However, results are not instantaneous. Swing your arm. Rest your shoulder and elbow on a rolled up towel or small pillow when lying down to keep your arm and hand at the same level as your body. The brachial plexus is a bundle of nerves that runs through the shoulder. Type of ball and socket your doctor used Josephine. Hand Grip Exercises. Rehabilitation Protocol for Total Shoulder Arthroplasty and Hemi. Peer-Reviewed Recovery times for shoulder decompression surgery can vary, but most improvement tends to occur between 3 and 6 months after the procedure. No excessive shoulder motion behind back, especially into . Radiographically, the humeral head centralized on the glenoid after surgery, and there was no evidence of component loosening at a mean 38-month follow-up. Physical therapy after a reverse total shoulder arthroplasty (R-TSA) should begin within the first week following surgery. Once you have had shoulder replacement surgery, it is essential to carefully follow your doctor&39;s instructions for recovery to ensure the best possible outcome. Cross-Arm Stretch · Let your right arm hang near your waist and use your left hand to grab your right elbow · Pull the right arm across your chest towards your . Your surgeon will make an incision either on the front or the top of your shoulder. Read More Created for people with ongoing healthcare needs but benefits everyone. Triceps press overhead Dips The following exercises require special cautions (consider delaying until 1 year after surgery) Pull downs should only be done in front of the head, to the chest with a medium (not wide) grip. This can help the muscles around the surgical site to relax a bit and can get some gentle range of motion in your shoulder joint. Remove the sling on the first day after surgery. First, I sustained a minor tear in my iliacus, meaning I was unable to split and had to switch to power jerks. Keep your elbows as straight as possible. But now, after arthroscopic shoulder surgery at Mayo Clinic, Delaney&39;s fully . A lifter's worst fear is a bad injury. After your surgery, you will most likely be eager to get back to your regular lifting routine. No lifting of objects until 6 weeks post op. Study Design. Go wide stance. After 20 years of competitive powerlifting, 17 of which were spent at Westside Barbell, I found myself in need of total hip replacement. As i wont be able to load my left. This is my story of how I continued to break world records after shoulder surgery. Shoulder Internal Rotation (Strengthening) Lie on your involved side. Healthy shoulder joint Enlarge image. That will protect the muscle. regarding moving your shoulder after surgery. This occurs when the cartilage of the ball and socket joint wears away. No Excessive Shoulder Extension (do not reach arm behind the body) or External. Full recovery from shoulder replacement can take 4 to 6 months or longer. First, I sustained a minor tear in my iliacus, meaning I was unable to split and had to switch to power jerks. With one hand on each rope handle, slowly and with control draw your elbows back along your ears like youre stringing a bow. If the hand is rotated out or up high or reaching behind the back, those positions would put stress on that muscle thats trying to heal. Yes because what I am reading indicates that the standard style of total shoulder replacement involves a plastic socket and steel ball and the plastic wears out. Everything you need to know about doing lifting after total shoulder replacement Total Shoulder Replacement - Back to. Their job is to keep the head of the upper arm bone, the humerus, in the shoulder socket, the glenoid, and allow you to move your shoulder in many different directions. Healthy shoulder joint. If you return to the resistance you were doing before surgery, you may not have the strength and cause your body to compensate in joints. Width cm) 25. Depending on your job, you may be able to go back to work as early as 2 to 3 weeks after surgery, as long as you avoid certain arm movements, such as lifting. For instance, patients that have had a. It is also beneficial for you to follow the home exercises recommended, two to three times a day for at least 3 months. The block also provides excellent pain relief after surgery. 2 Do avoid extreme arm positions, such as behind your body or . In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components, called a prosthesis. Everything hurts lol. Jenny pulled a whopping 363 lbs and turned her shitty deadlift into a state record. Rest your shoulder and elbow on a rolled up towel or small pillow when lying down to keep your arm and hand at the same level as your body. You will need to keep doing this for 6 to 8 weeks after your surgery, even when wearing a sling. Repeat 10 times per session. It is a hard surgery on the patient. Reverse total shoulder replacement is used for people who have Completely torn rotator cuffs with severe arm weakness The effects of severe arthritis and rotator cuff tearing (cuff tear arthropathy) Had a previous shoulder replacement that failed An X-ray of a reverse total shoulder replacement. Feb 11, 2020. Recovery Timeline Progress after shoulder replacement surgery is different for everyone, but you can expect Days 1-4 Pain and swelling that tapers off Weeks 1-2 Gentle therapy exercises begin Weeks 2-6 Sling use followed by light activities, like lifting a cup of coffee or making a sandwich Weeks 8-12 Return to normal function. Check out my article on the best upright row alternatives. However, a typical timeframe one can begin increasing their activity intensity . Start with two light dumbbells at your side and your forearms perpendicular to your. Lat pull-downs. The Ream and Run involves a steel ball and crafting a new socket by reaming out the bone. is Rudy Kadlub, and I&39;m a 70-year-old powerlifter. The specific type of shoulder replacement performed will depend on the cause and extent of your shoulder damage. Revision to total shoulder arthroplasty can . May 26, 2021 Around six weeks after the surgery, patients will be able to do light activity with the shoulder. OBJECTIVE To compare the use of anchors with double and single-thread loading in the single-row Bankart arthroscopic procedure. Your surgeon will make an incision either on the front or the top of your shoulder. We want you to stay as fit as possible after surgery, AKA NO resting on the couch for 4 weeks. 3. Available in 10mm and 13mm thickness, choose according to your needs. Press into the wall while you contract your muscles, without moving your shoulder. It is possible for a hip replacement patient to do all of the strength training exercises with free weights, machines, exercise bands and tubing, and bodyweight. You can place your order directly, and we will ship. Don&x27;t participate in contact sports or do any repetitive heavy lifting after your. Slowly lower your arms. Healthy shoulder joint. Dumbbell Front Raise 3 sets of 12 reps. This is also rare after upper limb shoulder surgery, affecting fewer. May 24, 2021. Aug 31, 2005 A shoulder replacement will not give you an OK to lift weights. Basically, we&39;re discussing pain at the tip of the shoulder that is most noticeable during or after lifting your arm. Nov 4, 2018 We need to see if migrating anchors are to blame, and hopefully I&39;ll find out next week, but the ortho gave me worst case of a shoulder replacement in my 50s if it progresses at the current rate. Multiple repeat dislocations and subluxes including a dislocation whilst doing a shoulder press left me. A conventional replacement device also uses the rotator cuff muscles to function properly. Im not saying Im quitting powerlifting but I am going to lay off the squats and whatever else ails my knee. Hand Grip Exercises. 9 (6); 2021 Jun PMC8202274 As a library, NLM provides access to scientific literature. After 2-3 weeks, your doctor may inform you that you may begin some light physical activity, but with an important caveat your injured arm . Aug 10, 2020. We recommend keeping the hand in front of the body, Kuhn said. Our expert shoulder surgeons answer frequently asked questions about total shoulder replacement surgery. After the surgery and. Shoulder Forward Elevation (Assisted) This exercise can be done either lying down (A) or sitting down (B). Do avoid extreme arm positions, such as behind your body or . Nov 4, 2018 We need to see if migrating anchors are to blame, and hopefully I&39;ll find out next week, but the ortho gave me worst case of a shoulder replacement in my 50s if it progresses at the current rate. X-Rays before and after reverse total shoulder replacement for cuff tear arthropathy. In fact, there are very few situations where a shoulder replacement would limit your ability to exercise. Once your post-surgery shoulder has begun to heal and your doctor has given you clearance to begin lifting weights, numerous exercises can strengthen your . Sports with fall potential, including downhill skiing, tennis, basketball, and soccer, were allowed with experience after hemiarthroplasty and TSA, and undecided or not allowed after RTSA. Prior to the surgery (and right up to the surgery) I was training for powerlifting, squatting and deadlifting significant weights. Customized engraving over the Stainless Steel Lever. Pain relief is the primary indication- or reason- to have a shoulder replacement. jav wife fuck. One of the main causes of patient dissatisfaction after arthroplasty is activity restriction. Originally Posted by PizzaDad. Reverse total shoulder replacement is administered to patients. common rotators cuff injury is due to poor posture, shoulder imbalance, and over training. sorry to hear that. Place the outside of your forearm against the wall. Dec 18, 2021. The procedure relieves pain and increases mobility. If you keep a. After a shoulder replacement, most people experience significant pain relief and improvement in. However, it is vital to start slow and gradually . Perform steps two through five again. Shoulder Internal Rotation (Strengthening) Lie on your involved side. They will remove the damaged bone and then position the new components to restore function to your shoulder. Use box squats (maybe above parallel even) Use reverse bands and other methods to take tension off the bottom. Also, refrain from using your arm to lift, reach, push or . I resumed my training schedule, and six months after my second surgery I was back on the platform, competing in a powerlifting competition. The function of the rotator cuff is to not only provide strength to the shoulder with lifting things away from the body, but also serves. Guidelines for Returning to Weightlifting Following Shoulder Surgery Before initiating any type of weight training, you must have full range of motion of the shoulder and normal strength of the rotator cuff and scapular muscle groups. If you keep a. Plain PU Leather. When performing a chest press, it is safest to do so with dumbbells. Keeping your elbow against your body, use your other hand to gently rotate your forearm outward until your arm is. Reverse Total Shoulder Arthroplasty Rehabilitation Protocol. shoulder imbalance. Yes and no. This real ugly deadlifter now holds a Colorado state record I of course had to share with you. Total Shoulder Replacement by Dr. The following is a detailed outline of the rehabilitation regime for. Every surgery has a risk of failure whether it is an operation for dislocation, rotator cuff tear. You can expect to be in a sling for weeks. Weight lifting after shoulder replacement surgery is a slow process and should be done with caution. common rotators cuff injury is due to poor posture, shoulder imbalance, and over training. Reverse total shoulder replacement is used for people who have Completely torn rotator cuffs with severe arm weakness The effects of severe arthritis and rotator cuff tearing (cuff tear arthropathy) Had a previous shoulder replacement that failed An X-ray of a reverse total shoulder replacement. The Ream and Run involves a steel ball and crafting a new socket by reaming out the bone. Multiple repeat dislocations and subluxes including a dislocation whilst doing a shoulder press left me. 9 (6); 2021 Jun PMC8202274 As a library, NLM provides access to scientific literature. After 20 years of competitive powerlifting, 17 of which were spent at Westside Barbell, I found myself in need of total hip replacement. normally, while still not doing any lifting that could pull apart the. Isometric exercises are exercises where no motion occurs while the muscles around your shoulder are contracting. Physical therapy should be 23 time per week through 12 weeks post- -operatively. Apr 30, 2022. Looking for a Hip Arthoscopy. Overhead work does tend to cause some shoulder impingement if you do not have sufficient mobilitystability to achieve the correct position. Reviewed by Dr. You may have difficulty doing everyday tasks like walking or standing up. You will need to keep doing this for 6 to 8 weeks after your surgery, even when wearing a sling. For persons using barbells, this is the military press. look up forward head posture. Physical therapy should be 23 time per week through 12 weeks post- -operatively. You&39;ll go home from hospital with a sling to support your arm and shoulder. Jul 22, 2013. If you do experience shoulder impingement, we recommend temporarily replacing your weightlifting regimen with physical therapy. You will not be able to use your arm for anything except prescribed exercises. I have no idea how it happened, maybe altered mechanics and a weakened RC after 2 surgeries meant the shoulder kept slipping out of the correct alignment. Originally Posted by KarlHungus. Clasp your hands together and lift your arms above your head. On top of that, the convergence of several huge work projects and similar issues meant even greater than usual stress and extremely limited and poor sleep. Shoulder Internal Rotation (Strengthening) Lie on your involved side. Aug 31, 2005 A shoulder replacement will not give you an OK to lift weights. THE View star Alyssa Farah Griffin has thrown shade at co-star Sara Haines during an awkward moment on Mondays broadcast. Your shoulder replacement has not been designed for heavy loading this means you will be unable to lift heavy weights or take body weight . Clasp your hands together and lift your arms above your head. Feb 11, 2020. If the hand is rotated out or up high or reaching behind the back, those positions would put stress on that muscle thats trying to heal. sorry to hear that. Rest your shoulder and elbow on a rolled up towel or small pillow when lying down to keep your arm and hand at the same level as your body. Lat pull-downs. Dumbbell Front Raise 3 sets of 12 reps. Reverse total shoulder replacement is used for people who have Completely torn rotator cuffs with severe arm weakness The effects of severe arthritis and rotator cuff tearing (cuff tear arthropathy) Had a previous shoulder replacement that failed An X-ray of a reverse total shoulder replacement. Apr 25, 2018 2,301. Glad to be back at it again, going to take a month of light weights, make sure all is well, then carefully work back up. Sure, you will need to modifymaybe even a lot. Most of them can only withstand about 300 lbs of shear forces before structural failure occurs. If you are suffering from weightlifter&39;s shoulder, the condition may respond to conservative treatment. Repeat 10 to 20 times per session. Its been a 1. However, results are not instantaneous. When performing a chest press, it is safest to do so with dumbbells. But since incorporating it into my workouts, my shoulder, my back and my knees have never felt. Powerlifters are prone to shoulder arthritis, and these people are used to bench pressing 300 lbs or more. After the surgery and. Originally Posted by PizzaDad. In the future, make sure to let all health professionals know about your artificial shoulder so they will know how to care for you. No Excessive Shoulder Extension (do not reach arm behind the body) or External. Trust me your legs will be stronger after knee. best life and beyond adam the woo apartment. Gombera, will help you regain full range of motion in your shoulder. Although caution is still advised with returning to heavy weightlifting, the current data highlight the advances of modern fixation techniques, fourth-generation implants, and diminished lifting capacity after surgery, which likely play a role in the high implant survivorship in this cohort. Jul 28, 2021 There were substantial improvements in shoulder function and a high rate of return to weight lifting after TSA with a nonspherical humeral head resurfacing and inlay glenoid component. Core strength will help with bending and torso control for one armed lifting and moving in and out of chairs bed. Its been awhile since you posted here, but I remember you have had a lot of unfortunate injuries. Failure can result from stiffness, weakness, instability, pain or failure to heal, and from complications such as infection or nerve injury. Nov 22, 2019. Some pain or discomfort with . opal ice maker keeps going into cleaning mode pet simulator x fake hatcher mod apk 2022 big lake waterfront homes for sale walmart team lead academy test answers 2021. I am going to drop some weight, do more Kettlebells and metabolic conditioning. the difference between normal after workout soreness and an actual injury, . Avoid shoulder AROM (Active Range of Motion). Jun 15, 2020. Everything you need to know about doing lifting after total shoulder. Recovery time varies. You can place your order directly, and we will ship. After healing In order to replace the shoulder, the majority of shoulder replacements require detaching and reattaching a rotator cuff muscle. Depth cm) 4. For persons using barbells, this is the military press. After years of lifting weights, you can expect shoulder pain. After the surgery and. This document outlines rehabilitation goals, precautions and exercises following shoulder arthroplasty (total shoulder replacement and reverse total . Keep your elbow bent at 90. Shoulder press overhead should be done carefully, avoiding heavy weights. Although a major goal of the surgery is to relieve this stiffness by release of scar tissue, it may recur during the recovery process if range of motion exercises are not accomplished immediately. It is a 3-6 month recovery at minimum. jav wife fuck. If you lift too much weight, youll be placing 12 the impact on the spike, which is held in place only by the surrounding bone in the arm;. Radiographically, the humeral head centralized on the glenoid after surgery, and there was no evidence of component loosening at a mean 38-month follow-up. Limit lifting anything heavier than a glass of water for the first two to four weeks. Weight Training After Shoulder Surgery. One of the main causes of patient dissatisfaction after arthroplasty is activity restriction. Aug 31, 2005 A shoulder replacement will not give you an OK to lift weights. Two reasons If you are having a full-joint replacement, the shoulder will be held in place by a spike which will be inserted into your arm. Hi, I had a fracture dislocation if my left shoulder whilst boxing at 30. As i wont be able to load my left. For rotator cuff repair patients this is often 4-6 months after surgery. This procedure to replace your shoulder joint with an artificial device usually takes about 2 hours. scapular muscles. It takes at least 6 months to return to full activity. For the first few weeks, surgeons often advise that people of any lifting experience should avoid picking up anything heavier than five pounds. This helps prevent damage to your shoulder from the stretching of the muscles or tendons. 2. Hypothesis Shoulder arthroplasty is being performed with increasing frequency, and patients&39; athletic participation after shoulder arthroplasty is on the rise. The immediate post operative pain is significant. Slowly return. y2k asset pack free download, flashing embedded controller lenovo thinkpad
Reverse Total Shoulder Arthroplasty Rehabilitation Protocol. . Powerlifting after shoulder replacement
Dec 9, 2019. 9k views Reviewed >2 years ago Thank Dr. You should not return to weight training unless cleared to do so by your doctor or physiotherapist. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports me. This can be helped with nerve blocks and pain pumps but it hurts. You can place your order directly, and we will ship. Total Shoulder Replacement - Back to Powerlifting. Don&x27;t participate in contact sports or do any repetitive heavy lifting after your. Similarly, strengthening exercises are beneficial for you to regain the sturdiness of your shoulders. After 6 weeks things have healed partially and usually enough to begin gentle strengthening of the cuff. Shoulder Forward Elevation (Assisted) This exercise can be done either lying down (A) or sitting down (B). Place the inside of your forearm against the wall, after turning 180 degrees. Overhead work does tend to cause some shoulder impingement if you do not have sufficient mobilitystability to achieve the correct position. Ready Stock overseas. This should not be attempted in the first three months post- . The shoulder is a ball-and-socket joint. Limit lifting anything heavier than a glass of water for the first two to four weeks. High-Quality Tanned leather Belt for weight and powerlifting. Two reasons If you are having a full-joint replacement, the shoulder will be held in place by a spike which will be inserted into your arm. Aug 8, 2022. Recovery Timeline Progress after shoulder replacement surgery is different for everyone, but you can expect Days 1-4 Pain and swelling that tapers off Weeks 1-2 Gentle therapy exercises begin Weeks 2-6 Sling use followed by light activities, like lifting a cup of coffee or making a sandwich Weeks 8-12 Return to normal function. Total Shoulder Replacement by Dr. Physical therapy should be 23 time per week through 12 weeks post- -operatively. use knee wraps of course Most of these methods are going to accent the posterior chain of course and I know youre asking about quad development. First, we need good mobility of the lat muscles because when tight, the. Begin this exercise by bending the arm, on the side of the recovering shoulder, at a 90-degree angle. However, it&x27;s crucial to exercise caution and employ good judgment in your workout routines. If doing shoulder presses, always start with the hand in front. 9 (6); 2021 Jun PMC8202274 As a library, NLM provides access to scientific literature. Shoulder Internal Rotation (Strengthening) Lie on your involved side. That will protect the muscle. That will protect the muscle. 2 During this time, the muscles. · Ask family members or friends to take . what does it mean when someone squeezes your shoulder. Jan 10, 2023 Weight lifting after a shoulder replacement surgery needs a focus on proper form and resistance levels so that you dont injure yourself by performing exercises you once enjoyed before your injury or surgery. The study examined the driving abilities of 28 patients, prior to surgery, 14 days after surgery, six weeks after surgery, and 12 weeks after the surgery. Perform steps two through five again. However, if done heavy, they might make the shoulders a bit sore. So if your range of motion recovers, you can still do pull- . Repeat 10 times per session. There are three types of shoulder replacement surgeries Total shoulder replacement This is the most common type. August 21, 2014. Abolish pain. However, there are limited data in the setting of hemiarthroplasty (HA) and reverse total shoulder arthroplasty (rTSA), particularly regarding the frequency of participation in common sports. normally, while still not doing any lifting that could pull apart the. The pain persists quite a. In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components, called a prosthesis. Physical therapy after a reverse total shoulder arthroplasty (R-TSA) should begin within the first week following surgery. what does it mean when someone squeezes your shoulder. Learn moves to gain strength and . After a shoulder replacement, most people experience significant pain relief and improvement in shoulder motion. Use box squats (maybe above parallel even) Use reverse bands and other methods to take tension off the bottom. Total Shoulder Replacement - Back to Powerlifting Group Facebook Total Shoulder Replacement - Back to Powerlifting Group Private group &183; 292 members Join group. Phase 1 (post-operative-2 weeks) Goals. Do 3 sessions a day. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports me. Sep 27, 2022. inmate canteen online login. In fact, there are very few situations where a shoulder replacement would limit your ability to exercise. As you are healing from total shoulder replacement surgery, you may be required to keep your arm in a sling. After a shoulder replacement, most people experience significant pain relief and improvement in shoulder motion. Total Shoulder Replacement by Dr. Healthy shoulder joint. Using a shower chair is important to reduce the risk of slipping and falling in the shower. Rotation (rotate arm out away from body). Reverse Total Shoulder Arthroplasty Rehabilitation Protocol. A lifter's worst fear is a bad injury. Powerlifters are prone to shoulder arthritis, and these people are used to bench. When surgeries are not done properly, or errors occur as a result of surgeon negligence, shoulder replacement surgery may fail. Reverse Total Shoulder Arthroplasty Rehabilitation Protocol. Common compensations include muscles that attach to the neck, low back, and the other shoulder. However, if done heavy, they might make the shoulders a bit sore. This is also rare after upper limb shoulder surgery, affecting fewer. Shoulder internal rotation (strengthening) Shoulder External Rotation (Strengthening) Lie on your uninvolved side. Place the inside of your forearm against the wall, after turning 180 degrees. If you do resume heavy weightlifting after shoulder replacement, you may shorten the lifespan of your implant, loosen its joint and cause additional problems . Many, many powerlifters avoid the overhead press completely because they are stuck so internally rotated and their t-spine is so immobile that they cant do it without wrecking their shoulders. Learn more Vaccines, Boosters & Additional Doses Testing Patient Care Visitor Guidelin. What to Expect After Your Shoulder Replacement Dr. You can place your order directly, and we will ship. Shoulder press overhead should only be done carefully, avoiding heavy weights. it affects the shoulders. But yes, inversion table "Life Saver". Mar 27, 2018. High-Quality Tanned leather Belt for weight and powerlifting. Shoulder internal rotation (strengthening) Shoulder External Rotation (Strengthening) Lie on your uninvolved side. The Extreme Stetching is a pain in the ass, it actually hurts. If a shoulder surgery has resulted in stiffness or limited range of motion, stretching exercises or a second surgery to release adhesions may be helpful. If you do experience shoulder impingement, we recommend temporarily replacing your weightlifting regimen with physical therapy. For example, heavy weight lifting will cause abnormal wear on the joint and . Here's how Jim Vaglica navigated the road back after shoulder surgery with steely determination and minimal muscle loss. I resumed my training schedule, and six months after my second surgery I was back on the platform, competing in a powerlifting competition. The block also provides excellent pain relief after surgery. Its extremely hard to work the shoulder stabilizers by simply performing the powerlifting movements. We are vaccinating all eligible patients. Nov 4, 2018 We need to see if migrating anchors are to blame, and hopefully I&39;ll find out next week, but the ortho gave me worst case of a shoulder replacement in my 50s if it progresses at the current rate. In the future, make sure to let all health professionals know about your artificial shoulder so they will know how to care for you. Shoulder replacement surgery can be life-changing. The immediate post operative pain is significant. Aug 31, 2005 A shoulder replacement will not give you an OK to lift weights. The Ream and Run involves a steel ball and crafting a new socket by reaming out the bone. Place the inside of your forearm against the wall, after turning 180 degrees. Press into the wall while you contract your muscles, without moving your shoulder. If you have had elbow surgery · General activities of daily living such as cooking, cleaning, etc. 9 (6); 2021 Jun PMC8202274 As a library, NLM provides access to scientific literature. The function of the rotator cuff is to not only provide strength to the shoulder with lifting things away from the body, but also serves. Can I Lift Weights After Shoulder Replacement Surgery Christopher Jones, MD 424 subscribers Subscribe 29 Share Save 10K views 2 years ago We do place some. The standard set and rep scheme. With your back parallel to the floor, allow the arm of the side with the dislocated shoulder to hang heavy. A TSA system with nonspherical humeral head resurfacing and inlay glenoidwhich improves the biomechanics and thus reduces instability, wear, and potential looseningmay be able to tolerate repetitive loads from weight lifting. man experiencing shoulder pain while weight lifting in gym. Definitely stay away from any weight lifting or activity that causes your shoulders to pop or grind. 6 Common rehab exercises after shoulder replacement surgery. Hemi or Total shoulder arthroplasty remains controversial, and glenohumeral stresses upon return to even moderate lifting present an added risk . . best porn gifs