C7 Nerve Root Compression Evaluation with @OrthoEvalPal

[@brandonbingham6507]

I've been a doc for 20 yrs. This is the best demonstration of nerve evals I have seen.

[@gregh7387]

I suffered from this for 6 months but have recovered. I was ready for surgery but finally saw slow improvement a few weeks prior. I did exercises, decompression, and massage. I think they all helped with my recovery. I'm careful now and still continue stretching exercises.

[@OrthoEvalPal]

HI Greg, not everyone needs surgery for this. Glad you are doing better!

[@ZdravkoPetrushevski]

Hi Greg.Can you tell me pleace a little more words about the exercises and dekompression.I have the same ansolved problem in the last 4 mounts.All the best.

[@Zmann2217]

what kind of traction unit??

[@ionescho]

Hello Greg, can you please give a list with the precise exercises that helped you?

[@angelicearthling]

This guy is completely wrong on the timeline. 3-4 weeks is not enough time for most people to recover from this. It's more like 3 months. Glad you recovered and didn't need surgery.

[@williamschenold7056]

I have you bookmarked. Best description and best demonstration have seen so far on KZbin.

[@Alex-zy6qu]

Amazing information, very professional and knowledgable. Thanks for the video!

[@OrthoEvalPal]

Thank you Alex! Lots more to come. Best, Paul

[@madillineortiz2852]

Hope u show how to do a exercise or strengthing for these case c6 and c7.Thank u

[@manarhasan6215]

Hope to know what exercise are recommended for this

[@angelicearthling]

He'd rather send people to get surgery.

[@commandermunemo7319]

Please share home based therapy and exercise foe for C6-C7 injury.

[@jordanchang9348]

Very nice video! What are some examples of home traction unit brands you recommend to patients

[@OrthoEvalPal]

Hi Jordan, I personally use the Saunders cervical traction unit a lot. Also used it in my research. A little pricey but works well. Paul

[@naganeo5704]

same problem even I hve ..thanks for information sharing

[@OrthoEvalPal]

You got it!

[@betrayer992]

I am 27 years old and I have exactly the same symptoms. It has been 6 weeks since initial pain in the neck, and 4 weeks since strength loss. Recently I am getting some tingling sensations in my arm and index fingertip and thumb. Healthcare system in my country is very slow and inefficient and It can take months until I get diagnosed properly and receive any kind of treatment. Are there any exercises that I can do to help my condition? Please help.

[@OrthoEvalPal]

Hi, Here are a few recommendations, I always like to do traction with neck nerve root compression. kzbin.info/www/bejne/nHfFhGinp7eDiZo How to use traction video: kzbin.info/www/bejne/mHzEh2SHms17o6M Exercise video: kzbin.info/www/bejne/i2iQnqKans50fM0 Link to traction I use all the time amzn.to/31q4Deg

[@betrayer992]

@@OrthoEvalPal thank you very much. In your experience, how long does it take to fully recover, especially to regain lost strength?

[@OrthoEvalPal]

@@betrayer992 if weakness was due to nerve compression, it could take up to 1 year.

[@ionescho]

@@betrayer992 hi. How are you feeling today?

[@michalperkowski6304]

@@betrayer992 hi, how its going for you i have same problem?

[@stevenguyen4790]

I broke my clavicle a year and a half ago and had surgery (plate) 3 weeks later. Immediately after the surgery I noticed a minor tingle in my arm when my head is turned to the right. A year and a half today had increasing pain and tingles, I did chiropractor for week. That made it worse, so then tried PT for 4 weeks. It was excruciating pain and had to go to ER and had Catscan and MRI. It shows that I have C5-6 acute radical apathy, but the pain is in my shoulder blade, tricep and thumb/index finger. I have an appointment with neurosurgeon and nerve doctor in a few weeks. I just want to get disc replacement so that I don’t encounter this in the near future as I have a active lifestyle. BTW: This prognosis is 100% me. What advice can you give? Thanks.

[@user-wb2yv7ll9d]

Hope you are doing better.

[@wileymatthews96]

Do you personally ever incorporate any neuro dynamics in your treatment plan, such as median nerve glides? Thanks! Great Content!

[@waelsayegh3447]

Hello dr. Paul. Hope all is fine. I have exactly the same tingling on the left side. I used to sit long time on my laptop leaning my neck down in a cold place. My doctor told me to straighten my sitting posture and keep my self warm. My question is do you think I should stop playing Ping Pong or Gym Workout? Does it make my condition worse in your opinion, knowing that when I warm up I dont feel any pain while exercising. Thank you.

[@rochellewilson4679]

I'm an RN, and am currently experiencing acute right arm N/T when sleeping or sitting up. It doesn't bother me when I'm walking around. I have been waking up during the night from pain in my right hand. I have seen a PT for my right knee & hip within the last 5 yrs. I also have peripheral neuropathy in my feet. I have an appt with a new primary doctor in November, but should I see someone sooner? Thanks for your videos & knowledge!

[@brendanwalsh8387]

Dr first with prescription then Physio which is key to recovery

[@fitdoc565]

Excellent

[@OrthoEvalPal]

Thank you! Cheers!

[@IJS3424]

Hi sir What are the problem that you show in this video, are 100 % I am having. Need a solution from this. If possible can you suggest

[@mychannelnotyours]

My right arm has some numbness and tingling when I brush my hair,use iron to iron my hair and when I drive .I have sleepless nights too.My neck hurts when I use a pillow I have to use a rolled towel in between my neck and base of my head.I also notice a loss of strength on my right hand that I cannot open the house using the key to the house and turning the knob.I’ve been experiencing headaches on a regular basis , pain on my right scapula and right shoulder but I’m more concern of the numbness and tingling.I have no health insurance🥺 I love your videos by the way.I’m learning a lot.

[@OrthoEvalPal]

You definitely need to get this checked out Ray. Thanks

[@mychannelnotyours]

@@OrthoEvalPal Thanks so much.Yesterday I’ve experienced this burning shooting pain all over my body like fireworks inside my body.It comes and goes and lasted for hours.I know I have to see a doctor but I don’t have health insurance.

[@Ingrafre]

Great, Paul and Dave!

[@Ingrafre]

Oh, of the spamers two.

[@nate687]

I think weekly chiropractic adjustments has caused this to happen to me.

[@ko2ni]

Hi Paul, Love your content! I was recently operated for a c6-c7 cervical disk replacement (1 week ago). Pain in my arm has vanished, and so has the tingling in my fingers. However strength in my triceps has not returned and my pectoral has totally shrunk and is really painful still. Is it normal to you? Do you know what is going on ? How long before my strength returns ? Thanks a lot !!

[@user-wb2yv7ll9d]

Have the issue improved?

[@ko2ni]

Still working on it ! (2 to 3 sessions of physio per week + strength training) My dorsal and triceps muscles are slowly returning but my pectoral is Still very atrophied

[@user-wb2yv7ll9d]

@@ko2ni I wonder if they will try "e-stim" or tens on the muscles? I had an ankle fracture and the calf muscle is coming back; the machine they use for stimulating it does seem to help.

[@ko2ni]

I had never heard of it. I’ll check it out. Is it some sort of electrical stimulation ?

[@chaibasil]

Your videos are stellar! And the dermatone/reflex is very interesting, I never really thought about integrating that point of view before. And just to clarify, does a lack of reflex, or a weak reflex in the particular dermatone mean it’s always going to be a sign of nerve root compression? What are your thoughts? I’m also curious because for example, your patient is presenting with a more developed looking L bicep. Wound dominant hand/side of body play into your findings or treatment plan ? Thank You !!!

[@OrthoEvalPal]

I look for asymmetry if the reflexes are less. His arm size is the same. Tough to see on the video. Hand dominance does not make a difference with the diagnosis. Great questions!

[@ramonaburgett2135]

I had a MRI last week and it showed C7 is pressing against a nerve. I have been to the Chiropractor 3 days a week for 3 weeks doing traction along with adjustments and still not better. Had epidurals 12 years ago and did not help. Where di I go from here? I'm in alot of pain

[@OrthoEvalPal]

Hi Ramona, At this point I think you should be visiting a neurosurgeon.

[@lindabrincken1677]

Pain management, neurosurgeon, orthopedic

[@NemesisFL]

Look into RFA ablation from an experienced pain mgmt doctor. It basically “shrinks” the nerve by burning the outer layer. It provided relief to me for more than a year. The nerve layer will grow back & the symptoms/pain would return, but the RFA procedure can be done again.

[@massagetherapyforinjuriesf8197]

Hi Doctor can you make a video of the manipulation C5 6 7 T1 with a friend or patient using 2 different techniques? Promise you will have 100.000 viewers…

[@stephaniegutierrez6222]

Is it possible for the pain of a bulged cervical disc to last as long as 3 to 4 months? Is it necessary to get a second MRI months later to see whether or not the disc has healed? The reason I ask is I would like to use at denneroll for cervical neck correction as my neck is straight but I’m not sure that I can use it if I have a bulged disc and or stenosis in that area.

[@kikothecatbaby9715]

What was his answer?

[@stephaniegutierrez6222]

@@kikothecatbaby9715 I didn’t get an answer.

[@stephaniegutierrez6222]

@@kikothecatbaby9715 You never answer I will say but I’m doing much better! I found a chiropractor in my state who is doing gentle work

[@mcgolfpro]

I have what I believe to be C7 nerve compression, muscle in forearm started bothering me and then pain in neck about 6 weeks ago, got progressively worse sleeping on a hotel bed, got home, started decompressing the neck via chiro and home therapy. Pain mostly resolved, able to sleep better, still have slight residual pain at times, tingling, numbness etc. All that seems to be slowly getting better, but I am left with significant weakness in my left tricep. I would estimate loss of strength at 90%, no pain when working that area - how do I know when its time to see a doctor or can I just continue with stretching, nerve glides PT etc? I just don't want to end up with some perm damage that is unrecoverable because I waited too long. PLEASE HELP!

[@OrthoEvalPal]

I would connect with a neurosurgeon as soon as you can.

[@mcgolfpro]

@@OrthoEvalPal I saw my general practitioner it's his opinion that I'm not a candidate for surgery and "that's all a neurosurgeon will want to do" so he it unwilling to refer at this time. He said we can revisit that in 2-3 weeks. I have a Saunders machine and will start using it 3-4 times a day as you suggest. I'm assuming I can try to work the muscle as well, nerve glides etc. and se if I can get improvement.....

[@user-wb2yv7ll9d]

@@mcgolfpro Hope you're doing well.

[@mcgolfpro]

@@user-wb2yv7ll9d Thanks for the comment, because of @Ortho EVAL With Paul Marquis PT comments to see a neuro ASAP, I had ADR (Artificial Disc Replacement) surgery at C4/5 & C6/7 and had fusion at C5/6 two weeks ago. Too early to tell how "successful" it was but I'm optimistic.

[@user-wb2yv7ll9d]

@@mcgolfpro Oh wow, that's great. Wishing you all the best! Do you have any idea how it happened?

[@isaacguerrero6169]

Did he get better?

[@lawrencelo3668]

I saw a small C7 contraction on the left side on the first hit

[@quinnbodyandperformance3162]

Here W dave is it anteroposterior or a lateral issue per the sperlings test? Thanks Doc...awewome delivery. Jim Quinn. Former d1 fullback a la cervical issues!!!

[@TheGreen123forest]

Can show more on leg weakness

[@stephaniegutierrez6222]

Hi if someone has mild spinal stenosis in the cervical spine due to a “mild“ bulged disc in the C6 and C7 Well that stenosis somewhat correct itself once the bulged disc has healed?

[@kuldeepchauhan9143]

hello sir i am suffering from c7 nerve root compression for 11 month. now my neck in evening is stiff.weekness is improve. how much time to take heal nerve compression . can surgery in necessary. please reply

[@skalamin9354]

sir same to u problem help me How can u relieve it?

[@REDTICK-yv3gl]

Same here

[@ionescho]

Are exercises using a neck harness and 2.5-5 kgs(leaning forward and doing neck extensions with it) safe for neck rehab when having disc bulges? A PT prescribed it for me but I really want to get second opinions on it before continuing with it

[@ionescho]

Could benchpressing have caused a cervical polydiscopathy in my case? I went to the neuro after experiencing tingling in my left thumb and afterwards recognized also some tingling in my left bicep and posterior deltoid. Symptoms remained constant for a few weeks( at first I didn't suspect spinal issues ) so I continued as usual with my gym routine. Only after MRI confirmed cervical issues, did I start to wonder what the hell could I be doing wrong( I've been bench pressing for at least 10 years( Im 32 years old ) and last year I was doing weekly reps with +120 kg). I suspected benchpressing could press on the cervical area, I cut that exercise out and used the alternative lateral cable exercise for pectorals. Only after that did i start to notice my numbness slowly go down( I didn't ever experience any kind of pain). So many people bench press their entire lives and there isn't any contraindication about it being able to affect the cervical area so what the hell?

[@7THxSIGN]

Mine was caused by bench pressing. How are you doing now? Did you recover? Surgery? Any muscle weakness? Thank you!

[@7THxSIGN]

@@ionescho Thank you for your reply! I am very happy to hear you are doing better! How long did it take for the symptoms to go away and for you to feel good? Did you have any muscle weakness? I am a HUGE fan of Dr. Stuart McGill. His book "Back Mechanic" helped me avoid surgery for my lower back. I am actually going to see my McGill Master Clinician this week about my neck injury.

[@ionescho]

@@7THxSIGN my left bicep and deltoid was slightly weaker(dropped about 3-4kg in power) so nothing crazy. It took about 2-3 months to be completely tingle-free. Weird enough, I was able to do one arm chin-ups on the left arm better than on the right after recovering. I didn't have any pain throughout all this. The way the neurologist presented the problem was more panic inducing psychologically but apparently it was much more benign than I thought.

[@7THxSIGN]

@@ionescho very interesting. I’m just now beginning to feel better. I would say I’m about 60% better. I’m just now at the 2 month mark. Thank you for sharing your experience brother. Appreciate it.

[@ionescho]

@@7THxSIGN I'd say you could make a full recovery at 3 months. Don't fret if you still have some 10% residual stuff, it'll pass. If it would bring any peace of mind to you, I recommend doing a small 30 minute session with Joel Proskewitz. He's from the school of McGill. If you show him your MRI or whatever you have he'll be able to offer you a thorough assessment.

[@namesoriginal]

I slept the wrong way and have the C7 nerve. My pain is at 3. Need help seriously

[@erickreihs9021]

I had the same exact pain and location with the positive Sperling test on the right side. I have been having some facial parasthesia as well. Had a Cervical Xray a few days ago....C6-C7 Disc Disease Spondolysis. Can this be causing the facial tingling?

[@vigneshm6335]

My Mom got tinglingness in hand 1 year back he took medicine for it and after 1 year now , her legs and he grip are went weak. Neuro Doctor told that a bone in her cervical region is Shaking so when ever she bend down it pokes the Nerve it seems so he told us to do a surgery. Thus it is a neck surgery we are panic. Now we approached a Acupuncture doctor and he told the due to improper diet it happed. By weekly acupuncture and healthy foods it can be cured . Which one can I beleive and further take action we are looking for a cure without a operation sir. Please help

[@ionescho]

No mechanism of injury? does he spend a big part of the day bent down with his head?

[@delightreed5525]

I have c6c7 muscles pinching on my right side of neck and dizziness and head aches

[@messititanium8847]

You rock 👏

[@jawadbaig3046]

What are Exercises for this?

[@OrthoEvalPal]

My favorite is traction.

[@damodaranp7605]

When will the next x ray take after the first x ray taken after tkr

[@vivijd14]

What if one has shooting pain in the neck/chest area when tilting head back and to the side….. but on the opposite side of the compression!!? 😵‍💫

[@hectorbarajas4848]

I have a c7 pinched nerve on the right side of my neck my pain management nurse says I don’t respond normally to the treatments she has done on me I have had injections on on my neck and burn the nerve treatments What is wrong with me or is my next step surgery?

[@karthiksurvepalli5695]

Thanks for video .i am experiencing needle and pin sensation in the right arm with certain movements .no neck pain at all but i think spurling test is positive .you suggest to consult doctor any thing serious can I wait few more months .its been there for 1 months .initially it was swelling lot but now only pins and needles .thanks .

[@OrthoEvalPal]

You probably can wait if its only tingling. Weakness is a problem though. Tingling for a long time is not normal though. Good luck!

[@karthiksurvepalli5695]

@@OrthoEvalPal thank you sir !!

[@kevyan243546]

@@OrthoEvalPalhello sir I am in the army and i am being diagnosed with c6-7 ridiculopathy, I have been told that I need surgery on my neck area but I am a little scared

[@stephaniegutierrez6222]

Also is decompression therapy good for the cervical spine bulged disc? I’ve seen both the types where you lay down and the types where you’re sitting up decompression. What is best?

[@kikothecatbaby9715]

What did he say about this?

[@Disenteng.Buring]

Hi, I have a c5 and c6 disc bulge but I havent got into accident. I am having tremor and rigidity on my arms and legs. What should I d

[@OrthoEvalPal]

Hi Marichelle, you should see a physiatrist or neurologist. Good Luck!

[@johnjoe4415]

Hi, I wanted to hear back from you! What did they find out? I have a C7-T1 ( right at the end of the neck region) is very high ( towards c junctions) I’ve had the same tremors, now just brain fog and straight neck issue. X-ray showed (No cracks) just straight neck. I’ve went to three chiropractors still NO results.

[@hagbirdgreystar6948]

What would this exam be called or is it just named a reflex test?

[@PetsNPatients]

After MRI...Pain management anesthesiologist epidural cervical steroid injection...

[@reeneshprakash5039]

Hi, thanks for the video, I'm experiencing very similar symptoms with shooting pain along left forearm. If herniated, does this resolve by itself and how long would this take or is surgery required?

[@OrthoEvalPal]

Good question Reenesh! This varies with everyone. The jelly part of the disc can be reabsorbed by the body in some cases but can take a long time. Problem is trying to determine who should wait and who should have surgery. Always try to treat conservatively but if pain is unrelenting and weakness gets worse that is a sign that there could be more nerve damage going on that may need to be addressed surgically. I've seen too many people not fixed fast enough or were misdiagnosed and ended up with permanent disability. Best of luck!

[@lindabrincken1677]

U can try RFA burning nerve

[@ashleehoward47]

@@OrthoEvalPal how long in your experience is “too long” when it comes to weakness not improving while other symptoms resolve like pain? I’ve heard 8 week and I’ve heard 12 weeks is the cut off. From your knowledge and clinical experience what is your consensus? If it were you how long would you wait with weakness if it didn’t get worse but also not better?

[@OrthoEvalPal]

@@ashleehoward47 8 weeks max in my opinion

[@ashleehoward47]

What is it's bee 6-7 weeks with weakness? I've had deltoid and tricep weakness since herniated disc 7 weeks ago... how long is too long before it can become permanent because surgeons are saying I’m a surgical candidate and shouldn’t wait but I have no pain anymore. Just numbness and weakness. I keep praying it will go away and get better but it’s not getting better.

[@OrthoEvalPal]

Painless weakness is hard to address. I agree with the physician in that decompressing the nerve can give it a better chance to heal. Keep reassessing the strength to look for improvement.

[@mr1enrollment]

I thought c56 is radial and c7t1 ulnar

[@maheshkumarp9466]

C3-4 right paracentral disc herniation seen compressing the subarachnoid space, indenting the ventral aspect of the cord and encroaching on the corresponding neural exit foramina more at right side What are the solution to get relief from aforementioned priblem?

[@OrthoEvalPal]

Many options. Start conservatively. I like cervical traction. Weakness is a "red Flag".

[@64srinidhi]

Same type of pain I am facing and more on left shoulder blade, triceps and on the chest .smal lswelling on finger and wrist joint of index finger and middle finger

[@OrthoEvalPal]

Hi Srinidhi, sounds like you might have a herniated disc in your neck.

[@katiefreeborn2674]

@@OrthoEvalPal This is exactly my problem as well. Does this require surgery or will stretching exercises and PT cure this? My MRI said I have a herniated bulging disc with stenosis on the C6/C7. Wondering about the best route to take here?

[@OrthoEvalPal]

@@katiefreeborn2674 if you have weakness because of the compression that is more worrisome otherwise i would try traction 3 to 4 times a day and see how you do

[@christiancullen1391]

@@OrthoEvalPal hi why is weakness more of a red flag than pain? Thanks

[@MrGhost2501]

Hi, I'm having similar symptoms since one and a half month : numbness in the index and middle finger of my left hand, same pain as your patient when I'm rotating my head to the left with my chin up and loose of power in my left arm when I'm working out (push exercices only (triceps), pull exercices are o (biceps)). Shoud it also be thoracic syndrom related ?

[@OrthoEvalPal]

Not likely TOS. More likely C7 nerve root compression

[@MrGhost2501]

@@OrthoEvalPal Thank you for the reply. I passed a CT Scan friday. I'm just waiting for the results.

[@ionescho]

@@MrGhost2501 hi mike. How are you feeling. Your symptoms resolved?

[@MrGhost2501]

@@ionescho Hi. The scan showed that I had osteoarthritis located at C6-C7, which inflames the nerve that passes through there.

[@lionel2626]

Thanks for the Vids! But I'm really confused right now. For example I've learned that the reference muscle for C6 is the biceps brachii and for C5 it's deltoideus. I checked different sources and they all say something different.. On which source do you base your examination and why?

[@OrthoEvalPal]

Hi Lionel, Yes it can be confusing. So many inconsistencies out there. Here is a C5 video. He had surgery and had C5 addressed and it took care of it. kzbin.info/www/bejne/gKqugJWXbLWLors C6 is classic loss of wrist extension. C7 triceps. I am very confident with these because I've probably seen 50 or more of each who had surgery and the relief from surgery confirms the original diagnosis.

[@stephaniegutierrez6222]

If you have a bulged disc in the C7 causing minor stenosis well that stenosis correct itself once the minor disc bulge has healed? My pain is pretty much gone after three months I’m just curious as to whether or not the stenosis has gotten better but I can’t do another MRI just yet.

[@jetstreams2986]

Watching 80 % of the video Clips regards to Cervical Spondylosis bulging disc C5 C6 C7 which I'm suffering from no one Talks about Headaches !!! but it's all about Hands & Shoulders whereby being diagnosed with the Same what kills me more for the last 04 years now is Chronic Headache caused by Pinched Nerve Back stabbing Pains So what I'm I suffering from..????

[@OrthoEvalPal]

It's not common to have headaches with a cervical nerve root compression. There are many causes of headaches. Have you tried PT yet?

[@jetstreams2986]

@@OrthoEvalPal Appreciate your Concern for my well being & sharing Knowledge...The Pain has always radiated from my Neck all the way to my Head & the opposite waking up with Headache has always been the case what does PT Stand for ?? Are there any specific checks you might reconsider me

[@princessjodii]

Hiya, I'm 32 and had my first baby 10mths ago. Since January I've had a electric shock/zap feeling when I press on the bottom left of my neck at the back, like where my neck starts but at the back. I also keep getting random zaps/burning/tingles under random fingernails at a time but on both hands. Do you know if this sounds like nerve pain to you?

[@OrthoEvalPal]

It does. You should be evaluated for it. Giving birth can be pretty stressful to your neck. My wife had severe neck issues during birth.

[@andytiner7989]

Same problem same side 8 months now very frustrating when is enough enough lol can this take a long time to heal?

[@OrthoEvalPal]

Yes Andy but should be better by now. Have you been treated yet or tried traction?

[@andytiner7989]

@@OrthoEvalPal did 6 weeks chiropractor 2 times week and nothing haven't done traction yet. Just got trigger point injections yesterday had lot muscle knots. No insurance so im very limited I gotta pay out pocket ... Ty for replying

[@daliborstanojevic1538]

Hello I have pinched nerve c7 I also heave weakness in left triceps,how much time need to recover and return my real strenght in that muscle?

[@OrthoEvalPal]

If the nerve is pinched too much, you may have permanent weakness. You should see a doctor for this.

[@manarhasan6215]

@@OrthoEvalPal for me its been more than 9 weeks is that normal and i am feeling the same pain

[@OrthoEvalPal]

@@manarhasan6215 no. You should see a medical provider for this

[@skalamin9354]

same problem servical rib C7 pls help me vedio?

[@OrthoEvalPal]

Have you tried traction? kzbin.info/www/bejne/nHfFhGinp7eDiZo

[@Skazzze]

I have a light degeneration C5 to C6, C6 to C7 according to MRI. i can't use phone computer or make music without getting symptoms. What can I do ?

[@OrthoEvalPal]

Have you tried cervical traction? kzbin.info/www/bejne/mHzEh2SHms17o6M

[@ingilizcetv1085]

Ben Affleck, is that you?

[@OrthoEvalPal]

Not quite. I don't remember Ben having a Franco-American accent :)

[@paulum6]

Man...Fauci is lookin good...😉

[@tweetybird475]

😂🤣😂🤣😂🤣