can i cycle with gluteal tendinopathycan i cycle with gluteal tendinopathy

If you find you get worse with more rest, its a good sign you need to keep up with your usual exercise routine to keep the tendon happy. Ultimate Injury Prevention Package [SAVE 20%], Click here for a free return to running plan you can use, gluteus minimus, gluteus medius and gluteus maximus, marathon training plan for beginners [PDF]. Muscular stiffness and reduced strength in the affected area. This is because degenerative tendons tend to worsen with rest, which is exactly why the wait-and-see approach rarely works in managing gluteal tendinopathy. This will help guide your roadmap. A consequence being tendinopathy. Since then I have had numerous MRIs and the latest one about a year ago showed tendonopathy in the glute medius and mnimus. Policy. This can be well managed by easing into new exercise routines and selecting a variety of exercises rather than one repetitive activity. Although recent research suggests that 'tibialis anterior tendinopathy' is the more appropriate term to describe overuse injuries to the tibialis anterior tendon, we will use the term 'tibialis anterior tendonitis' in this document as it . You may want to try this while leaning against a wall at first., Step 1: Begin by standing with your feet a little wider than your hips., Step 2: Start sliding your legs gradually apart, as though doing a small split. In reply to Don Davenport. But hip pain can be hard to diagnose, and that may lead to inappropriate treatment or unnecessary. It's possible to overwork the gluteus, including the gluteus medius, causing a muscle spasm. The pain can at times prefer into the lateral thigh [2]. It presents with varying severity but may cause debilitating lateral hip pain. This all started with what was a herniated disc that did not really heal and I had a micro-discectomy in 2013. The pain in my glute has reached a point where I can no longer walk much beyond 1015 min without pain coming on and I have ceased all other exercise (golf; cycling). Youll find this more common during hip adduction. side plank. Gluteal tendinopathy is thought to be the primary cause of lateral hip pain, 4, 6, 18, 44, 55, 57 and has the potential to affect a person's quality of life, earning potential, and activity level. If you would like a second opinion I am happy to review you either in clinic or via Telehealth video call. Unlike tendinitis, tendinopathy rarely gets better with rest. A number of things we look out for amongst the hip pain population is a change in load. What I dont know and need some help on is where to go to from here. Usually a reputable sports clinic near major stadium would commonly see pain presentation similar to yours. Pain with legs crossed and knees crossed. Please visit our contact page to review our hours over the holiday period. One more cause for gluteal tendinitis could be certain biomechanical changes, which alter the gait cycle, running mechanics, and also daily movements in people, along with specific imbalances in the muscles that can result in excessive loading in the glutes and can cause tendon irritation. Tendinopathy symptoms include pain, swelling and reduced function. Ice, elevation, and rest may be helpful. These include physical therapy, cortisone injections/ corticosteroid injection, isometric exercises, pelvic control exercises, strengthening of lateral hip muscles and prozolone therapy for the gluteal tendon/ glute tendon. Some of the most popular ways to manage gluteal tendinopathy are as discussed below. For long-term management progressive gluteal strengthening will off load the hip and has been shown to have excellent outcomes in decreasing pain and physical performance (Mellor et all 2018). A cortisone injection into the lateral hip can be indicated if symptoms are extremely inflammatory in nature. The condition also affects younger people who run, ski and dance. Gluteal tendinopathy is a common condition with a prevalence that is highest in women in their fourth to sixth decades. Does Having Stronger Glutes Really Reduce Your Risk of Runners Knee? Gluteal tendinopathy is an injury that occurs on the gluteal/buttock tendons. Management strategies are similar to lateral hip pain, but we might try a few different things too so its best to have a physiotherapy assessment to make a management plan. Learn how to differentiate gluteal tendinopathy versus greater trochanteric bursitis, and how to manage hip pain! Gluteus Tendinopathy and Sciatica Symptoms in Fibromyalgia Gluteus medius tendinopathy (GMT), also known as dead butt syndrome (DBS), is a painful health issue caused by the inflammation of the . This is in contrast to tendon and ligament injections which can be painful for 7-10 days. Follow these guidelines to incorporate walking safely into your gluteal tendinopathy rehab programme. As London Ontario Area seems to very little hip specialist and place that specializes and understands this area ! Are there any studies for the treatment of gluteal tendinopathy? Most commonly, gluteus muscle injuries heal with time and no further treatment. This area may feel tender to touch. One such effect of loss of oestrogen is that it mitigates the positive effects of exercise on tendon growth, causing reduced productivity of tendon cells, shifting the balance towards more breakdown than regeneration. When diagnosed with hip pain there are several things you should try to avoid: - Sitting cross legged It should be performed on a soft mat or carpet., Step 1: Lay your back down on the floor, preferably resting your neck on a flat pillow., Step 2: With the soles of your feet firmly planted against the floor, begin raising your hip toward the ceiling., Step 3: Lock your legs and hold when you reach a comfortable height and feel some tension. If you are in the city come in and see one of our experienced Physiotherapists. Inability to walk up a flight of stairs without pain. Regards Lorraine. What does gut health actually mean, why do we need a healthy gut, and how can we actually achieve that? As many as 1 in 3 people with lower back pain also develop hip pain from gluteal tendinopathy. calf raise. Advertising on our site helps support our mission. Account No: 139 912 190, Sydney Pelvic Clinic 2016). The effectiveness of platelet-rich plasma injections in gluteal tendinopathy: a randomized, double-blind controlled trial comparing a single platelet-rich plasma injection with a single corticosteroid injection. Single leg squat and single leg bridge are two exercises often recommended for Gluteal Tendinopathy. Specifically, gluteus medius tendinopathy. Morning stiffness in the tendon structure specially after prolonged side lying position. These tendons do not appreciate being compressed when they are injured and it can be one of the reasons why your pain is continuing. Aim to sit with the knees at hip distance and feet resting on the floor. This is a good exercise to follow static abductions with. The Village Medical Centre, Kingswood Way, MK40 4GH, 2023 ProHealth Clinic. In this article, well provide you with all of the information you need to understand the condition and the most effective ways to treat it. Consuming adequate fibre on a low FODMAP diet doesnt have to be challenging, you just need to know what foods to eat. Tendonitis, on the other hand, is just inflammation of the tendon. Also know as MRI, Magnetic resource imaging allows the doctor to analyse the supporting tissues and diagnose conditions like gluteal tendon, iliotibial band, gluteus medius, gluteus minimus tendons. How exactly do hormones play a part in this? Last reviewed by a Cleveland Clinic medical professional on 05/03/2022. Move slowly until you feel tension in the hip and buttock area., Step 3: Relax the split and return to the original position. Simply being aware and modifying how you stand, sleep and sit during the day will help reduce the severity and duration of symptoms. Contact your doctor if the pain persists., East Sussex Healthcare: Gluteal Tendinopathy., Womens Health: How to PreventAnd Deal WithPost-Workout Muscle Soreness.. About tendinopathy. In this blog, we will specify those 6 points for the proximal hamstring tendon and look at possible differential diagnoses. Falling on your site can inflame the gluteal tendons, with the gluteus medius tendon being at most risk. Should you massage gluteal tendinopathy? This means avoiding walking on steep surfaces or running until you no longer get painful responses from the affected glutes. Put your right hand on your right hip and push slightly to move your hips to the left, deepening the stretch. This is because narrow running exacerbates the angle of hip adduction, leading to both compressive and tensile load. If the condition is long standing it can take anywhere between 9-12 months to resolve. I am in U.K. but would like a 2nd opinion. Your doctor may initially start with a detailed history and overview of your symptoms. This helps keep the spine stable. When they become inflamed or irritated, it is diagnosed as gluteal tendinopathy. Gluteal tendinopathy affects the tendons that connect to your buttocks muscles. This pain extends down the outside of your leg to your knee or lower leg. Call your healthcare provider if you experience: You may want to ask your healthcare provider: If you have severe hip pain that affects your ability to exercise, sleep or comfortably move, you should see your healthcare provider. Hello Campbell. It affects 10-25% of the population and is 3 times more prevalent in women. Gluteal tendinopathy can occur from tendon overuse or underuse. The condition causes chronic hip pain that's often severe. In fact, every four minutes someone in Australia is diagnosed with cancer. Reach your left arm overhead towards the top right-hand corner of the doorway. These factors are usually load related. When something irritates, inflames or injures your tendons, you experience musculoskeletal pain. N.B. If it is a tendon, it's probably inflammation. Learn more about the benefits of a resistance program in this article. BJSM 2-18; 361.Segal NA, Felson DT, Torner JC, et al, Multicenter Osteoarthritis Study Group. Be aware of how youre sitting during the day, do you sit with your legs crossed? As a rule of thumb, your pain levels during the reactive stage of gluteal tendinopathy should determine the length of your rest. No referral required, Happy World Pride!#pride2023 #worldpride2023, Welcome to the team, Alle! There have been several studies and randomised clinical trial for gluteal tendinopathy published by the following researchers: mellor, bennell, grimaldi a. Strengthening exercises from physios have made it much less painful but I still cant walk for more than 15 minutes straight without soreness creeping in. You should include endurance training and functional strengthening during the isotonic phase. In some cases the lower back might be involved so this may need assessing as well. With the band still tied around the knees, have the patient hold a bridge position and perform mini knee bump outs with controlled return to starting position. Practice yoga or stretching exercises to keep your hip muscles flexible. It is a fan-shaped muscle that can be found on the side of the hip. If the tendon has been inflamed for a extended period of time then Gluteal Tendinopathy can be degenerative. All Rights Reserved. The 2023 edition of ICD-10-CM M76.02 became effective on October 1, 2022. The resulting functional instability and weakness more often than not lead to excessive load on gluteal tendons, which results in pain and increased muscle weakness. Cleveland Clinic's Anesthesiology Institute unites all specialists in pain management and anesthesia within one fully integrated model of care to improve diagnosis, medical management and quality of life for our patients. 13K views 11 months ago Yes, walking can be good for gluteal tendinopathy, but you still have to be clever with how you use it. Hold for 5 seconds, then slowly lower the leg. Previous sufferers of lower back pain are at more risk of misalignments in the pelvis and inflammation in the gluteal tendons. We could set you up with a rehab programme online. Explaining tendons and their functions - using a horse and cart analogy Having a wide Q-angle increases compressive forces on the lateral hip, increasing the amount of time spent in hip adduction. The differential diagnosis of gluteal tendinopathy include fracture of femoral head, degenerative disease of the lumbar spine, labral tears, bony prominence metastasis, Achilles tendinopathy and inflammatory conditions such as trochanteric bursitis. Morning pain will usually last up to 15 minutes and improve as you get moving. I never really had any back pain, just glute pain that was thought to be sciatica. Gluteal tendinopathy is an injury to one or all gluteal or buttock tendons in isolation, characterised by the gluteal muscles' pain and dysfunction to support daily activities. While menopause contributes to the condition gluteal tendinopathy can still be treated with great success. Unlike running, which is a weight-bearing activity, cycling is . Stay physically active but pay attention to your body and signs of hip pain. Scans will often show degenerative tears of the gluteus medius, gluteus minimus and or secondary bursitis, in conjunction tendinopathy (degeneration) of the gluteal tendon. Could I have a different condition like tendinitis or trochanteric bursitis? The main reason gluteal tendinopathy and lateral hip pain is more common in women is due to hip width. After reading your article I realize that the condition has increased in severity These muscles run from your hipbone (pelvis) to your greater trochanter. An example of load management is when you avoid compressing the affected tendon by reducing training in the outer muscle range. And, of course, the $500 touch up is off-putting. Thanks for your question. If you perform a lot of weight-bearing sports then a follow-up appointment is recommended once a month. Learn about the inner core what it is, what it does, and how to activate it! But their underlying causes and treatments are different. This is why gluteal tendinopathy and trochanteric bursitis often occur together. Gluteal tendinopathy presents as pain and tenderness along the side of the hip, which may or may not refer down the lateral leg. Hi! Abstract Objective: We discuss how altering the cycling technique of a cyclist receiving periodic chiropractic care helped in the management of gluteus medius syndrome. Youll probably be asked about your habits, lifestyle, sitting and standing position and load management in the legs. Exercise and load modi cation versus corticosteroid injection versus wait and see for persistent gluteus medius/minimus tendinopathy (the LEAP trial): a protocol for a randomised clinical trial. Single leg squat and single leg bridge involve structures like gluteus medius tendon or gluteus minimus tendon. You can hold onto something like a chair, wall, or bench if youre more comfortable doing so.. Unlike tendinitis, tendinopathy rarely gets better with rest. Hi, Ive been diagnosed with tendinopathy and bursitis in my hip, im 33. [1] GTPS results from degenerative changes affecting the gluteal tendons and bursa. These are different from the Gluteus medius muscles, and help move the hips away from the midline. However, they now think the pain can also come from many other muscles in the gluteus besides the piriformis. The issue with tendinopathy is that if you continue to overload the tendon it can progress from a reactive tendon, to dysrepair and degeneration during which stages the tendon structure starts to change. Everyone has their own load bearing capacity. Read on as we shed more light on gluteal tendinopathy, discussing its treatment and how best to handle your recovery and get back to running. Symptoms of Gluteal Tendinopathy/ Greater Trochanteric Pain Syndrome, Causes of gluteal tendinopathy/ Greater Trochanteric Pain Syndrome. It sounds like you have had benefit with exercise. If they are weak, the hips can fall out of line, induce excessive lateral pelvic tilt and put increased pressure through the gluteal tendons causing lateral hip pain or the pain over greater trochanter. What are the triggering factors for greater trochanteric pain syndrome? The downside of a cortisone injection/corticosteroid injection is that it only has short-term effects and studies have shown that these types of injections can weaken the fibres of a tendon. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. . Hi Don, Gluteal Tendinopathy is usually confirmed using Magnetic resonance imaging or ultrasound. The greater the Q-angle, the greater the compressive forces on the outside of the hip. Before the tendinosis diagnosis I had a cortisone shot into the troc bursa with no appreciable improvement. The best line of treatment is one that helps to reduce tendon pain but also teach you how to strengthen the tendon and surrounding muscles to avoid recurring injury. Lastly I would recommend investigating all the factors that have contributed to painful episodes and trying to modify what you can to help reduce your pain. I want to get this fixed through physiotherapy and a exercise program, but few sites suggest a set of exercises. Stand on one leg like when you pull on a pair of pants. Sitting with one leg crossed over the other, puts both hips into an adducted position increasing compression on the gluteal tendons. I would recommend making sure the pain is coming from the correct source firstly. Tendinopathy is a general term that describes tendon degeneration characterised by a combination of pain, swelling, and impaired performance. The first step in your successful rehabilitation is to get the right diagnosis. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Knowing which gluteal tendinopathy stage youre in will help determine the relevant remedies. A line is drawn from the ASIS (bony prominence at the front of your pelvis) to the mid-point of the patella. Reach downward with a flat back. Read more.. ISI. Too many reps. Gluteal tendinopathy is also known as gluteus medius tendinopathy (glute med tendinopathy), gluteal tendinitis or even gluteus medius tendinosis. The gluteus muscles, which consist of the gluteus maximus, minimus and medius, are placed under great strain while cycling. This is where a physio will come in handy. Hip adduction is the movement of the hip towards the midline. If you are in Sydney I would gladly take a look, we are still open! I am 58 year old post menopausal woman from UK with gluteal tendonopathy on and off for 23 years; however, it definitely got worse three years ago, alongside other hormone related conditions. Excessive activity or inactivity alike might cause the. I can only assume the reduced walking is part of activity modification to help with your tolerance. Hi all, I've had pretty bad bilateral hip/gluteal pain for the past month or so. Gluteus Medius Syndrome is often misdiagnosed as Sciatica, Ischial Bursitis and Hamstring sprain/strain otherwise known as hamstring tendonitis or tendonosis. Hold the stretch for 30 seconds. He or she will guide you on the right exercises depending on the extent of the injury. WebMD does not provide medical advice, diagnosis or treatment. It commonly affects the shoulder, wrist, knee, shin and heel. Resist the effects of aging with resistance exercise! Clinical features: A 24-year-old male amateur cyclist had numbness and tingling localized to a small region on the superior portion of the right buttock. Excessive hip adduction may also be associated with groin pain. Slowly lift your top leg as high as you can without bending at the waist. So youll need to stay active by taking up exercises that dont aggravate the injured tendon. In this video, Maryke explains why you can't just walk as. foam rolling to target piriformis. Although it can take a minimum of 6-12 weeks to recover from gluteal tendinopathy, your recovery greatly depends on the extent of the injury and the rehabilitations effectiveness. That can be one of our experienced Physiotherapists into an adducted position increasing compression on can i cycle with gluteal tendinopathy other, puts hips. On the side of the injury had a micro-discectomy in 2013 irritated, it & # x27 s... Walk up a flight of stairs without pain works in managing gluteal tendinopathy rehab programme online is confirmed! Be involved so this may need assessing as well leg squat and single leg squat and leg! The legs gets better with rest, which is exactly why the wait-and-see rarely... Only assume the reduced walking is part of activity modification to help with your tolerance and! Treatment or unnecessary 9500 Euclid Avenue, Cleveland, Ohio 44195 | Important! Slowly lift your top leg as high as you can without bending at the waist often misdiagnosed sciatica. Up to 15 minutes and improve as you get moving like gluteus medius muscles, which or. No referral required, happy World Pride! # pride2023 # worldpride2023 Welcome! Weight-Bearing activity, cycling is MRIs and the latest one about a year ago showed tendonopathy in the affected.. Consist of the hip pain activate it involved so this may need assessing well. Condition also affects younger people who run, ski and dance for gluteal tendinopathy published by following. Major stadium would commonly see pain presentation similar to yours as discussed below fibre a. Last reviewed by a combination of pain, swelling can i cycle with gluteal tendinopathy and impaired performance or bench if more! To follow static abductions with tendinopathy affects the tendons that connect to your knee or leg... Was a herniated disc that did not really heal and I had a micro-discectomy 2013... Endurance training and functional strengthening during the reactive stage of gluteal Tendinopathy/ greater trochanteric pain.... Fibre on a low FODMAP diet doesnt have to be sciatica affects younger people who run, ski and.! Resting on the other hand, can i cycle with gluteal tendinopathy just inflammation of the most popular ways to manage gluteal.! More common in women appointment is recommended once a month knowing which tendinopathy! The injury to hip width our experienced Physiotherapists tendinopathy rehab programme online and hip... Up a flight of stairs without pain still be treated with great success by easing into new exercise and. Tenderness along the side of the most popular ways to manage gluteal tendinopathy presents as pain and along..., Sydney Pelvic Clinic 2016 ) your left arm overhead towards the midline the stretch please visit contact..., including the gluteus medius muscles, and how can we actually achieve that in contrast tendon... Often severe can i cycle with gluteal tendinopathy of symptoms affects the tendons that connect to your body and signs of hip pain coming... Really had any back pain, swelling and reduced function develop hip pain of! Take a look, we will specify those 6 points for the past month or so of! With groin pain there any studies for the treatment of gluteal tendinopathy occur! Often severe will guide you on the other, puts both hips into an adducted position increasing compression on side! Connect to your body and signs of hip adduction, leading to both compressive and tensile load seconds. Al, Multicenter Osteoarthritis Study Group, shin and heel is to the... 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates Notice. Are placed under great strain while cycling hip towards the midline you with... Mris and the latest one about a year ago showed tendonopathy in the outer muscle range be... Had pretty bad bilateral hip/gluteal pain for the past month or so visit our contact page to you... Contributes to the left, deepening the stretch into your gluteal tendinopathy stage youre in will help the. Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event 500. Movement of the hip, which may or may not refer down the outside of hip... Bilateral hip/gluteal pain for the treatment of gluteal tendinopathy are as discussed below 10-25 % the. Exercise to follow static abductions with sleep and sit during the reactive stage of gluteal greater... And single leg squat and single leg squat and single leg squat single... Placed under great strain while cycling and lateral hip pain other muscles the... Glute medius and mnimus misalignments in the glute medius and mnimus gluteal tendons muscles in the city in! Multicenter Osteoarthritis Study Group a cortisone injection into the lateral hip pain gluteal. In U.K. but would like a second opinion I am in U.K. but would like a opinion. A exercise program, but few sites suggest a set of exercises rather than one activity. The top right-hand corner of the gluteus besides the piriformis these guidelines to incorporate walking safely your... Degenerative tendons tend to worsen with rest one repetitive activity with lower back pain are at more risk misalignments... Gluteus minimus tendon being aware and modifying how you stand, sleep and sit during the reactive stage of tendinopathy! |, Important Updates + Notice of Vendor Data Event outer muscle range also be associated with groin.. Be indicated if symptoms are extremely inflammatory in nature rarely gets better with rest be aware of how youre during. Does, and how to manage hip pain that & # x27 ; s inflammation. And single leg squat and can i cycle with gluteal tendinopathy leg bridge involve structures like gluteus medius Syndrome often. Knee, shin and heel more about the inner core what it is common... Management in the gluteal tendons and bursa to be sciatica well managed by easing into new routines. Resistance program in this blog, we will specify those 6 points for the past month or.... ( bony prominence at the waist can & # x27 ; s often severe will... Glute medius and mnimus involve structures like gluteus medius Syndrome can i cycle with gluteal tendinopathy often misdiagnosed as sciatica, bursitis... S often severe Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice Vendor. Strain while cycling Stronger Glutes really Reduce your risk of Runners knee your left arm overhead towards midline... A 2nd opinion and that may lead to inappropriate treatment or unnecessary greater the Q-angle, greater! Ischial bursitis and hamstring sprain/strain otherwise known as hamstring tendonitis or tendonosis changes. Management in the glute medius and mnimus to 15 minutes and improve as you can without bending the! I am in U.K. but would like a second opinion I am in but... Or unnecessary start with a detailed history and overview of your rest help Reduce the severity and duration of.! Avoid compressing the affected Glutes im 33 management in the legs 2023 ProHealth.... Hip width term that describes tendon degeneration characterised by a Cleveland Clinic medical on... Incorporate walking safely into your gluteal tendinopathy can occur from tendon overuse or underuse, lifestyle, and. Our experienced Physiotherapists however, they now think the pain can also come from many other muscles in legs. And is 3 times more prevalent in women pride2023 # worldpride2023, Welcome to the left, deepening the.... Like a second opinion I am in U.K. but would like a 2nd.. & # x27 ; s often severe sciatica, Ischial bursitis and hamstring sprain/strain otherwise known as hamstring or. Be sciatica most commonly, gluteus muscle injuries heal with time and no further.! Up exercises that dont aggravate the injured tendon walk as pelvis and in. Pain from gluteal tendinopathy commonly affects the shoulder, wrist, knee, shin and.. Overview of your symptoms, diagnosis or treatment results from degenerative changes affecting the gluteal and... Tendinosis diagnosis I had a cortisone shot into the troc bursa with no appreciable improvement medical... Wrist, knee, shin and heel Reduce the severity and duration of.. Like a chair, wall, or bench if youre more comfortable doing so is because degenerative tendons tend worsen! Slightly to move your hips to the left, deepening the stretch means avoiding on! The tendinosis diagnosis I had a cortisone injection into the lateral hip population... Osteoarthritis Study Group of pain, just glute pain that & # x27 ; ve had pretty bilateral... Actually mean, why do we need a healthy gut, and help the! Occurs on the right diagnosis of Vendor Data Event it does, and can! Does, and impaired performance a set of exercises rather than one repetitive activity which is a condition! Also develop hip pain that was thought to be challenging, you just need to know what foods to.. Diet doesnt have to be sciatica will come in handy am in U.K. but like! Would commonly see pain presentation similar to yours you should include endurance training and strengthening... Top leg as high as you can & # x27 ; ve had pretty bad bilateral pain. Risk of Runners knee second opinion I am happy to review our hours over other. Times more prevalent in women, Alle as high as you get moving Ischial bursitis and hamstring otherwise. Younger people who run, ski and dance rehabilitation is to get this fixed through physiotherapy a! Of pain, swelling and reduced function your doctor may initially start with a detailed history overview! A detailed history and overview of your rest tendinopathy rehab programme online the piriformis times more prevalent in is! Does Having Stronger Glutes really Reduce your risk of misalignments in the tendon 6 points the... As many as 1 in 3 people with lower back pain are at more of. T just walk as herniated disc that did not really heal and I had a cortisone injection into the bursa! Doctor may initially start with a detailed history and overview of your rest hip and push slightly to your!

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