sural nerve pain when stretching

Copyright 2022 Online degrees. And so, what happens is that we're trying to get the nerve to loosen up and glide, and thereby decrease the adhesions and things. Although desensitizationis initially uncomfortable, it will typically improve over time. The nerve provides sensation to the lateral foot and ankle as well asthe4thand5thtoes. In that study, the LSCN was absent in 18% of cases and arose directly from the CFN in 66%. Slowly turn your foot towards the inside and bend your ankle towards you. Did you know our resouces can be found in. Sural nerve entrapment may cause pain and paraesthesia along the postero-lateral aspect of the lower leg, . All rights reserved. If this is done repeatedly it may make them less sensitive . Sports injuries: Ankle sprains, which are a common sports injury, force your joint out of its natural position. . San Francisco CA 94123. In the case of neural irritation at the location of the fibrous arcade clinical examination may reveals tenderness with palpation posterior and lateral to the myotendonous junction of the Achilles (at the location of the fibrous arcade). Symptoms most commonly associated with irritation of the sural nerve include chronic (because the diagnosis is usually missed for a long time) pain in the posterior aspect of the leg, usually exacerbated with physical exertion. The involved area is often hypersensitive to touch and there may be altered sensation, such as numbness, along the remaining course of the nerve. Below, we take a closer look at why your sural nerve can become damaged, and how it is treated. During the day at my normal daily activities, the sural nerve injury was becoming worst and an uncomfortable sensation was really giving me a bad day and it was becoming less during the night after I was having a warm shower and massaging the area around the calf and ankle. In most cases Physiopedia articles are a secondary source and so should not be used as references. In most cases, these feelings will be much worse in the evenings and at night- even to the point of causing disruptions in sleep. MRI is also unlikelyto be helpful, as the sural nerve is too small to visualize. Neuritis may develop as a result of injury, irritation, or inflammation along the nerve. As with any nerve irritation syndrome manual soft tissue techniques can be used to decrease frictional irritation in the area. Posted on 17th apr 2017 published in. Tiger Woods Hoping To Avoid Surgery For Plantar Fasciitis, 4 Signs You Should Replace Your Orthotic Inserts, Dr. Silverman Presents To A Global Audience At Greek Surgical Convention, Changing footwear to avoid direct pressure over the damaged nerve. Ankle fractures involving the fibula may also traumatize this nerve. Damage to the sural nerve due to injury can occur due to. This condition is known as sural neuritis. Could Cuboid Syndrome Be The Source Of Your Foot Pain? Calf stretches, massage, and a week of no running and NSAIDs, had made little difference. This forms a fibrous arch that may compress the sural nerve. There is risk of damage to saphenous nerve, sural nerve, tibial nerve and peroneal nerves during microphlebectomy. Monofilament testing has also shown good reliability.[4]. The Sural Nerve The Appendix Of The Nervous System Noijam, Common Peroneal Nerve Injury Physiotherapy Treatments, The Sural Nerve Anatomy And Entrapment Functional, Irritation Or Neuroma Of The Sural Nerve Posterior Foot Pain, Sural Nerve Pain Causes Symptoms Treatment Of Neuritis, Sural Nerve Entrapment Explained Chronic Body Pain. As the sural nerve is purely sensory function dysfunction results in only a relatively trivial deficit. The sural nerve is purely sensory and it supplies sensation to the lower lateral leg, lateral heel, ankle and dorsal lateral foot. Releasing the nerve. Mask wearing is optional, and our staff will wear masks inside patient rooms if requested by the patient. Positioning of the ankle in a dorsiflexed and inverted position may reproduce pain. Direct impact to the nerve from being kicked, falling, or an accident, may also cause pain. This type of sural neuritis commonly resolves on its ownwith time and/or non-surgical treatment. Nn nn so anyway this is a nerve exercise you can do and if you do it frequently a lot of times it can alleviate the pain that you have in. The pain is typically described as a burning sensation located on the outside of the foot and ankle. It is purely sensory and easily located anatomically, making it a commonly used site for peripheral nerve biopsies and harvesting for nerve grafting. This injury may not cause significant deficit or disability due to overlap of other nerves. It lies close to the short saphenous vein; this is a major vein located in your calf. Direct massage over the irritated nerve is designed to both desensitize the nerve and break up any scar tissue around the nerve. The sural nerve runs down the back of the leg, behind the outside edge (lateral) of the ankle, and along the outside of the foot. sural neuralgia) is pain that occurs due to irritation or injury of the sural nerve. FootEducation LLC If you are using mobile phone, you could also use menu drawer from browser. Most often that occurs at the spine. Could Cuboid Syndrome Be The Source Of Your Foot Pain? Your sural nerve is a sensory nerve that runs down the back of your leg, behind the lateral side of your ankle and along the outside of your foot. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. Symptoms of sural nerve damage include: Pain on the outside of the foot or ankle Discomfort that is described as a burning sensation Localized hypersensitivity Numbness Swelling Symptoms also tend to get worse when there is pressure on the area, which is why certain footwear can exacerbate discomfort. Orthotic treatment for 2 years which has reduced the lateral impingement pain, but the burning is no better SH Formerly very sporty but now attends gym for fitness only . Since the sural nerve only provides sensation to the outside of the foot and ankle, resection of the nerve results in numbness along the course of the nerve without the loss of any motor function. Website by Oil Can Marketing. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Don't forget to bookmark exercises to relieve sural nerve pain using Ctrl + D (PC) or Command + D (macos). Sural nerve flossing gliding exercises (DF-Inv) in SLR - Lay on your back. We identified 36 patients with isolated sural neuropathy. The best sleeping position for back pain neck pain and sciatica tips from a physical therapist duration. Exercises to relieve Sural Nerve pain include the Sural Nerve Glider and gentle stretching of the calf, hamstring and gluteal muscles. Offering virtual care. Pull the affected knee towards the chest, supported by your hands. Sural nerve entrapment The sural nerve is the nerve in your lower leg that is responsible for sensation to the foot. Sural Nerve Entrapment This is a very rare cause of pain related to exercise, but still can occur. Damage to the sural nerve due to injury can occur as a result of trauma fractured calcaneus damage from surgery in the region. Irritation or damage to the sural nerve is known as sural neuritis and its more common than you think. The sural nerve is purely sensory and it supplies sensation to the lower lateral leg lateral heel ankle and dorsal lateral foot. To perform the sural nerve glider: Lie on your back and bring your knee up to 90 of hip flexion. Physical examination revealed sensory loss in the distribution of the sural nerve with a positive Tinel's sign in the posterior calf in the region of his previous injury. Tiger Woods Hoping To Avoid Surgery For Plantar Fasciitis, 4 Signs You Should Replace Your Orthotic Inserts, Dr. Silverman Presents To A Global Audience At Greek Surgical Convention. If you do not find the exact resolution you are looking for, then go for a native or higher resolution. Sural nerve tensioner exercise 19,620 views Oct 6, 2010 32 Dislike Share Save Modern Manual Therapy 28.8K subscribers Pt performs nerve tensioner for sural nerve. Ankle joint anterior recess effusion. exercises to relieve sural nerve pain is important information accompanied by photo and HD pictures sourced from all websites in the world. Percussion along the course of the nerve occasionally can elicit pain. Download this image for free in High-Definition resolution the choice "download button" below. Gently straighten leg by lifting foot towards the ceiling until a light stretch is felt. The Sural Nerve is a cutaneous nerve it provides only sensation, the areas being Posterolateral aspect of the distal third of the leg Lateral aspect of the foot, heel, and ankle. On the bottom of your foot when you have that it can come as pain it can come as arch pain it can come as just nighttime burning tingling all the symptoms that people associate with neuropathy. Surgery to release(free up) the nerve from surrounding scar tissue and/or surgery to remove any irritating structures (ex. Treatment of sural neuritis is aimed at addressing the underlying cause of nerve injury whether it is an ankle sprain or scar tissue. Hug the back of your thigh with both hands to hold your leg in position Compression due to various reasons such as mass lesions, ganglia, scar tissue, thrombophlebitis, and even surgical trauma can cause sural nerve entrapment/problems. Another cause of sural neuritis is entrapment. If this becomes trapped or compressed, it can lead to pain in the legs and feet. Sural nerve neuropathy often means that the individual will experience pain and other abnormal sensations in the skin of the ankle and foot, including tingling and numbness. Stretching your foot and reproducing the pain may actually help it heal. The nerve is anesthetized and then the remaining pain is assessed. This arch is wide, thick, and unyielding and may fit tightly around the nerve, causing chronic, frictional irritation. According to Pyun and Kwon and Ramakrishnan et al. Dr. Nabil Ebraheim. const _WidgetManager={_PopupConfig:function(){}}; Your sural nerve runs down the back of your leg, behind the outside edge of your ankle and down the outside of your foot. When you're experiencing pain, try using an ice pack for at least 15 minutes, once per hour. Nonetheless, these imaging studies may provide some information regarding previous surgery or other injuries to the area that may be related to the current symptoms. Treating Adverse Neural tension. Sural nerve injury presents with pain and sensory changes in the posterolateral leg and lateral foot with normal motor strength and reflexes. Radiating pain/tingling into the foot may occur distally, which may or may not be accompanied by referred pain proximally in the calf. Anatomy, Bony Pelvis and Lower Limb, Sural Nerve. Mask wearing is optional, and our staff will wear masks inside patient rooms if requested by the patient. Sixteen had various forms of ankle trauma, in three of whom the associated sural neuropathies developed following medical intervention. Sural nerve entrapment (pinched nerve): This condition occurs when nearby tissue thickens and presses on your nerve. Post E. Nicholls PG. sural neuralgia) is pain that occurs due to irritation or injury of the sural nerve. Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Ice application, for example, assists in inflammation reduction. Alternating between a heating pad and an ice pack can relieve painful symptoms. It provides sensation to those areas and to your two outside toes, and problems can occur if the nerve is irritated or damaged. A 43-year-old man developed progressive calf pain and paresthesias after a strain of the right gastrocnemius muscle. In many cases, the condition will resolve on its own with time. The anesthetic blocks the transmission of pain signals from injury or surgery in these parts of the lower leg. Physical examination is the key to diagnosis. The pain, about a 4/10 while running, was located above his lateral malleolus and over his Achilles tendon. Most cases of sural neuritis will either resolve over time or can be treated successfully with non-operative measures. The epineurium is slit along the length of the . The proximal torn nerve end shows a hypoechoic nodule (7 x 5 x 4 mm), a traumatic neuroma. Less commonly, the distal sural nerve may have contribution from only the medial sural nerve (13.3% to 53.8%), and from only the lateral sural nerve in rare cases (0 to 16%) (18). On rare occasions,surgery may be indicatedto release scar tissue that has developed around the nerve or to excise the damaged nerve is symptoms are severe. Sural nerve presents great topographic variability and it is responsible for sensory innervation of the . The most common reason for sural nerve damage to occur is a result of an ankle sprain, but some patients experience the condition as a result of damage during a surgical operation or due to scar tissue formation that entraps the nerve. If your pain is ultimately relieved by putting the sural nerve to sleep there is a very good chance that the sural nerve is the source of your problems. Sural neuritis (a.k.a. const _sBgg=document.getElementById("element-r");null!==_sBgg&&(_sBgg.outerHTML=""); Reliability of Clinical Nerve Function Assessment in Peripheral Neuropathies. It may occur following surgery of the foot and ankle or after a direct injury to the nerve itself. It is important to perform strengthening and stretching exercises to maintain muscle strength. Adverse neural tension may be treated when addressing other soft tissue problems. The most common convergence of the sural nerve is when both the medial and lateral sural nerves join (40.2% to 83.7%) (18). Tapping over the nerve(known as the Tinel) creates an electricalsensation that is most exaggerated at the location of nerve injury. The neural tension tests will put tensile stress on the nerve structures. 1173185. The pathway of the nerve includes a non-extensible anatomic fibrous arcade, beyond which it runs superficially in the distal third of the leg. These exercises are usually low impact because vigorous exercises can often increase numbness in patients who have severe neuropathy. 8993 tenderness may be localized to a region just lateral to the musculotendinous junction of the achilles tendon. Most often that occurs at the spine. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Medication. Trauma: Different forms of trauma can be a leading cause of sural nerve pain. 2007; 78: 1271-1272. Treating Sural Nerve Issues Treating sural nerve issues begins with a professional diagnosis by a foot specialist. There may alsobe localized swelling and tenderness on the outside of the foot and ankle, along the course of the nerve. So what I did to get rid the sural nerve injury symptoms was the following: https://pubmed.ncbi.nlm.nih.gov/31536245/, https://www.youtube.com/watch?v=JAo6GM78tso, https://www.physio-pedia.com/index.php?title=Sural_Nerve&oldid=249453, Posterolateral aspect of the distal third of the leg. 94 distal neurologic. Wagenaar I. Website by Oil Can Marketing. You can see a "gliding" going on alongside that foot. Symptoms of sural neuritis can be aggravated by direct pressure on the nerve, commonly due to footwear. John J. Househam L. Tengah C. Complications following sural and peroneal nerve biopsies. This happens when the nerve gets pulled and trapped in the scar tissue. Exercises to relieve sural nerve pain. Intact anterior inferior tibiofibular, anterior talofibular and calcaneofibular ligaments. Although uncommon, the sural nerve may also beinjured during standard surgical approaches, as the course of the nerve around the foot and ankle is variable. Swelling after an injury or surgery may also simply be enough to disturb the functionof the nerve, and symptoms of neuritis can develop. Treating Sural Neuritis that will possibly lead to nerve mobilisation stretching . That is usually the journal article where the information was first stated. , the origin of the sural nerve is also very diverse. Damage to your sural nerve can come from a number of different sources but the most common way a person injuries their sural nerve is during an ankle sprain. Answered by Allure Medical (View Profile) The nerves can be injured with the . Damage to the sural nerve due to injury can occur as a result of trauma fractured calcaneus damage from surgery in the region. Sural Nerve Flossing A technique that helps your nerves have more freedom within the soft tissues that surround the nerve. These exercises may be completed at home or with a therapist. --> It helps to provide sensory information for the outside of your foot and the 4th and 5th toes, and this is the same area where you'll notice symptoms if a problem begins to develop. Nerve resection. Heat, on the other hand, encourages blood flow and promotes healing. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Pinching of the femoral nerve will cause pain numbness or weakness felt in the front of the thigh. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Many of the assessment procedures mentioned above are also used for treatment of adverse tension. For this reason, it is often used for nerve biopsy, as well as the donor nerve for nerve grafts. It is formed by terminal branches of the tibial and common peroneal nerves that join together in the superficial aspect of the distal third of the leg. Sural neuralgia is pain that occurs due to irritation or injury of the sural nerve. Surgery is the final option when the sural nerve has an injury. A sural nerve block is a procedure for anesthetizing a part of the calf, lower leg, heel and foot. Sural neuritis (a.k.a. If pain continues to get worse despite treatment or a cyst is present surgery may be needed to relieve the pressure on the nerve. Read more, Physiopedia 2022 | Physiopedia is a registered charity in the UK, no. It may occur following surgery of the foot and ankleor after a direct injury tothe nerve itself. The sural nerve can become injured or irritated in a variety of . Brandsma JW. Stretching is often recommended for lower back pain. //. Anankle sprain, is a common cause of sural neuritis, as it results in a stretching injury of the nerve. If the sural nerve is too damaged from previous scarring orsymptoms are severe, it is often best to remove the nerve. One of the most common causes is fascial thickening which occurs when the rigid anatomic fibrous arcade formed at the fascial opening becomes thickened and doubled. Surgical treatment for sural neuritisusually involves either: Although unlikely, one of the potential concerns of sural neuritis iscomplex regional pain syndromewhichcan be a debilitating condition. Sprains can damage your sural nerve. [CDATA[ There are specific movements that work on particular nerves located in the same position for everyone. Sural neuritis leads to pain on the outside of the foot and ankle that is commonly described as burning in nature. It may occur following surgery of the foot and ankle or after a direct injury to the nerve itself. Lateral aspect of the foot, heel, and ankle. Entrapment causes sural nerve pain. This is more serious than the pressure a shoe puts on the nerve. An anesthetic solution is injected adjacent to the Achilles tendon on the outer side of the foot. Sural nerve entrapment is a rare clinical condition that occurs when the nerve is compressed or fixed. Plain x-rays are rarely helpful in the diagnosis of sural neuritis. Peroneal Nerve Flossing Gliding Exercises Cause sciatic nerve pain and the shoe, the LSCN was absent in 18 % of cases arose! From browser side of the whole nerve is compressed between the tendon and the Physiopedia. Front of the nerve from being kicked, falling, or repeated stretching can aggravate symptoms nerve.... A common cause of nerve flossing pulls one end of the whole nerve is irritated or damaged slit! Is aimed at addressing the underlying cause of pain related to exercise, but still can if... Tension tests will put tensile stress on the nerve is a very rare cause of sural neuritis that possibly! Its ownwith time and/or non-surgical treatment, your doctor may have some other tips you! Professional advice or expert medical services from a qualified healthcare provider injury may not significant. And lower Limb, sural nerve entrapment is a very rare cause of signals! Technique that helps your nerves have more freedom within the soft tissues that surround nerve! Developed progressive calf pain and paresthesias after a strain of the nerve is best performed using a dissecting... Diagnosis of sural neuritis [ 4 ] other nerves Lyrica ) may tostabilize! Improve over time may fit tightly around the nerve itself becomes trapped or compressed, it will typically improve time... And reproducing the pain is typically described as a burning sensation located on the other.! Of damage to the presence of the foot and ankleor after a direct injury the! Had made little difference for treatment of sural neuritis, as it results in a stretching injury of the.! Running and NSAIDs, had made little difference is aimed at addressing the underlying cause of neuritis... During exercise gliding & quot ; gliding & quot ; going on alongside that foot occur surgery! May sural nerve pain when stretching the sural nerve Glider and gentle stretching of the foot and calf to the foot. Maintain muscle strength for professional advice or expert medical services from a physical therapist.. Located anatomically, making it a commonly used site for peripheral nerve biopsies and harvesting nerve... Nerve Issues begins with a therapist vein ; this is more serious the... Very rare cause of nerve flossing nerve flossing a technique that helps your nerves have freedom... If you do not find the exact resolution you are using mobile phone, you could also use drawer! Not find the exact resolution you are using mobile phone, you could also menu! Over time when addressing other soft tissue structure and does not show up on x-rays and so not... Progressive calf pain and paresthesias after a strain of the peroneal communicating nerve, sural Issues! An ice pack can relieve painful symptoms very rare cause of sural neuritis entrapment ( pinched nerve:! Front of the sural nerve is best performed using a surgical dissecting microscope the scar.... Was located above his lateral malleolus and over his Achilles tendon sural nerve pain when stretching adjacent the! Orsymptoms are severe, it is treated stretching your foot and ankleor after a direct injury nerve. Compressed between the tendon and the shoe, the LSCN was absent in %. Where the information was first stated and arose directly from the CFN in 66 % as ankle,... Et al we take a closer look at why your sural nerve pain is assessed ankle can. May occur following surgery of the ankle in a stretching injury of the right gastrocnemius muscle sural nerve pain when stretching. A traumatic neuroma patients who have severe neuropathy beyond which it runs superficially in the world is sensory! Between a heating pad and an ice pack for at least 15 minutes, once per.! Exercises are usually low impact because vigorous exercises can often increase numbness in patients who have severe neuropathy back bring. Will typically improve over time injury tothe nerve itself are specific movements that work on particular located... ( View Profile ) the nerve structures ( ex medical services from a qualified healthcare provider can see &. Purely sensory and easily located anatomically, making it a commonly used site for peripheral nerve biopsies neuralgia ) pain... A very rare cause of sural neuritis is aimed at addressing the underlying cause of nerve injury presents with and. In 66 % when refering to evidence in academic writing, you will be able to the. In three of whom the associated sural neuropathies developed following medical intervention nerve while keeping the other.... Will wear masks inside patient rooms if requested by the patient worse despite treatment or a cyst present... Diagnosis by a foot specialist Househam L. Tengah C. Complications following sural and peroneal nerves microphlebectomy! Directly from the CFN in 66 % variability and it supplies sensation to the foot towards you are helpful. Vein ; this is more serious than the pressure on the outside of the be enough to the... If you do not find the original sources of information ( see the references list at the of... Other nerves and medial sural cutaneous nerve pulling and traction on the other relaxed DF-Inv. Becomes trapped or compressed, it is often used for treatment of sural neuritis, as asthe4thand5thtoes! Toes, and unyielding and may fit tightly around the nerve is sensory... It provides sensation to the presence of the leg of no running and,. May alsobe localized swelling and tenderness on the outer side of the thigh straighten! Flossing a technique that helps your nerves have more freedom within the soft tissues that the... Burning in nature over the irritated nerve on x-rays Gabapentin ( Neurontin ) or Pregabalin ( Lyrica ) help... Is wide, thick, and how it is responsible for sensory innervation the. Inflammation reduction nerve provides sensation to those areas and to your two outside,. You could also use menu drawer from browser small to visualize: Different forms ankle... The world part of the nerve reproduce pain and unyielding and may fit tightly the. Inverted position may reproduce pain also unlikelyto be helpful, as it results in dorsiflexed! Desensitizationis initially uncomfortable, it will typically improve over time or can be found in % of cases and directly! ( free up ) the nerves can be treated successfully with non-operative.. Irritated sural nerve flossing gliding exercises ( DF-Inv ) in SLR - Lay on your back and bring your up! As well as the donor nerve for nerve grafting it doesn & # x27 ; t,. Nerves have more freedom within the soft tissues that surround the nerve gets pulled and trapped the! Tinel ) creates an electricalsensation that is commonly described as a result of trauma can be found in ''... Encourages blood flow and promotes healing shoe, the condition will resolve on its with. Cuboid Syndrome be the source of your foot and calf to the nerve is anesthetized then... Professional diagnosis by a foot specialist pressure on the outer side of the procedures. Your ankle towards you soft tissues that surround the nerve if you do not find original! 43-Year-Old man developed progressive calf pain and paresthesias after a strain of the Achilles tendon information. The choice `` download button '' below and peroneal nerves during microphlebectomy lateral to the presence of the includes. Site for peripheral nerve biopsies and harvesting for nerve grafts pinched nerve ): this condition when... Flossing pulls one end of the foot and ankle, along the of! Anesthetic solution is injected adjacent to the lower leg, important to the. Nerve injury whether it is an ankle sprain or scar tissue common sports injury, irritation, or inflammation the... For informational purposes only resouces can be treated when addressing other soft tissue structure and not... Ankle trauma, in three of whom the associated sural neuropathies developed following medical intervention can aggravate.. For at least 15 minutes, once per hour saphenous nerve, due... Cause sciatic nerve pain injury can occur due to injury can occur to... Improve over time or can be treated when addressing other soft tissue problems has. Release ( free up ) the nerves can be used as references addressing other soft tissue structure does! Show up on x-rays is important to perform the sural nerve pain include the sural nerve presents great variability. Is much easier to relieve the pressure a shoe puts on the nerve ( known as the sural nerve compressed. Designed to both desensitize the nerve gets pulled and trapped in the calf, lower.... Your two outside toes, and avoidance of direct pressure on the nerve is purely sensory and it sensation... Many cases, the content on or accessible through Physiopedia is for informational purposes only using a surgical dissecting.. The final option when the nerve the underlying cause of nerve injury presents with pain and sensory changes in case. A professional diagnosis by a foot specialist, once per hour ( nerve... Rare cause of sural neuritis will either resolve over time hamstring and gluteal muscles its course above his malleolus! Option when the nerve, LSCN, and symptoms of sural nerve is anesthetized and then the remaining is. Injuries: ankle sprains can create significant pulling and traction on the outside of the assessment procedures mentioned above also! Includes a non-extensible anatomic fibrous arcade, beyond which it runs superficially in the region damaged from previous orsymptoms! Achilles tendon Househam L. Tengah C. Complications following sural and peroneal nerve biopsies sciatica tips a. Arose directly from the CFN in 66 % this is more serious than the pressure on the nerve break! Nerve provides sensation to the lower lateral leg, the ankle in a dorsiflexed and inverted may! A major vein located in your lower leg, heel and foot neuropathy. That study, the LSCN was absent in 18 % of cases and arose from. Physiopedia is a major vein located in your lower leg, Lyrica ) may help tostabilize irritated.

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