WEBVTT

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(bright music)

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(bright music continues)

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- When I came to Tulsa,

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one of the primary things
that brought me here

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was this hospital and the
specialty in orthopedic care.

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Cause you can always
be on the cutting edge.

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And what we were really looking for is,

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what's something we can do

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to advance the patients to the next level.

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And, you know, cyroneurolysis
was something on our radar.

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- The technical term is
called cyroneurolysis.

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Cryo, freeze neuro nerves,

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lysis, will kill the
superficial sensory nerves

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by freezing them.

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So what I want to do is

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I want to assess what
your pain is in that knee

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before and after the treatment.

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Do you think you can step up?

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How bad was that for you?

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- That's probably an eight.

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- An eight as well.

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Now let's go ahead and
get up here in the bed.

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And now we're going to go
ahead and do the procedure.

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- There's always new
things in the horizon.

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There's always things to make
your patients' lives better

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and recovery better.

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You know, two years ago,

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I had just kind of ran into,

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across iovera and did some research on it.

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And one of our nurses had mentioned it.

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So that's how I kind of
came across iovera first.

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Like all things, you know,
when you start something new,

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you're looking to see if
you know, the hype is real.

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I came to the conclusion that, you know,

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this is what we needed to kind of do

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to solve a problem of pain
control after surgery.

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- So what I'm going to do

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is I'm going to use
the ultrasound machine.

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We're going to find out exactly
where all those nerves are.

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We're going to use some numbing medicine,

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numb up the skin.

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We're going to numb up the nerve

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and then we'll go in there

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and we'll freeze that nerve.

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- We started out wanting to evaluate

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in a small group of patients.

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We evaluated those patients for
a period of about two months

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and see how they did first.

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The results kind of spoke for themselves.

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Now we saw our patients with iovera,

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without iovera in terms
of how they were doing,

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and the narcotic usage,

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and where they were at
three weeks and six weeks.

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I mean, it was obvious to us.

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- The procedure only takes
about 20 to 30 minutes to do.

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It's really no discomfort or
pain with the actual treatment.

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And they get instantaneous
results with the treatment.

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- I've had countless patients come back

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after the iovera and say,

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what'd you do different this time?.

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- A lot of the patients come in,

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very apprehensive and
a little bit skeptic,

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but what's amazing is when we finish

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and they first stand up,

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and bear weight,

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and they go, is this real?

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And the look of astonishment
on their face, when they,

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when they realize my pain's gone.

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- And here we are all done,

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all right, you're ready to stand up?

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- You think I can?

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- [William] Let's see, see
if you can stand on up there.

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- I'll be darned.

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- [William] Way different.

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- Way different.

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- [William] You know before,
- I'm amazed

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you were really struggling
- Yeah. Yeah

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and you had, you fell back down,

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and you got back up.

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- But I think I can do it.

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Look at that.

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- [William] Looky there.

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Any pain doing that?

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- No.

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- So we went from eight and now

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- Zero. I'm zero
- Now you're pain free.

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There you go. My friend.

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- Oh, that's amazing.

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- Very welcome.

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- I'm not, I'm not the
hugging type of person,

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if I was I'd hug you.

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- For iovera, you know, I'd
have patients that come in,

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even at their two month
post-op appointment

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and they're like,

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I need more pain medication
because it hurts.

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And then once we implemented the iovera,

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they come back in at that three
weeks mark and I asked them,

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Hey, how's your pain?

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They're like, I'm not having any pain.

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I'm no longer taking my pain medication.

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- What I've seen with ivoera

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is patients get immediate relief

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in the 45 minutes that
they're in our clinic.

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From the time we register them,

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to the time we discharge them,

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we have taken care of
a chronic pain problem

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and they are amazed.

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We give them a piece of their life back.

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- I'm the type of person, you know,

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that will do whatever is necessary.

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You know, to get well.

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When with the iovera help,

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it looks like to me that it's
going to be an easier process.

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It's been a blessing to me.

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- It's like a kid coming
down on Christmas morning

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and seeing their presence
for the very first time.

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Literally, totally in disbelief
at how much pain is gone,

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because they're so happy
because they can't remember

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the last time they'd been without pain.

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- What was most surprising
to me about iovera

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was the first time I got to watch one

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and a patient came in and we do a,

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basically a step test when they walk in.

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So the patient will step
up onto a small stool

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and we just rate their pain 0 to 10.

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And generally people with
end stage osteoarthritis

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are going to be pretty high, you know,

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8, 9, 10 out of 10 pain.

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The immediate impact and
immediate pain relief

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that those patients get after
the procedure is really,

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was quite surprising to me.

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I think we're going to
find that physicians

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and patients alike are
going to be trying to find

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alternatives to pain medication.

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And I think iovera certainly
a great alternative for them.

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- Patients are taking less narcotics.

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They're having better therapy,

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better range of motion, better rehab.

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I mean, I heard of cryotherapy
and I knew that would help,

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but I didn't realize it
would be that instant.

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I was completely surprised.

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I mean, it's just become
standard of practice.

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And it's our gold standard

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that we do with all of our patients.

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- I get to do this every day.

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That's what I really like about my job.

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I get to make people better every day.

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And chronic pain with iovera
can be solved in 45 minutes.

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- Indication.

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The ivoera system is
used to destroy tissue

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during surgical procedures,
by applying freezing cold.

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It can also used to produce lesions

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in peripheral nervous tissue

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by the application of
cold to the selected site

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for the blocking of pain.

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It is also indicated
for the relief of pain

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and symptoms associated with
osteoarthritis of the knee

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for up to 90 days.

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The ivoera system is not indicated

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for treatment of central
nervous system tissue.

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The ivoera system's "1x90"
Smart Tip configuration,

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indicating one needle which
is 90 millimeters long,

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can also facilitate target nerve location

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by conducting electrical nerve stimulation

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from a separate nerve stimulator.

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Important safety information.

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The iovera system should not be used

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in people with the following conditions,

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blood that thickens when
patient is exposed to cold

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or cryoglobulinemia.

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Blood appearing in the urine

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when patient is exposed to the cold,

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paroxysmal cold hemoglobinuria.

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Skin rash that appears when
patient is exposed to the cold

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or cold urticaria.

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Narrowing of the blood
vessels in the hands and feet

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when patient is exposed to
the cold or Raynaud's disease.

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And open and or infected wounds

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at or near the treatment site.

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Patients being treated
with the ivoera system,

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a needle based therapy,

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may experience certain reactions.

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Including, but not limited
to bruising, swelling,

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inflammation and or redness,

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local pain and or tenderness,

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and altered feeling at
the site of application.

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Proper use of the device as
described in the user guide

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can help reduce or prevent
the following reactions.

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In the areas where you were treated

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damage to the skin from being
exposed to cold or heat,

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darkening or lightening of the skin,

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and dimples in the skin.

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Outside the areas where you were treated

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muscles may not work or move normally.

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For more information,
visit wwww.iovera.com