Copyright © 2020 Leaf Group Ltd., all rights reserved. Helping to loosen things up at a microlevel… preparing your knee for the next strategy. 4 Ways to Manage Your Knee's Scar Tissue After Surgery Protect the Incision. Knee manipulation is a procedure to treat knee stiffness and decreased range of motion. 0 comment. That tightness you feel with every step or rise from the couch grows more fierce and painful every day… wasn’t the surgery supposed to help? The bandage should be snug, but you should be able to slide two fingers between it and your skin. This connective tissue is harder to break up. Increasing range of motion in your knee will help stretch scar tissue and keep it from getting stiff. J Can Chiropr Assoc. MMT, MPA 2012;38(3):414-23. doi:10.1111/j.1524-4725.2011.02201.x. Elevate your leg above the level of your heart when resting. Learn the best exercises for knee arthrofibrosis below. Here’s How to Break It Up, Naturally. HOW TO DO IT: Use lotion or cream, such as vitamin E or cocoa butter, to reduce friction between your fingers and your scar. Here’s How to Break It Up, Naturally. With surgery comes scar tissue, a very tough and inflexible fibrous material that can hinder the range of motion within your joint 1. Why Scar Tissue Massage? 2017;13(1):12-22. doi:10.12965/jer.1732824.412. Colleen Meheen is a certified personal trainer through the ISSA, and has years of experience in the fields of holistic nutrition. Biomed Mater Eng. Scar tissue AFTER knee surgery can be quite a painful experience and difficult to over come. Once your incision is fully healed, perform scar massage over and around your scar 1. In fact, scar tissue is essential to the healing process for the knee to eventually move and function properly again. Swelling is common during this phase of healing. I know this method is not your mainstream solution, but if you have trouble with painful scar tissue after surgery or an injury, passive stretching lets your nervous system unwind. There is both a direct and an indirect approach. Your knee is vital for everyday function. I would recommend you start with evaluation ... Read More. With injury, the knee joint and the adjoining tissues, ligaments and cartilage can be compromised, requiring surgery for repair. 2017;28(1):65-74. doi:10.3233/BME-171657. Therapeutic exercise: Foundations and techniques. And this release lets the pain melt away. They are mostly post-interventional problems, except in some instances. HOW TO DO IT: Use lotion or cream, such as vitamin E or cocoa butter, to reduce friction between your fingers and your scar. Physical therapy modalities, such as ultrasound, electrical stimulation and low-level laser therapy, are all used in conjunction with manual therapy to help flatten scar tissue after injury 3. Dr. G. Allen Williams answered. Thus, scar tissue is not likely to create adhesions without having had surgery. Once your incision is fully healed, perform scar massage. 2016;60(3):200-211. Her passion for preventative wellness creates her active lifestyle up in the Rockies of Colorado. Physical therapists specialize in many techniques that can help with conditions like the buildup of scar tissue. Kisner, C., & Colby, L. A. Ultimately, I had to have two post-surgery knee manipulations where they put me back under and broke the scar tissue up by bending my knee … The bottom line here is that you are in a race against time after surgery to get full mobility out of your knee before the scar tissue which is a natural process the bodies uses to repair and heal itself becomes too big to surmount. Surgery may be required but some times the scar tissue can be loosened with physical therapy and exercise. Wall slides, patella mobes and other exercises can be done to help break up the scar tissue around the knee after surgery. In the simplest of terms, scar tissue is like a spider web — a delicate structure than can easily be broken up and restrung if needed. Knee scar tissue develops as a result of traumatic injury to the knee or as a complication of knee surgery.It might form after procedures such as anterior cruciate ligament (ACL) surgery or total knee replacement. 20 years experience General Practice. After that your doctor will perform the actual knee manipulation by forcing your knee to bend or flex and break up the scar tissue … Philadelphia: FA Davis. Your email address will not be published. Excessive scar tissues growing after surgeries can be located in various body parts, such as the shoulders, ankles, hips, wrists, and knees. Arthrofibrosis is a condition that leads to scar tissue formation around a joint. 1 thank. Prop your leg up either on your bed or on another chair, keeping your spine neutral. Dr. Jennifer Reed wrote in “The Principles of Sports Rehabilitation,” that Isometric exercises can help break up scar tissue after knee replacement surgery without putting to much strain on the joint itself. It limits the range of motion and can be painful. 1. Be sure to not skip the last step: performing the best knee exercises for arthrofibrosis. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. However, there are 3 strategies you can use to help alleviate the stiffness and break up the fibrosis. Fibrosis, on the other hand, is like making that same spider web out of duct tape — much tougher to break up. Once your incision is fully healed, perform scar massage over and around your scar 1. Once your incision is fully healed, perform range of motion exercises that force the knee to break through the scar tissue and increase the range of motion in the joint. Active release techniques are also helpful to break down scar tissue. Over time, scar tissue builds up inside the knee, causing the knee joint to shrink and tighten. Read more: How To Prevent Scar Tissue Formation. An elastic bandage can be wrapped around your knee, from bottom to top, to help reduce and/or prevent swelling after surgery. It's not unusual to be self-conscious about scar tissue after knee surgery. The scar tissue does not allow you to fully bend or straighten your leg. Massage The Scar 2-3 Times Per Day But Don’t Overdo It. How I Massaged My Knee During Physical Therapy. Rub your scar from side to side, working along its full length. Depending on the site of scarring, the age of the patient, or their previous range of motion, Arthrofibrosis occurs in approximately 10% of total knee replacement surgery. After warming up on the stationary bike, my offsite therapist massaged my knee with Free-Up massage cream for 10 minutes before I did any of the more demanding exercises. However, scar tissue is not the same as skin tissue. Often after Total Knee Replacement Surgery, excess swelling occurs to protect the knee… but then scar tissue, and eventually fibrosis, can set in as rest increases. Massaging the scar helps to decrease scar tissue build up and may help to make your scar less noticeable. Send thanks to the doctor. When it comes to breaking up scar tissue, your physical therapist will carefully assess your condition to come up … The role of massage in scar management: a literature review. Chiro, Assoc. Here are of the main reasons to regularly scar massage (especially in the first two years after surgery/scarring): Decrease scar tissue build-up. Begin gently to increase blood flow to the area; then gradually increase your pressure to a level that is uncomfortable but not highly painful. Kim J, Sung DJ, Lee J. Mild scarring can remodel with appropriate range of motion exercises, and the risk ... Read More. The following are 2 isometric options to try at home: Now you’re going to activate the muscles in the back of leg. Massaging scar tissue has many benefits. -simple, knee or thigh shaking allows the body to break up the unnecessary connective tissue that could be causing your fibrosis. Stretching is one way to help break up scar tissue and realign it so that the collagen fibers and the muscle fibers are lined up in the same direction. This helps flush the area with fluids and nutrients necessary to set the healing process on the right track. Knee scar tissue, scar tissue buildup and lack of range of motion in the knee affects many people after knee surgery.. There’s a common belief that breaking down scar tissue in the knee must be painful and done by a doctor (manipulation under anesthesia), in physical therapy or with an expensive knee range of motion machine. The key here is vigor. 3 Gentle Knee Exercises You Can Do From Bed, The Loss of Flexibility is Reversible: Feel Good Standing Stretches, 4 Strength Exercises Older Adults Should Do Every Morning, © All rights reserved​ // Privacy Policy // Terms of Service. Perform Scar Massage. When your range of motion starts to improve, you want to be sure to be using a stationary bike and also consider these other knee exercises. Use weight machines like a leg press, leg curls and other exercises under the supervision of your physical therapist to break down the scar tissue in the joint and increase your range of motion. Your email address will not be published. In the simplest of terms, scar tissue is like a spider web — a delicate structure than can easily be broken up and restrung if needed. This condition often follows a traumatic injury or surgical procedure. This can be in the form of a heating pad, a hot damp towel, or a sauna/steam room. There are two specific approaches for eliminating scar tissue after knee surgery. Kohata K, Itoh S, Horiuchi N, Yoshioka T, Yamashita K. Influences of osteoarthritis and osteoporosis on the electrical properties of human bones as in vivo electrets produced due to Wolff's law. Required fields are marked *. Take either one or two hands to vigorously shake/pick up your thigh to create results at the microlevel. Avoid stretching the skin around your surgical areas and the knee joint for the first 72 hours after surgery. 2012;38(3):414-423. doi:10.1111/j.1524-4725.2011.02201.x. Cheatham SW, Lee M, Cain M, Baker R. The efficacy of instrument assisted soft tissue mobilization: a systematic review. Arthrofibrosis In Your Knee? She has been the fashion editor for Lifestyle Media Group and an inspirational writer for Reign Media Group L.L.C. Dermatol Surg. This routine can help break up the build-up of fibrosis and should be performed daily. Sit in a chair facing (and close to) a wall with your knee bent at 90-degrees. *All content found on the feelgoodlife.com website, including: text, images, audio, or other formats were created for informational purposes only. Why does scar tissue form? Waiting until things get better or … on the other hand, is like making that same spider web out of duct tape — much tougher to break up. Excess scar tissue can make muscles stiff and weaker, and in some cases can require scar tissue removal surgery. Shin TM, Bordeaux JS. As scar tissue builds up, it recruits other connective tissues to help support the cause. Once you have completed physical therapy, you should be able to fully straighten your leg, … There are several additional physical therapy interventions to help manage scar tissue after knee surgery. Massage your scar two to three times per day with lotion for five minutes. Using a similar concept as above, start in the position that you last left off on. 0. The first step in this strategy is to apply some moist heat for 5 minutes to your knee. The Efficacy of Instrument Assisted Soft Tissue Mobilization: A Systematic Review. If your left knee is uncomfortable in this position, put a folded blanket or small pillow on the ground below it for additional support (How To Break Up Scar Tissue In Hip). Excessive scar tissue growth affecting the knee is said to be the result of lack of movement therapy performed during post-surgery w… This can lead to additional scar tissue after knee surgery. Ice can be applied for 20 minutes at a time, every two hours. It’s important to warm up the muscles and joints before moving on to the next steps. He believes the body can heal itself with the right support & guidance. Intense pressure applied to the scar tissue will help break it up and flatten it out, ultimately making it less obvious. I had my right knee replaced in 2006. Put your left knee on the ground and your best foot flat on the floor with the knee bent at a 90-degree angle. It is less elastic, which may lead to tightness, limited movement, and pain for some people. By doing so, you can regain some of the flexibility lost as the scar tissue formed. how to break up scar tissue in knee. Scar tissue forms when the body heals from a wound. Instead of using a wall, we’re going to use the floor and press your heels down/backwards for 10 seconds. If you are experiencing serious medical symptoms, seek emergency treatment immediately. Tingling, numbness or blue skin on your foot can indicate that the wrap is too tight. Although it cannot be fully removed, it can be managed. This important joint carries your body through every activity of your life. Once the inflammation is down quadriceps strengthening and hamstring flexibility is recommended. Knee Pain Specialist and Injury Prevention Expert, Home » Arthrofibrosis In Your Knee? #1 Exercise: Foam Roll Knee Extension Foam roll knee stretch. Check out these simple, yet effective method to break up excess scar tissue and reduce joint pain after total knee replacement surgery. Six months post surgery, if the surgery was successful, is plenty of time to have rested it. It helps reduce the pain of swelling knee cartilage and knee tissue by releasing serotonin, a natural pain reliever. It’s scar tissue plus. Although it sounds almost overly-simple, knee or thigh shaking allows the body to break up the unnecessary connective tissue that could be causing your fibrosis. Arthrofibrosis, also known as “stiff knee syndrome,” occurs when excessive scar tissue forms around a joint, limiting range of motion and causing pain and disability.It can be a complication of knee replacement or anterior cruciate ligament surgery, with infections and … ... Due to pain, I now need to get scar tissue reduced. Coach Todd, MMT, MPA​ is passionate about teaching people 50+ how to relieve joint pain using easy, at-home techniques proven by science. Fibrosis is another way to look at scar tissue. Often seen after procedures such as ACL reconstruction surgery, arthrofibrosis is due to inflammation and proliferation of scar tissue. Arthrofibrosis refers to a condition where excessive scar tissues growing during surgery wound healing starts to ply with the surrounding joints and soft tissues, filling up spaces in between and therefore, causes movement limitation and pain. Its what is known as Fibrosis. For example, females with a prolonged history of pelvic pain may create scar tissue and adhesions around the uterus. Softening allows the skin and tendons to move more freely. // Leaf Group Lifestyle, How to Massage a Knee After Total Replacement, How to Treat a Deep Bone Bruise of the Knee, Strive4impact: Work With Your Own Scar Tissue, StretchCoach: Pulled Muscles, Muscle Strain and Scar Tissue Treatment, InTechOpen: Physical Agents in the Management of Wound(s), Ault P, Plaza A, Paratz J. Scar massage for hypertrophic burns scarring-A systematic review. See, when our bodies go through trauma like an injury (or even surgery), the brain sends signals to the area releasing inflammation and healing structures called scar tissue. Scar tissue from arthrofibrosis can severely impact your knee’s range of motion. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website. Apply the RICE method — rest, ice, compression and elevation — to help reduce swelling and pressure on your incision to lower your risk for excess scar development. Cheatham, S. Et al. The duct tape of Fibrosis binds tighter and tighter to the joint, meaning the less you move the joint the faster Arthrofibrosis sets in. Fibrosis and Scar Tissue in the Knee. Scar tissue is formed by the body as a way to protect the knee from certain movements after an accident, injury, surgery, and/or trauma. Repeat for several minutes twice a day. An elastic bandage can be wrapped around your knee, from bottom to top, to help reduce and/or prevent swelling after surgery. After trauma or knee surgery, scar tissue can form in your joint. Repeat these two exercises through 3 cycles. Shin TM, Bordeaux JS. Here’s an interesting concept about scar tissue that most people, including doctors and physical therapists, don’t know about. This is an experience very close to my own. Scar massage, along with knee flexibility and strengthening exercises, can help loosen the adhesion and ensure that proper remodeling takes place. Like other types of scar tissue, scar tissue in the knee is a bundling of collagen fibers that develops during wound repair. While some inflammation is good, too much can create more pain within the body — and if too much scar tissue builds up, layer upon layer, it limits the motion of the joint. Some of the scar tissue that we have, you can think of like spiderwebs If we can move the knee joint a little bit or the shoulder, or whatever joint it happens to be, we can break those spiderwebs and we can get some range of motion back. Massage therapy helps to break down the scar tissue, which improves the recovery process. Perhaps a little too much (my own opinion, some may want to argue this point) if you haven’t done any work with it up to this point. Send thanks to the doctor. Knee manipulation breaks up the scar tissue that has formed. Rotator Cuff Injury Exercises While Laying On The Couch, Knee Cap Releasing: The Missing Mobility Knee Stretch for Painful Knees, Top Exercises for Shoulder Bursitis to Relieve Discomfort. Be careful not to rub the scar with too much pressure, as it may break open, which causes more scar tissue to form. The following are 2 isometric options to try at home: 3-Angle Isometric Knee Extension Avoid stretching the skin around your surgical areas and the knee joint for the first 72 hours after surgery. Arthrofibrosis is like scar tissue on steroids. Large incisions held together with stitches or staples are particularly vulnerable to opening back up, delaying healing. How physical therapists break up scar tissue. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application.Journal of Exercise Rehabilitation. Through various physical therapy interventions, including massage and other manipulation methods, scar tissue in the knee can be managed. This will prevent tight muscles which causes movement limitations. How can I prevent rebuild up of scar tissue in the knee? Move your legs into a 90 degree angle and for the last time, press down/backwards for 10 seconds. The Role of Massage in Scar Management: A Literature Review.Dermatologic Surgery. Move your leg back towards the chair and again press down/backwards for 10 seconds at this new angle. Hence, eliminating scar tissue which is forming during knee surgery healing will be essential. Scar tissue refers to thick, fibrous tissues that take the place of healthy ones that have been damaged. His training in medical manual therapy, personal training, and nutrition gives him a natural, holistic approach to pain relief. J Can. Healthy tissues may be destroyed from a cut, significant injury, or surgery. Burns. Kinesiology Tape Kinesiology tape is a newer tool used by physical therapists to stretch scar tissue in the remodeling process. If surgery is required for a severe knee injury, scar tissue can sometimes build up. Helping to loosen things up at a microlevel… preparing your knee for the next strategy. Prior to joint manipulation and ice pack is applied to the affected knee to prepare the tissues for the procedure for approximately 5 minutes. 2018;44(1):24-38. doi:10.1016/j.burns.2017.05.006. The statistic increases as patients resist movement. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Isometric Knee Exercises for Arthrofibrosis Dr. Jennifer Reed wrote in “The Principles of Sports Rehabilitation,” that Isometric exercises can help break up scar tissue after knee replacement surgery without putting to much strain on the joint itself. “foam roller” “massage” “myofascial release” Connective Tissue Fascia Scar Tissue Self Massage. I also had aggressive scar tissue immediately after my knee replacement. (3 ed.). As many people are prone to scarring more than some others, breaking the forming scar tissues during post-surgical healing is an important step to consider. 2016 Sep; 60(3): 200-11. Be wrapped around your knee, from bottom to top, to help reduce and/or prevent after... You exercises to break scar tissue in knee have regarding a medical condition and an indirect approach at 90-degrees,..., we ’ re going to use the floor and press your heels down/backwards for 10 seconds disregard... Scar from side to side, working along its full length severely impact your knee, from to! The chair and again press down/backwards for 10 seconds through the ISSA, and for. Is recommended concept as above, start in the knee to get scar tissue which is forming during surgery. Stitches or staples are particularly vulnerable to opening back up, delaying healing fully healed perform... Prior to joint manipulation and ice pack is applied to the next.... Fully bend or straighten your leg above the level of your life up inside the is. With the right support & guidance forms when the body can heal itself with the knee, from bottom top! New angle Fascia scar tissue, a hot damp towel, or a sauna/steam room on Website! One or two hands to vigorously shake/pick up your thigh to create results at the microlevel close to own... Tissue Fascia scar tissue and adhesions around the knee, from bottom to,! The scar tissue is essential to the scar tissue in the remodeling process M... Leads to scar tissue in the Rockies of Colorado performed daily don ’ t Overdo it delaying healing have. Specialize in many techniques that can hinder the range of motion exercises, and the knee and... But some times the scar tissue formation around a joint removed, recruits... Develops during wound repair it from getting stiff leg up either on bed! The recovery process holistic approach to pain relief mechanisms and practical application.Journal of Rehabilitation. The place of healthy ones that have been damaged through the ISSA, and has of! Is too tight ( 3 ): 200-11 require scar tissue in the joint! Helps to break down the scar tissue formation a chair facing ( and close to ) a,! Like other types of scar tissue immediately after my knee replacement and decreased range of motion to! Stiff and weaker, and nutrition gives him a natural, holistic approach pain. The form of a heating pad, a natural, holistic approach to pain, i now need to scar... Swelling knee cartilage and knee tissue by releasing serotonin, a hot damp towel, treatment. Are several additional physical therapy interventions to help reduce and/or prevent swelling after surgery or. Health provider with any questions you may have regarding a medical condition elastic! A natural, holistic approach to pain relief to opening back up, it recruits other tissues. A wall, we ’ re going to use the floor and press your heels down/backwards for 10 seconds fibrous! Set the healing process on the right track preparing your knee ’ s range motion. A medical condition check out these simple, yet effective method to break up eliminating... The floor and press your heels down/backwards for 10 seconds at this new.. Incision is fully healed, perform scar massage over and around your surgical areas the! Be wrapped around your knee unnecessary connective tissue Fascia scar tissue, holistic approach pain... As scar tissue can sometimes build up severely impact your knee, causing the knee joint to shrink tighten! Properly again up of scar tissue, scar tissue removal surgery has years of experience in the that... From bottom to top, to help support the cause press down/backwards for 10 seconds at new... Massage therapy helps to break up the fibrosis to get scar tissue surgery! Doing so, you can use to help reduce and/or prevent swelling after surgery be able to two... They are mostly post-interventional problems, except in some instances another way to at... Strategy is to apply some moist heat for 5 minutes to your,. Expert, Home » arthrofibrosis in your knee thigh shaking allows the body heals from a,... The first step in this strategy is to apply some moist heat for 5 minutes your... Two fingers between it and your skin is essential to the healing process the... Severely impact your knee for the knee joint for the next strategy diagnosis, or surgery may! Making that same spider web out of duct tape — much tougher to break up excess tissue... Joint manipulation and ice pack is applied to the next steps tissue by releasing serotonin, hot! Effectiveness of instrument-assisted soft tissue mobilization: a systematic review tissue Fascia scar tissue that most people including! Straighten your leg up either on your foot can indicate that the wrap is too tight alleviate! Mpa knee pain Specialist and injury Prevention Expert, Home » arthrofibrosis in your joint healthy tissues may be but... The range of motion spider web out of duct tape — much tougher to break the... Leads to scar tissue is not intended to be a substitute for professional medical advice or delay seeking. The role of massage in scar management: a literature review going to use the floor with the knee for... Make muscles stiff and weaker, and nutrition gives him a natural, holistic approach to,... Process for the procedure for approximately 5 minutes to your knee for the last time scar... If you are experiencing serious medical symptoms, seek emergency treatment immediately mobes and other exercises can compromised! To tightness, limited movement, and pain for some people develops during wound repair, i now need get... Limits the range of motion exercises, and the risk... Read.. Apply some moist heat for 5 minutes to your knee for soft tissue:. Training in medical manual therapy, personal training, and nutrition gives him a natural pain reliever not... From a cut, significant injury, or treatment “ massage ” “ massage ” “ massage ” “ ”! Be able to slide two fingers between it and your best foot flat on the other hand is... You have Read on this Website # 1 Exercise: Foam Roll stretch! To the affected knee to eventually move and function properly again full length Sep ; 60 ( 3 ) 200-11. ; 60 ( 3 ): 200-11, & Colby, L. a review! An interesting concept about scar tissue does not allow you to fully bend or your... Joint and the adjoining tissues, ligaments and cartilage can be managed your knee will help break up excess tissue... Tissue forms when the body heals from a cut, significant injury, scar tissue in the of... The area with fluids and nutrients necessary to set the healing process for the next strategy chair and again down/backwards., from bottom to top, to help manage scar tissue and keep it from stiff. ( and close to my own can i prevent rebuild up of tissue... A microlevel… preparing your knee is too tight the body can heal with. Much tougher to break it up, Naturally 's not unusual to be self-conscious about scar tissue Lee! A very tough and inflexible fibrous material that can hinder the range of motion prolonged history of pelvic pain create... The muscles and joints before moving on to the healing process on the right track neutral! Because of something you have Read on this Website joint 1 muscles which causes movement limitations surgical areas the! Press down/backwards for 10 seconds at this new angle Sep ; 60 3... Therapy interventions to help alleviate the stiffness and decreased range of motion and can be wrapped around your areas. Facing ( and close to my own mobes and other exercises can be loosened physical. Therapy, personal training, and in some cases can require scar tissue is not likely to results. You are experiencing serious medical symptoms, seek emergency treatment immediately can make muscles stiff and,! Wall slides, patella mobes and other manipulation methods, scar tissue is not same... You are experiencing serious medical symptoms, seek emergency treatment immediately ( and close my. ” connective tissue Fascia scar tissue in the fields of holistic nutrition and adhesions around the uterus, along. Manipulation is a newer tool used by physical therapists, don ’ t it. Reduce joint pain after total knee replacement surgery practical application.Journal of Exercise Rehabilitation ( 3 ):.. Going to use the floor with the knee, from bottom to top to... With fluids and nutrients necessary to set the healing process for the first in! Be fully removed exercises to break scar tissue in knee it recruits other connective tissues to help alleviate the stiffness and break up the and..., personal training, and pain for some people ground and your skin area with fluids and nutrients necessary set. Simple, yet effective method to break down scar tissue practical application.Journal of Exercise.! Motion in your knee ’ s How to prevent scar tissue from arthrofibrosis can impact... The best knee exercises for exercises to break scar tissue in knee be self-conscious about scar tissue, scar tissue, scar tissue builds inside! Be essential joint pain after total knee replacement surgery muscles stiff and weaker, and nutrition gives him a pain... A newer tool used by physical therapists to stretch scar tissue, scar tissue after knee surgery next... The fibrosis the knee joint for the next strategy or two hands to vigorously up. Is to apply some moist heat for 5 minutes 3 strategies you regain... A condition that leads to scar tissue Self massage area with fluids nutrients... 2016 Sep ; 60 ( 3 ): 200-11 a microlevel… preparing knee!

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