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Osteoarthritis of the Knee Tips

All About Knee Osteoarthritis

Dr. P. Sharat Kumar 90% (109 ratings)
FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
All About Knee Osteoarthritis

The cartilage is the natural cushioning between two joints. When it wears off, the bones rub uncomfortably against each other as there is no shock absorption. Pain, swelling, stiffness, difficulty in moving and sometimes, the formation of bone spurs are the results of the rubbing. This condition is called osteoarthritis. Osteoarthritis in the knee is very common, and can even occur in younger people, though the risk of developing it rises after age 45.

Causes of Knee Osteoarthritis

1. Age: The cartilage doesn't heal as effectively as a person gets older.
2. Weight: The more the weight, the more the pressure on the knee.
3. Hereditary: Genetic mutations and inherited abnormalities like the shape of bones lead to osteoarthritis.
4. Gender: Women over the age of 55 are more susceptible to osteoarthritis than men.
5. Repetitive stress injuries: People like weightlifters and such, who kneel, squat or lift 55 pounds or more, are likely to develop osteoarthritis in the knee due to the constant pressure on their joints.
6. Athletics: Athletes who play soccer, tennis or other sports that involve long-distance running can develop osteoarthritis.
7. Other illnesses: People who suffer from rheumatoid arthritis, metabolic disorders like excess growth hormone or iron overload are at risk of developing osteoarthritis.

Symptoms of Knee Osteoarthritis

1. Feeling pain while moving but it gets a little better after resting
2. Swelling
3. Joints feel warm
4. Knee joints feeling stiff, especially after sitting for too long
5. Getting in and out of chairs, or going up and down a flight of stairs get difficult
6. Hearing a crackly sound whenever the knees move

Treatment for Knee Osteoarthritis

1. Weight loss: Even losing a small amount of weight will relieve stress from the joints.
2. Exercising: Strengthening the weak muscles around the joints through exercise makes it more stable and decreases the pain.
3. Pain relievers and anti-inflammatory drugs: Non-prescription drugs like acetaminophen, ibuprofen, or naproxen sodium can be taken to ease pain: But if problem persists, visit a doctor.
4. Injections of corticosteroids or hyaluronic acid into the knee: These are steroids that help with the inflammation.
5. Alternative therapies: Topical creams, supplements like glucosamine may be effective.
6. Physical and occupational therapy: Physical therapy strengthens muscles and increases flexibility in joints. Occupational therapy teaches how to do daily things, like housework, with less pain.
7. Surgery: If other treatments fail, surgery is a good option.

5419 people found this helpful

Osteoarthritis Of Knee Joint - A Detailed Guide For Treating It!

Dr. Lekhraj Patidar 86% (10 ratings)
MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Ratlam
Osteoarthritis Of Knee Joint - A Detailed Guide For Treating It!

Osteoarthritis is a Non Inflammatory disease that affects many joints, knee joint most common. In normal joint, a firm, rubbery material called cartilage covers the end of each bone. Cartilage provides a smooth, gliding surface for joint motion and acts as a cushion between the bones. In Osteoarthritis, the cartilage breaks down, causing pain, swelling and problems moving the joint. This disease, that mostly affects women, worsens over the time and should be treated as early as possible.

Symptoms Of Osteoarthritis
Symptoms of osteoarthritis vary, depending on which joints are affected and how severely they are affected. However, the most common symptoms are pain and stiffness, particularly first thing in the morning or after resting. Affected joints may get swollen, especially after extended activity. These symptoms tend to build over time rather than show up suddenly. Some of the common symptoms include:

  1. Sore or stiff joints – after inactivity or overuse
  2. Limited range of motion or stiffness that goes away after movement
  3. Clicking or cracking sound when joint bends
  4. Mild swelling around a joint
  5. Pain that is worse after activity or toward the end of the day

Treatment Options For Osteoarthritis

Osteoarthritis is a chronic (long-term) disease. There is no cure, but treatments are available to manage symptoms. Long-term management of the disease will include several factors:

  1. Managing symptoms, such as pain, stiffness and swelling
  2. Improving joint mobility and flexibility
  3. Maintaining a healthy weight
  4. Getting enough of exercise

Physical Activity: One of the most beneficial ways to manage OA is to get moving. While it may be hard to think of exercise when the joints hurt, moving is considered an important part of the treatment plan. Simple activities like walking around the neighborhood or taking a fun, easy exercise class can reduce pain and help maintain (or attain) a healthy weight. Strengthening exercises build muscles around OA-affected joints, easing the burden on those joints and reducing pain. Aerobic exercise helps to improve stamina and energy levels and also help to reduce excess weight. Talk to a doctor before starting an exercise program.

Weight Management: Excess weight adds additional stress to weight-bearing joints, such as the hips, knees, feet and back. Losing weight can help people with OA reduce pain and limit further joint damage. The basic rule for losing weight is to eat fewer calories and increase physical activity.

Stretching: Slow, gentle stretching of joints may improve flexibility, lessen stiffness and reduce pain. Exercises such as is great ways to manage stiffness.

Braces: For varus and valgus deformity of knee joint, brace very helpful like Unloader Knee Brace has importent role in Osteoarthritis knee.

Management Using Medications

Glucosamine/Chondroitin- Glucosamine/Chondroitin 1500 mg/1200 mg daily, they are diet supplement used in mild and moderate osteoarthritis knee. Major component of joint cartilage. Supplements are derived from the shells of shellfish (such as shrimp, lobster and crab) or from vegetable sources. Slows deterioration of cartilage, relieves osteoarthritis(OA) pain and improves joint mobility.

For Pain Management
NSAIDs
Cox-2 inhibitors
Opioids

Intraarticular Injections

  1. Intraarticular Glucocorticoids: Mainly Indicated when pain persist despite of pain killer. Its effective for short-term pain relief < 12 wks. There may be acute flare in pain 48 hrs post-injection.
  2. Hyaluronans (e.g. Synvisc): Its indicated when pain persists despite other agents. Its like Synthetic joint fluid. Pain relief similar to steroid injections. 60-70% patients respond well , pain relief approx 6 months to 1 year

Surgical Management

Knee pain or functional status has failed to improve with non-operative management

Types of Surgery

  1. Arthroscopic Irrigation
  2. Arthroscopic Debridement
  3. High Tibial Osteotomy
  4. Partial Knee Arthroplasty
  5. Total Knee Arthroplasty

Which type of surgery you require it will be decide by your orthopaedic surgeon after clinical and radiological examination.

Joint Replacement SurgeryJoint surgery can repair or replace severely damaged joints, especially hips or knees. A doctor will refer an eligible patient to an orthopaedic surgeon to perform the procedure.
Knee replacement has become the most common form of joint replacement surgery. Between 1991 and 2010, the incidence of knee replacements increased by over 161%, due partly to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today.

Success rates and quality of life improvements for knee replacement patients are reliably very high. Nine out of 10 knee replacement patients experience an immediate relief from knee pain, and 95% report they are satisfied with their procedure. Approximately 90% of replacement knee joints last 10 years, while 80% are good for 20+ years, depending on patient health and activity levels. Outcomes vary from patient to patient depend upon level of deformity and grade of Osteoarthritis.

Positive Attitude: Many studies have demonstrated that a positive outlook can boost the immune system and increase a person's ability to handle pain.

Preventive Measures

  1. People with endocrine disorders are prone to osteoarthritis. This includes hypothyroidism. You must immediately begin medications if you are diagnosed with thyroid conditions.
  2. In several cases, osteoporosis is genetic. One may inherit a tendency to develop bone deformities as he/she ages.
  3. X-ray after regular intervals helps the doctors to understand the condition of your bones and joints. This helps to prescribe exercises, medications and diet accordingly.
  4. Yoga helps to maintain joint flexibility and increase bone strength. It also helps to prevent stress and anxiety.
  5. A diet rich in protein and calcium helps to prevent degeneration and brittleness in bones. It is important to go out into the sun once in a while and soak up as much vitamin D as possible. This is a very healthy habit and contributes to the well-being of the entire skeletal systems.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4418 people found this helpful

Facts You Should Know About Osteoarthritis Of Knee Joint!

Dr. Kunal Saoji 85% (10 ratings)
MS - Orthopaedics, MD - Physician
Orthopedist, Nagpur
Facts You Should Know About Osteoarthritis Of Knee Joint!

In medical terms, Osteoarthritis is referred to a disease of the joints. It mostly affects the cartilage or the slippery tissue, which helps to cover the ends of bones in a joint. A proper cartilage helps in gliding of the bones one over the other. In osteoarthritis, the cartilage’s top layer gets damaged or breaks down. This leads to rubbing of the bones and swelling, pain or loss of motion. As the time passes by, the joint may lose its shape. There is also a possibility of developing bone spurs from the edges of the joint. This causes pain and damage.

People suffering from osteoarthritis often complain of joint pain and experience reduced motion. Unlike the other kinds of arthritis, this affects only the joints and does not interfere with the working of internal organs. It is the most common form of arthritis. It mainly occurs in older people. In younger ones, osteoarthritis may occur due to joint injuries.

What Causes Osteoarthritis?
It is caused due to ageing. But there are certain other risk factors that have to be kept in mind. This include:

  1. Excess body weight or obesity
  2. Old age
  3. Joint injury
  4. Improper formation of joints
  5. Defective genes
  6. Stress on the joints


What are the symptoms?
It can develop in any joint in the body. But it mainly occurs in the hands, knees, hips, and spine. The symptoms that indicate towards its occurrence are as follows:

  1. Stiffness in a joint, especially as you get out of bed or sit for a long period of time.
  2. Swelling or tenderness in the joints.
  3. A crunching feeling.
  4. Sound of bone rubbing.

Diagnosis
It cannot be diagnosed by a single test. It takes several methods to detect its symptoms. tHerefore, a combination of tests are conducted, including physical examination, X-rays, blood tests or examination of the fluid in the joints.

How Is It Treated?
It requires a combination of treatments to meet a patient's needs, as per his or her lifestyle, and health. The treatment has four main goals:

  1. To improve function of the joints
  2. Maintain a healthy body weight
  3. It is important to control the pain
  4. Efforts to achieve a healthy lifestyle

The treatment plan or sketch will involve focus on the following things:

  1. Exercise
  2. Weight control
  3. Rest and joint care
  4. Techniques to get relief from pain without the use of drugs
  5. Medications
  6. Therapies
  7. Surgery

In case you have a concern or query you can always consult an expert & get answers to your questions!

2395 people found this helpful

Osteoarthritis For Knee - How Intra-Articular Injections Can Help?

Dr. Dinakar Rai 83% (10 ratings)
MS - Orthopaedics
Orthopedist, Coimbatore
Osteoarthritis For Knee - How Intra-Articular Injections Can Help?

What are they?

Intra-articular injections or intra-articular corticosteroid injections are steroid medicines that are injected into the joint space directly, for curing and treating painful and inflammatory arthritic joint syndromes. In general, this procedure of treatment is adopted by orthopedic practitioners since steroidal drugs, when administered orally, are hardly of any use for osteoarthritis patients.

Steroids are natural substances which are akin to the hormones in your body. Steroids are mostly taken for reducing inflammation.

Apart from inflammation in the bones, intra-articular corticosteroid injections are also administered for alleviating inflammation in the ligaments and tendons in patients suffering from osteoarthritis.

Note that intra-articular corticosteroid injections are prescribed to osteoarthritic patients only if the pain and inflammation do not subside with the use of NSAIDs and analgesics.

Corticosteroid injection often provides temporary relief, when other oral medicines have failed to provide comfort to the patient.

Hyaluronic Acid Injections

Another form of intra-articular injection is the one containing intra-articular hyaluronic acid.

Hyaluronic acid is a natural fluid that aids in lubricating the joints and allows them to function smoothly. It acts as a shock absorber in your body. However, with osteoarthritis, the hyaluronic acid in the affected joints wears out.

Depending on the type of injection, you may get one shot of hyaluronic acid intra-articular injection, or three to five injections spaced a week apart.

The Process

The process of administering such injections needs the doctor to first clean the area. In case of swelling, local painkillers can be injected. Next, the doctor inserts a needle to withdraw the excess fluid that’s within the knee joint and then with the same needle in place, the doctor finally injects the medication into the knee joint.

The basic side-effects of intra-articular injections include mild pain at the site of the injection along with a small buildup of joint fluid. However, these side-effects are usually never a matter of concern and they get resolved on their own within a span of a few days.  In case you have a concern or query you can always consult an expert & get answers to your questions!

2381 people found this helpful

Common Ayurvedic Remedies For Rheumatoid Arthritis!

Dr. Kalpesh Mande 90% (35 ratings)
MD - Ayurveda, BAMS
Ayurveda, Navi Mumbai
Common Ayurvedic Remedies For Rheumatoid Arthritis!

Rheumatism is an auto-immune and chronic disease caused due to the abnormal swelling of the body joints in the knees or the shoulders. The symptoms of rheumatism include intense pain in the morning, mild fever with the pain, swollen joints resulting in immense pain, stiff joints, increased pain in cold climate and extreme tiredness.

Doctors are still doubtful about the exact cause of the disease, but the weakened immune system might damage the joints. This makes obese people, smokers and women most susceptible to this disorder.

According to Ayurveda, rheumatism is caused due to a major imbalance in the ‘Vata or Kapha’ dosha. The Ayurvedic remedies aim for the restoration of the body’s Vata/Kapha balance. Ayurvedic remedies help reduce the ‘ama’, the toxins produced by the body.

The Ayurvedic remedies for rheumatoid arthritis are as follows:

  1. Boil a cup of mustard oil with camphor in it until the camphor dissolves well. Apply the lukewarm mixture on the affected areas once a day. This helps revive the blood circulation of the affected portion and subsequently reduces the abnormal swelling of the affected joints.
  2. You can take a few unpeeled slices of potato and soak them in a glass of cold water. Keep it for the night and drink it the next morning on an empty stomach. Do this every day to get rid of the pain.
  3. Include little amounts of ginger, garlic, and turmeric in your regular meals. This will help to reduce the inflammation and stiffness of the affected joints. Ayurvedic scriptures suggest that you should try and reduce the consumption of fish, red meat, curd, spinach and extremely chilled water as they might cause an imbalance in the ‘vata’.
  4. Applying a recommended amount of castor oil on the affected region helps reduce the inflammation and thus, the pain.
  5. A herbal preparation of celery seeds can be consumed daily in order to treat rheumatoid arthritis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4393 people found this helpful

Knee Osteoarthritis and PRP Therapy - What Should You Know?

Dr. Sachin Mittal 90% (11 ratings)
FIPM, DA, MBBS Bachelor of Medicine and Bachelor of Surgery
Pain Management Specialist, Ghaziabad
Knee Osteoarthritis and PRP Therapy - What Should You Know?

Knee osteoarthritis is a common condition affecting the knee joints. This condition results from age related degeneration of joint cartilage and synovial fluid. This results in excessive stiffness, swelling, pain and decreased mobility due to loss of lubricant functions of joint cartilage.

Treatment for Knee Osteoarthritis:

Treatment for knee osteoarthritis consists of anti inflammatory drugs, lifestyle modifications and knee exercises. In advanced stages where pain is severe or conservative therapy fails, replacement of knee joint is required. In many cases, knee replacement is not feasible or desired due to various reasons. For such cases, other treatment option is available in form of Platelet rich Plasma (PRP) injection in knee joint.

How is PRP therapy done?

The procedure involves drawing a sample of blood from the patient and then placing it in a Centrifuge machine which extracts the Platelet rich plasma (PRP) constituent from blood.The sample constitutes of platelets (blood cells) which consist of numerous healing and inflammatory chemicals. This PRP sample is injected in the knee joint under sterile precautions. This decreases inflammation, and promotes healing.

Benefits of PRP therapy:

  1. The body’s first response to soft tissue injury is to deliver platelets. Platelets carry cells, proteins, and other growth / healing factors that initiate repair and recruit stem cells. PRP therapy’s natural healing process intensifies the body’s efforts by delivering a higher concentration of platelets within the damaged joint. Research has shown PRP therapy to be very effective at relieving pain and returning patients to their normal activities. Both Ultrasound and MRI images have shown definitive tissue repair after PRP therapy, confirming the healing process.

  2. The need for knee replacement can also be greatly reduced by promoting repair of cartilage before joint damage becomes extensive. In fact PRP therapy works best when done in early stages of Knee Osteoarthritis.

  3. Relieves pain without the risks of surgery or general anesthesia.

  4. No hospital stay is required. The procedure is performed safely and takes approximately two hour including preparation and recovery time. In fact, most people return to their jobs or usual activities right after the procedure.

  5. Most patients require 2 to 3 sessions of knee PRP therapy.

Side effects of PRP Therapy:

The procedure is free of side effects when done by experienced pain specialists. Since the therapy involves injecting patient's own blood derivative, it is a safe procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!

4041 people found this helpful

Knee Pain

Dr. Chinmaya Kumar Patra 88% (19 ratings)
MPTh/MPT, CKTP
Physiotherapist, Bhubaneswar
Knee Pain

Knee pain is not just osteoarthritis to replace it. Identifying the structure will definitely help.

1 person found this helpful

Is Your Knee Pain Because of Osteoarthritis?

Dr. Vishwas Virmani 92% (23114 ratings)
MPT, BPT
Physiotherapist, Noida
Is Your Knee Pain Because of Osteoarthritis?

WHAT CAUSES OSTEOARTHRITIS DIAGNOSED?

Sometimes osteoarthritis is detected on X-rays taken for other purposes. In this case, people may not feel any aches or pains but may be told by their physician that they have osteoarthritis. Often if a person complains of pains in joints, the PHYSIO will order X-rays because damage to a joint may be seen that way. However, X-rays are only part of the procedure your physician will follow to diagnose osteoarthritis. 

The history of your symptoms and the findings of the complete physical examination also will be valuable factors in the diagnosis. Your explanation of how you feel will be very important. 

For example, persons with osteoarthritis usually do not have a feeling of being ill, do not experience severe weight loss, and do not have a poor appetite or fever. Also, the pain in the involved joint is usually maximal with activity (walking, etc.) and decreased by rest in patients with osteoarthritis.

HOW IS OSTEOARTHRITIS TREATED?

There is no cure for osteoarthritis. The goal of therapy is to control the disease and possibly slow its progress by keeping the affected joints mobile, preventing further disability, and relieving pain. In some cases drugs, special exercises, rest, and heat are effective.

If you have osteoarthritis, depending on your symptoms, your physician may suggest avoiding physical activities that strain your sore joints. You may be advised to avoid occupational and recreational use of the affected joints. If weight-bearing joints are involved, you may be told to avoid weight-bearing activities such as climbing stairs or prolonged standing.In other cases, orthopedic surgery and rehabilitation therapy are helpful. Sometimes drugs are injected directly into the joint affected by osteoarthritis. Some people obtain temporary relief from pain and disability in this way.

 If you are overweight, your physician will probably suggest a weight-reducing diet. Reducing weight will help reduce the strain on your joints, particularly if your osteoarthritis is in the hip or knees.In some cases, physicians recommend traction, which involves  stretching the upper part of the spine in the area of the neck, as a treatment for spinal osteoarthritis.

 In other cases physicians recommend using a neck collar or a heavy towel wrapped around the neck to support the weight of the head, thereby allowing the painful muscles to relax. These techniques provide relief but do not influence the progress of the disease.

4 people found this helpful

Fast Facts You Must Know About Osteoarthritis of Knee Joint!

MBBS, MS - Orthopaedics
Orthopedist, Chennai
Fast Facts You Must Know About Osteoarthritis of Knee Joint!

In medical terms, Osteoarthritis is referred to a disease of the joints. It mostly affects the cartilage or the slippery tissue, which helps to cover the ends of bones in a joint. A proper cartilage helps in gliding of the bones one over the other. In osteoarthritis, the cartilage’s top layer gets damaged or breaks down. This leads to rubbing of the bones and swelling, pain or loss of motion. As the time passes by, the joint may lose its shape. There is also a possibility of developing bone spurs from the edges of the joint. This causes pain and damage.

People suffering from osteoarthritis often complain of joint pain and experience reduced motion. Unlike the other kinds of arthritis, this affects only the joints and does not interfere with the working of internal organs. It is the most common form of arthritis. It mainly occurs in older people. In younger ones, osteoarthritis may occur due to joint injuries.

What Causes Osteoarthritis?
It is caused due to ageing. But there are certain other risk factors that have to be kept in mind. This include:

  1. Excess body weight or obesity
  2. Old age
  3. Joint injury
  4. Improper formation of joints
  5. Defective genes
  6. Stress on the joints

What are the symptoms?
It can develop in any joint in the body. But it mainly occurs in the hands, knees, hips, and spine. The symptoms that indicate towards its occurrence are as follows:

  1. Stiffness in a joint, especially as you get out of bed or sit for a long period of time.
  2. Swelling or tenderness in the joints.
  3. A crunching feeling.
  4. Sound of bone rubbing.

Diagnosis
It cannot be diagnosed by a single test. It takes several methods to detect its symptoms. tHerefore, a combination of tests are conducted, including physical examination, X-rays, blood tests or examination of the fluid in the joints.

How Is It Treated?
It requires a combination of treatments to meet a patient's needs, as per his or her lifestyle, and health. The treatment has four main goals:

  1. To improve function of the joints
  2. Maintain a healthy body weight
  3. It is important to control the pain
  4. Efforts to achieve a healthy lifestyle

The treatment plan or sketch will involve focus on the following things:

  1. Exercise
  2. Weight control
  3. Rest and joint care
  4. Techniques to get relief from pain without the use of drugs
  5. Medications
  6. Therapies
  7. Surgery
1 person found this helpful

Knee Osteoarthritis - 6 Signs You Are Suffering From It!

Dr. Nakul Shah 86% (25 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics
Orthopedist, Pune
Knee Osteoarthritis - 6 Signs You Are Suffering From It!

Osteoarthritis, although a disorder occurring in old age, can affect young people too. What exactly is osteoarthritis? It is a condition in which the cartilage in the joints, which act as cushioning between two bones, start wearing away. This causes the bones of the joints to rub against each other, thereby resulting in pain, stiffness, swelling, inability to move freely and sometimes formation of bone spurs. Also, the bones become susceptible to more damage because the shock absorbing capacity is decreased.

Causes
The most common cause of osteoarthritis is age and almost everybody will develop some degree of this disorder at some point. However, there are risks of developing this disorder at earlier ages too. The possible reasons are listed below.

  1. As already discussed, age is one of the main reasons for the wearing off of the cartilage tissues.
  2. Excess weight causes a lot of increased pressure on the joints, especially knees, thereby causing the cartilage to wear out faster, leading to osteoarthritis.
  3. Some people develop osteoarthritis in the knee due to inherited abnormalities from previous generations.
  4. Women are more susceptible to this disorder than men. Women above 55 years are likely to experience osteoarthritis in the knee.
  5. The occupation of an individual can also be a reason for this disorder. Those individuals who have jobs in which repetitive stress to the joints is normal, they tend to suffer from osteoarthritis in the knees earlier.
  6. Athletes who are involved in football, tennis, running, etc. are also susceptible to osteoarthritis in the knees. However, regular and moderate exercise helps in strengthening the joints and thereby decreasing the risks of this disorder.
  7. People with metabolic disorders, who have excess iron or excess growth hormones, tend to have a higher risk of osteoarthritis.

Symptoms

  1. Engaging oneself in a number of physical activities causes an increase in pain, but it gets better with rest.
  2. Swelling around the knee area occurs.
  3. Joints feel warm.
  4. The knee becomes stiff, which occurs most when one has been sitting for a long time.
  5. Mobility of the knee is decreased and it becomes difficult to sit and get up after sitting.
  6. Crackly and creaking sounds are heard when the knee moves.

There are various treatments of osteoarthritis, but one of the main remedies is weight loss. Doctors recommend certain specific exercises to reduce the pain. For medications, certain anti-inflammatory drugs and pain relievers are suggested. There are many more treatment methods, but these are some of the most effective ones. In case you have a concern or query you can always consult an expert & get answers to your questions!

4448 people found this helpful
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