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welcome to ortho eval pal where we help you build confidence in your orthopedic evaluation and management skills first thing I want to say is thank you to Bruce for helping us out here our patients are great they really want to help others out there learn more and thatamp;#39;s great so what I want to do today is I want to quickly go over Bruceamp;#39;s scenario he has signs of a c6 and c7 femoral encroachment on the left side so this has been going on for how many years now Bruce been going on for about five years about five years but the last couple months have really been getting work some building mostly since spring what kinds of things since spring have have you not been able to do because of this noticing when we get on the position like bicycle ride and motorcycle riding cut into the swimming pool couldnamp;#39;t do over hand a lot of flexing my head had to be down right so you couldnamp;#39;t pull it up like that pull it up yeah like that and how about like sleeping at nig