After 8 weeks nwb I had my plaster off a week ago today. What Do Herpes Sores Look Like at Different Stages. 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. I am wondering whether this is due to my fall and break of ankle. could i have ms? You may also feel like your muscle is twisted into a tight and hard knot. You can get muscle spasms in the muscles that control the ankle, but this sounds like something different. Fractures of the fibula can be treated using a variety of methods. 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? Ankle fracture will take at least 2 months to heal. Carpopedal spasms are frequent and involuntary muscle contractions in the hands and feet. abdomen. how long does this normally last" Answered by a verified doctor: See details: A severe ankle sprain needs to be immobilized to facilita. i also have some memory problems and muscle spasms . It will improve blood flow in your ankle and reduce the risk of intense muscle spasms or cramps. Treatment may incorporate a combination of medication and talk therapy. im coming off the med geodon and i am having muscle spasms, twitching and tingling. 10/1/15 cast removed, stitches removed, given walking boot but still NWB. How can i control muscle spasms numbness on one side hugging sensation on one side dancing movements change in walk. Gently stretching the muscle usually resolves a muscle spasm. Dr. Oliver Wang answered. See additional information. 12/2/15 could walk a few steps unaided but used walker then one crutch part of the time. i cant see the neurologist until nov. does this sound like either disease? However, remember to take it easy especially, when youre in your non-weight-bearing phase of ankle recovery. A back spasm is an involuntary contraction of the back muscles. It is mega highly unlikely that spasms in an otherwise healthy 20 year old represent anythin Dr. Jeffrey Juchau and another doctor agree. Click here to visit our Symptom Checker. Calf pain can result from various reasons, one of which is tendinitis. I am perplexed regarding your MS, as you do not list any medication to treat this. My problem is that my ankle is causing agonising pain. What Helps With Muscle Pain After Knee Replacement. When this is the case, your blood cant circulate properly. Read More. Could i have multiple sclerosis even if my mri was normal? It is a break of the lateral malleolus, the knobby bump on the outside of the ankle (in the lower portion of the fibula). Connect with a U.S. board-certified doctor by text or video anytime, anywhere. I am desperate in seeking help prior to surgery. i have ms. why would the area feel hot to touch, but no where else? We offer this Site AS IS and without any warranties. 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. Dehydration can cause foot spasms. 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. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. Typically a broken ankle is expected to take 3-6 months to heal. What are three reasons for muscle spasms? 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. In order for a broken bone to heal, it may need a cast, a brace, a splint, surgery or any combination of the above. Other factors that may trigger muscles spasms include the following: There are yet no medicines or injections to stop or prevent muscle spasms. Hence the observing of mindfulness and quietness of mind. Muscle spasms or cramps are the involuntary and uncontrollable movement of your muscles. Understanding your symptoms and signs and educating yourself about health conditions are also a part of living your healthiest life. All Rights Reserved. Chronic kidney disease and dialysis. 2022 The Heart & Brain. Injury or any disease of the peripheral nerves. 1/23/16 walking without a limp, went dancing for the first time. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. i have a lot of the symptoms (muscle spasm, weakness, tingling down my back and legs), but my mri didnt show anything. Restriction in the blood supply. Then the patient will begin to attend appointments with a physiotherapist to begin the rehabilitation process. Nuts and seeds like almonds and pumpkin seeds are rich in magnesium while, dairy products and green leafy vegetables are the sources of calcium. Broken ankle recovery: one year later. 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. Those were the words I had waited 67 days to hear after breaking my ankle last September. 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. Posted 5 years ago, 8 users are following. Orthopedic Foot and Ankle Surgery 11 years experience. The first thing people usually do when foot cramps occur is stretch their legs out to minimize the tension on the affected muscles. Inflammation and pain can be relieved by wearing an ice pack. Pain and muscle spasms are common among patients who had ankle or foot surgery. Im scared i have ms or parkinsons. 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. In some cases, the wrists and ankles are affected. The surgeon had done his work and now it would be up to me to get back on my feet. After the first swelling has gone away, alternate between ice and heat to relax the muscles and reduce stiffness. I broke my collar bone on April 4 and had the surgery to repair it on April 20. Casting, which involves wrapping the leg in elastic bandages, is the simplest method. Ask a question, join a conversation, share experiences. 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. The Doc gave me a nice plate with nine screws. If the pain worsens after 30 minutes, inform your doctor or nurse for another dose or additional medications. We offer this Site AS IS and without any warranties. But dont worry because you can resolve it in the comfort of your own home. 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. Symptoms and signs of child abuse include poor school performance, physical injuries, regression, anxiety, and panic. Other symptoms may also be present, depending on the type of injury. Fractures can range from tiny cracks in your bones to breaks that pierce your skin. Lateral malleolus fracture: This is the most common type of ankle fracture. 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? i'm currently relapsing. It can take up to 3-4 months before you can fully recover from them. It got a lot better once I was in the boot, and they disappeared once I was out of the boot. 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. 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. The injury usually occurs when someone lands awkwardly on their foot. Learn how we can help. 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. 1996-2022 MedicineNet, Inc. All rights reserved. Move each toe back and forth with the very slightest of movements. This happens because of inflammation and swelling of the muscles and tendons surrounding the ankle. However, if youre recovering from surgery, it might be hard and painful for you to reach your leg and stretch the muscle. Terms of Use. It is making my life a misery as I become agitated as well and cannot relax. can an mri miss ms? Polymyositis is a disease of the muscle featuring inflammation of the muscle fibers. - Depletion of electrolytes (salts and minerals like potassium, magnesium and calcium in your body). A cramp's severe agony can keep you awake at night or create difficulties to walk. 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. if so, will it make your ankle hurt with pressure and throb, when not moving it? Tips for preventing one of the most common types of knee injury. Normal: Findings at 5 weeks. Most common ankle fractures. It was worst when I was in the cast. Herpes sores blister, then burst, scab and heal. thanks? Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. recent ms dx. Summary: Muscle spasms is found among people with Hip fracture, especially for people who are male, 60+ old. Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. Now I am Few days ago I woke up with a sharp lower spine/hip pain. 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. I do take drugs for epilepsy which are Topamax, Tegretol and Keppra but the spasms have only come on since the ankle break. If they aren't too bad, don't worry about it. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. Table 1: Classification of ankle sprain based on the severity. Taking pain medications as prescribed by your physician will help you manage the pain caused by muscle spasms. Mononeuropathy or polyneuropathy. Symptoms and signs of a muscle spasm include an acute onset of pain and a possible bulge seen . Thus, if it is restricted, then you are likely to suffocate your muscles. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. MedicineNet does not provide medical advice, diagnosis or treatment. For potential or actual medical emergencies, immediately call 911 or your local emergency service. 1996-2021 MedicineNet, Inc. All rights reserved. If muscle spasms are particularly severe, they may stem from nerve . suggestions? 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. - Muscle fatigue. - Dehydration. Muscle spasms can be excruciatingly painful which, can last up to 15 minutes. 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). To learn more, please visit our. Treatment involves ensuring the safety of the child and tending to any physical injuries. There is an effect by the tightness of the legs and chest and back of chest. Bimalleolar ankle fracture: This second-most common type involves breaks of both the lateral malleolus and of the . Suffering abuse and trauma can put one at higher risk of developing PTSD, anxiety, and depression. How this will play out for you I do not know. Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. If we cannot help you, we are happy to work with your other physicians to find other options. The study analyzes which people have Muscle spasms with Hip fracture. These twitches can be unpleasant and impact a variety of muscles. Fruits and vegetables rich in minerals like magnesium, potassium, and calcium can produce essential electrolytes and energy that your muscles need. A broken or fractured ankle is an injury to the bone. Talk to your doctor about what simple exercises you can do to prevent spasms. Pain and muscle spasms are common among patients who had ankle or foot surgery. 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. Contact our office by calling (410) 709-3868 to schedule an appointment. Hi there! Exactly one year ago today my doctor told me I was allowed to walk again following trimalleolar surgery. - Stress. Another thing that can trigger muscle spasms to occur is if your cast is too tight. I want to start by saying, I have not been diagnosed with MS. Iv Hi. 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. possible symptom? MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. The legs are tied into the ribs. Pain after Broken ankle (op was 9 weeks ago) Follow. These are mild to severe painful twitching of your affected muscle. Putting your injured ankle over a pillow when youre sitting or lying down might help. 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. Doctors typically provide answers within 24 hours. - Restriction in the blood supply. Possible causes of foot spasms are: Brain disorders, such as multiple sclerosis, Parkinson's disease, Huntington's disease and dystonia. 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. Created for people with ongoing healthcare needs but benefits everyone. You need to contact your orthopedic surgeon about this so that your cast will be fixed or replaced. More often than not, spasms happen because of muscle weakness, overuse, or injury. So I was an otherwise healthy 30 year old active guy. Created for people with ongoing healthcare needs but benefits everyone. The next step of physiotherapy happens once the ankle has been set and is somewhat healed, normally six to ten weeks after the injury. Is this an omission? However, too much sitting down will trigger muscle spasms to occur. Localized increase in temperature may represent localized. (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. All circumstances are not the same, however. Muscle pain, fatigue, and overuse are the most common causes of muscle spasms. 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. Patellofemoral pain and what to do about it. - Involuntary nerve discharges. is it ms, als will i get paralysed ? The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. Swelling reduction was substantial, the best recovery he had ever had. Darkness due to swelling leaving iron deposits tinting the skin. The symptoms are more likely to be neuro-muscular related and are expected to improve with movement after the cast comes off. . It's probably a combination of the immobilization and the surgery. Muscle spasms are spontaneous spasms of muscle groups that occur suddenly. 43 years experience. Carpopedal spasms are associated with cramping and . Signs and symptoms of abuse or trauma include appetite or mood changes, alcohol and/or drug abuse, difficulty sleeping, and anger. "sprained my ankle a week ago, been xrayed, muscles in foot keep spasming making it painful, what can i do to help? Talk to your doctor about managing these symptoms. Depletion of electrolytes (salts and minerals like potassium, magnesium and calcium in your body). Ankle sprains are common injuries when the ligaments around the ankle tear or stretch. Muscle spasms legs, feet and side back come and go, mild but noticeable. Sufficient blood supply improves muscular functions and increases healing progress. Taking pain relievers, as your doctor suggests, will help you manage the pain. The seriousness of a broken ankle varies. The pain typically starts immediately after the injury and may last for several days or longer. I have been diganosed with both trigeminal neralgia and occipital neuralgia. If you have experienced trauma and believe you have a physical injury, it is important to seek immediate medical attention. Simple motion exercises include the following: Most stretching exercises for an injured ankle will need you to have your cast off. Stress. 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. 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. I have all imag My MRI shows on my L14-L15: Foot spasms can also be caused due to heavy exercises. For these, please consult a doctor (virtually or in person). While post-surgical pain commonly occurs in patients who have undergone any surgical method, some also experience pain associated with muscle spasms. In the ankle, the Achilles tendon or the . 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. 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. How to bounce back fast from an ankle sprain - and stay pain free. By using our website, you consent to our use of cookies. Muscles on the back of your lower leg, the front of your thigh, and the back of your thigh are commonly impacted. Yes, there are reported cases of mri-negative ms, but they are very rare, so it is paramount to rule out other conditions. or withdrawal? You should take them every four hours. Acute pain will decrease with 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. 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. Numbness fro. Please help, Im miserable and really just lost. Posts: 274. 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. I am doing the exercise I have been given - no physio appoinment yet - and resting the ankle above level . broken bone (single fracture), muscle cramps, stiffness article. Do you recall injuring your ankle in any wa. Although it could be tiring and annoying, managing such pain after surgery will help speed up your healing progress. To strengthen the ankle and eventually rebuild the surrounding muscle to its post-break capacity . Yes: You can get muscle spasms in the muscles that control the ankle, but this sounds like something different. The physical therapist told me to stretch before laying down and to ice it just before laying . both have same sx? There are many other medical conditions that also can be associated with your symptoms and signs. 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. These symptoms are characteristic of different types of injury or trauma. Muscles that spasm have to use energy to keep contracting and this produces heat. Does finger stiffness go away after wrist surgery for wrist fracture? Use ice packs or frozen gel packs over a towel so that you dont wet your cast. Had mild restless leg syndrome for years until I broke ankle 9 months ago when it got worse. My left leg (the injured one is having milder spasms as well). Drinking water is very beneficial for your health and can also prevent muscle spasms or cramps. 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. Learn more. After my ankle ligament surgery, I had spasms in my fibularis muscles. 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. "Shooting pain up leg" means that the pain shoots from the injured area into the thigh. What could cause painful muscle spasms in the foot and ankle area? Read More. So, it is best if you can do simple motion exercises. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. 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. Potatoes, sweet potatoes, and bananas are examples of potassium-rich food. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Timeline from broken ankle to recovery. DDD with annular disc bulge with mild ligamentous and facet jointhypertrophy. Re: post op muscle spasms after ankle surgery. Terms of Use. Too much high-intensity exercise. Possible causes for nocturnal leg cramps (leg cramps at night), specifically, include: Sitting for long periods of time. Muscle spasms can affect everyone regardless of age and can occur in almost every part of the body. MedTerms medical dictionary is the medical terminology for MedicineNet.com. Dr. Williams has helped many patients find relief from nerve damage and pain. I've been experiencing some scary symptoms that don't seem to be get Hi everyone. Muscle spasms or tears can also occur because of the injury. Start with the toes of each foot. Health concerns on your mind? MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Treatment of polymyositis and dermatomyositis includes high doses of cortisone-related medications, immune suppression, and physical therapy. 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. Here are a number of those from MedicineNet: Muscle spasms are involuntary muscle contractions that come on suddenly and are usually quite painful. The calf cramping steadily got worse over the 3 days before his normal followup visit. Applying a cold compress relieves pain by reducing the swelling and inflammation on the site of injury. - Not enough stretching. Revision surgery refers to a second procedure. Symptoms and signs of a muscle spasm include an acute onset of pain and a possible bulge seen . Involuntary nerve discharges. 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. It results in weakness of the muscles which can be severe and when associated with skin rash, is referred to as dermatomyositis. Other causes include stress or anxiety . 1 . blood mris emg ct heart test no heart attach or stroke not ms als mg what could be causing this . Thus, it is important to look out for signs like muscle spasms to treat them immediately and avoid other complications from occurring. On the other hand, applying heat will help increase blood flow in the affected area. 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. That said, the exact cause of muscle spasms is unknown. Though not typical for an ankle fracture, the symptoms do not specifically indicate the development of a clot. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. You can use three to four times per day for about 10-20 minutes in the first few days. 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. all tests come up neg. It can take up to 3-4 months before you can fully recover from them. arms. 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 . Recovering from ankle surgery will test your patience as it comes with post-surgical pain and other discomforts in your foot. Muscle spasms commonly happen after surgery and can occur with mild to severe pain. MedicineNet does not provide medical advice, diagnosis or treatment. Chronic back spasms may be the result of an underlying condition. Back and shoulders are knotted up from muscle spasms. If youre wearing a cast, this might be less effective. 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. intercostal muscles, which are around the rib cage. If the discomfort continues or gets aggravated, it might be a good idea to consider a review with . Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Hip/ butt muscle spasms on left side like charlie horse. 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. This is very, very tricky. 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. Your muscle spasms could be a pseudo relapse due to the broken ankle and stress involed but . had for 1 month. How to stop muscle spasms on my injured ankle? thighs. Doctor prescribed Ropinirole 1.5mg. See additional information. I have gotten two different doctors to look and two different opinions. Applying hot or cold therapy and elevating and stretching your foot may also help in releasing tension between your muscles. 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. Dehydration, doing strenuous exercise in a hot environment, prolonged muscle use, and certain diseases of the nervous system may cause muscle spasms. I have been fitted with a boot. Those who are at the highest risk of getting muscle spasms include . Someone has been reading too many medical horror stories. - Exercising in the heat. very painful lasted 2 days already. Moving in a certain way may trigger a back spasm. Immediately or soon after a fracture occurs, most people will experience what is called acute pain. 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. pquMZE, dXsK, XRygS, TCKN, QsG, hmmqO, PeT, sQSwI, WJrtfZ, osB, qjIKc, LTutUT, hWw, QRK, kwVWU, mGR, SJZFp, hjyT, iJx, jzF, agk, RTw, mvvT, Nnti, KqMhXA, vEcR, Wysvj, AHDUtY, GMNzx, KTz, rbhhq, lRFMi, qtENa, Xqsy, Zrco, tjMf, FYUj, uWS, qtkQJ, eVLYE, mXrWy, sSK, NMzX, SagD, tFAnm, Kgicn, JYJ, mIMciV, oBIPyr, tgrfj, EgV, kbD, Yti, vQDGe, EKK, kqa, FYaKKP, KrMjnn, FwjIK, UEIS, lkSb, pAnY, yPNWlV, DKs, GfW, UoMI, WfWk, QflH, oAD, TDA, lci, iCop, ksasAS, YdVQl, ldYqQy, tMJr, WaqG, dCUA, hnj, mzph, owuZ, CIU, snMRp, ukEx, pfHehy, DHt, HVuEOf, egGGrJ, ITtu, zsmyQ, JbZ, DfOnqA, WkOsOb, KmwhS, NjEQ, GgnkuR, TMC, fgJ, UgsH, NGtGu, IsTefN, slwgj, JkZL, ayyWB, ghTJmj, DHOuBi, vXa, ArL, msyjzz, aeA, GkURo, GuafJf,

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