To understand the problem, and to know how to cure neuralgia, you should roughly understand what the thoracic section consists of. The department includes 12 vertebrae in the form of a c-shaped. Ribs are attached to the vertebral bodies using cartilage. The thoracic vertebrae with ribs are connected by the sternum and form the rib cage. Ten pairs of ribs are attached to the sternum, and the rest are in a free position.
- Causes of Thoracic Neuralgia
- Characteristic signs of breast neuralgia and its symptoms
- Thoracic Neuralgia
- Prognosis and prevention
- How to treat intercostal neuralgia?
- Medication Therapy
- Therapeutic exercise
- Manual therapy
- All About Chest Neuralgia
- Causes of Thoracic Neuralgia
- Symptoms of Chest Neuralgia
- How to distinguish intercostal neuralgia from cardiovascular disease?
- Diagnosis of intercostal neuralgia
- Treatment of chest neuralgia
- Thoracic neuralgia: causes, symptoms and treatment
Causes of Thoracic Neuralgia
The cause of the appearance of neuralgia is a pinched nerve in the places of its passage, in the thoracic pinched place occurs in the intercostal spaces. There can be many factors for compressing nerves, such as tumors, inflammatory processes in surrounding tissues, or a hernia of the spine. The main causes of pathology are as follows:
- Improper structure of the thoracic spine, such as curvature of the spine and pathology of the structure of the ribs;
- Injuries to this department, pain can be felt immediately, or even after a couple of years;
- Hypothermia or drafts;
- Excessive physical activity or prolonged stay of the body in one position;
- Sudden movements can also lead to pinched nerves;
- Previous respiratory infections or infections such as flu, herpes, and tuberculosis;
- Thoracic intervertebral hernia and osteochondrosis;
- Diseases of the nervous system: multiple sclerosis and polyradiculoneuritis;
- Cardiovascular disease: high blood pressure, anemia, atherosclerosis;
- Deposition of salts in the spine;
- Diabetes mellitus of any type.
If we take the disease “neuralgia” in general, then the main causes of this ailment can be hypothermia in combination with excessive physical exertion, as a result of exposure to these factors, microtraumas of parts of the nerve or the whole nerve trunk are formed. The effect of toxins, resulting from the use of alcohol or drugs, and infection also contributes to the occurrence of pathology.
Characteristic signs of breast neuralgia and its symptoms
The first sign of thoracic neuralgia is a characteristic pain in this area, which can often be confused, especially if it starts to hurt on the left side, with heart disease. Usually at the beginning of the disease there is a burning sensation in the chest and aching pain around the focus of pinched nerve. Pain syndrome usually increases with certain movements, turns of the body, as well as coughing. The intercostal nerves in their structure have a lot of branches that feed the vital organs, this is due to the fact that when the nerve is pinched, the pain can go to the heart, shoulder blades or stomach. At the site of pathology, a decreased sensitivity of the skin is noted. Pain in the thoracic region can provoke an increase in blood pressure, low-grade fever and interruptions in the work of the heart, such as extrasystole or tachycardia. Most often, the disease begins to manifest itself after an acute spasm in the muscles, which can result in a sharp turn of the body or an uncomfortable position during sleep.
ATTENTION! For pain of this nature, you should consult a doctor to rule out a disease of the heart or other organs.
Yet thoracic neuralgia has hallmarks, such as:
- An attack of neuralgia is manifested sharply, whether a person is healthy or not. However, more often pain syndrome manifests itself with a sharp change in body position, like an inclination or rotation. Pain occurs when coughing, sneezing, or taking a deep breath. An unpleasant sensation can provoke rapid breathing after running or physical exertion;
- Attacks of sharp pain are noted in the area of the spaces between the ribs;
- The time of pain can last from several minutes to several days;
- There is a numbness of the skin area and a change in its color, which is located above the pinched nerve
- The pain does not go away after taking nitroglycerin and can last for a long period of time;
- The area with pain points can be felt between the ribs and other parts of the chest.
REFERENCE! It is worth remembering that the symptoms of thoracic neuralgia can occur in each person in different ways and differ in the intensity of the pain.
Medical practice shows that in women the signs of the disease are mainly manifested in the region of the heart, and in the male half the place of pain is on the left side at the bottom of the ribs.
Chest neuralgia is difficult to diagnose, as it may resemble the symptoms of other diseases. To make a diagnosis, you should undergo a comprehensive examination. When contacting a doctor, one should take into account the duration of the course of pain, the results of a palpation examination by a doctor, as well as analyzes. There are two diagnostic methods, such as laboratory and instrumental. Laboratory technique includes:
- General blood test (done to exclude general inflammation in the patient’s body);
- Detailed blood test (biochemical);
- Sampling mucus from the nasopharynx (smear);
- A blood test that identifies certain infections.
Instrumental techniques include:
It is worth knowing that intercostal neuralgia may, in its symptoms, be similar to other diseases. Pathology is often disguised as a disease of internal organs. Symptoms of neuralgia may resemble renal colic, pleurisy, angina pectoris, and a gallbladder disease such as cholecystitis. Patients often confuse muscle neuralgia with heart pain, and begin to panic. The main distinguishing feature of heart pain is that pain in neuralgia intensifies with a deep breath or cough, as opposed to heart problems.
Muscle neuralgia of the chest is carried out in several stages, since pain should be eliminated first, and only then proceed with the treatment of neuralgia itself. How to relieve pain and tension in this area is known only to the doctor who preliminary conducts the examination and prescribes treatment. There are various treatment methods, such as:
Drug therapy. Drugs that should stop the pain and eliminate the disease itself should only be a doctor. To relieve pain in a patient, painkillers from the NSA >
Prognosis and prevention
Chest pain can be prevented, for this you need to adhere to the tips for the prevention of this disease:
- Keep an even posture while walking and working at the computer;
- When performing a uniform work, take breaks or change the position of the body so as not to overstrain the intercostal muscles;
- In the cold season, it is warm to dress to avoid hypothermia, drafts should also be avoided;
- Take vitamins to strengthen immunity;
- Go to the pool and go swimming;
- Correctly treat concomitant diseases that often lead to neuralgia;
- Observe sleep and rest;
- Refrain from smoking and excessive drinking;
- Eat more vegetables and fruits;
- Eat protein foods such as beef, fish and dairy products;
- To eat moderately unhealthy food, and it’s better to refuse altogether.
Pathology has a very painful course, and with adequate treatment has a good prognosis for recovery.
Although neuralgia of the thoracic spine and chest is not harmful to human health or life, it can significantly impair the quality of life. It is necessary to strictly follow the recommendations when treating this non-arc, and it is best not to allow it – by carrying out preventive measures.
How to treat intercostal neuralgia?
A common reason for visiting a doctor is chest pain. They are provoked by various diseases, one of which is intercostal neuralgia. Against the background of a more serious pathology that can cause similar symptoms, this condition looks quite simple. However, neuralgia cannot be underestimated, since it can create significant obstacles to the active life of every person.
When thoracic neuralgia develops, patients always worry about whether there is a connection between pain and heart or lung function. But this disease is not directly related to these organs. The most common cause of intercostal pain is the spine. It is the condition of the axial skeleton that is of great importance for the peripheral nerves, since they are a continuation of the spinal roots. Therefore, thoracic neuralgia can be caused by such conditions:
Pathology of the spine is a common cause of pain in the chest, but this does not always happen. There are other factors that affect directly the area of the intercostal space and the body as a whole. These include:
- Herpes zoster.
- Infectious diseases.
- Exercise stress.
- Emotional stress.
It is necessary to consider everything, and not just vertebral causes of neuralgia, because the correct diagnosis depends on it. And do not think that the disease is not so serious as to pay attention to it – even life-threatening pathology, for example, an aortic aneurysm or a mediastinal tumor, can be hidden behind intercostal pain.
Only a doctor can determine the origin of thoracic neuralgia. A clinical examination and an additional examination allow you to establish a diagnosis.
Chest neuralgia develops due to irritation of nerve fibers passing between the ribs. This condition has characteristic signs that are difficult to confuse with other diseases. However, there is always a need for differential diagnosis with diseases that have similar symptoms. Intercostal neuralgia is most often manifested by such complaints:
- Sharp pains along the ribs, piercing, stitching or shooting.
- They have one-sided or two-sided (encircling) character.
- Paroxysmal and, as a rule, short-term.
- They arise or intensify after physical exertion, bending or turning the body, pain when coughing, laughing, sneezing, deep breathing.
- The pain is accompanied by numbness or burning in the affected nerve.
- The patient tries to spare the chest: breathes shallowly, deliberately limits the affected side.
There may be some anxiety associated with a probable pathology of the heart, especially in suspicious and emotionally labile individuals. However, for cardiac diseases, the connection of symptoms with movements in the chest is not characteristic, the pains will be pressing or aching, with radiation to the left hand. They are often accompanied by shortness of breath, changes in heart rate and pressure.
Chest neuralgia is characterized by pain in the intercostal spaces during palpation.
If the pathology is of vertebrogenic origin, then a similar symptom is also observed from the side of the spine, accompanied by muscle tension. You may notice signs of deformity: scoliosis, pathological kyphosis or lordosis. Often, a decrease in thoracic mobility is determined.
When it is assumed the development of herpes zoster, then first there is a burning sensation of the skin in the intercostal space, then redness appears, against which bubbles with liquid appear. They tend to merge and can burst, exposing a bright erosive surface, which is subsequently covered with a crust.
Analyzing the clinical picture of neuralgia, it is necessary to pay attention not only to the condition of the spine, but also to other symptoms.
The diagnosis is based on a physical examination and the results of additional methods. Only in the totality of clinical experience and medical technologies does the determination of the causes and development pathways of most diseases, including neuralgia, lie. Depending on the doctor’s preliminary opinion, such studies may be needed:
- General blood analysis.
- Biochemical study of blood.
- X-ray of the spine and lungs.
- Ultrasound procedure.
- Magnetic resonance imaging.
Some of these methods are important as a differential diagnosis with cardiac, pulmonary and infectious diseases. Consultation with a neurologist (vertebrologist) is required, and if necessary, a cardiologist.
If the patient has neuralgia, then the doctor should determine the optimal tactics that will help eliminate the pain and prevent the development of such symptoms in the future. Everything will depend on the origin of the disease, its connection with the spine or other processes.
It is necessary to treat neuralgia with the help of tools that allow not only to eliminate symptoms, but also to influence the causes of the disease, as well as the ways of its development. Mostly use such methods:
- Drug therapy.
- Manual therapy
The combination of necessary therapeutic measures is determined by the doctor based on the clinical situation.
In most cases, the traditional treatment of neuralgia is based on the use of medications. They act on various pathological processes, allowing a comprehensive impact on the disease. Modern medicine, including neurology, has a wide arsenal of drugs that are included in various recommendations and treatment standards for the disease in question. These include the following tools:
In diseases of the spine, chondroprotectors (Teraflex, Chondroxide) are also indicated. If herpes infection is confirmed, then antiviral drugs (Cyclovir) are needed. Local agents play a separate role: anti-inflammatory and warming ointments (Finalgon, Nikoflex).
In order for thoracic neuralgia to quickly go away, it is recommended to supplement drug therapy with physical methods. They have a mild effect on tissues, helping to relieve pain and eliminate inflammation. You can treat pathology with the following methods:
- UHF therapy.
- Wave treatment.
What procedures are best for the patient, a physiotherapist will recommend, taking into account the prescription of the attending physician.
Of great importance in the treatment of pathology of the spine, including neuralgia, is special gymnastics. It makes it possible to influence not only the consequences of the disease, but also its cause. Thanks to the individually selected program, the range of movements in the thoracic region is restored, the pathological pressure on the nerve roots decreases.
To ensure good traction and reduce the load on the thoracic region, patients first wear a fixing corset. After the abatement of acute phenomena, they begin gymnastics, which may include such exercises:
- Lying on your back, alternately bend the legs in the knee joints and lead to the chest, touching their forehead.
- Lying on his stomach, stretch his arms forward, while bending in the back and raising his head.
- Sitting on a chair, cross your arms at the back of your head and bend back, then straighten up.
- From a standing position, carry the body tilts to the sides.
- Perform body turns without moving the pelvis.
In the complex of physiotherapy exercises, kinesiotherapy techniques can be used. They are based on muscle tension, which over time activates the regenerative forces of the body. In addition, traction treatment is used to stretch the spine.
Achieving a pronounced and lasting result is possible only with regular training. In this case, the patient needs to make his own efforts to eliminate the manifestations of neuralgia.
Treatment of pathology of the thoracic region may include manual therapy. In this case, the specialist acts with his hands directly on the pathological focus. Improving the patient’s condition is achieved by stretching the spinal column, eliminating muscle blocks, reducing subluxations of facet joints. Even some deformations can be corrected, but all techniques should only be performed by a specialist.
Effectively treating neuralgia also helps massage the back and collar zone. It relaxes and warms muscles, improves blood circulation in soft tissues, due to which preparation for physical exercises or manual exposure is carried out. As a rule, traditional massage elements are used:
You should go through the entire course of massage prescribed by your doctor. This will have not only a local, but also a general healing effect.
If all the possibilities of conservative treatment are used, and the pain continues to bother, then you should think about surgery. As a rule, this situation arises with a running vertebrogenic pathology. Using microsurgical techniques, decompression of the nerve roots is performed, which almost immediately leads to the disappearance of pain.
Patients with intercostal neuralgia are frequent visitors at the doctor’s office. Despite the apparent simplicity of this pathology, in order to avoid its progression and undesirable consequences, it is imperative to conduct a comprehensive examination and proper treatment.
All About Chest Neuralgia
Thoracic neuralgia is characterized by pinching or irritation of the intercostal nerves, accompanied by severe pain. With it, the patient has difficulties during breathing, movements or coughing.
The implementation of any active action exacerbates pain in a certain area of the chest.
The causes of the disease are changes in the intercostal spaces, leading to compression of the nerves between the ribs. The disease, as such, is not dangerous, but with the first symptoms you should visit a specialist. After all, pinched nerves leads to other problems.
Causes of Thoracic Neuralgia
With intercostal neuralgia, peripheral nerves are pinched or compressed. The compressive process can occur due to the ribs, intervertebral discs or muscles.
There are several reasons for this process. Here are the main ones:
- lordosis, osteochondrosis, and other problems of the spinal column leads to chest neuralgia (this is due to the fact that the named and similar diseases can cause spinal deformity, various curvatures and other changes, and they, in turn, affect the process of pinching of the intercostal nerves);
- nervous system diseases (e.g., sclerosis or polyradiculoneuritis);
- lack of vitamins and metabolic disorders (for example, with gastritis or diabetes);
- the presence of injuries (when injuring the chest, changes in the intercostal spaces occur, causing chest pain);
- hypothermia (it can cause a person’s spasm and inflammatory process of the intercostal muscles, which will lead to compression of the peripheral nerves);
- exposure to intoxication (intercostal neuralgia occurs with alcohol abuse and poisoning).
Among the important causes of intercostal neuralgia is a decrease in immunity. In order to avoid the disease, vitamins should be consumed, which is especially important in winter and lead a healthy lifestyle.
Symptoms of Chest Neuralgia
The main symptom is the occurrence of severe pain in the chest area. As indicated above, the reason is the infringement of the intercostal nerve. As a rule, pain is concentrated on a specific area of the chest.
But do not forget that pain can spread and pass under the shoulder blades or in the region of the lumbar spine.
The diagnosis of “neuralgia of the chest” may be incorrectly made against the background of cardiovascular diseases. This is due to the fact that symptoms appear in the area of the heart muscle. The correct diagnosis can only be made by a highly qualified specialist.
He will conduct a thorough examination and diagnosis and immediately determine the cause of chest pain. With infringement of the intercostal nerve in a person, a change in posture and posture occurs. The patient always leans to the side, as he is trying to stretch the gaps between the ribs and thus reduce the pressure on the affected area.
The nature and strength of pain can be different. It all depends on the measure of infringement of the intercostal nerves or related factors of similar compression.
With intercostal neuralgia, the patient has difficulty breathing and therefore he cannot take a full breath and exhale. Any movements give rise to acute pain in the chest.
The place of infringement of the intercostal nerve can be detected by palpation, since this method causes a patient reaction in the form of severe and sharp pain. Thoracic neuralgia can also cause muscle spasm in the back.
Spasm is manifested in the form of twitching in a certain area of the body. A sick person has increased sweating and discoloration of the skin. The skin at the site of spasm loses sensitivity.
How to distinguish intercostal neuralgia from cardiovascular disease?
As described above, the symptoms of intercostal neuralgia are very similar to the symptoms of cardiovascular disease. This is due to the sensation of pain in the same area. Specialists know the methods by which similar diseases are accurately recognized.
So, the pain does not depend on inclinations or turns in cardiovascular diseases, but with intercostal neuralgia, such manipulations cause severe pain.
Symptoms of intercostal neuralgia are characterized by prolonged pain. This is due to the fact that the process of pinching the nerve between the ribs retains its influence for a long time.
Pain does not go away even if a sick person has taken a medicine (for example, validol). Pain syndrome in cardiovascular diseases is short and episodic.
The third difference is the presence of pressure in the patient if he suffers from a cardiovascular disease. With intercostal neuralgia, such symptoms do not occur.
Diagnosis of intercostal neuralgia
To determine the correct diagnosis, it is not enough to examine and listen to the patient’s complaints. First you need to identify all the symptoms, determine the cause of the pain and the focus of the disease.
The very first sign of the disease in question is detected when probing the ribs of a sick person in the form of a reaction to severe pain.
A good specialist, upon examination, will definitely pay attention to the unnatural posture of a person, characteristic of neuralgia. After that, the doctor conducts the necessary laboratory tests.
The patient must donate blood for general and biochemical analysis. Such an analysis is necessary to identify a possible inflammatory process. Further, diagnosis continues with instrumental research. The primary examination belongs to the heart muscle, so it is necessary to determine the presence of pathology or any diseases.
For this, an ECG is prescribed. If everything is in order with the heart muscle, the specialist will prescribe fluorography, X-ray, or magnetic resonance imaging.
Treatment of chest neuralgia
There are many methods for treating this disease. As a rule, this is treatment with painkillers and anti-inflammatory drugs, physiotherapeutic actions and alternative methods. In this case, you should initially consult a specialist.
The specialist will establish the reasons and prescribe the right treatment. Any person with the disease in question should remember that you can not carry out treatment on your own, as you can do more harm to your body. The department involved in the treatment of intercostal neuralgia is called neurology.
The therapist can prescribe painkillers and anti-inflammatory drugs. With their help, muscle swelling is eliminated and pain is reduced. Drug treatment lasts for five to ten days, it all depends on the degree of the disease and the level of pain.
At the next stage, the patient can be treated with muscle relaxants. They cause relaxation of muscle tissue and as a result release peripheral nerves.
Intercostal neuralgia can be treated with physiotherapeutic and magnetic-electronic procedures. The patient is prescribed treatment by electrophoresis, ultrasound, acupuncture and massage.
If intercostal neuralgia was the result of osteochondrosis or scoliosis, then it is best to carry out treatment through manual therapy, therapeutic gymnastics and massage.
But we must remember that such treatment can not be carried out during acute pain, since the position of the patient will only worsen.
Improving immunity is also a kind of treatment. The patient should not forget about taking vitamins and mineral complexes that normalize blood circulation and metabolism.
Treatment can be carried out in combination with folk remedies, but only after an accurate diagnosis is made, since each remedy has its own unique effect. Treatment is carried out with ointments and tinctures. Tinctures are taken, for example, from wormwood, mint, chamomile, lemon balm, elderberry and some other plants.
The listed plants are able to anesthetize and soothe, which is important during exacerbations of intercostal neuralgia. In addition, from the methods of traditional medicine, it is recommended to apply compresses to sore spots. Of course, with a severe course of the disease, folk remedies will not help, but they are ideal for relieving muscle swelling.
Some fresh plants are poisonous and should be remembered. Among them, for example, are leaves of dream grass. Tincture is prepared only from dried leaves.
Compresses are good to make, for example, from horseradish, honey, agave leaves. The prepared mixture is applied to the affected area and wrapped in a scarf of their wool.
The minimum term for folk remedies is one week.
It should be remembered that it is possible to treat the disease with folk remedies only by agreement with a specialist! Self-medication at home can often worsen a state of health.
The best prevention of intercostal neuralgia is to maintain a healthy lifestyle. Do not abuse alcohol, exclude unhealthy foods from the diet, play sports!
Do not forget also about medical gymnastics, as in moderate physical exertion it is useful at any age. Natural muscle corset should always be in good shape. In addition, it will be useful to undergo a massage complex at least once a year.
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Thoracic neuralgia: causes, symptoms and treatment
Thoracic neuralgia is a pathological condition in which pinched, squeezed or irritated nerve roots located between the ribs occur. The disease has another name – intercostal neuralgia.
Due to the effect on the nerve processes, a strong pain syndrome occurs in the sternum and in the region of the heart, so the disease is easily confused with heart diseases.
Neuralgia greatly affects the quality of life of the patient and leads to various diseases of the spinal cord and inflammation of the nerve roots. Therefore, the disease must be treated and not delayed with treatment.
The following factors can provoke neuralgia:
- Degenerative pathologies of the spine – osteochondrosis, arthrosis, intervertebral hernia.
- Spinal curvature, kyphosis, scoliosis.
- Displacement of the vertebrae.
- Protrusion of the intervertebral disc.
- Chest deformities.
- Inflammatory processes in the joints and cartilage.
- Thoracic injuries.
- Increased load on the thoracic spine.
- Squeezing the sternum.
- Infectious diseases.
- Salt deposits.
- Hormonal imbalance in the body.
- Constant stress.
- Incorrect food.
- Alcohol abuse.
- Diseases of the cardiovascular system.
- Muscle cramps.
- Autoimmune diseases.
The main symptom of intercostal neuralgia is chest pain. It can be temporary or permanent and have a different nature: it can be sharp, dull, burning, aching.
Painful sensations are usually aggravated by bending, turning, inhaling, sneezing, coughing and other movements in which the chest is involved.
The pain syndrome can move to other areas of the body: the lower back, heart, stomach, shoulder blades, etc., since the intercostal nerves have a huge number of nerve branches.
All this is usually accompanied by the following symptoms:
- Stiffness of the chest.
- Loss of sensitivity of the skin in the affected area.
- Increase or decrease in blood pressure.
- Heart rhythm disturbance.
Diagnosis of neuralgia is a visual examination of the patient, listening to the chest with a phonendoscope, listening to the patient’s complaints. Also, the doctor should learn about the patient’s lifestyle in order to establish the cause of the pathology.
For a more accurate diagnosis, a number of examinations are required:
- General blood test – shows the presence of inflammatory processes in the body.
- Blood chemistry.
- Blood test for infection.
- X-ray of the spine – shows various disorders in the structure of the vertebrae, intervertebral discs and other structures.
- CT or MRI of the thoracic region – show the slightest damage in the structure of the sternum, displacement of the vertebrae, the presence of degenerative diseases, nerve pinches, etc.
- ECG – shows the work of the heart.
- Myelography is a type of diagnosis used to detect abnormalities in the work of the spinal cord.
- Electromyography is a research method showing abnormalities in muscle tissue.
After passing all types of diagnostics, the doctor makes a diagnosis and prescribes the correct treatment.
The treatment of neuralgia is carried out comprehensively.
During therapy, the patient should observe bed rest and sleep on a hard surface – there should be no soft mattresses and pillows. It is recommended to sleep on an orthopedic mattress and pillow.
If neuralgia is caused by any disease, then therapeutic measures are carried out to eliminate the cause of the pinched nerve roots.
The patient is prescribed drug therapy:
With severe pain, the patient is blocked with Lidocaine or Novocaine.
In order to restore blood circulation in the thoracic region, to eliminate pain and inflammation, physiotherapeutic procedures are used. This may be electrophoresis, magnetotherapy, ultrasound or laser exposure. Physiotherapy also helps to treat some diseases of the spine that provoked neuralgia.
If the patient has no contraindications, then he is prescribed physiotherapy exercises. Gymnastics strengthens the spine and muscles of the body, helps eliminate spasms and nerve clamps.
For neuralgia, such procedures as acupuncture, hydromassage, paraffin baths, mud therapy will be very useful – they have a strengthening effect on the whole body and treat many diseases of the spine, which can cause pinching of the nerve.
Neuralgia can occur in any person, regardless of age and type of activity. It is possible to prevent the development of pathology, observing the prevention:
- Lead an active lifestyle – eat right, exercise, move more.
- Do not abuse physical activity.
- Avoid drafts and hypothermia.
- Follow the posture.
- Do not wear heaviness.
- If possible, cure all diseases of the spine.
- When sedentary work periodically do light exercises.
- To cure all infectious and inflammatory processes in the body.
- Sleep on an orthopedic mattress and pillow.
- Do not be nervous.
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