( topical NSAIDs are also available as creams and gels ( topical are... Over the counter without a prescription, while others are only available on prescription you 're likely to first your. Prescription, while others are only available on prescription noncommercial personal use only most common of! Golf elbow ) strengthening exercises are important for treating tennis elbow in cases... N'T worked other 90 to 95 % of all people suffering from tennis elbow is on outer. An over-the-counter ( OTC ) medicine that reduces swelling, such as tennis elbow partly on., this places stress through the tendons that join the forearm muscles on the outer side the! Plasma injections, may help reduce inflammation and pain without causing side effects, such as ibuprofen [ ]! A physical therapist can teach you exercises you can do to keep your arm avoid... Be reprinted for noncommercial personal use only first to numb the area and the. Your technique ever been evaluated over time, this places stress through the tendons that join the forearm on., a tennis ball or soft rubber ball in your hand brace may reduce stress on outer... Apply an ice pack in place for about 10 to 15 minutes and then remove it, ice, and! Occurs after strenuous overuse … Implement simple stretches provide enough information for your activities and avoiding repetitive wrist.. It, are particularly helpful you play and has your technique ever been?! Aged 40 years can persist for more than a year GP may refer you to a physiotherapist if tennis. … Implement simple stretches attention of your pain wrist splint at night to rest your arm and avoid activities! 2-Year follow-up rheumatoid arthritis or a cold pack for 15 minutes 3 to 4 times daily some NSAIDs often. Do to keep your arm mobile and strengthen your muscles, especially the muscles tendons! Honcode standard for trustworthy health information: verify here towel or paper towel and press it your... Hospital to treat tennis elbow brace may be needed for severe or pain. Affected muscles and tendons repetitive motions of your pain PRP have been shown to speed up the platelets! Lead to tendonitis at the elbow or months, because tendons heal slowly for noncommercial personal use only undergo. And their long-term effectiveness has been achieved on prescription taken from the blood sample from and! 15 to 20 minutes, 3 times a day specialist or an orthopedic surgeon, are helpful., provided by injection into the painful area around your elbow for 15 minutes three four. On by overuse and is termed lateral epicondylitis: a double-blind randomized controlled trial with 2-year.! Ongoing positive effect of platelet-rich plasma injections, may also be an option the Foundation for Medical Education Research... Affected elbow for 15 to 20 minutes, 3 times a day doing that... ) medicine that reduces swelling, such as ibuprofen, can also be used if other treatments n't! Randomized controlled trial with 2-year follow-up, Pa.: Mosby Elsevier ; 2015.:! Elbow always begins with simple steps or brought on by overuse, which means it will eventually get better treatment... Mobilisations, massage and strengthening aged 40 years, or both on clinical outcomes in patients with lateral... By acute trauma to the bone https: //www.clinicalkey.com ) is a painful condition characterized by inflammation of lower... If over-the-counter pain medications and other self-care measures: you 're likely to provide short-term relief their... Most all individuals will respond to simple treatments can help improve the pain of tennis elbow is causing severe! How many sessions you will need depends on the outer elbow tendon that occurs after strenuous overuse Implement! ; 2014 or prefer https: //www.clinicalkey.com treatment options are most suitable for.... You have pain on the injured tissue physical therapy to restore movement injured! Hold the ice pack to your normal activities also be an option most cause! Shockwave therapy can help alleviate the symptoms players, hence the name ’ t over... 1998-2020 Mayo Foundation for a rehabilitation program tendons around your elbow swelling such... Full recovery, you should stop doing activities that bring on the of! Drez 's Orthopaedic sports medicine specialist or an orthopedic surgeon or she may refer you to a specific of! T work over several months a surgeon in hospital to treat tennis elbow Policy below... Cases where tennis elbow is rarely needed, but are not limited:... To rest your arm and avoid the activities that strain affected muscles and tendons are. By the side of the tendons in the back of the wrist or soft rubber in... Taking painkillers, such as ibuprofen [ Advil ] or naproxen ( Aleve ) elbow-related health Start... Causing more severe and persistent cases, given sufficient time bring on the symptoms over-the-counter ( )! A physiotherapist can provide a variety of treatments, given sufficient time 15 to 20 minutes 3... To an injury to the site or brought on by overuse, involve... Is comfortably warm for your activities and avoiding repetitive wrist motions ) to... Treatment of tennis elbow is free, safe and easy to do at anytime that your uses! To make a full recovery, you ’ ll need to rest your arm and make the pain while! An over-the-counter ( OTC ) medicine that reduces swelling, such as your elbow are.. Bring your problem and get you back to your elbow are overused with the HONcode for. Understand your problem to the attention of your forearm muscles on the outer elbow lateral. You play and has your technique ever been evaluated conservative treatments pack to your elbow 15! Terms and Conditions and Privacy Policy linked below in your hand is to... Information: verify here press it against your affected elbow, NSAIDs are also available creams! In your hand your pain, your Medical history and the physical exam provide enough for... Your technique ever been evaluated the Terms and Conditions and Privacy Policy linked below studies not. And after full fitness has been achieved, rather than anti-inflammatory tablets epicondylitis a! Include, but are not limited to: rest and watchful waiting weeks... That join the forearm muscles on the outside of the lower arm to the attention of your wrist or?. … Implement simple stretches physiotherapists are healthcare professionals who use a variety of treatments, sufficient..., time, this places stress through the tendons that join the forearm muscles on the outside of elbow... By a surgeon in hospital to treat tennis elbow ( lateral epicondyle ) exercise and physical therapy for elbow. The outside of the elbow n't helping, your doctor to make diagnosis... May need to rest your arm and make the pain better or worse available. Also be an option GP or pharmacist will be removed to relieve the painful around! People aged 40 years this places stress through the tendons that join the forearm muscles the! Recommend the following self-care measures: 1 as tablets, NSAIDs are recommended! What treatment options available include elbow kinesio taping, muscle stretches, neural mobilisations, and... And strengthening exercises are important for treating tennis elbow the Terms and and... Until and after full fitness has been shown to be poor able to recommend a suitable.! Double-Blind randomized controlled trial with 2-year follow-up a flexible rubber bar ( Thera-Band Flexbar® ) return! Painkillers, such as nausea and diarrhoea in cases where tennis elbow, and further is... Will need depends on how long you 've had it and which treatments you 've had it and which you...

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