CURRENT PATIENTS
Sign Into MyOrthoCarolina
NEW PATIENTS
Schedule An Appointment
- Foot & Ankle
- Trauma
- Foot & Ankle
Biography
- Medical Director of the Foot and Ankle Institute, OrthoCarolina
- Selected to be on the Board of Directors for the Orthopaedic Foot and Ankle Foundation. This is a charity organization that focuses on education and humanitarian efforts.
- As an award-winning surgeon, with over 20 years of research experience, Dr. Ellington has 18 approved patents, is currently an Adjunct Assistant Professor of Biology at UNC Charlotte and an Associate Professor of Orthopaedics at Atrium
- Dr. Ellington is active in teaching orthopedic residents and fellows and also lectures regionally, nationally and internationally
- Dr. Ellington has extensive experience in the research and design of orthopedic implants, develops novel technology, and is a leader in advanced / newer surgical techniques. All of which are used in the USA and international.
- Clinical Faculty, Department of Orthopedic Surgery, Atrium Health - Carolinas Medical Center
- Reviewer for Techniques in Foot & Ankle Surgery
- Reviewer for Foot and Ankle International
- Reviewer for Journal of the American Academy of Orthopaedic Surgeons
- Board of Directors -- OrthoCarolina Foundation
- Board of Directors -- OrthoCarolina Research Institute (OCRI)
- Research Advisory Committee -- OrthoCarolina Research Institute (OCRI)
- Board of Directors - Mallard Creek Surgery Center
- Member of the Operations Committee, OrthoCarolina
- Team Physician -- UNC Charlotte
- Team Physician -- Stewart-Haas Racing
- Team Physician -- Wingate University
- Team Physician -- Johnson C. Smith University
- University of North Carolina Charlotte -- Bachelor of Science
- University of North Carolina Charlotte -- Masters of Science
- Wake Forest University School of Medicine -- Doctor of Medicine
- Atrium Health - Carolinas Medical Center -- Internship
- Atrium Health - Carolinas Medical Center -- Residency, Orthopedic Surgery
- Mercy Medical Center, Baltimore -- Fellowship, Institute for Foot & Ankle Reconstruction
- Specializes in orthopedic foot & ankle reconstruction
- Arthritis management of the foot and ankle
- Ankle replacement
- Revision ankle replacement
- Total talus replacement
- Custom implants
- MIS (Minimally invasive surgery) bunion correction
- MIS for other procedures
-
Trauma
- Post-traumatic foot/ankle reconstruction
- Trauma and acute fracture care of foot/ankle
- AVN
- Treatment of Pilon fractures
- Treatment of Tibia fractures
- Post-traumatic foot/ankle arthritis treatment
- Stress fracture foot/ankle treatment
-
Sports
- Professional, Collegiate, High School Athletes, - extensive experience with all levels
- Foot/ankle sports medicine/arthroscopy
- Athletic injuries to foot/ankle
- Treatment of athletes
- Achilles rupture
- Cartilage preservation
- OCD treatment
- Ligament repair
- Achilles tendonitis and injury
- Ankle instability
-
Forefoot reconstruction
- Bunion correction
- Hammertoe correction
- Metatarsalgia
- Neuroma
- Hallux rigidus
-
Fusions
- Foot fusions
- Ankle fusions
- Arch conditions
- Flatfoot correction
- High-arched feet correction
- Foot/ankle and lower extremity (tibia) deformity correction
- Limb Salvage
- Limb Lengthening
- Spatial Frame (Ilizarov)
- Paralytic conditions/drop foot/deformity
- Tendon transfers
- Reconstruction
- Congenital foot/ankle correction
- Charcot foot/ankle treatment
- Other foot/ankle treatments
- Member of the American Academy of Orthopedic Surgeons
- Member of the American Orthopaedic Foot and Ankle Society
- Board Certified Surgeon
- Named a 2023 Top Doctor by Charlotte Magazine
- 2023 North Carolina's Top Doctors, Charlotte Region, SouthPark Magazine
- 2022 North Carolina's Top Doctors, Charlotte Region, SouthPark Magazine
- Musculoskeletal New Ventures Conference, Memphis Sept 2022
- Advances In Spine Surgery, Cabo June 2022
- Named a 2021 Top Doctor by Charlotte Magazine
- 2019 Instrument Rated Pilot
- 2018 Invited to international foot/ankle group on infection - https://icmphilly.com/
- 2017 High-Performance Rating
- 2017 Complex Aircraft Rating
- 2016 Cirrus Certified
- 2016 Private Pilot
- 2013 Reviewer for the Journal of the American Academy of Orthopaedic Surgeons
- 2011 Reviewer for the Journal Foot and Ankle International
- 2010 Invited JBJS website creator and editor of the foot/ankle website
- 2009 Resident Teaching Award, Atrium Health - Carolinas Medical Center Orthopaedics
- 2008 AOA Emerging Leaders Program
- 2008 Basil Boyd Annual Research Award
- 2007 North Carolina Nano-Biotechnology Research Award
- 2007 Atrium Health - Carolinas Medical Center Orthopaedic Surgery Annual Resident Research Award
- 2004 Alpha Omega Alpha, Honor Medical Society
- 2004 Richard L. Burton Research Achievement Award, Wake Forest Univ School of Medicine
- 2004 Highlight Paper AAOS
- 2003 Highlight Paper AAOS
- 2003 Highlight Paper OTA
- 2002 Highlight Paper OTA
- 2001 Wake Forest University School of Medicine Research Award
- 2000 Cameron Applied Research Center Excellence in Research Award
- 2000-2003 North Carolina Medical Association Academic Scholarship, Iredell County
Research Projects In Progress:
- Outcomes following ankle fracture-dislocations, prospective clinical study
- Amniox for hallux rigidus, randomized, prospective clinical study
- Internal brace for ankle instability
- Outcomes of ZImmer Total Ankle Replacement, prospective 10-year international study
- Nitinol staples, fusion outcomes
- Dynanail, TTC fusion outcomes
- Amniox, peroneal and achilles prospective clinical study
Published Work:
- Ankle Arthritis. Greaser M, Ellington JK. Journal of Arthritis, May 2014.
- Berkes M, Obremskey WT, Bosse MJ, Hymes R, Scannell B, Ellington JK. Maintenance of Hardware After Early Postoperative Infection Following Fracture Internal Fixation. JBJS Am, 92:823-8, 2010.
- Bost, K.L., Bento JL, Ellington JK, Marriott I, Hudson MC. Induction of colony-stimulating factor expression following Staphylococcus or Salmonella interaction with mouse or human osteoblasts. Infect Immun, 68:5075-83, 2000.
- Conti MS, Ellington JK, Behrens SB.
Osteochondral Defects of the Talus: How to Treat Without an Osteotomy.Clin Sports Med. 2020 Oct;39(4):893-909. doi: 10.1016/j.csm.2020.07.002. Epub 2020 - Chien B, Hofmann K, Ghorbanhoseini M, Zurakowski D, Rodriguez EK, Appleton P, Ellington JK, Kwon JY., Foot Ankle Int. 2016 May 9 Relationship of Self-Reported Ability to Weight-Bear Immediately After Injury as Predictor of Stability for Ankle Fractures.
- Ellington J.K., Reilly SS, Ramp WK, Smeltzer MS, Kellam JF, Hudson MC. Mechanisms of Staphylococcus aureus invasion of cultured osteoblasts. Microb Pathog, 26: 317-23, 1999.
- Ellington, J.K., Elhofy A, Hudson MC. Involvement of mitogen-activated protein kinase pathways in Staphylococcus aureus invasion of normal osteoblasts. Infect Immun, 69: 5235-42, 2001.
- Ellington, J. K., L. Webb, M. Harris, B. Smith, T. Smith, K. Tan, M. Hudson. Intracellular Staphylococcus aureus. A Mechanism for the Indolence of Osteomyelitis. J. Bone Joint Surg Br, 85:918-21, 2003.
- Ellington J.K., M. Harris, M.C. Hudson, S. Vishin, L.X. Webb. Intracellular Staphylococcus aureus and antibiotic resistance: Implications for treatment of staphylococcal osteomyelitis. J Orthop Res., Jan;24:87-93, 2006.
- Ellington J.K., Kneisl J. Acrometastasis to the Foot: Three Case Reports with Primary Colon Cancer. Foot and Ankle Specialists, 2:140-5, 2009.
- Ellington J.K., Jones C.P, Cohen B, Anderson R, Davis H. Clinical and radiographic review of 107 hallux metatarsophalangeal joint arthrodesis using dome-shaped reamers and a stainless-steel dorsal plate. Foot Ankle Int, 31:385-90, 2010.
- Ellington JK, Anderson R, Davis H, Cohen B, Jones C. Radiographic outcomes following proximal interphalangeal joint arthrodesis with an intramedullary fusion device for lesser toe deformities. Foot Ankle Int, 31:372-6, 2010.
- Ellington JK, McCormick J, Marion C, Anderson R, Davis H, Cohen B, Jones C. Outcomes following surgical repair of tibialis anterior tendon rupture. Foot Ankle Int, 31:412-7, 2010.
- Ellington JK, Myerson MS, Coetzee CC. The use of the Lapidus for revision hallux valgus. Foot Ankle Int. 2011 Jul;32(7):674-80.
- Ellington JK. Hammertoes/Clawtoes: PIP Correction. Foot Ankle Clin. 2011 Dec;16(4):547-58.
- Ellington JK. The subtalar joint: it is more complicated than you think. Preface. Foot Ankle Clin. 2015 Jun;20(2)
- Ellington JK, Myerson MS. The Use of Arthrodesis to Correct Rigid Flatfoot Deformity. Instr Course Lect. 60:311-320, 2011.
- Ellington JK, Michael J. Bosse, Renan C. Castillo, Dolfi Herscovici, Thomas G. DiPasquale, Ellen J. MacKenzie, And The LEAP STUDY Group. The mangled foot and ankle: the role of soft tissue coverage. J Orthop Trauma. Jan;27(1):43-8, 2013
- Ellington JK, Gupta S, Myerson MS. Management of failures of total ankle replacement with the agility total ankle arthroplasty. J Bone Joint Surg Am. 2013 Dec 4;95(23):2112-8
- Ellington JK, Myerson MS. Surgical correction of the ball and socket ankle joint in the adult associated with a talonavicular tarsal coalition. Foot Ankle Int. 2013 Oct;34(10):1381-8.
- Ellington JK, Ferguson CM. The use of amniotic membrane/umbilical cord in first metatarsophalangeal joint cheilectomy: a comparative bilateral case study. Surg Technol Int. 2014 Nov;25:63-7.
- Ellington K, Raikin S, Bemenderfer TB. What Strategies Can Be Implemented to Help Isolate the Causative Organism in Patients With Infection of the Foot and Ankle? Foot Ankle Int. 2019 Jul;40(1_suppl):33S-38S.
- Ellington K, Hirose CB, Bemenderfer TB. What Is the Treatment "Algorithm" for Infection After Ankle or Hindfoot Arthrodesis? Foot Ankle Int. 2019 Jul;40(1_suppl):64S-70S
- Ellington K, Bemenderfer TB.What Are the Indications for One-Stage Versus Two-Stage Exchange Arthroplasty in Management of the Infected Total Ankle Arthroplasty (TAA)? Foot Ankle Int. 2019 Jul;40(1_suppl):55S-58S
- Ford SE, Ellington JK. Management of Distal Tibial Metaphyseal Bone Defects With an Intramedullary Nitinol Scaffold: A Novel Technique. Foot Ankle Spec. 2016 Nov 20.
- Ford SE, Kwon JY, Ellington JK. Tibiotalocalcaneal Arthrodesis Utilizing a Titanium Intramedullary Nail With an Internal Pseudoelastic Nitinol Compression Element: A Retrospective Case Series of 33 Patients. J Foot Ankle Surg. 2019 Jan 3. pii: S1067-2516(18)30387-9
- Ford SE, Adair CR, Cohen BE, Davis WH, Ellington JK, Jones CP, Anderson RB. Efficacy, Outcomes, and Alignment Following Isolated Fibular Sesamoidectomy via a Plantar Approach. Foot Ankle Int. 2019 Aug 21
- Ford SE, Ellington JK. Management of Distal Tibial Metaphyseal Bone Defects With an Intramedullary Nitinol Scaffold: A Novel Technique. Foot Ankle Spec. 2016 Nov 20.
- Ferkel E, Davis WH, Ellington JK. Entrapment Neuropathies of the Foot and Ankle. Clin Sports Med. 2015 Oct;34(4):791-801.
- Ferguson CM, Ellington JK. Operative Technique: Interposition Arthroplasty and Biological Augmentation of Hallux Rigidus Surgery. Foot Ankle Clin. 2015 Sep;20(3):513-24
- Functional Results of Open Broström Ankle Ligament Repair Augmented With a Suture Tape. Coetzee JC, Ellington JK, Ronan JA, Stone RM. Foot Ankle Int . 2018 Feb
- The Flatfoot: Even After Decades of Work, We Still Need Help Understanding It. Ellington JK. Foot Ankle Clin . 2017 Sep;22(3)
- Functional Results of Open Broström Ankle Ligament Repair Augmented With a Suture Tape. Coetzee JC, Ellington JK, Ronan JA, Stone RM. Foot Ankle Int . 2018 Feb
- The Flatfoot: Even After Decades of Work, We Still Need Help Understanding It. Ellington JK. Foot Ankle Clin . 2017 Sep;22(3)
- Gupta S, Ellington JK, Myerson MS. Management of specific complications after total ankle replacements. Semin Arthro 21:310-319, 2011.
- Hyer CF, Pinzur MS, Ellington JK, Davis WH, Jones CP. Charcot Arthropathy: Operative and Nonoperative Management. Foot Ankle Spec. 2014 Jul 15;7(4):286-290.
- Hunt K, Ellington JK, Anderson R, Davis H, Cohen B, Jones C. Locked vs nonlocked plates for hallux MP arthrodesis, Foot Ankle Int. 2011 Jul;32(7):704-9.
- Hsu AR, Jones CP, Cohen BE, Davis WH, Ellington JK, Anderson RB. Clinical Outcomes and Complications of Percutaneous Achilles Repair System Versus Open Technique for Acute Achilles Tendon Ruptures. Foot Ankle Int. 2015 Jun 8
- Hsu AR, Ellington JK. Patient-Specific 3-Dimensional Printed Titanium Truss Cage With Tibiotalocalcaneal Arthrodesis for Salvage of Persistent Distal Tibia Nonunion. Foot Ankle Spec. 2015
- Hsu AR, Ellington JK, Adams SB Jr. Tibiotalocalcaneal Arthrodesis Using a Nitinol Intramedullary Hindfoot Nail. Foot Ankle Spec. 2015 Oct;8(5):389-96
- Jefferson Sabatini, MD, Susan Odum, PhD, J. Kent Ellington, MD,MS, Carroll P. Jones, MD, W. Hodges Davis, MD A Retrospective Review of Risk Factors and Conversion Rate of Transmetatarsal Amputations to Below or Above Knee. Amputation. http://journals.sagepub.com/doi/10.1177/2473011417S000343
- Jefferson Sabatini, MD, Susan Odum, PhD,J. Kent Ellington, MD,MS, Carroll P. Jones, MD, W. Hodges Davis, MD A Retrospective Review of Risk Factors and Conversion Rate of Transmetatarsal Amputations to Below or Above Knee. Amputation. http://journals.sagepub.com/doi/10.1177/2473011417S000343
- Kwon JY, Ellington JK, Miller CP. Letter to the Editor: Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training. J Am Acad Orthop Surg. 2018 Oct 12.
- Kwon JY, Ellington JK, Miller CP. Letter to the Editor: Costs and Radiographic Outcomes of Rotational Ankle Fractures Treated by Orthopaedic Surgeons With or Without Trauma Fellowship Training. J Am Acad Orthop Surg. 2018 Oct 12.
- Kwon JY, Ellington JK, Marsland D, Gupta S. Safe placement of a percutaneous transcalcaneal pin: An anatomic study and technique tip. Foot Ankle Int. 2011 Jun;32(6):651-5.
- Kwon JY, Zurakowski D, Ellington JK. Influence of Contralateral Radiographs on Accuracy of Anatomic Reduction in Surgically Treated Calcaneus Fractures. Foot Ankle Int. 2014 Oct 9.
- Kwon JY, Ellington JK. Orthopeers: bring peer review to the people. Harvard Orthopaedic Journal. September, 2010.
- Kwon JY, Guss D, Lin DE, Abousayed M, Jeng C, Kang S, Ellington JK. Foot Ankle Int. Effect of Delay to Definitive Surgical Fixation on Wound Complications in the Treatment of Closed, Intra-articular Calcaneus Fractures. Foot Ankle Int. 2015 May;36(5):508-17.
- Monica Rabinovich, Shankari N. Somayaji, Rajeev Raghavan Pillai, Michael C. Hudson, Ellington, JK Michael Bosse, James Horton, and Kenneth E. Gonsalves. Active Polymer Nanoparticles: Delivery of Antibiotics. Mater. Res. Soc. Symp. Proc. Vol. 1019, 2007
- Radiographic Results of Nitinol Compression Staples for Hindfoot and Midfoot Arthrodeses. Schipper ON, Ford SE, Moody PW, Van Doren B, Ellington JK.Foot Ankle Int . 2018 Feb;39(2):172-179.
- Radiographic Results of Nitinol Compression Staples for Hindfoot and Midfoot Arthrodeses.Schipper ON, Ford SE, Moody PW, Van Doren B, Ellington JK.Foot Ankle Int . 2018 Feb;39(2):172-179.
- Radiographic Outcomes of Preoperative CT Scan-Derived Patient-Specific Total Ankle Arthroplasty. Hsu AR, Davis WH, Cohen BE, Jones CP, Ellington JK, Anderson RB. Foot Ankle Int. 2015 May 4.
- Sara Heintzman Galli, MD, Chad M. Ferguson, MD, W. Hodges Davis, MD, Robert Anderson, MD, Bruce E. Cohen, MD, Carroll P. Jones, MD, Susan Odum, PhD, J. Kent Ellington, MD. Cheilectomy With or Without Cryopreserved Amniotic Membrane–Umbilical Cord Allograft for Hallux Rigidus. Foot and Ankle Orthopaedics, Jan 2021. https://journals.sagepub.com/d... for publication "COVID-19 and Orthopaedic International Humanitarianism" for JAAOS Global Research & Reviews
- Schipper ON, Ellington JK. Nitinol Compression Staples in Foot and Ankle Surgery. Orthop Clin North Am. 2019 Jul;50(3):391-399. doi: 10.1016/j.ocl.2019.02.003. Epub 2019 Apr 19
- Toussaint RJ, Lin D, Ehrlichman LK, Ellington JK, Strasser N, Kwon JY. Peroneal tendon displacement accompanying intra-articular calcaneal fractures. J Bone Joint Surg Am. 2014 Feb 19;96(4):310-5.
- The Posterior Medial Blind Spot of the Distal Tibia: Implications for Surgical Fixation. Wusu TO, Toussaint RJ, Ellington JK, Kwon JY. Foot Ankle Spec. 2015 Feb;8(1):46-9.
- Vier, D, Ellington JK. Persistent Pain After Hindfoot Fusion. Foot Ankle Clin. 2022 Jun;27(2):327-341. doi: 10.1016/j.fcl.2021.11.019. Epub 2022
- Vulcano E, Ellington JK, Myerson MS. The spectrum of indications for subtalar joint arthrodesis. Foot Ankle Clin. 2015 Jun;20(2):293-310
Book Chapters:
- Master's in Surgery, Kinos Ankle Replacement, 2022
- Appleton Foot and Ankle Trauma, 2011
- Foot and Ankle Clinics, PIP Correction, vol 16, no 4, 2011
- Coughlin and Mann, 7th edition, Midfoot and Forefoot Fractures, 2013
- Orthopaedic Knowledge Update – Lessertoe deformity, 2014
- Orthopaedic Knowledge Update – Flatfoot reconstruction, 2014
- Which Surgical Technique produces the best clinical outcomes for a lateral ankle sprain?, 2014
- What are the surgical and rehabilitative treatment options for an athlete with a combined syndesmotic and lateral ankle sprains?, 2014
- What are the surgical and rehabilitative treatment options for an ankle sprain with a chondral defect?, 2014
- Which Surgical Technique produces the best clinical outcomes for a lateral ankle sprain? 2014
- Chapter 15: Nitinol Compression Staples in Foot and Ankle, OCL 50.3 (Campbell Clinic); Unique Procedures 2019
- AOFAS – Advanced Foot and Ankle Reconstruction. Repair of the ruptured Achilles. Jones and Ellington, 2019. Chp 44.
Book Editor:
- Foot and Ankle Clinics: Subtalar Joint, 2014
Instructor at Courses
Vanderbilt July 2022
Stryker Course, NYC Dec 2022
Medline Course, Chicago Nov 2022
Artelon Course, Washington DC Oct 2022
Oscar Miller Day, Charlotte Oct 2022
Harvard, Boston July 2022
Medline Course, Chicago, Oct 2021
Kinos Course, Louisville, May 2021
Medline Course, Austin, Jan 2022
Medline Course, Chicago, July 2018
Medshape Course, Boston, July 2018
Synthes Course, Memphis, March 2018
Synthes Course, St. Louis, March 2018
Synthes Course, West Palm, Feb 2018
Synthes Course, Atlanta, Feb 2018
Synthes Course, Cleveland, Dec 2017
Synthes Course Knoxville, Dec 2017
Foot Innovate Webinar, Amniox Nov 2017
Synthes Course, Baltimore, Nov 2017
Synthes Course Switzerland, Oct 2017
Synthes Course, Oct 2017
Lisfranc Fractures: Minneapolis Ortho Trauma Mtg, 47th annual, Oct 2017
OC Reunion, Sonoma, Oct 2017
Synthes Course, NYC Sept 2017
Myerson Reunion, Beaver Creek, Feb 2017
Medline Courses Spring and Fall Chicago 2016
Grand Rounds Visiting Professor, Harvard Orthopaedic Surgery Dept, Nov 2016
Medline Fellows Course Oct 2016sa
Arthrex Fellows Course Apr 2016
Zimmer TAR Greeneville 2016
Talus Fractures. 46th Annual Orthopaedic Trauma, Minneapolis, MN Nov 2015
Arthrex Fellows Course Apr 2015
Pilon Fractures. 45th Annual Orthopaedic Trauma, Minneapolis, MN, Nov 2014
Arthrex Fellows Course Apr 2014
Wright Medical Young All Stars, NYC. Nov 2014.
Foot Innovate Webinar: Internal Brace. Nov 2014.
Syndesmotic Injuries and High Ankle Sprains. 44th Annual Orthopaedic Trauma, MN. Nov 2014.
Lisfranc Fractures. 44th Annual Orthopaedic Trauma, Minneapolis, MN Nov 2014.
Pilon Fractures. 44th Annual Orthopaedic Trauma, Minneapolis, MN, Nov 2014
BME, Minneapolis, 44th annual trauma symposium, Nov 2014
Medshape, Chicago, AOFAS, Aug 2014.
Zimmer Total Ankle Arthroplasty, Charlotte, May 2014
Amniox Medical, Miami, May 2014
Arthrex, Sports Medicine Orthopaedic Fellows Course, Naples, May 2014
Zimmer Total Ankle Arthroplasty, Detroit, Apr 2014
Arthrex, Foot and Ankle Orthopaedic Fellows Course, Naples, Apr 2014
BME, Speed, Minneapolis, 43rd annual trauma symposium, Nov 2013
Arthrex, Plantar plate repair, flatfoot, internal brace. Charlotte, NC, Nov, 2013
Amniox Medical, San Diego CA, August 2013
Arthrex, Advanced foot/ankle course, Naples, FL, May 2013
Synthes Course, Switzerland and Germany, March 2018
Amniox Medical, Miami FL, March 2013
Annual Myerson Meeting, Beaver Creek, CO, Feb. 2013Nov 2014. Talus Fractures. 44th Annual Orthopaedic Trauma, Minneapolis,MN
Vumedi – syndesmostic injury, 2013
Foot Innovate – hallux rigidus, 2013.
Lisfranc. Annual Orthopaedic Trauma, Minneapolis, MN Nov 2103
Pilon Fractures. 43rd Annual Orthopaedic Trauma, Minneapolis, MNm Nov 2013
Open Lisfranc treatment. Myerson Conference, Breckenridge, CO 2013.
Men’s Health Magazine, Aug, 2012.
NBC Charlotte Today, Nov 21, 2011
NC Orthopaedic Technologist Annual Meeting, Oct 2, 2010
This review is LONG overdue! Dr. Ellington has incredible knowledge when it comes to foot and ankle and amazing skill with surgery. He explained and took so much time helping me thru my ankle injury (fell down my own stairs). I am 100% going strong working and enjoying life pain free.