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Teenager's legs hurt

06 Jul 18

Teenager's legs hurt

Mommies! Tell me who went where with problems with leg diseases in a child. The Wreden Institute in Pushkin is no longer needed - registration is long in advance. Maybe there is something else around the city? Good adolescent orthopedists are needed.

Our legs hurt, it turned out that the problem was poor circulation. It is strictly forbidden to squat on your heels on a chair. I fight with my child all the time, but the result is that he hasn’t complained for a year now.

Now my daughter is 16. She occasionally ache, but less so. I am still inclined to believe that the ligaments and muscles did not keep up with the growth of the bones. My girl is tall.

Can you tell me the coordinates? ;)

ahh. sorry.. found it

I remember that there was such a thread with telephone contacts... I can’t find it :(

A classmate had pins inserted into her hip joints.

Look for a good orthopedist and eliminate any types of stress now. And forget about sports for now. If you crush this area, the result will be disastrous and the pain will intensify and lameness will appear.

I hope that everything will be fine for your child. There are doctors’ phone numbers, but IMHO it’s better to take a referral from the clinic and go to the hospital for free for an examination. So, you will spend a lot of money on all sorts of research. But if necessary, write in a personal message.

As I understand you. went the same way. Against this background, the neurological problem “restless legs syndrome” also developed.

Write if you need coordinates

Today we went to our district clinic... straight to the physiotherapist. They prescribed UHF and electrophoresis with calcium on the knee. Everything is according to the same scheme as a year ago. The doctor said treatment b. Shlyator only with physiotherapy and the use of ointments. That’s it. Well, and exclude all sports activities (except for the pool)

Let's do this for now, because... We're going on vacation in a week; there's no time to see all the doctors. Upon arrival, again. We will contact Turner. but I don’t particularly hope that they will offer something new

Unfortunately, this happens to boys. 🙁

We did ballroom dancing, 4 p.m. in Week. The doctor, of course, if she didn’t prohibit it, ordered me to reduce the load. But in dancing, who knows, it doesn’t happen like that: it’s all or nothing. We haven't been dancing since the end of spring. Lately, TTT, I haven’t complained about my legs. There is less load, growth has slowed down. Well, he’s been going to the pool since last year.

God willing, yours will pass!

And what kind of dirt from the Resort? are they brought? or only in medical centers for the procedure?

Legs hurt behind the knees: reasons, how to treat the pain?

Pain under the knee in a person greatly complicates everyday life, as physical activity decreases. It can be a sign of a variety of diseases. In any case, a doctor's consultation is required. Who should I turn to for help? How to treat such a disease? What are the preventive measures?

Pain under the knee can occur for various reasons. However, there are factors that can influence the development of such a symptom.

  • People with increased body weight. Excess weight puts additional stress on the musculoskeletal system, which leads to deformation and destruction of the joint.
  • Professional athletes. Constant exhausting physical activity has a bad effect on the body as a whole, including the knee joints.
  • Pregnant women. During pregnancy, women may experience pain in the legs, especially under the knees. This is due to the fact that a rapidly developing baby in the womb creates additional stress on the lower limbs.
  • People with reduced activity, sedentary work. Legs remain crossed and bent for too long.
  • Causes of pain behind the knees

    People do not always rush to visit a doctor when they experience short-term or even prolonged pain under the knee. Some believe this is due to increased activity on certain days, but this is not often the determining factor. Days go by, but the pain remains. What could be the reason for this?

  • Arthritis
  • Bursitis
  • Tendinitis
  • Gout
  • Tendon rupture, kneecap displacement due to injury
  • Meniscal injury, meniscal cyst
  • Diseases of associated structures

  • Sprain, ligament rupture
  • Dislocation
  • Infectious disease (eg, psoriasis, abscess behind the knee)
  • Phlebeurysm
  • Aneurysm of the artery below the knee
  • Osteochondrosis in the lumbar region
  • Inflammation of the tibial nerve
  • Crick
  • Cartilage damage
  • Why does a child’s knee hurt?

    Pain behind the knees often occurs in young children. You cannot turn a blind eye to this, thinking that such a phenomenon depends only on age. This may be associated with dangerous diseases.

    Children often play outdoor games, so they can get injured: bruises, sprained ligaments and tendons. If the child begins to limp, or swelling appears at the location of the pain, do not postpone a visit to the doctor. This may be a sign of a serious injury (such as a fracture), flat feet, or rheumatoid arthritis.

    Because of this, strong tension is created in the ligaments and muscles, which immediately affects painful sensations. The best remedy is a relaxing massage that will relieve tension and pain.

    Pain under the knee can occur for various reasons. Symptoms vary depending on the disease or injury.

    In addition to pain under the knee joint, the following symptoms may be added:

  • Crunching when doing exercises (for example, squats). If left untreated, osteoarthritis will occur.
  • Pain when bending. It is a sign of arthrosis of the joint or Osgut-Schlatter disease.
  • Baker's cyst.

    In addition to painful sensations, which intensify during the course of the disease, the following symptoms can be attributed:

    • Numbness of the foot
    • Difficulty bending the fingers of the lower extremity
    • Upon palpation, a tumor can be detected.
  • Pain during squats. This occurs due to gonarthrosis, a viral infection that has spread throughout the body.
  • Pain during long walking. This can happen due to recent injury, arthritis.
  • The cause of discomfort in the popliteal fossa is not only damage, but also osteoarthritis, gout, rheumatoid arthritis, and infection.
  • Not only pain, but also cramps in older people is caused by osteoporosis due to calcium deficiency.
  • Pain under the knee is just one symptom that can indicate many diseases and syndromes.

    To make an accurate diagnosis, a specialist needs to visually check the lower limb, collect anamnesis, ask about the nature of the pain (for example, pulling or sharp?), ask the patient to bend and straighten his knees.

    After the appointment, the doctor may refer the patient to the following diagnostic methods:

  • Radiography
  • Ultrasound of the joint
  • Angiography
  • General and biochemical blood test
  • MRI
  • CT
  • In some cases, puncture of the joint cavity
  • Treatment can be carried out in a hospital (for injuries), because this condition is called acute. If there is no injury, the patient will be allowed to treat his legs at home under the supervision of a specialist.

    The main condition of treatment is complete rest, if possible bed rest.

    The doctor may also prescribe the following recommendations:

  • In case of inflammation and swelling of the knee joint, the painful area is bandaged, ice or any other cold compress is applied. Medicines that you should definitely take are anti-inflammatory drugs and antibiotics.
  • Chondroite sulfate and glucosamine help restore cartilage.
  • To strengthen and stabilize the muscles, the doctor will prescribe physiotherapy and massage.
  • Painful sensations can be easily eliminated if you reduce the load on the leg. In cases where it is not possible to adjust your usual lifestyle or change your job to light work, then special linings and instep supports for shoes come to the rescue.
  • For arthritis , treatment with adrenosteroids, which are administered intra-articularly, is usually recommended.
  • prevent atrophy of a certain muscle group.
  • For any painful sensations under the knee that do not go away without leaving a trace within a few days, you should urgently visit a specialist in order to prevent the disease from developing in time and cure it completely in the early stages.

    Only a doctor, after accurately determining the diagnosis, can prescribe therapy on an individual basis. You cannot self-medicate, this can only worsen the situation. Don’t delay going to the doctor to prevent dangerous diseases and syndromes in time!

    If a person has a leg injury, he is hospitalized, all diagnostic methods are carried out inside the hospital, and the person undergoes treatment there. Painkillers are prescribed to help the patient survive severe pain, and the leg is immobilized.

    When knee pain occurs, treatment is usually conservative.

    If it does not bring a positive result, and also in the patient:

    In such cases, surgical intervention is prescribed, during which the exudate is pumped out, a corticosteroid drug is administered, and the tumors are removed.

    Pain in the leg under the knees can occur due to a lack of certain microelements and vitamins. In this case, it is worth adjusting your diet to make it more balanced.

    Also, if you are obese , you should limit your intake of fatty, floury and sweet foods in order to relieve excess stress from the body, consume more fruits and vegetables, fermented milk products, lean meats and poultry, and legumes. Steam or simply simmer foods.

    You should include nuts and raw vegetables in your daily diet. You can make salads with low-fat dressings (vegetable oil or sour cream). It is better to exclude coffee, because it strongly leaches calcium from the human body.

    If you have formed a habit, add milk or cream to your coffee drink. It is also undesirable to consume sour fruits and berries, as well as tomatoes, potatoes, sweet peppers, and onions. A prerequisite for a balanced diet is the cessation of alcohol and smoking.

    What foods will speed up the healing process?

  • Carrot and beet juices, always freshly squeezed. Removes toxins and impurities.
  • Citrus fruits, bananas, garlic, apples successfully fight inflammation.
  • Rich broths, jellied meats, and jellied fish are good for cartilage, as are chondroprotectors.
  • Therapy with traditional methods takes place in combination with conservative treatment prescribed by a doctor.

    1. Chicken yolk with a teaspoon of turpentine and mix thoroughly with a tablespoon of apple cider vinegar and rub into the knee overnight.

    Wrap a woolen scarf around the sore spot for a more effective rubbing effect. After sleep, the skin is thoroughly washed from the mixture.

  • One hundred grams of natural honey and three grams of mumiyo are thoroughly mixed until a homogeneous mass is rubbed into the knee joint. To obtain the desired effect, procedures should be carried out for at least a week.
  • burdock leaves in hot water, lubricate the knee with vegetable oil, apply the burdock to the sore spot, wrap it in a bag and a woolen scarf on top.
  • Which doctor should I contact?

    If the hole under your knee hurts, you should definitely visit a doctor. But which one?

    You need to contact a traumatologist, orthopedist, surgeon, rheumatologist. These specialists will recommend drug therapy, prescribe physiotherapy, massage, and therapeutic exercises. Physiotherapists, massage therapists, and chiropractors will help provide treatment.

    In order not to provoke pain in the popliteal cap, you need to follow some preventive measures.

  • Don't overcool your feet.
  • Watch your weight. Don’t let it get to critical, and if obesity is present, adjust your diet.
  • physical activity correctly
  • When playing sports, especially martial arts, football, volleyball, basketball, wear protective equipment - knee pads.
  • Follow a special diet, exclude from your diet foods that wash calcium out of the human body.
  • If your job is sedentary, you have to be in one position for many hours in a row, do small warm-ups or do therapeutic exercises in the morning.
  • After long walks, relax your feet with a massage or a warm foot bath with sea salt.
  • If an injury occurs, physical activity should be limited.
  • Pain under the knee can occur for various reasons. You should visit a doctor to establish an accurate diagnosis and carry out the necessary treatment, which includes medications, physiotherapy, massage, and physical therapy.

    In some cases, hospitalization and surgery will be required. Follow preventive measures to avoid pain in the popliteal fossa.

    A teenager has knee pain - what to do?

    Why does a teenager have knee pain? Adolescence is a difficult stage in a child's development. In addition to the many psychological, internal changes that occur with a child, his body also changes. Adolescence is a period of puberty, as well as intensive growth.

    In a short period of time, girls become girls, and boys turn into boys. Adolescence is a transitional moment when childhood is over, but adult life has not yet opened its doors to young people.

    During this period, enormous changes occur in the child’s body - from puberty to intensive growth.

    And this process does not always go smoothly, so there are things that parents need to know about and pay attention to.

    A teenager has knee pain - what to do?

    It so happens that during this period of time, during adolescence, the child’s knees begin to hurt. Of course, not every high school student has knee pain, but this phenomenon is quite common and affects most children during this period.

    There is no need to panic about this, but you also should not ignore the problem. Let's look at what to do if a teenager has knee pain, and what are the causes of this pain.

    Complaints of pain, regardless of its location, can be very worrying for parents. But, if a teenager has knee pain, there is no reason for concern, much less panic, in most cases.

    Therefore, there is no point in immediately running to the hospital with complaints of knee pain in a teenager. In principle, about eighty percent of parents face the problem of pain in the knee joints in adolescents.

    All this is due to the characteristics of adolescence, which is characterized by intensive growth.

    But, in some cases, you should still consult a doctor, and in special cases, even call an ambulance.

    In order to understand what you are dealing with, let's look at the list of reasons that can cause knee pain in teenagers.

    A teenager has pain in his knees - reasons

    Causes of knee pain in teenagers that require going to the hospital.

  • Knee joint injury. In this case, as a rule, abrasions, bruises or wounds on the knees should be visible. Although broken knees characterize an earlier period of childhood, this also happens to many high school students, very often. This is because adolescence is associated with intense growth. Due to the rapid growth rate, the body may experience problems in coordinating movements, which is often accompanied by injuries.
  • Sprain. A very common cause of knee pain in teenagers is a sprain. This can happen not only to those guys who play sports. Quite the opposite - athletes are less likely to experience sprains due to the fact that they know how to properly distribute the load and warm up with a warm-up. If you ignore a sprain, it can subsequently lead to serious consequences and even lameness.
  • Cracks and fractures. Unfortunately, no one is immune from such serious injuries. But, if an accident happens to your child and he breaks his leg, the pain will be very severe. You need to get to the hospital as soon as possible, but you must first fix your leg with a splint or wait for an ambulance to arrive in case of an open fracture.
  • Inflammation of the joint lining. This problem happens much less frequently than the previous ones. In this case, the high school student will complain of aching pain in the joint, which intensifies with loads on the knee.
  • If a teenager plays sports

    Quite often, those teenagers who play sports – professionally or at an amateur level – experience joint pain. In this case, pain can be caused by any of the reasons listed above or by the inability to correctly distribute the load.

    Overexertion and too intense training can cause pain in the knee joints.

    The pain may intensify on the second and third days after excessive exercise. But, if the pain arose as a result of overload of the joints, then there is no reason to worry - everything will soon go away, in a maximum of a week everything will be restored.

    Here are some tips for parents whose children play sports and occasionally experience knee pain.

    • You always need to have two things on hand in your home - an elastic bandage and a medicinal pain-relieving ointment based on diclofenac. If your teenager complains of knee pain after exercising too intensely, you can help him cope with the discomfort with a tight bandage and ointment.
    • Be sure to consult your pediatrician, and also talk to your child’s trainer - maybe you shouldn’t overload your teenager so much.
    • Get periodic preventive examinations. Especially if you have already dealt with various sports injuries. This is important in order to promptly diagnose or prevent any diseases of the bones and joints.
    • Remember that frequent attacks of pain or discomfort in the knee area that plague a child for a long period of time should be a signal that it is time to visit a doctor. All this may indicate a sluggish inflammatory process.
    • A teenager has pain in his knees due to intense growth

      Most often, teenagers have knee pain precisely because of intensive growth. When a child makes a sharp “leap” in growth, he may experience certain problems with the joints.

      The fact is that our body does not always grow and develop harmoniously and evenly. Some things grow faster, some things grow slower. This is precisely why discomfort and pain can be felt.

      For example, bone tissue has grown faster than connective joint tissue. Consequently, the load is unevenly distributed, which leads to pain.

      In this case, there is no need to worry at all - everything will go away along with teenage pimples as soon as your child comes out of the intensive growth phase.

      Nutrition is extremely important during adolescence

      Remember that children grow at a very fast pace during adolescence. In order to grow, the body needs certain elements.

      When it comes to healthy and complete bone growth, the main element that is necessary for them is calcium. It can be obtained from dairy products, as well as some types of fish and vegetables.

      Therefore, it is important to provide your child’s diet with a sufficient amount of foods that are rich in calcium or its compounds.

      For the health and proper development of joints, fats and fatty acids are needed, which fish is rich in.

      In order to ensure full bone growth without pain, it is also important to consume foods that contain large quantities of vitamins A and B.

      A lack of calcium in bones can cause brittleness, deformation, and severe pain.

      Cramps and severe spasms in the calf muscles, deterioration of the teeth and nails, pain in the knees - these are symptoms that indicate a lack of potassium!

      It is important to consider that calcium cannot be fully absorbed without vitamin D 3. This vitamin is synthesized by our body independently when exposed to sunlight, namely ultraviolet and infrared rays.

      Therefore, provide your child with the opportunity to be outside on warm, sunny days. But don’t forget about safety – a teenager must have sunscreen and a light hat. in some cases, this vitamin is prescribed to be taken additionally in the form of an aqueous solution.

      But a teenager should not make a decision on their own about taking vitamins, since an overdose of vitamins in the body can cause serious consequences.

      But, if the health status is normal, the teenager eats well and walks in the fresh air every day, then there is no need to think about taking additional vitamins.

      This point is especially relevant for modern high school students who spend a lot of time at the computer indoors.

      Parents should supervise the child and encourage him to take walks in the fresh air.

      If you are financially able, it is advisable to send your child closer to the sea every year - there is the sun, which is necessary for the absorption of calcium, and fresh sea air, which strengthens the immune system and stimulates brain development.

      It is important for all people to drink water, regardless of age. But it is especially important for children and the elderly to consume their daily fluid intake, since both of them undergo serious changes in the body, in particular in bone tissue.

      The fact is that loss of elasticity of bone tissue can be provoked by a banal lack of moisture in the body.

      When there is little water in the body, bone tissue becomes loose and very fragile. Therefore, teach your child from childhood that it is necessary to drink water, because it is good for health.

      In hot weather, the daily dose should be doubled, especially if the child spends a lot of time in the sun.

      It is also important to remember that no drinks can replace regular water. On the contrary, carbonated drinks contain acids that wash potassium, calcium and collagen out of the body, causing damage to bone tissue!

      Remember that self-medication can be harmful, so if your teenager has knee pain and you are concerned about your child’s symptoms, it is better to consult a specialist to avoid negative consequences.

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      13 reasons why teenagers sweat a lot

      Sweating is a natural process. Increased sweating is a pathology. Teenagers often encounter this unpleasant phenomenon. In most cases, this is due to hormonal changes in the body. If this is the case, then the problem will soon resolve itself. What to do if a teenager develops sweating for other reasons?

      What happens during adolescence?

      There are 6 factors that explain why teenagers sweat a lot in their hands, feet and armpits:

      1. The main reason for excessive sweating is changes in the hormonal system. The entire body, organs and their systems are rebuilt to a different mode of operation. They may vary in size. A good example is the cardiovascular system. The heart grows faster than the blood vessels. This explains the increased fatigue of adolescents. Similar changes affect the process of sweating. During this period, it is advisable to pay more attention to water procedures.
      2. Physical activity. Teenagers do not sit idle for a minute. They play sports, dance and just walk. Active movements lead to increased sweating of the hands, feet, armpits and the appearance of the smell of sweat. The more actively a person moves, the more sweat is produced. This occurs due to excessive overheating of the body.
      3. Food. Can your armpits and limbs sweat a lot because of food? Yes. Few young people watch their diet. In most cases, they snack on hot dogs, sandwiches and cola. Very often, young people's diets include spicy foods. All this leads to the fact that the process of sweating intensifies.
      4. If young people wear poorly fitting shoes, their feet will sweat much more. Increases foot sweating and prolonged wearing of warm shoes in a well-heated room.
      5. Your hands, feet and armpits will sweat more in hot weather. Elevated temperature helps activate the sweat glands.
      6. Emotions. Teenage life is full of stress and anxiety. They cause severe sweating and an unpleasant odor. In the daytime this applies to the limbs and armpits, at night - to the neck and head.
      7. Sometimes the cause of excessive sweating in adolescents lies in some kind of disease. You can identify them with the help of a specialist. Such diseases include nervous tension, all kinds of viruses and infections, excess weight, vegetative-vascular dystonia, and malfunctions of the endocrine system. And the following reasons are possible:

      8. As mentioned above, adolescence is associated with changes in the hormonal system. Young people get excited quickly. Any little thing can cause them nervous tension and, as a result, stress. And it, in turn, will increase the secretion of sweat in the arms, legs, armpits and the likelihood of an unpleasant odor. What to do in such a situation? Consult your doctor as soon as possible and begin treatment.
      9. Sweat and bad odor can be caused by viruses and infections. These are HIV, tuberculosis, malaria. In view of this, if weakness and excessive sweating appear, you should urgently consult a doctor and get tested.
      10. Why do overweight young people sweat more than others? The first reason is the high load on all organs and systems without exception. Because of this, body temperature rises and the process of sweating accelerates. The second reason lies in the thick layer of fat under the skin, which interferes with the release of heat. The body solves this problem in its own way - by increasing sweating. Losing extra pounds will help improve the situation. Until the young man loses weight, he needs to drink as much fluid as possible. And, of course, don’t forget about the shower . It will help get rid of sweat odor.
      11. A quarter of all adolescents suffer from VSD (vegetative-vascular dystonia). With this disease, malfunctions of many organs occur. The result is a disruption of the heat exchange process and increased sweating of the body, arms, legs, and groin. If the doctor has diagnosed VSD, it is worth working on your diet, for example, removing coffee, energy drinks and hot spices from it. You may need to take medications.
      12. If the endocrine system does not function properly, thyrotoxicosis and diabetes mellitus can develop. In the first case, the whole body sweats (arms, legs, armpits, head), and in the second, its upper part (legs do not sweat at all). If a teenager suffers from these diseases, a course of treatment with special medications will help cope with the increased appearance of sweat and odor.
      13. Among other things, sweating can be a consequence of taking antibiotics and heredity:

      14. Antibiotics destroy the balance of microflora in the intestines. There is a malfunction in its operation. As a result, the immune system functions worse and sweating increases. Kefir, yogurt and other fermented milk products will help reduce the harm caused by antibiotics.
      15. If sweating has plagued a young person since childhood, we can talk about congenital hyperhidrosis. Mostly the armpits sweat, and the sweat has a very pungent odor. If doctors have diagnosed hyperhidrosis, body powder or talc will come in handy.
      16. It is quite difficult for parents to understand on their own why their child’s hands or feet are sweating. There can be many reasons. That is why it is worth seeking help from specialists. They will be able to determine whether the sweating is local or secondary. In the first case, it is considered the main disease, and in the second it is a symptom of some other disease.

        If a teenager is experiencing increased sweating, there is no need to waste time. It is necessary to consult a doctor who will help identify the cause of this unpleasant phenomenon. In most cases, using traditional methods will suffice. But sometimes medication may be required.

        Why do teenagers' feet sweat and what to do?

        Feet sweat too much - this is a problem for many teenagers; you can’t even imagine how often these two words are included in the Yandex search line. I decided to analyze this topic in detail and give some really good tips to get rid of this problem.

        Anyone can have sweaty feet, but it is more common in people who wear breathable shoes or spend a lot of time in damp environments.

        If you do not take into account everyday reasons, but analyze the issue from a medical point of view, then your feet sweat due to stress, psychosomatic disorders, hormonal imbalance, due to taking certain medications.

        If your feet sweat a lot, this anomaly may be the result of bacterial or fungal infections or foot erosions. The medical name for this disease is hyperhidrosis.

        Sweaty feet - signs

        - A person feels a sudden release of sweat or constantly feels like he is sweating.

        — A person sweats only for normal reasons (heat, spicy food, stress).

        — An additional symptom is constantly cold hands. Sometimes the hands can even change color to bluish or white.

        — If a teenager does not pay enough attention to hygiene, then traces of sweat can be seen on his clothes.

        - Constantly wet socks.

        Why do my feet sweat? It’s simple, a person produces almost a liter of salty sweat per day, which consists of 99% water. Sweat also contains minerals: sodium, iron, potassium, which leave stains on clothes.

        Sweat is necessary for a person; it performs several functions:

        - Thermoregulation, sweat cools the body.

        — Substances found in sweat retain moisture on the skin.

        — Sweat inhibits the development of microorganisms.

        — Sweat removes toxins from the body.

        — Sweat removes toxins (although medicine does not say this).

        — Flavoring additives and flavor enhancers.

        — Synthetic shoes, rubber, synthetic tights, socks.

        My feet are sweating, what should I do?

        — Brew sage and oak bark, make foot baths daily.

        - Drink sage tea every day.

        — Today, many sprays and creams against sweating feet are sold.

        — Foot baths should not be hot or cold, they should be... cool.

        — Buy ​​disinfectant and drying salts for a foot bath.

        — You can regulate the sweat glands by systematically visiting the sauna.

        — After washing your feet, make sure that between your toes is dry.

        — Insert tampons between your fingers to absorb moisture when you rest.

        — Fatty creams, Vaseline, fat-containing ointments, and glycerin are not suitable for feet. All these substances form the greenhouse effect. Foams, lotions, sprays are suitable.

        - Always carry extra socks or tights with you. It is recommended to change wet socks up to 4 times a day.

        — Buy ​​shoes with removable insoles so they can be washed.

        How to treat sweaty and smelly feet? If there is no fungus or infection, it does not need to be treated, it should be gotten rid of. A person sweats around the clock, some more, some less. Heavy sweating is not normal, but it is not considered a disease.

        One answer to “Why do teenagers’ feet sweat and what to do?”

        At one time my husband suffered greatly from the smell! ((He tried everything he could and settled on Nepotoff cream ointment - the smell disappeared in a week! Not only his salvation, but also mine!

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