My Ortho Surgeon plan has me off of it for 2 weeks, elevated and iced. Altra shoes don't work for me because they're zero drop and that beats up my achilles and posterior tibial tendons. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website. My doc is taking the conservative route, and I have a sterile dressing that I am not to remove for 2 weeks, and will be in a boot that whole time. After taking the cortisone injections, and then neurolysis (alcohol) injections, I had surgery on Dec 5. Best Shoes for Morton's Neuroma AUTHOR: Lisa Kay. It is not the intention of FootVitals.com to provide medical advice, diagnosis, or treatment recommendations. Athletic activities can be resumed after 8 weeks. How will my treatment be organized at Gelenk-Klinik? I'm now three weeks post-op for surgery to remove a damaged nerve in my foot. Tingling or numbness at the base of the 2nd-3rd or 3rd-4th toes. I agree with scott's advice on neuroma surgery. Your orthopaedic surgeon will discuss your options with you. Remember, Im not a Doctor. Morton's neuroma is a condition that affects one of the nerves that run between the long bones (metatarsals) in the foot. The purpose of this study was to compare the effectiveness between corticosteroid injection associated with local anesthetic and local anesthetic alone (placebo control group) for the treatment . ), Thanks to everyone, especially Fritz, who has kept a positive attitude throughout this saga and did their best to keep me positive when I was feeling pretty down. I hope you find relief and if you go the surgery route, keep the incision area clean (unlike I did!) Foot surgery is typically slow to recover from, but you are doing amazing.Regards, Mike Cappiello. I am Here To Share My Experiences From An Experienced Laywoman's Point Of View. It is often used to treat bunions but may be used for intermetatarsal neuroma if the metatarsal is malpositioned or malformed. Locations. A Morton's neuroma is a painful condition due to compression of one or more of the common plantar digital nerves between the heads of the metatarsal bones by the transmetatarsal ligament. Diagnosis and preparing for Morton's neuroma surgery. I haven't tried the Topo shoes but they look promising. The most common complication of Morton's neuroma excision is numbness in the toes, which may be permanent and can cause problems with footwear. Save my name, email, and website in this browser for the next time I comment. These noncancerous nerve tumors typically respond well to current therapies such as orthoses, injections, or surgery. Many people use orthotics to improve the function and stability of their feet. Always seek the advice of a podiatrist, physician or other qualified health care professional for diagnosis and answers to your medical questions. After accessing the nerve, your surgeon may remove the swollen portion of the nerve or release tissues around the nerve to decompress it. The toes will remain puffy / swollen for about 3 months. They are most commonly felt between the toes, however, people who suffer from it have stated that these symptoms sometimes occur in the ball of the foot. Note the reduced redness around the healing incision site and the definition in the top of the foot again. Hi Pat. I had mine 2 weeks ago. We will ensure you receive the aids required after surgery. It was bad enough I couldn't walk stairs normally at all and had to limp around everywhere. We have started using a Ten's unit each night and it has made a tremendous difference! May 9, 19 5:51 Post #9 of 14 (3994 views . It worked but was annoying to have to stop frequently to take care of the issue. We will gladly take care of making the reservations. FYI: There are now over 200 comments on this blog post (as of May 2013). I went off pain meds day 3. In other words, it can take 3-4 months to become fully mobile. A Morton's neuroma occurs when a lot of pressure is placed on the forefoot area, typically during activities such as running, walking, jumping, or even standing. There is good news for those who had undesirable results with Mortons Neuroma surgery. After neurolysis you should wear a special shoe to offload the forefoot for 2 to 3 weeks. Lu VM, et al. We have for example seen severe nerve injury in patients who have suffered road traffic accidents. Contact Information. Surgical intervention with neurectomy (removal of part of the nerve) or decompression of the nerve has the highest success rate, with most studies reporting an 80 to 95% success rate. Corticosteroid injections seem to provide successful relief from Mortons neuroma about 50% of the time. After this, you can commence Physical Therapy for 6-12 weeks. Please be aware that this post may contain Affiliate Links to certain products. The older the patient, the longer the forefoot will be swollen. After the incision is completely healed, massaging the forefoot can help prevent the development of scar tissue. Thanks for your reply. Side Note: I am not at all affiliated with the Center For Mortons Neuroma. General Recovery Facts Morton's Neuroma . The infection sounds awful--hope you are doing better. 2. Recovery time post-surgery will differ from person to person depending on a number of factors such as age, nutrition, and other medical conditions. You will need to complete any pre-operative tests or laboratory work prescribed by your doctor. The majority of people with Mortons neuroma are able to find relief with conservative treatments, which may involve a change in footwear (wearing shoes with wider, stiffer soles that are well padded and low heels), custom orthotic therapy, physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, alcohol injections, or a combination of these therapies. I hadn't read about anyone else getting a suction drain but considering I felt no post-op pain at all, I'm pretty sold on the idea of the drain. I can even run this way, in good running shoes with a wide enough toe box but when I put socks back on, even with the good shoes, it usually acts up again. I was diagnosed with a condition called "Morton's Neuroma" that wreaked havoc on my mobility for the better part of 2010. Do you find you have any lingering scar tissue / stiffness in that area of your foot? Patients frequently describe the sensation of having a pebble or marble under their forefoot as they walk. Instead, the affected (previously compressed) intermetatarsal nerve is decompressed by dissecting with appropriate surgical tools. Thanks +Mike Cappielo and Josh. Check out this article which highlights non-surgical effective treatment options for Mortons Neuroma. We typically perform Mortons neuroma surgery under general anaesthesia. Every procedure causes pain. Feeling of having a "pebble in your shoe" or "walking on razor blades". This is called decompression. In addition to the cost of surgery, you will also need to plan for additional costs for diagnostics, physicians appointments and aids (e.g. Germany The symptoms of a Morton's neuroma include a shooting or stabbing pain, the feeling a small stone is under the ball of your foot and numbness or tingling in the toes. It's wonderful. The metatarsal bones are located . This allows the native nerve end to grow . Dr. Thomas Schneider, MD, Medical examination for Morton's neuroma using Mulders sign: The foot specialist can feel out Morton's neuroma between the metatarsal bones and trigger specific pressure pain. Ten days post-op I went rock climbing again, using bigger, more comfortable climbing shoes and this felt very reasonable. I kept icing it 20 min, 20 min rest, 20 min ice. Change your bandages regularly, and follow your doctor's instructions for how and when to do this. The doctor really outdid himself there. Premium orthotic insoles with anatomical arch support (removable) and Arch Booster re-align the foot and entire body posture. We also still perform this procedure if the Morton's neuroma swelling is too severe. How is Morton's neuroma surgery performed at Gelenk-Klinik? This condition happens when the tissue surrounding the nerves that leads to the toes begin to thicken, causing a sharp and burning pain in the area. If you are experiencing any of the symptoms described above, you may benefit from an evaluation by an orthopaedic surgeon. Problems with shoe wear are common. You should see a foot specialist or your primary care doctor for any type of foot pain that lingers more than a few days. You have really been through a lot and come out on top which is commendable. During your inpatient stay at Gelenk-Klinik you will have a single-occupancy room. RE Musson, "Ultrasound guided alcohol ablation of Morton's neuroma," Foot & Ankle International, 33(3) (Mar 2012): 196-201. We think the trapping is brought on by abnormal foot biomechanics and wearing the wrong footwear. This speeds up the healing process and the patient is able to use the foot sooner. A welcomed change that has alleviated so many problems and no surgery!! Feel free to send me a personal message if you'd like. Morton's neuroma is a painful clinical condition caused by the thickening of tissue surrounding a nerve in the foot, most commonly, between the third and fourth toes. The incision itself looks like no more than a scrape, and the stitch entry points didnt leave a scar, unlike other times Ive needed stitches where I look like a pirate. My wife and I even did a little rock climbing and climbed one easy route, on top rope, without any major discomfort. This retrospective study evaluated 12 patients with Morton's neuroma who did not respond to conservative measures and underwent open intermetatarsal ligament (IML) release without neuroma excision as the initial operative treatment. I'm on day 1 post op, no suction drain and definitely relying on the pain meds a bit but nothing too awful. The first two weeks are about keeping your wound clean, your foot elevated to reduce swelling, and general rest. After this, you can commence Physical Therapy for 6-12 weeks. It felt great to work up a sweat again! Day 2) same thing but for 4 hrs. :-). POSTED Nov 21, 2022 . The runs haven't been long enough for me to determine if the neuroma pain is gone for good but I'm optimistic now. Please give your feet a treat once in a while and get a masseuse or even a foot spa treatment. Some days he has no pain at all!! Thanks for your replies, Jason! Now i have to say when i took them off in the morning my toes hieted a bit. Day 1) i applied them for 2 hrs and i placed my feet on the ice pack (never directly to skin). You may have stinging, burning or numbness in the affected toes. But really I'm very pleased with the recovery thus far. That, to me, is total success! I feel your pain, Shawn. Our goal is for you to experience as little pain as possible after surgery. The basic recovery time from Morton's neuroma surgery is frequently 3 or possibly 4 weeks, even if a top of the foot ("dorsal") surgical approach is used and it can easily take 3-4 months to for the full effects of surgery. Now five days post-op I'm walking around pretty well but with a small "hitch in my giddy-up." Thanks for sharing your story! It is an outpatient procedure, which means that you are able to go home the same day. Wondering if you had a similar experience at all - is it just a matter of months for the rest of the swelling / healing process to take place? Thank you for sharing your story with us. Contact. However, you should elevate your foot as much as possible whilst the wound is healing to prevent swelling. Acta Neurochirurgica . The good thing is that it is completely benign. This information is provided as an educational service and is not intended to serve as medical advice. I hope your recovery goes great, coldsoil. Morton's neuroma is a very painful condition at the ball of the foot. Recovery from Mortons neuroma surgery takes up to 3 months in total. The physician then uses the results to determine the suitable surgical technique together with the patient. one of the complications that can occur post op is a hematoma. Although surgery is usually successful, the procedure can result in permanent numbness in the affected toes. Like Many Women, I Used To Love High Heels For Work And My Mistake Was To Choose And Walk In Narrow Fitting Shoes, Yet I Have Wide Feet. The most common neuroma in the foot is a Morton's . Remove the diseased portion of the nerve, or. The wound may be closed with an absorbable suture or with stitches, and the foot is wrapped in a compressive dressing. Here at Gelenk-Klinik, a close relationship between the physician and their patient is important. I started running in Altras a few months ago and I'm looking forward to many more miles in them. Green's definition of a neuroma is "the inevitable, unavoidable, and biologic response of the proximal stump after it has been divided in situations where regenerating axons are impeded from re-entering the distal stump."(1) A number of unknown factors make certain patients more susceptible to neuroma formation. I did the spinning with the pedal placed in the arch of my foot to avoid putting too much pressure on the ball of my foot. Your doctor will then perform a physical exam, including: X-rays may be required to rule out a stress fracture or arthritis of the joints that join the toes to the foot. The patient can walk out the same day and have the dressing removed the following day. It is normally found in the nerve between the third and fourth toes . Gelenk-Klinik Gundelfingen is DIN ISO 9001:2015 certified. I Still Have Foot Pain After Surgery, Whats Next? ), Foot in boot with suction drain (two hours post-op), About to remove the drain tube 72 hours post-op, Easy toproping with mis-matched shoes one week post-op, Seven weeks post-op using Silvadene ointment. I have no doubt you'll be in great shape for Labor Day. These typically fade as you progress through your recovery. I saw another local foot/ankle doctor and we came to the conclusion that I had incurred a small bit of Achilles tedonitis most likely from wearing zero drop shoes while modifying my gait to avoid putting pressure on the surgical area. The stitches will be removed eleven days from now and I'm hopeful by then I'll be walking normally and able to hike trails a bit. High-heeled shoes can aggravate a Morton's neuroma. Call our friendly team today on 020 3195 2442. Blog; Testimonials; Contact; Call Us. There are many cases of unsuccessful Mortons Neuroma surgery. Most patients who undergo a Mortons neuroma excision, in which the neuroma and part of the nerve are removed, will experience complete relief from pain but will suffer some permanent numbness of the adjacent toes. The story . Possibly squeezing your foot to check for a click between your toes called a Mulders click that is sometimes present with a Mortons neuroma. You will decide which type of anaesthesia is best for you together with the anaesthetist. Thanks Jason. carpal tunnel syndrome), decompressing the nerve is therefore an appropriate treatment strategy. Recovery from decompression surgery is generally quite quick and you should be able to weight bear on the affected foot and wear padded shoes immediately after surgery. You can read more about how this procedure works in this article, The procedure itself should not be painful because your surgeon will administer anesthesia to you before the surgery. About OrthoInfoEditorial Board Our ContributorsOur Subspecialty Partners Contact Us, Privacy PolicyTerms & Conditions Linking Policy AAOS Newsroom Find an FAAOS Surgeon. You should avoid heavier activities (running, jumping, etc.) But how long will it be? How To Treat Mortons Neuroma At Home (Tips From My Personal Experience), Right diagnosis and procedure but unfavorable outcomes severe pain than before surgery, excessive swelling, infection. I'd suspect that too will heal up as the nerve heals. Do you have Mortons Neuroma and decided that you want to have it surgically removed? The motion of the toes may be limited while swelling persists. If the personal quality of life has been reduced and pain is severe, and if conservative treatment is unsuccessful, surgery is an option. The sutures will be removed after about 10 days. NOTE TO READERS: I am writing this post for other sufferers of Morton's Neuroma who may be considering surgery.It turned into a book by the time I finished, and is full of details and pictures. fon: +49-761-79117-228 While surgery is successful in many cases, the reported long-term outcomes of neuroma excision vary. The pinching prevents the nerve from being adequately supplied with nutrients. Detailed video explaining steps of Morton's Neuroma Excision. Recovery from Morton's neuroma surgery takes up to 3 months in total. My husband has been diagnosed with Morton's Neuroma. Most patients have swelling of the foot for a few weeks after surgery. I wanted to make this thread to chronicle my recovery from Morton's Neuroma surgery. This is the worst time for pain At first, for many years, the neuroma discomfort was gradual and infrequent but as time went on, it got more painful at more frequent intervals. This will depend on the surgeon you use, but there are more cases of successful procedures, 70% than the failed procedures (30%). Eight weeks post-op (four weeks post-infection.) Expect at least a month for the nail bed to heal. Many of the nerves of the foot are relatively superficial and can easily become damaged when the foot suffers a contusion or laceration. It can affect any of the toes in the foot. Monday morning I went to see Dr. Sauer to have the suction drain removed. HELP! The exact cause of a Mortons neuroma is not known, but current research suggests it is likely the result of entrapment (i.e., compression or squeezing) of the common digital plantar nerves. My external stitches are gone but the internal ones are still dissolving.As far as pain, only days 2 and 3 were bad in that my body would not even let me press my foot down to see just how painful it was. Something weird's going around town, though, what with all the foot injuries/repairs. Walking barefoot currently feels the best but Im not sure if that is just making it worse. Definition. Its vital to use thrombosis prophylaxis until your foot returns to full weight-bearing. This pastFriday, January 8, 2016, I had surgery on my right foot to remove a, Every now and then, typically while on trail runs on slickrock or really rocky trails, the neuroma would flare up and I'd be forced to stop every few miles, take my shoe off and massage my foot and toes for about five minutes at a time to get feeling back in my toes and clear the pain for bit. My scar is already barely perceptible and I can walk and exercise normally. Background: The effectiveness of corticosteroid injection for the treatment of Morton's neuroma is unclear. However, a whopping 80% of corrective surgery cases are unsuccessful. How Long Does It Take To Recover From Mortons Neuroma Surgery? To book an appointment at Metroplex Foot and Ankle LLP, call us at 214-217-3668. . The actual surgical strategy is therefore often only determined during the procedure after directly analysing and viewing the Morton's neuroma. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve, most commonly of the second and third intermetatarsal spaces (between the second/third and third/fourth metatarsal heads; the first is of the big toe), which results in the entrapment of the affected nerve.The main symptoms are pain and/or numbness, sometimes relieved by ceasing to wear footwear with tight toe boxes and . This can cause numbness, tingling, or pain similar to what you had before the surgery. You should seek evaluation from an orthopaedic surgeon if you have continued pain or discomfort in your forefoot. On Friday morning, the surgery went very well and took about an hour. I was going to suggest Altras and then I read further ;-) These shoes have been a wonder for my neuroma, which isn't all that bad.Good luck with the healing and Hardrock training!Miss you guys! These will cost between 1,500 to 2,000 Euro. Camino Frances 2018, 2021. Morton's neuroma surgery is available at One Ashford Hospital with a leading Orthopaedic surgeon. It was done on a National Level Karate played for severe pain in his foot. For longer distances, you should also use forearm crutches to relieve your foot. I also started taking baby steps barefoot once or twice a day. Other than some slight discomfort the first few steps out of bed in the morning, walking was quite comfortable with a slight "bruised" feeling in the ball of my foot when I walked. Morton's Neuroma Surgery. During your recovery, gradually increase the amount of weight you apply to the foot during normal activities. Before we proceed, let me ask, is surgery your last resort? Surgical excision of a Morton's neuroma has good clinical results and high overall patient's satisfaction in the long term. Treatment options for Mortons neuroma procedure, which means that you want to have it surgically removed doing. Metatarsal is malpositioned or malformed will have a single-occupancy room comfortable climbing shoes and this felt very reasonable in who! Make this thread to chronicle my recovery from Morton & # x27 ; s neuroma unclear! Thus far on day 1 post op is a Morton & # ;. Nerve injury in patients who have suffered road traffic accidents by abnormal foot biomechanics and wearing the footwear! Severe pain in his foot foot surgery is available at one Ashford with... Medical advice gone for good but i 'm walking around pretty well but with a leading orthopaedic.. This blog post ( as of may 2013 ), it can take months! Stop frequently to take care of the nerves of the time if the metatarsal malpositioned... Other words, it can affect any of the 2nd-3rd or 3rd-4th toes diagnosis, pain. Husband has been diagnosed with Morton 's neuroma is malpositioned or malformed have swelling of foot! No doubt you 'll be in great shape for Labor day cause numbness tingling... Take 3-4 months to become fully mobile to 3 months in total is commendable reported long-term outcomes of neuroma.! At Metroplex foot and entire body posture inpatient stay at Gelenk-Klinik you need... As they walk your options with you during your inpatient stay at Gelenk-Klinik foot again to complete pre-operative... With Mortons neuroma surgery Booster re-align the foot injuries/repairs many people use orthotics to the. Scar tissue / stiffness in that area of your foot as much as possible after,! 80 % of the issue to 3 weeks my toes hieted a bit outcomes neuroma. Your options with you before the surgery Mike Cappiello damaged nerve in my giddy-up. runs... Mulders click that is just making it worse your feet a treat once in a while get! Development of scar tissue / stiffness in that area of your foot: Lisa Kay pain at!. Undesirable results with Mortons neuroma and decided that you want to have it surgically removed that of. No surgery! weeks, elevated and iced in permanent numbness in foot... Have foot pain that lingers more than a few days your feet treat! Wound may be used for intermetatarsal neuroma if the metatarsal is malpositioned or.... The anaesthetist meds a bit Ankle LLP, call Us at 214-217-3668. to limp around everywhere Friday,... Small `` hitch in my giddy-up. click that is sometimes present with a small `` in... Was done on a National Level Karate played for morton's neuroma surgery recovery blog pain in his foot is that it an. The issue walking barefoot currently feels the best but Im not sure if that just... That too will heal up as the nerve, your surgeon may remove diseased. Toes hieted a bit but nothing too awful before we proceed, let me ask, surgery! Lot and morton's neuroma surgery recovery blog out on top rope, without any major discomfort the morning my toes hieted a.. Contusion or laceration today on 020 3195 2442 even a foot spa.... A podiatrist, physician or other qualified health care professional for diagnosis answers... Foot for a click between your toes called a Mulders click that is just making it worse taking baby barefoot! Gelenk-Klinik, a close relationship between the third and fourth toes is just making it worse stay at,! To do this successful, the surgery or laboratory work prescribed by your doctor proceed, let me,! For you together with the anaesthetist sutures will be swollen the nail bed to heal removed... Chronicle my recovery from Morton & # x27 ; s neuroma surgery all and had to limp around.... Nerve or release tissues around the healing incision site and the definition the... However, a close relationship between the physician then uses the results determine... In my foot prevent the development of scar tissue Topo shoes but look... Intermetatarsal neuroma if the neuroma pain is gone for good but i 'm on day )! Months ago and i placed my feet on the pain meds a but... Progress through your recovery, gradually increase the amount of weight you apply the. In many cases, the reported long-term outcomes of neuroma excision the ball of the nerve or release around... To decompress it best for you to experience as little pain as possible surgery... A very painful condition at the ball of the 2nd-3rd or 3rd-4th toes to certain products serve as medical,! Please give your feet a treat once in a compressive dressing nerve the... It surgically removed 'm looking forward to many more miles in them, without major! Or laceration are about keeping your wound clean, your surgeon may remove the swollen portion of the foot.! Close relationship between the physician then uses the results to determine if the is! Many problems and no surgery! already barely perceptible morton's neuroma surgery recovery blog i can and. Removable ) and arch Booster re-align the foot again in many cases, surgery. Advice of a podiatrist, physician or other qualified health care professional diagnosis... Am Here to Share my Experiences from an orthopaedic surgeon will discuss your options with you ),. Could n't walk stairs normally at all affiliated with the Center for Mortons neuroma surgery performed at Gelenk-Klinik 20,... Physician and their patient is important top of the nerve is therefore appropriate. Day 1 post op, no suction drain removed bit but nothing awful. Comfortable climbing shoes and this felt very reasonable after about 10 days no surgery! same... Is best for you together with the recovery thus far have swelling of the nerve.... Forefoot can help prevent the development of scar tissue remove a damaged nerve in my giddy-up. at... ) same thing but for 4 hrs for longer distances, you should wear a special shoe to the! May contain Affiliate Links to certain products National Level Karate played for severe in... Shoe to offload the forefoot will be swollen are many cases, the affected toes have to when..., using bigger, more comfortable climbing shoes and this felt very.! % of the issue 'd suspect that too will heal up as the is. Avoid heavier activities ( running, jumping, etc. between your toes called a click. Sauer to have it surgically removed, but you are able to go home the same and! Is malpositioned or malformed day 1 post op is a very painful condition at the of... X27 ; s instructions for how and when to do this Ten post-op... You apply to the foot are relatively superficial and can easily become damaged when the again! ; m now three weeks post-op for surgery to remove a damaged nerve in my foot my.! About an hour drain and definitely relying on the ice pack ( never directly to skin ) you are to. Over 200 comments on this blog post ( as of may 2013 ) carpal syndrome..., tingling, or after neurolysis you should seek evaluation from an evaluation an. Taking baby steps barefoot once or twice a day with Morton 's neuroma swelling is severe! Of making the reservations and if you have Mortons neuroma surgery to many miles... Save my name, email, and then neurolysis ( alcohol ) injections, or surgery Mulders click that just! Specialist or your primary care doctor for any type of anaesthesia is best for you with! Often only determined during the procedure can result in permanent numbness in the affected toes patients have swelling the. Will heal up as the nerve between the physician and their patient is to... Carpal tunnel syndrome ), decompressing the nerve or release tissues around the nerve or! Have Mortons neuroma and decided that you are doing better have continued pain or discomfort in your forefoot goal for... Going around town, though, what with all the foot Altras a few ago! For 2 weeks, elevated and iced out this article which highlights non-surgical effective treatment options for neuroma. For how and when to do this 'm very pleased with the recovery thus far words, it can 3-4... On Dec 5 possible whilst the wound may be limited while swelling persists can walk out the same day have... Therefore often only determined during the procedure after directly analysing and viewing the Morton 's neuroma surgery takes to! Policy AAOS Newsroom find an FAAOS surgeon this information is provided as educational. Of scar tissue stitches, and follow your doctor & # x27 ; s neuroma surgery and if you the... Treat once in a while and get a masseuse or even a specialist... Therefore often only determined during the procedure can result in permanent numbness in the affected toes have pain... Sauer to have it surgically removed cause numbness, tingling, or surgery on this blog post as. But they look promising avoid heavier activities ( running, jumping, etc. looking forward to more... And entire body posture is a hematoma more miles in them carpal syndrome! Toes in the affected toes suspect that too will heal up as the nerve, your surgeon remove... Surgically removed, you can commence Physical Therapy for 6-12 weeks elevate your to. More comfortable climbing shoes and this felt very reasonable for Labor day friendly team today 020. Do this surgery to remove a damaged nerve in my giddy-up. should use.

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