Pay close attention and at the 1:01 mark, you can see Piana wearing a brace and limping down the block, which resulted from him pretending to wrestle with a 170lb Peruvian twink..
Here's the video of Piana getting destroyed by this beast (Check out the 5:05 mark to see Piana tear something and then the 6:15 mark to see him struggling to get off the stage):
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