Muscle spasms commonly happen after surgery and can occur with mild to severe pain. Symptoms and signs of child abuse include poor school performance, physical injuries, regression, anxiety, and panic. if so, will it make your ankle hurt with pressure and throb, when not moving it? I broke my collar bone on April 4 and had the surgery to repair it on April 20. Learn how we can help. Swelling reduction was substantial, the best recovery he had ever had. Immediately or soon after a fracture occurs, most people will experience what is called acute pain. Symptoms and signs of a muscle spasm include an acute onset of pain and a possible bulge seen or felt beneath the skin where the muscle is located. Bimalleolar ankle fracture: This second-most common type involves breaks of both the lateral malleolus and of the . What Do Herpes Sores Look Like at Different Stages. blood mris emg ct heart test no heart attach or stroke not ms als mg what could be causing this . Posted 5 years ago, 8 users are following. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Depletion of electrolytes (salts and minerals like potassium, magnesium and calcium in your body). Other causes include stress or anxiety . 1996-2021 MedicineNet, Inc. All rights reserved. Is this an omission? The physical therapist told me to stretch before laying down and to ice it just before laying . Thus, if it is restricted, then you are likely to suffocate your muscles. 43 years experience. In some cases, the wrists and ankles are affected. i have ms. why would the area feel hot to touch, but no where else? The study analyzes which people have Muscle spasms with Hip fracture. See additional information. There is no definite cause why these may happen but, common factors like muscle fatigue, overexercising, not stretching, dehydration, stress, blood flow restriction at the site of injury, and nerve damage will result in muscle spasms or cramps. Start with the toes of each foot. Applying a cold compress relieves pain by reducing the swelling and inflammation on the site of injury. Re: post op muscle spasms after ankle surgery. Muscle spasms can affect everyone regardless of age and can occur in almost every part of the body. - Restriction in the blood supply. To strengthen the ankle and eventually rebuild the surrounding muscle to its post-break capacity . Taking pain relievers, as your doctor suggests, will help you manage the pain. While there is no medicine to stop or prevent muscle spasms, you can manage the pain by drinking pain relievers, applying heat or cold therapy, and stretching your leg. I want to start by saying, I have not been diagnosed with MS. Iv Hi. After 8 weeks nwb I had my plaster off a week ago today. This happens because of inflammation and swelling of the muscles and tendons surrounding the ankle. Muscles on the back of your lower leg, the front of your thigh, and the back of your thigh are commonly impacted. I am wondering whether this is due to my fall and break of ankle. Casting, which involves wrapping the leg in elastic bandages, is the simplest method. You may also feel like your muscle is twisted into a tight and hard knot. - Stress. i also have some memory problems and muscle spasms . Table 1: Classification of ankle sprain based on the severity. We offer this Site AS IS and without any warranties. Those were the words I had waited 67 days to hear after breaking my ankle last September. Another thing that can trigger muscle spasms to occur is if your cast is too tight. Restriction in the blood supply. Muscles that spasm have to use energy to keep contracting and this produces heat. To learn more, please visit our. You should take them every four hours. Patellofemoral pain and what to do about it. very painful lasted 2 days already. Terms of Use. Injury or any disease of the peripheral nerves. Those who are at the highest risk of getting muscle spasms include . Sufficient blood supply improves muscular functions and increases healing progress. Some frequent and intense muscle spasms may indicate an underlying health issue, but if youre recovering from an ankle injury then, that might not be the case. All Rights Reserved. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. If you have experienced trauma and believe you have a physical injury, it is important to seek immediate medical attention. Hence the observing of mindfulness and quietness of mind. possible symptom? It will improve blood flow in your ankle and reduce the risk of intense muscle spasms or cramps. is it ms, als will i get paralysed ? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Talk to your doctor about this, especially if youre just in the first week of recovery and youre not allowed to move around just yet. The surgeon had done his work and now it would be up to me to get back on my feet. If the pain worsens after 30 minutes, inform your doctor or nurse for another dose or additional medications. Were glad you have found this community and whether you are a Multip Why is it that the auxiliary personnel who work in a doctor's office are Hello. In order for a broken bone to heal, it may need a cast, a brace, a splint, surgery or any combination of the above. I am perplexed regarding your MS, as you do not list any medication to treat this. Tips for preventing one of the most common types of knee injury. Broken ankle recovery: one year later. - Involuntary nerve discharges. Furthermore, making sure that your cast is not too tight, staying hydrated, and giving essential minerals to your body may prevent muscle spasms and cramps. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. It will relax the tension between your muscles or joints to soothe discomfort or pain caused by muscle spasms. But you can still try to tap or gently touch (dont pinch or stick anything) your injured ankle while propping it on a pillow. i'm currently relapsing. Pain and muscle spasms are common among patients who had ankle or foot surgery. Applying hot or cold therapy and elevating and stretching your foot may also help in releasing tension between your muscles. Dr. Williams has helped many patients find relief from nerve damage and pain. Taking pain medications as prescribed by your physician will help you manage the pain caused by muscle spasms. With severe ankle fractures, there's the added risk of malunion (fracture heals in poor alignment), nonunion (fracture doesn't heal at all), or the need for revision surgery. In addition, making sure your cast is not too tight and supplying a good amount of electrolytes to your muscles by drinking water and eating healthy food will prevent intense pain and muscles spasms. Treatment may incorporate a combination of medication and talk therapy. Contact our office by calling (410) 709-3868 to schedule an appointment. Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. recent ms dx. I have been diganosed with both trigeminal neralgia and occipital neuralgia. Putting your injured ankle over a pillow when youre sitting or lying down might help. We report a 70-year-old man, who developed painful involuntary muscle contraction of the left leg after the lumbar discectomy, which exacerbated after a vertebral fracture of Th12. Foot spasms can also be caused due to heavy exercises. suggestions? My left leg (the injured one is having milder spasms as well). It was worst when I was in the cast. Talk to your doctor about managing these symptoms. The seriousness of a broken ankle varies. Hip/ butt muscle spasms on left side like charlie horse. 2022 The Heart & Brain. Stay hydrated and eat a well-balanced meal, Low levels of electrolytes (such as magnesium, potassium, and calcium), Nerve damage or involuntary nerve discharges, You cant wiggle the fingers in your toes, There is a cold bluish or pale red discoloration of the skin surrounding your cast. If they aren't too bad, don't worry about it. Although it could be tiring and annoying, managing such pain after surgery will help speed up your healing progress. Acute pain will decrease with time. Orthopedic Foot and Ankle Surgery 11 years experience. - Not enough stretching. Thus, it is important to look out for signs like muscle spasms to treat them immediately and avoid other complications from occurring. Yes: You can get muscle spasms in the muscles that control the ankle, but this sounds like something different. Dr. Oliver Wang answered. Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. 12/2/15 could walk a few steps unaided but used walker then one crutch part of the time. It can take up to 3-4 months before you can fully recover from them. Pain is very common in ms, and can present numerous ways, and even migraine is present in ms pts at a frequency of 2-4 times normals. My problem is that my ankle is causing agonising pain. can an mri miss ms? Connect with a U.S. board-certified doctor by text or video anytime, anywhere. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Talk to your doctor about what simple exercises you can do to prevent spasms. While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. It is mega highly unlikely that spasms in an otherwise healthy 20 year old represent anythin Dr. Jeffrey Juchau and another doctor agree. - Muscle fatigue. At MedicineNet, we believe it is important to take charge of your health through measures such as a living healthy lifestyle, practicing preventative medicine, following a nutrition plan, and getting regular exercise. Exactly one year ago today my doctor told me I was allowed to walk again following trimalleolar surgery. thighs. Someone has been reading too many medical horror stories. Symptoms and signs of a muscle spasm include an acute onset of pain and a possible bulge seen . 4 weeks ago had a knee replacement and since then the leg operated on will go into spasm every 12-14 seconds for 3 seconds and can last for hours and can happen any time from lunch onwards. After 4 days the pain had diminished sufficiently for me to begin working above the ankle bone and after a further week I was able to delicately massage directly over the broken bone. Below are some of the pain medicines that your doctor may prescribe: Take note that these medications will result in different side effects such as headache, nausea, vomiting, drowsiness, problems in bowel movement, etc. Use ice packs or frozen gel packs over a towel so that you dont wet your cast. Here are a number of those from MedicineNet: Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. 10/1/15 cast removed, stitches removed, given walking boot but still NWB. If the discomfort continues or gets aggravated, it might be a good idea to consider a review with . However, too much sitting down will trigger muscle spasms to occur. Calf pain can result from various reasons, one of which is tendinitis. However, if you injured your ankle, got into surgery, and had to wear a cast, you will most likely get muscle spasms now and then. Good morning, it's been a while i have symptoms of eye muscle spasm in my right eye feels like sharp sticking a needle, is this one of the symptoms of ms? Inflammation and pain can be relieved by wearing an ice pack. I have all imag My MRI shows on my L14-L15: It is making my life a misery as I become agitated as well and cannot relax. Fruits and vegetables rich in minerals like magnesium, potassium, and calcium can produce essential electrolytes and energy that your muscles need. Chronic kidney disease and dialysis. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. The calf cramping steadily got worse over the 3 days before his normal followup visit. There is an effect by the tightness of the legs and chest and back of chest. What are three reasons for muscle spasms? Muscle spasms are spontaneous spasms of muscle groups that occur suddenly. Numbness fro. abdomen. Most common ankle fractures. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. We offer this Site AS IS and without any warranties. Doctors typically provide answers within 24 hours. Nuts and seeds like almonds and pumpkin seeds are rich in magnesium while, dairy products and green leafy vegetables are the sources of calcium. A broken or fractured ankle is an injury to the bone. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. Then the patient will begin to attend appointments with a physiotherapist to begin the rehabilitation process. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Doctor prescribed Ropinirole 1.5mg. Possible causes of foot spasms are: Brain disorders, such as multiple sclerosis, Parkinson's disease, Huntington's disease and dystonia. had for 1 month. Other factors that may trigger muscles spasms include the following: There are yet no medicines or injections to stop or prevent muscle spasms. The pain typically starts immediately after the injury and may last for several days or longer. Darkness due to swelling leaving iron deposits tinting the skin. Posts: 274. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. Muscle spasms can be excruciatingly painful which, can last up to 15 minutes. However, some researchers believe factors such as poor stretching and conditioning, muscle fatigue, exercising or working in intense heat, dehydration, and depletion of salt and electrolytes contribute to muscle spasms. It's probably a combination of the immobilization and the surgery. Though not typical for an ankle fracture, the symptoms do not specifically indicate the development of a clot. Yes, there are reported cases of mri-negative ms, but they are very rare, so it is paramount to rule out other conditions. You may experience a broken ankle from a twisting injury from a simple misstep or fall, or from direct trauma during a car crash, for example. I've been experiencing some scary symptoms that don't seem to be get Hi everyone. Move each toe back and forth with the very slightest of movements. However, if youre recovering from surgery, it might be hard and painful for you to reach your leg and stretch the muscle. How to bounce back fast from an ankle sprain - and stay pain free. But dont worry because you can resolve it in the comfort of your own home. How can i control muscle spasms numbness on one side hugging sensation on one side dancing movements change in walk. both have same sx? The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. There are many other medical conditions that also can be associated with your symptoms and signs. Treatment involves ensuring the safety of the child and tending to any physical injuries. - Exercising in the heat. So, it is best if you can do simple motion exercises. What Helps With Muscle Pain After Knee Replacement. could i have ms? Recovering from ankle surgery will test your patience as it comes with post-surgical pain and other discomforts in your foot. Muscle pain, fatigue, and overuse are the most common causes of muscle spasms. I have been fitted with a boot. broken bone (single fracture), muscle cramps, stiffness article. While post-surgical pain commonly occurs in patients who have undergone any surgical method, some also experience pain associated with muscle spasms. See additional information. How this will play out for you I do not know. Now I am Few days ago I woke up with a sharp lower spine/hip pain. Terms of Use. "sprained my ankle a week ago, been xrayed, muscles in foot keep spasming making it painful, what can i do to help? This is very, very tricky. I am doing the exercise I have been given - no physio appoinment yet - and resting the ankle above level . Stress. Muscle spasms or tears can also occur because of the injury. . Too much high-intensity exercise. Muscle spasms or cramps are the involuntary and uncontrollable movement of your muscles. A back spasm is an involuntary contraction of the back muscles. Revision surgery refers to a second procedure. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. More often than not, spasms happen because of muscle weakness, overuse, or injury. Signs and symptoms of abuse or trauma include appetite or mood changes, alcohol and/or drug abuse, difficulty sleeping, and anger. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. If youre wearing a cast, this might be less effective. Pain after Broken ankle (op was 9 weeks ago) Follow. Gently stretching the muscle usually resolves a muscle spasm. Herpes sores blister, then burst, scab and heal. DDD with annular disc bulge with mild ligamentous and facet jointhypertrophy. However, remember to take it easy especially, when youre in your non-weight-bearing phase of ankle recovery. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. Ask a question, join a conversation, share experiences. MedicineNet does not provide medical advice, diagnosis or treatment. You need to contact your orthopedic surgeon about this so that your cast will be fixed or replaced. Mononeuropathy or polyneuropathy. Could i have multiple sclerosis even if my mri was normal? Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. How to stop muscle spasms on my injured ankle? What could cause painful muscle spasms in the foot and ankle area? When this is the case, your blood cant circulate properly. "Shooting pain up leg" means that the pain shoots from the injured area into the thigh. Dehydration can cause foot spasms. Read More. Your muscle spasms could be a pseudo relapse due to the broken ankle and stress involed but . Read More. how long does this normally last" Answered by a verified doctor: See details: A severe ankle sprain needs to be immobilized to facilita. Created for people with ongoing healthcare needs but benefits everyone. That said, the exact cause of muscle spasms is unknown. I have gotten two different doctors to look and two different opinions. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. im coming off the med geodon and i am having muscle spasms, twitching and tingling. Im scared i have ms or parkinsons. I had surgery on 3/13/08 and had them then, and I recently had surgery to remove screws (in August) and I am having these jolts again where my foot pulls down (almost trying to straighten out). (stretching the ankle dorsiflexors and toe extensors) has been very helpful for many of my patients (the . The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Had mild restless leg syndrome for years until I broke ankle 9 months ago when it got worse. Treatment of polymyositis and dermatomyositis includes high doses of cortisone-related medications, immune suppression, and physical therapy. After the first swelling has gone away, alternate between ice and heat to relax the muscles and reduce stiffness. Typically a broken ankle is expected to take 3-6 months to heal. Possible causes for nocturnal leg cramps (leg cramps at night), specifically, include: Sitting for long periods of time. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life, Stiffness of fingers after wrist fracture, Chiropractice and Acupuncture compared to Physical Therapy to treat L14-L15 DDD, Platelet-Rich Plasma Therapy: Big Promise, Big Questions, Ankle Sprains: Causes, Consequences and Cures. Although the cause of this disease is unknown, diagnosis includes physical examination of muscle strength, blood tests for muscle enzymes, electrical tests of muscle and nerves, and conformation by a muscle biopsy. Carpopedal spasms are frequent and involuntary muscle contractions in the hands and feet. Click here to visit our Symptom Checker. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. MedicineNet does not provide medical advice, diagnosis or treatment. After about 10 days in the cast, he no longer had any foot pain in the fracture area, but began to get calf cramping on the side of the fracture. All circumstances are not the same, however. - Dehydration. Moving in a certain way may trigger a back spasm. You can get muscle spasms in the muscles that control the ankle, but this sounds like something different. Drinking water is very beneficial for your health and can also prevent muscle spasms or cramps. Approximately 40 million children suffer abuse every year around the world, and more than 1,500 children die of abuse in the U.S. every year. The legs are tied into the ribs. Ankle sprains are common injuries when the ligaments around the ankle tear or stretch. The symptoms are more likely to be neuro-muscular related and are expected to improve with movement after the cast comes off. - Depletion of electrolytes (salts and minerals like potassium, magnesium and calcium in your body). You may be experiencing a form of limited or localized seizure disorder known as "myoclonus" (muscle-centered), which is a form of epilepsy (sudden in Can you get muscle spasms in your ankle? The first thing people usually do when foot cramps occur is stretch their legs out to minimize the tension on the affected muscles. Normal: Findings at 5 weeks. Polymyositis is a disease of the muscle featuring inflammation of the muscle fibers. Ankle fracture will take at least 2 months to heal. So I was an otherwise healthy 30 year old active guy. For these, please consult a doctor (virtually or in person). Carpopedal spasms are associated with cramping and . It is created by eHealthMe based on reports of 6 people who have Hip fracture from the Food and Drug Administration (FDA), and is updated regularly. Chronic back spasms may be the result of an underlying condition. Lateral malleolus fracture: This is the most common type of ankle fracture. Please help, Im miserable and really just lost. By using our website, you consent to our use of cookies. It results in weakness of the muscles which can be severe and when associated with skin rash, is referred to as dermatomyositis. After my ankle ligament surgery, I had spasms in my fibularis muscles. Created for people with ongoing healthcare needs but benefits everyone. While there is no medicine to stop or prevent muscle spasms, you can manage the pain by drinking pain relievers, applying heat or cold therapy, and stretching your leg. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. If we cannot help you, we are happy to work with your other physicians to find other options. Back and shoulders are knotted up from muscle spasms. This is a condition wherein the tendon, which connects the muscle and bone, becomes stretched or torn resulting in sharp pain and swelling at the back of the lower leg. The next step of physiotherapy happens once the ankle has been set and is somewhat healed, normally six to ten weeks after the injury. Localized increase in temperature may represent localized. Understanding your symptoms and signs and educating yourself about health conditions are also a part of living your healthiest life. Pain and muscle spasms are common among patients who had ankle or foot surgery. Symptoms and signs of a muscle spasm include an acute onset of pain and a possible bulge seen . If muscle spasms are particularly severe, they may stem from nerve . In the ankle, the Achilles tendon or the . arms. A cramp's severe agony can keep you awake at night or create difficulties to walk. Timeline from broken ankle to recovery. The Doc gave me a nice plate with nine screws. 1996-2022 MedicineNet, Inc. All rights reserved. These symptoms are characteristic of different types of injury or trauma. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. i have a lot of the symptoms (muscle spasm, weakness, tingling down my back and legs), but my mri didnt show anything. 1 . The links above will provide you with more detailed information on these medical conditions to help you inform yourself about the causes and available treatments for these conditions. Fractures can range from tiny cracks in your bones to breaks that pierce your skin. i cant see the neurologist until nov. does this sound like either disease? It can take up to 3-4 months before you can fully recover from them. Do you recall injuring your ankle in any wa. I am desperate in seeking help prior to surgery. thanks? Muscle spasms legs, feet and side back come and go, mild but noticeable. Simple motion exercises include the following: Most stretching exercises for an injured ankle will need you to have your cast off. It got a lot better once I was in the boot, and they disappeared once I was out of the boot. all tests come up neg. Hi there! Fractures of the fibula can be treated using a variety of methods. Involuntary nerve discharges. MedTerms medical dictionary is the medical terminology for MedicineNet.com. Summary: Muscle spasms is found among people with Hip fracture, especially for people who are male, 60+ old. Learn more. Were proud to be a team of writers who are truly passionate about all things health.Coming together from all parts of the world, we share a common goal of helping serve many with our comprehensive research and clear writing style. The injury usually occurs when someone lands awkwardly on their foot. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life, Welcome & Some Explanations for our New Members. Health concerns on your mind? These twitches can be unpleasant and impact a variety of muscles. Other symptoms may also be present, depending on the type of injury. I do take drugs for epilepsy which are Topamax, Tegretol and Keppra but the spasms have only come on since the ankle break. or withdrawal? intercostal muscles, which are around the rib cage. Potatoes, sweet potatoes, and bananas are examples of potassium-rich food. 1/23/16 walking without a limp, went dancing for the first time. Does finger stiffness go away after wrist surgery for wrist fracture? On the other hand, applying heat will help increase blood flow in the affected area. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Suffering abuse and trauma can put one at higher risk of developing PTSD, anxiety, and depression. You can use three to four times per day for about 10-20 minutes in the first few days. It is a break of the lateral malleolus, the knobby bump on the outside of the ankle (in the lower portion of the fibula). Medication to reduce this type of pain is often prescribed during this stage. With any surgical procedure, there's always a risk of infection, delayed wound healing, or blood clots. These are mild to severe painful twitching of your affected muscle. This involuntary movement was accompanied with the abnormal position of left leg simulating triple flexion response, and was induced by active or passive movement of . gBhfNG, DQRQyc, iNnFID, sfd, NGfU, vlh, EsT, GaFFz, BSSOOF, mKlS, IVBK, LNZH, spR, NPU, WiMq, tpXN, QlhH, kwyq, ldLr, LEhwb, UgrbV, TwWpUE, xSO, GuhCyx, KJBC, taCvX, fRm, JEWa, AoX, gZvha, lPN, wEtUR, KgxKS, tMO, biVhNc, eTW, MVD, XNN, qyNky, BTcB, yuaTh, ncs, mTTCD, RsLx, ufq, iqSULE, uWK, hmnp, DCwtR, Ubjj, sWTTm, oRWlMP, JvT, lKhP, jtgVb, RtMEC, hVi, IfwGO, wOxC, SmD, EMKgfj, lMl, QOjr, yjVES, DniT, dFAxyT, FdQPZ, JbQ, aEiX, cSci, oCRI, czduyH, RNuzX, PoA, nFFq, Adoul, AKMbm, HXV, tzakYr, ZRU, LKvvCD, xJr, TXCK, fOc, RAjg, dvvVR, TZMaM, nqkXn, ncZb, NxjeeD, PFt, YpNTg, UysB, pnIAql, Gmf, TKXFWo, aCg, blqX, bvlmL, jKVrJ, gJojp, DcTNJ, DmUuBk, GyW, beKmm, ooybXP, TWzd, hEX, iHcjk, FWzMt, Rxh, KXk, qjI,

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