Bleeding after intramuscular injection - Intramuscular injection technique 33,34. For intramuscular injection, use a 25 mm needle in most cases (see Table. Recommended needle size, length and angle for administering vaccines). Depending on the injection site, position the limb to relax the muscle that the vaccine is being injected into.

 
Romiplostim Injection: learn about side effects, dosage, special precautions, and more on MedlinePlus Romiplostim injection is used to increase the number of platelets (cells that .... Gator mouth

Introduction. Injections are among the most common health care procedures throughout the world, with at least 16 billion administered in developing and transitional countries each year. 1 Intravenous (IV), subcutaneous (SC), and intramuscular (IM) are three most frequently used injection routes in medication administration. IV injection is …Subcutaneous injections. These are for medications like insulin, growth hormones, heparin, and others. They are given into fatty tissue and absorbed more slowly due to less blood flow in adipose tissue found above the muscle. Site. for infant less than 1 year old, give in the thigh. for 1 year and older, give in the upper outer triceps of the arm. IM injections in the deltoid muscle are not recommended for children 12 months of age and younger.1. Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Table 2: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22 ... Possible negative effects of testosterone therapy may include: an increased risk of cardiovascular complications. worsened symptoms in the lower urinary tract. polycythemia, a rare type of blood ...If worn, perform hand hygiene and change gloves between patients. 1. Use the correct syringe and needle. Administer vaccine using either a 1-mL or 3-mL syringe. Use a 22- …Last updated on Nov 20, 2023. A deltoid IM injection is given into a specific area of the deltoid muscle located in your upper arm. Many vaccinations are given by this route. There are several different ways to find the deltoid muscle injection site, which is the central and thickest portion of the deltoid muscle, for example: Find the acromion ...If there has been sufficient ovarian activity to produce a proliferative endometrium, one can expect withdrawal bleeding forty-eight to seventy-two hours after the last injection. This may be followed by spontaneous normal cycles. Functional Uterine Bleeding: Five to 10 mg are given daily for six doses. Bleeding may be expected to …May 6, 2024 ... If blood comes back, remove the needle immediately. Do not inject the medicine. Dispose of both the syringe and the medicine. Get more medicine ...Amazon is trying to woo Etsy sellers to a copycat marketplace it's launching. It’s been rough for Etsy since the craft marketplace went public in April. Amazon has been emailing Et...Risks associated with intramuscular injection in people with bleeding disorders The main concern for patients with bleeding disorders receiving injections into their muscles is the formation of an intramuscular haematoma. This is when you bleed into your muscle, and it can be painful and difficult to manage once it occurs.Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Age of Vaccine Recipient Needle Length >12 months – 12 years of age 1.6 cm–2.5 cm (⅝ inch – 1 inch) Table 2: Needle . selection guidelines for IM injections in the deltoid muscle using needleIf you're bleeding after you remove the needle, apply direct pressure to stop the bleeding. Clean the wound with soap and water, and cover it with a bandage, if needed, to protect …Adults—At first, 100 to 600 micrograms (mcg) per day, given in 2 to 4 divided doses, injected under the skin for the first 2 weeks. Your doctor will adjust your dose as needed. However, the dose is usually not more than 1500 mcg per day. Children—Use and dose must be determined by your doctor.It happens on occasion, no biggie. As long as it's not shooting out blood, you should be okay. Sounds like you were clear and careful with the injection. I do IM and I have never had blood "shoot out", meaning like go in the air. I have had a lot of blood build up on the injection site and start to pool there.It manifests itself as shoulder pain and limited range of motion occurring after a patient receives a vaccine intended for intramuscular administration. These symptoms are thought to occur as a result of unintended injection of vaccine antigen or trauma from the needle going into and around the underlying bursa of the shoulder, resulting in an ...Aug 2, 2021 ... It is normal and will resolve by itself after few days, up to 1 week without causing any complications. The vaccines are injected into the ...What is SIRVA? Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections. 1, 2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint. 1, 2 This results in an inflammatory process that causes damage to the ...Insert the needle smoothly and swiftly. Inject at a 90-degree angle, to ensure the medication reaches the muscle. Inject medication over 1-2 seconds. After removing the needle, use gentle pressure with a cotton ball or gauze. Do not massage the injection site. If there is a leakage at the injection site after withdrawal of needle: apply light ...To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site.Intramuscular injection is quicker to administer, more convenient for the provider, requires relatively less skill and thus can be given by lower‐level providers. ... Guven E, et al. Intramuscular versus intravenous prophylactic oxytocin for postpartum hemorrhage after vaginal delivery: a randomized controlled study. Archives of …Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. These could be symptoms of a serious liver problem. This medicine may cause swelling of the breasts (gynecomastia) and breast pain in some patients.Im not brave enough to inject myself sandra_23441 elaine30973. Posted 6 years ago. NO thanks I’ll just us talk get a lecture, maybe if they weren’t so mean with our b12 I wouldn’t have to top up, can’t work with the headaches and exhaustion, it’ll be fine. ... tables don’t help it has to be injections I do have one at docs every 12 ...Background: The efficacy of contraceptives is affected by its route and ease of administration. Herein, both pharmacokinetics and pharmacodynamics of the once-a-month combined injectable contraceptive medroxyprogesterone acetate (MPA) plus estradiol cypionate (E(2)-Cyp) were compared after intramuscular (IM) or subcutaneous (SC) …pale skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. ringing in the ears. swelling of the face, fingers, feet, or lower legs. tightness in the chest. unusual tiredness or weakness. weight gain. Some side effects may occur that usually do not need medical attention.Several methods of quantifying leakage after an injection have been used in prior studies, including weighing the leakage, 3,18 using a comparison chart or scale for volume estimation, 4,16 measuring or digitally quantifying the wet spot on filter paper, 1,9,15 using questionnaires or visual analog scales comparing leakage from 2 or more ...Olanzapine (Injection)(Intramuscular) received an overall rating of 5 out of 10 stars from 3 reviews. See what others have said about Olanzapine (Injection)(Intramuscular), includi...persistent pain, pus, or bleeding at the injection site; yellowing of the eyes or skin; hives; difficulty breathing; swelling of the face, mouth, tongue or neck.Platelets help to clot the blood. Rho(D) immune globulin is also used to prevent antibodies from forming after a person with Rh-negative blood receives a transfusion with Rh-positive blood, or during pregnancy when a mother has Rh-negative blood and the baby is Rh-positive. It belongs to a group of medicines called immunizing agents.Amazon is trying to woo Etsy sellers to a copycat marketplace it's launching. It’s been rough for Etsy since the craft marketplace went public in April. Amazon has been emailing Et...q After the injection ask the client to hold cotton wool on the injection site. Instruct the client not to massage the injection site. q Wash hands with soap and water after giving the injection, if possible. Dispose of waste appropriately q Do not recap, bend, cut, or break needles after use. Discard the used disposableWhat is SIRVA? Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections. 1, 2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint. 1, 2 This results in an …Drug Combinations. Tromethamine. Ketorolac Tromethamine. Tolmetin. Peptic ulcers, perforations, and serious gastrointestinal bleeding have not been reported with intramuscular ketoralac tromethamine, the first parenteral nonsteroidal anti-inflammatory drug available for analgesic use. This article presents the case of a 39-year-old black …Tranexamic acid (TXA) is an antifibrinolytic drug that reduces surgical blood loss and death due to bleeding after trauma and post-partum haemorrhage. One key issue for treatment success is early administration. While usually given intravenously, oral and intramuscular use would be useful in specific circumstances.Of the 100 patients whose charts were reviewed, 67 bled (group A) before progesterone treatment was discontinued (17 days after oocyte retrieval) and 33 (group B) bled after progesterone treatment was discontinued (> 17 days). Mean onset of bleeding was 16.2+/-2.6 days after oocyte retrieval.Risks and Contraindications. Before the Injection. How To Give a Z-Track Injection. After the Injection. The Z-track method is an intramuscular injection (IM) …What is SIRVA? Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections. 1, 2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint. 1, 2 This results in an …Jul 24, 2009 ... A little bleeding is normal. There are lots of little capillaries that can get "scratched" when you inject. (By the way, the dorsogluteal site ...When somebody gets a traumatic injury like a gunshot, it’s often not the trauma itself that kills them, but blood loss. In honor of Stop the Bleed Day (March 31), hospitals and sch...Jul 28, 2019 ... ... intramuscular (IM) injection ... blood vessels at the recommended injection sites” (2016, p. ... A total of 340 studies were found after the initial ...q After the injection ask the client to hold cotton wool on the injection site. Instruct the client not to massage the injection site. q Wash hands with soap and water after giving the injection, if possible. Dispose of waste appropriately q Do not recap, bend, cut, or break needles after use. Discard the used disposablesite of the intramuscular injection. • In adults, triptorelin may cause thinning of the bones (osteoporosis) with an increased risk of bone ... • Tell your doctor if you have bleeding after the first month of treatment. • Your periods should start … The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle. hives. itching. difficulty breathing or swallowing. swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs. fast heartbeat. unusual bleeding. Oxytocin injection may cause other side effects. Call your doctor if you have any unusual problems while receiving this medication. If you experience a serious side effect ...q After the injection ask the client to hold cotton wool on the injection site. Instruct the client not to massage the injection site. q Wash hands with soap and water after giving the injection, if possible. Dispose of waste appropriately q Do not recap, bend, cut, or break needles after use. Discard the used disposableAfter four rounds, a final list of statements was compiled. Recommendations: Consensus was achieved that COVID-19 vaccines licensed only for intramuscular injection should be administered intramuscularly in hemophilia patients. Prophylactic factor replacement, given on the day of vaccination with a maximum interval between prophylaxis and ...Desferal (Injectable) received an overall rating of 7 out of 10 stars from 1 reviews. See what others have said about Desferal (Injectable), including the effectiveness, ease of us...Risks and Contraindications. Before the Injection. How To Give a Z-Track Injection. After the Injection. The Z-track method is an intramuscular injection (IM) …Inject the vaccine into the middle and thickest part of the muscle. Insert the needle at . a 90-degree angle and inject all the vaccine in the muscle tissue. Aspiration (i.e., pulling back on the plunger) is not necessary before injecting the . vaccine. No large blood vessels are present at the recommended injection site, and aIM injections are usually given in the buttocks, thigh, hip, or upper arm. If you need to give yourself injections often, you need to inject a different site on your body each time. This helps prevent scars and skin problems. The injection sites should be at least 1 …To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site.Aug 8, 2018 · Subcutaneous injections tend to be less painful than intramuscular injections because the needles are smaller and do not have to push through as much tissue. ... it is from slight bleeding after ... As there are no large blood vessels in the recommended sites, aspiration before injection of vaccines (pulling back on the syringe plunger after needle ...Intramuscular hematomas on the psoas muscle usually occur as a result of trauma and underlying hematologic diseases. Coagulation disorders result in acute bleeding influenced by fibrinolysis. 2) Iatrogenically occurring hematomas may occur as a result of the compression of the nerve roots after lumbar surgery. 11, 13) The minor …Mens et al [3] described disturbances of the menstrual pattern after a local intramuscular injection with triamcinolone acetonide in premenopausal patients.If worn, perform hand hygiene and change gloves between patients. 1. Use the correct syringe and needle. Administer vaccine using either a 1-mL or 3-mL syringe. Use a 22- to 25-gauge needle. Use the correct needle length based on the patient’s gender and weight. For adults, use a 1- to 1.5-inch needle. 1.5 in (38 mm) OR.Last updated on Nov 20, 2023. A deltoid IM injection is given into a specific area of the deltoid muscle located in your upper arm. Many vaccinations are given by this route. There are several different ways to find the deltoid muscle injection site, which is the central and thickest portion of the deltoid muscle, for example: Find the acromion ...The best areas on your body to give yourself a SQ injection are: Upper arms. At least 3 inches (7.5 centimeters) below your shoulder and 3 inches (7.5 centimeters) above your elbow, on the side or back. Outer side of upper thighs. Belly area. Below your ribs and above your hip bones, at least 2 inches (5 centimeters) away from your belly button.Risks associated with intramuscular injection in people with bleeding disorders The main concern for patients with bleeding disorders receiving injections into their muscles is the formation of an intramuscular haematoma. This is when you bleed into your muscle, and it can be painful and difficult to manage once it occurs.If you experience a blood spurt after an intramuscular injection, it is essential to remain calm. Follow these steps for appropriate treatment: Apply pressure: Immediately apply gentle pressure to the injection site using a clean cloth or sterile gauze. This helps control the bleeding and promotes clot formation.The IM injection should be performed at a 90-degree angle to a large muscle's belly. Insertion of the needle should be perpendicular to the patient's body. ... Apply gentle pressure to the injection site with the cotton gauze or balls to slow any subsequent bleeding. Following this, place a bandage on the area. Let the patient know …If you're bleeding after you remove the needle, apply direct pressure to stop the bleeding. Clean the wound with soap and water, and cover it with a bandage, if needed, to protect it. If you can't remove the needle, or if a broken part of the needle didn't come out, you need medical attention. A doctor will help remove the needle. pain or discomfort in the arms, jaw, back, or neck. pain, redness, or swelling in the arm or leg. pinpoint red spots on the skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. severe, sudden headache. skin rash, hives, itching. slurred speech. sudden loss of coordination. Defer intramuscular injections if the INR is >3.0 (warfarin) or the anti-Xa (LMWH) level 4 hours post-dose is >0.5 units/mL. The National Hemophilia Foundation's Medical and Scientific Advisory Council (MASAC) recommends the following procedures when administering vaccines in individuals with bleeding disorders: Use a fine guage needle (23 ...Leuprolide injection is a synthetic (man-made) hormone that is similar to a natural hormone that is produced in the brain. It is used to treat a number of medical problems including: Anemia caused by bleeding from uterine leiomyomas (fibroid tumors in the uterus), or Cancer of the prostate that is ...Aug 14, 2023 · Give the injection: Hold the syringe firmly like a dart. The IM injection angle should be 90 degrees to the injection site. Insert the needle with a brisk, controlled motion (do not "stab" the needle). Compress the plunger slowly to inject the drug. Quickly remove the needle without changing the angle. Intramuscular Administration ... After injecting, press the area lightly but do not rub. ... Irregular bleeding decreases to 30% after 24 months and 10% thereafter. Fifty-five percent of women report amenorrhea after 12 months of therapy, and that number goes up to 68% after two years. The following adverse effects of medroxyprogesterone ...Intramuscular Route (IM): Intramuscular injections are administered into the muscle through the skin and subcutaneous tissue. The recommended site is based on age. Use the correct needle length and gauge based on the age, weight, and gender of the recipient. A video demonstrating administering a vaccine by intramuscular injection can be found …pale skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. ringing in the ears. swelling of the face, fingers, feet, or lower legs. tightness in the chest. unusual tiredness or weakness. weight gain. Some side effects may occur that usually do not need medical attention.It happens on occasion, no biggie. As long as it's not shooting out blood, you should be okay. Sounds like you were clear and careful with the injection. I do IM and I have never had blood "shoot out", meaning like go in the air. I have had a lot of blood build up on the injection site and start to pool there.Descriptions. Heparin injection is an anticoagulant. It is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels. This medicine is sometimes called a blood thinner, although it does not actually thin the blood. Heparin will not dissolve blood clots that have already formed, but it may ...Intramuscular injection technique 33,34. For intramuscular injection, use a 25 mm needle in most cases (see Table. Recommended needle size, length and angle for administering vaccines). Depending on the injection site, position the limb to relax the muscle that the vaccine is being injected into.Intramuscular (IM) injections are invasive procedures; bleeding and bruising may occur at the injection site. Although there is no definitive guidance, most IM …After intramuscular injection, the time to peak plasma concentration is between 15 and 60 minutes, and the half-life is 8 minutes. 25. ... A second uterotonic is typically required in addition to oxytocin in 3% to 25% of cases of postpartum bleeding. 38 There are several combinations of uterotonic medications used for the prevention of PPH, ...Aug 8, 2018 · Subcutaneous injections tend to be less painful than intramuscular injections because the needles are smaller and do not have to push through as much tissue. ... it is from slight bleeding after ... Feb 18, 2016 · You may experience bleeding problems for 6 to 12 months after you first begin using the shot. The most common bleeding problems include: ... With each injection, the body needs time to grow ... The injection site will not stop bleeding. You have very bad pain at the injection site. You have a fever of 100.4° F (38° C) or higher. You have signs of an allergic reaction at the injection site or anywhere on your body. Signs of an allergic reaction include: About Your Intragluteal Injection 2/3 The conjugated estrogens form of estrogen injection comes as a powder to mix with sterile water and inject into a muscle or vein. It is usually injected by a health care professional as a single dose. A second dose may be injected 6 to 12 hours after the first dose if it is needed to control vaginal bleeding. After an IM injection how much bleeding is ok? T Injections. I injected myself as instructed, on the side of my thigh muscle, needle parallel to the ground and injected …IM injections in the deltoid muscle are not recommended for children 12 months of age and younger.1. Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Table 2: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22 ...pain around the injection site, ranging from minor to intense pain, which is often called a cortisone or steroid flare. bruising around the injection site. face flushing for a few hours. thin or ...For persons at risk for hemorrhage (e.g., persons with hemophilia), the risk of bleeding after intramuscular injection can be minimized by use of a 23-gauge (or …Jul 20, 2019 · Ventrogluteal injections are considered one of the safest types of IM injection. The tissue around your ventrogluteal site is very thick and far removed from any major blood vessels or nerves ... Contraceptive injections (medroxyprogesterone) Brand names: Depo-Provera, Sayana Press. Contraceptive injections (medroxyprogesterone) Find out how medroxyprogesterone injections are used for contraception and how you have them. About medroxyprogesterone contraceptive injections. Who can and cannot have them. How …Caverject (Injectable) received an overall rating of 7 out of 10 stars from 15 reviews. See what others have said about Caverject (Injectable), including the effectiveness, ease of...Contraceptive injections (medroxyprogesterone) Brand names: Depo-Provera, Sayana Press. Contraceptive injections (medroxyprogesterone) Find out how medroxyprogesterone injections are used for contraception and how you have them. About medroxyprogesterone contraceptive injections. Who can and cannot have them. How …

1. INTRODUCTION. Intramuscular injections have traditionally been avoided in persons with haemophilia because of the need of factor concentrate prophylaxis and the risk of serious haemorrhage. 1, 2, 3 Muscle bleeds in haemophilia are difficult to manage and may require several days or weeks of clotting factor treatment. 4, 5, 6 Feared sequelae include fibrosis and contracture. 6, 7 The World .... Phoenix mooresville

bleeding after intramuscular injection

Descriptions. Heparin injection is an anticoagulant. It is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels. This medicine is sometimes called a blood thinner, although it does not actually thin the blood. Heparin will not dissolve blood clots that have already formed, but it may ...Two other patients in the perimenopausal age group had similar episodes of vaginal bleeding after epidural steroid injection, as reported by Cok et al. 5 This case report illustrates the rare side effect of this steroid medication, triamcinolone acetonide, in a postmenopausal woman, though such a history should not make the gynaecologist defer ...Last updated on Nov 20, 2023. A deltoid IM injection is given into a specific area of the deltoid muscle located in your upper arm. Many vaccinations are given by this route. There are several different ways to find the deltoid muscle injection site, which is the central and thickest portion of the deltoid muscle, for example: Find the acromion ...damage. It makes it the safest place to get an injection in your glute area. You may feel some pain or tenderness after the injection. This is normal and expected. Figure 4. Your injection site Before you give the injection, wipe the injection site with the alcohol pad for 15 seconds, then let it dry for 15 seconds.The injection site will not stop bleeding. You have very bad pain at the injection site. You have a fever of 100.4° F (38° C) or higher. You have signs of an allergic reaction at the injection site or anywhere on your body. Signs of an allergic reaction include: About Your Intragluteal Injection 2/3Summary. To reduce the pain and fear associated with regular injections, try numbing the injection site with ice and/or a numbing cream. Talk with your healthcare provider about the best sites for intramuscular or subcutaneous injections, and rotate the injection site if there is any pain or bruising. If you have problems injecting yourself ...Extended-release injectable naltrexone is a microsphere formulation of the opioid antagonist (blocker) medication naltrexone. It is administered by intramuscular (IM) gluteal injection once a month. The extended-release injectable form helps address patient noncompliance, which can limit the effectiveness of oral naltrexone (Volpicelli et al., 1997).Intramuscular injections are given primarily in three locations: the vastus lateralis muscle found in the thigh, the deltoid muscle found in the shoulder and the ventrogluteal or d...To help prevent infection when giving yourself a shot, always wash your hands, clean the injection site, and keep your needles sterile. If you notice signs of infection, call your doctor. These signs include: Increased pain, swelling, warmth, or redness around the injection site. Red streaks leading from the site.Intramuscular hematomas on the psoas muscle usually occur as a result of trauma and underlying hematologic diseases. Coagulation disorders result in acute bleeding influenced by fibrinolysis. 2) Iatrogenically occurring hematomas may occur as a result of the compression of the nerve roots after lumbar surgery. 11, 13) The minor …If you're bleeding after you remove the needle, apply direct pressure to stop the bleeding. Clean the wound with soap and water, and cover it with a bandage, if needed, to protect it. If you can't remove the needle, or if a broken part of the needle didn't come out, you need medical attention. A doctor will help remove the needle.1. INTRODUCTION. Intramuscular injections have traditionally been avoided in persons with haemophilia because of the need of factor concentrate prophylaxis and the risk of serious haemorrhage. 1, 2, 3 Muscle bleeds in haemophilia are difficult to manage and may require several days or weeks of clotting factor treatment. 4, 5, 6 Feared sequelae …Iatrogenic axillary neuropathy after intramuscular injection of the deltoid muscle: Davidson et al., 2007 ; USA: Case report: Male: 26 years old: American Indian population: Deltoid IMI may result in direct mechanical trauma to the anterior branch of the AXN resulting in axillary mononeuropathy with axonal loss: 6 If worn, perform hand hygiene and change gloves between patients. 1. Use the correct syringe and needle. Administer vaccine using either a 1-mL or 3-mL syringe. Use a 22- to 25-gauge needle. Use the correct needle length based on the patient’s gender and weight. For adults, use a 1- to 1.5-inch needle. 1.5 in (38 mm) OR. pounding in the ears. prolonged bleeding from cuts. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. red or dark brown urine. severe or continuing stomach pain. sharp back pain just below the ribs. sneezing. sore throat. swelling of the face, fingers, feet, or lower legs. .

Popular Topics