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About Bryan Ruchin, PT, DPT, MSPT
(Top Expert on this page)

Expertise
I am a physical therapist that treats all types of musculoskeletal disorders including orthopedic, vestibular, neurologic, and geriatric issues. I am also a specialist and the only therapist in Georgia that treats coccygeal pain and related pelvic and back pain. I am affliated with all types of sports ranging from highschool to professional.

Experience
I have been practicing since 2005 and am actively involved in research in all my fields. I am listed as a specialist for treating coccygeal disorders. I am a active member of the American Physical Therapy Association and the Physical Therapy Association of Georgia.

Organizations
APTA, PTAG, AAOMPT

Education/Credentials
I graduated from Georgia State with a B.S. in Exercise Physiology,from Florida Gulf Coast University with a Masters in Physical Therapy, and from Sage College with a Doctorate in Physical Therapy.

Awards and Honors
Specialist listed on coccyx.org

   

You are here:  Experts > Recreation/Outdoors > Sports Medicine > Physical Rehabilitation Medicine

Questions Answered By Expert  Bryan Ruchin, PT, DPT, MSPT 
In Category  Physical Rehabilitation Medicine

SubjectDate Asked

Shoulder Injury9/25/2009
  Q: I injured my shoulder my shoulder in a bicycling accident 10 days ago. I landed on an outstretched ...
  A: Lisa, give it two weeks, then start strengthening with light activity. do wall climbs up the wall ...
Muscle Problems9/20/2009
  Q: I always thought it was from my 25 yrs in work at computers in a stressful job. Have not been doing ...
  A: Kim, yes, do some strengthening and stretching and use the muscles properly to get them to work ...
Chronic headache and neck pain, 24 years old.9/20/2009
  Q: For the last few month i have been having neck and right shoulder pain, it particularly hurts when I ...
  A: Sarah, Go to an orthopedic doctor, spine doctor, PM&R, or physical therapist. that is my best ...
Pronator Quadratus9/20/2009
  Q: I wanted to know if the "pronator quadratus" is the only "true" wrist muscle? What I mean by that ...
  A: Ed, even though on picture of the muscles, it seems as this is the only real wrist muscle, ...
Permanent Subluxation of Elbow9/17/2009
  Q: When I was about 7 years old, I had osteochondroma in my right elbow near the growth plate. Because ...
  A: I would consult your MD first before that. Without seeing x-rays, it is hard to say. I would think ...
Ostietis Pubis9/17/2009
  Q: I was diagonosed about 18 mths ago with OP. I was diagnosed with OP about 4 months after my child ...
  A: Tallie, I am extrememly sorry for not being able to respond earlier. I am sorry you are in pain. ...
Back Injury Rehab9/12/2009
  Q: I am a Male, almost 49 and fell 20' from a ladder in March, I was taken to the hospital and spent 3 ...
  A: Chris, I am so sorry for not being able to respond earlier, but my computer is having major issues. ...
swayback, drooping belly9/12/2009
  Q: Bryan I am a 50 year old professional driver. I have always been on the chubby side, but not obese. ...
  A: Bud, I appreciate your email. My best suggestion for you is to see a PT in your area. let them ...
reversal neck9/11/2009
  Q: I just recently found out that I have a reversed neck and I was wondering how long does this ...
  A: Melina, SOrry for teh late response as i have been dealing with email issues. GO TO SOMEONE ELSE. ...
SHARP PAIN IN MY RIGHT FEMUR FRACTURE !!9/11/2009
  Q: I got rods and screws inserted in my right femur right above the right side of my knee approximately ...
  A: I am so sorry for my delayed response, but i have been having some email issues. you need to keep ...
How to become a physical therapist9/10/2009
  Q: I am considering a career change and have been giving much thought to becoming a physical therapist. ...
  A: yes you can start over. but you need some type of desire to be a PT. not just $$, but a wanting to ...
Knee Straightening9/7/2009
  Q: Bryan, I shattered my tibia on Feb. 13th and I now have a plate and 18 screws holding my tibia ...
  A: you can tell him how frustrated you are. that is about it, unfortunately. you can ask th ePT why ...
Torn deltoid muscle and frozen shoulder9/7/2009
  Q: 9 months ago I took a Pilates exercise class, started having shoulder and arm pain, I stopped the ...
  A: The tear will heal on its own and the PT will help to speed up the process. this is very common and ...
humerous spiral fracture9/5/2009
  Q: 6 days ago i had a motorcycle accident and sustained a spiral fracture of the humorous. i am ...
  A: I am not sure. however, surgery may help to make sure the fracture heal properly. in my ...
thumb injury exercises9/4/2009
  Q: About three weeks ago I caught a football wrong and "jammed" my left thumb. After a week of ice and ...
  A: You should try massage on the ligaments and tendons. light gripping exercises should help as well. ...
bone bruise rehab HELP!!!9/4/2009
  Q: 3 months ago I was hit by a car door while riding my bike and suffered a bone bruise to my right ...
  A: It could be your meniscus, or a ligament sprain. taking it easy will not help all that much, but ...
How to become a physical therapist9/3/2009
  Q: I am considering a career change and have been giving much thought to becoming a physical therapist. ...
  A: I am unsure of what you are asking me, but here is what i can tell you. The course material in PT ...
Strained oblique9/3/2009
  Q: I'm 25, I was extremely active a few years ago as I was playing college football. I've since ...
  A: I would go see an orthopedic surgeon. It is hard to tell you what you have unless I feel it. If ...
Foot laceration effect on calf9/1/2009
  Q: I cut the arch of my foot badly 3 weeks ago. Needed stitches, but had no insurace so cleaned, ...
  A: Steve, sorry for the late response. yes, it will affect your calf. the foot is very complex and ...
Hip Flexor Scar Tissue8/31/2009
  Q: I was browsing the web trying to find out about the lumps I feel along my hip flexors, when I came ...
  A: Hot yoga is no different than putting heat on your affected areas for 10-15 minutes then doing some ...
ems muscle stimulator8/31/2009
  Q: I had 10 sessions of Physical therapy, I have a problem with not being able to left my leg. My ...
  A: Yes and no, it is not as strong as the muscle stimulator, but it does hurt. I cannot lie to you, ...
TTS8/31/2009
  Q: I have TTS in both Feet had surgery about 5 yr's ago and my DR was sending me to PT but feet has got ...
  A: you need to stretch your ankles out. stretch your achilles tendons, and the medial aspect of your ...
broken ankle8/31/2009
  Q: On June 28th 2009 I broke my ankle when a friend fell on it. I had surgery about 1 week later as I ...
  A: I am sorry, but i cannot help you with this as i do not know what surgery you had done. you really ...
Pain in upper thigh/legs/strengthening exercises8/29/2009
  Q: I am a 53 year old female, slightly overweight and need to strengthen my upper thighs and hip area. ...
  A: Jane, do a search on the internet for pictures of the following. knee extension, knee flexion, ...
Why did this happen after physio to my back/hip?8/29/2009
  Q: I hurt my back at work standing a dementia fellow up who was sitting on the floor. I was on one side ...
  A: The manipulation may have altered your SI joints. that type of manipulation can do that, as well as ...
Radial Nerve palsy/humerus fracture8/29/2009
  Q: I am 30 years old and suffered a severe fracture of the left humerus mid-shaft in March. After 1 ...
  A: Nerve damage can take a while to regenerate. an EMG would tell you what muscles are affected, but ...
Back pain8/27/2009
  Q: I was in a car accident in 2005 and I had back surgery in 2007. I had a fusion done. After my ...
  A: My first answer is to tell you to talk to a PT there that can see you, pay out of pocket if you have ...
Shoulder Bursitis8/26/2009
  Q: I'm a 60-year-old male living in Costa Rica. Last December I somehow injured my left shoulder. A few ...
  A: Phil, I would not do any push ups or lateral raises. the rows are fine. what you really need are ...
Nerve damage8/26/2009
  Q: My name is Nate. I am currently serving with the US Army in Afghanistan. About a week ago I was shot ...
  A: #1, thank you for what you are doing over there!! #2 you may have some nerve problems, but ...
broken humerus8/26/2009
  Q: I broke my right humerus bone just over two years ago. My shoulder movement is decent but im still ...
  A: Chad, I think your best bet is to go see your surgeon, if you can. if not him, then another ...
Knee Pain8/25/2009
  Q: I recently injured my leg during a soccer practice. I have been out and have not been playing for ...
  A: it can take 2 weeks or more dedpending on severity. warning signs are swelling, discoloration, a ...
arm pain from wakeboarding8/24/2009
  Q: i went wakeboarding yesterday for the first time. yesterday when i finished i noticed that my lower ...
  A: you have either torn a muscle or muscles, or have something piniching the nerve to the muscles. you ...
Scar tissue7/28/2009
  Q: I had a hip revision, I had heteropic ossification. I had surgery to remove the extra bone. I have a ...
  A: No, it will not hurt the tissue, but it may be of some discomfort to you with teh stretching. but ...
Second opinion7/27/2009
  Q: To start back in June i had been doing some work with tile woke up with very tight traps upper and ...
  A: Yes it could be a UT strain. has your therapist addressed your SCM at all? there are ways to work ...
recurrent si and hip flexor problems (started 2 yrs ago when pregnant)6/23/2009
  Q: my problems started when I was 3 mos. pregnant and have never really gone away. My baby is now 2 ...
  A: You need to strengthen your core muscles and will help to strengthen your pelvic girdle. I doubt ...
Prolonged Ankle Pain6/22/2009
  Q: I was involved in a car accident 9 years ago (I was 12 at the time) during which a car backed into ...
  A: You may have some nerve damage that does not allow your ankle muscles to effectively get stronger. ...
Shattered Patella Swollen KneeNumb Toe6/21/2009
  Q: Now day 105 post surgery of fractured patella 3 pieces with wire and screw. ROM stopped at 66 and OS ...
  A: the meds will help, that is why your doctor gave them to you. swelling is a sign of healing in the ...
Achilles tendonitis6/21/2009
  Q: My story is that I was diagnosed with achilles tendonitis on my left ankle, that went untreated for ...
  A: Yes, you are doing the right thing.  Some people develop tendonitis either at achilles or the ...
Partial Torn Achilles6/18/2009
  Q: I partially tore my Achilles tendon (60% -70%) 7 months ago and was placed in a cast for 3 weeks, ...
  A: it is probably close, but not quite 100%. you need to stretch your calves, and do calf raises, ...
Shattered Patella Swollen KneeNumb Toe6/18/2009
  Q: Now day 105 post surgery of fractured patella 3 pieces with wire and screw. ROM stopped at 66 and OS ...
  A: I can understand that. The neurologist will send you for a nerve conduction test to assess the ...
recurrent si and hip flexor problems (started 2 yrs ago when pregnant)6/17/2009
  Q: my problems started when I was 3 mos. pregnant and have never really gone away. My baby is now 2 ...
  A: It will go away and get better. I have similar issues to you. you need to make sure your PT does ...
muscle weakness6/16/2009
  Q: I have muscle weakness in thigh muscles from knees up to pelvic girdle. Also have unsteadiness, ...
  A: I really think you need to see a PT to help. There could be a variety of things going on and you ...
After knee surgery6/16/2009
  Q: I had orthroscopic and open knee surgery on my right knee on May 18, 2009. I had a right knee cap ...
  A: Lots of questions. Here we go. 1. Quad strength-it will come back, once you get full range of ...
Finger6/15/2009
  Q: On May 9th 2009 I was injured riding my bicycle,and suffered an open dislocation of my middle ...
  A: No, sorry. you need to let it heal. tehre is a reason you cannot do anything for 2 weeks. ...
achilles tendon injury6/14/2009
  Q: I tore my achilles tendon 2 years ago. Saw a GP and they thought that it was not completely torn so ...
  A: Sue, there are not really exercises that help to shorten the achilles really. most doctors will put ...
fractured femur6/14/2009
  Q: i am a 17 years old patient with a fractured left femur.I am wondering that how long do i needed to ...
  A: It can take a while for bones to heal, especially with surgery. continue what your doctor has said ...
Shattered Patella Swollen KneeNumb Toe6/12/2009
  Q: Now day 105 post surgery of fractured patella 3 pieces with wire and screw. ROM stopped at 66 and OS ...
  A: no, day 78 is not too early. there is healing while swelling. i have a patient right now, s/p TKA ...
wrist6/11/2009
  Q: basically I'm a drummer, so we use our wrists repetetivly.im a healthy 18 year old, but recently ...
  A: pills no. That is out of my scope of practice. you can do some general wrist strengthening ...
TKR with lateral release and TTT6/11/2009
  Q: Before my TKR my knee only hurt going up stairs. After surgery my fat pad was pinched and the Dr. ...
  A: you may want to get a second opinion. I am sure your surgeon is good, but someone else may have ...
ankle scar tissue6/10/2009
  Q: I broke my ankle playing soccer 14 months ago,it was a brake of the tibia and a dislocation.The ...
  A: Paul, the only thing from a PT standpoint to do it to massage and strech your ankle out. ...
5th metatarsal physical therapy6/10/2009
  Q: It's been 4 months since I had a large 8mm displacement fracture of my 5th metatarsal ((avulsion) I ...
  A: yes there is. you may need some type of orthotic to make sure your foot does not move around during ...
big toe injury6/9/2009
  Q: My injury is very minor but I would love to know what the real problem is. A few weeks ago I ...
  A: You have a tendon on the top of your toe that allows you to lift it. you may have severed it. you ...
distal bicep tendon rupture6/8/2009
  Q: I ruptured my bicep tendon last year. I had surgery to repair it, which seems to have been ...
  A: Frank, Hard to say. Frozen shoulder can take up to a year or two to fully heal. the medical world ...
Shattered Patella Swollen KneeNumb Toe6/7/2009
  Q: Now day 105 post surgery of fractured patella 3 pieces with wire and screw. ROM stopped at 66 and OS ...
  A: what does your PT say? You could have lymphadema or other venous related swelling problems. ...
constant injuries6/7/2009
  Q: It seems to be that I keep having injury after injury. Theworst being a ruptred UCL which was ...
  A: What do you mean you are a PT. Personal Trainer?? You may have some type of hormone imbalance ...
Therapy for broken scapula6/5/2009
  Q: My son age 26 broke two ribs, his collarbone and scapula in a motorcycle accident three weeks ago. ...
  A: There is nothing he can do right now exepct wait for it to heal. Bone takes 4-6 weeks to heal. ...
Shoulder surgery rehab6/5/2009
  Q: I am having an ac joint resection and sub acromial decompression/ debridement surgery. In addition, ...
  A: Best guess, 4 months or so. I hope he does not have to do that either. what ever happens, do your ...
broken ankle and therapy6/4/2009
  Q: I broke my ankle on April 22. I was in a soft cast for 2 weeks and then a hard cast for 4 weeks. It ...
  A: You have to try to walk normal. Hit your heel then roll to your toe. Take equal and normal size ...
Hand sensation loss/change due to compound forearm fracture6/3/2009
  Q: I broke both bones in my forearm (compound fracture) a week and a half ago and the surgeon said that ...
  A: Grant, The nerve healing process is the covering sheath around the nerve has to cover the nerve ...
left hip and Low Back pain6/2/2009
  Q: "Hello, on March 24, 2009 I was in labor and having my daughter 6 weeks early, I had an epidural ...
  A: Melissa, I am so sorry you are in such pain. Let me see if I can help you understand and possibly ...
Recovery from ruptured achilles tendon6/1/2009
  Q: I ruptured my achilles tendon 12 weeks ago. They didn't operate, they let it heal naturally in a ...
  A: Jonathan, I would honestly go see a PT near you. let them evaluate your leg and help you determine ...
Minor Fracture to the Patella6/1/2009
  Q: Four months ago I had a fall while skiing that caused a minor crack to my right patella. I saw a ...
  A: Jason, Fractures are a weird thing. a complete fracture is better than what you have from a ...
Exercises for rehab after injury to tendon in foot5/31/2009
  Q: Three weeks and 3 days ago I sustained a V-shaped 3cm laceration to the top of my left foot, and a ...
  A: Mira, The best thing to do is to keep concentrating on lifting your toes. Since you have cut the ...
radial head replacement removal5/2/2009
  Q: 8 months after radial head replacement surgery, I have a very severe pain (where the screw is ...
  A: if you have no pain, then i would not do surgery. keep strengthening your arm. you body has to ...
bone sclerosis5/1/2009
  Q: i have just had my MRI scan results and have been told that i have bone sclerosis in my pelvic area. ...
  A: I am not aware of any surgery to have, but i am not a surgeon. I do not know what a surgery would ...
The role of eye glasses in vestibular rehabilitation and its effect on vision.5/1/2009
  Q: I have been suffering from chronic disequilibrium for six months, which has manifested itself as a ...
  A: no i do not know what is meant by that. i would wear the glasses. it will allow you to have less ...
radial head replacement removal5/1/2009
  Q: 8 months after radial head replacement surgery, I have a very severe pain (where the screw is ...
  A: missing a radial head could have some long term impact of not having good muscle as time goes on. ...
seeking help for my fibula4/30/2009
  Q: i got a fracture in my right lower end fibula on 23-03-09. doctor plastered it. it has already been ...
  A: you should not remove your cast. let your doctor do that. when you do get it removed, your doctor ...
broken index finger rehabilitation4/30/2009
  Q: My daughter broke her left index finger above the middle joint and above the top joint. She had a ...
  A: As long as there is not any ligament damage, gently bend and straighten the finger to gain range of ...
broken humerus4/29/2009
  Q: Ibroke my humeras in two, I was sedated and the re aligned it, i was sent away to return in two days ...
  A: you should be able to return to work, but your doctor will be able to answer that more. lying back ...
humerous break4/29/2009
  Q: I broke my arm after being suspected drugged 13th March. My arm was broken in three places, in which ...
  A: Realistically, I would not do anything right now. Wait till your doctor x-rays in may to make sure ...
PT contraindications4/29/2009
  Q: What are the hemoglobin/hematocrit levels in which therapy is contraindicated?
  A: I don't feel there are any. Low levels will show some anemia, but therapy at that point would only ...
knee tenderness and stiffness4/29/2009
  Q: I have a 15 year old daughter who is very active in sports. She ran Cross Country - made it to ...
  A: Some girls ages 13-18 will get growth spurts that can cause knee pain called osgood-schaltter's ...
Fractured Calcaneous4/10/2009
  Q: Ruchin, I am 45 and have a small child at home. I fractured my Calcaneous just over 2 months ago. I ...
  A: I am not sure where to look. We learn them in school, I do not know of any websites. you need to ...
ankle4/8/2009
  Q: It feels almost like a pinched nerve with a numb sensation. I was wondering if there was any ...
  A: Did you sprain your ankle, or have anyone land on your lower leg or ankle?? do a search on the ...
Knee Problem4/7/2009
  Q: After I got hurt in a soccer game i've been having a poping feeling in the front of my knee and when ...
  A: Sasha, I am sorry, but you need to see your MD and maybe an MRI to find out what is going on in ...
Knee injury (not sure what's really wrong with it)4/6/2009
  Q: Im a high school soccer player and I got hurt in a game about 2 months ago. the athletic trainer ...
  A: It sounds like you do have atrophy and some muscle imbalances. you need to go to a good PT to ...
hip flexor strain4/3/2009
  Q: My son is a 110-m high hurdler and soccer player. He felt a pull in what appears to be his left hip ...
  A: it sounds like he needs to stretch his hamstrings really well. both prior to and after activity. ...
radial head replacement4/2/2009
  Q: I had a radial head replacement eight months ago and would like to know if i will ever be pain free. ...
  A: It could mean more surgery. It could mean you have an infection. If it has moved, you will have to ...
untreated compression fracture4/1/2009
  Q: I was in an abusive relationship that resulted in a compression fracture in my back. I was " not ...
  A: Brenda, I am so sorry to hear what you have been through. you need an x-ray to see what is going ...
Muscle Spasms and Calf Pain3/31/2009
  Q: July 3 of 2007 I had a lateral tear of my Achilles tendon, it was misdiagnosed for about 5 months, ...
  A: it should not be permanent, you will just have a long recovery, 12months or more of this. the knots ...
hip abductor strain3/31/2009
  Q: After running and practicing Taekwondo sidekicks and leg lifts, I woke up the next morning with my ...
  A: Buy some ankle weights. Stand and move your hip out to the side, hold 5 seconds, and bring back to ...
sciatica3/30/2009
  Q: I have sciatica caused by a very tight piriformis muscle. What stretches do you suggest I do to ...
  A: yes, it is probably causing your discomfort. you need to strengthen your core muscles in order to ...
Left Arm loss of feeling/chronic pain3/30/2009
  Q: In May of 2008, I was exiting a door that had a ramp that was apparently unattached from the ...
  A: Rhonda, Nerve injuries are hard to predict. You may develop some sensation back, you could get all ...
radial head replacement3/29/2009
  Q: I had a radial head replacement eight months ago and would like to know if i will ever be pain free. ...
  A: you will be pain free. that is a pretty intense surgery. you may have some scar tissue formation. ...
femur/hip3/27/2009
  Q: I am young (28) but due to crow IV DDH I had a hip replacement. To shorten the femur and restore ...
  A: You probably have poor muscle control over your whole hip. your hip capusle is compressed when you ...
hip abductor strain3/27/2009
  Q: After running and practicing Taekwondo sidekicks and leg lifts, I woke up the next morning with my ...
  A: Alice, I can appreciate your willingness to stay in shape, but your strain will not get better ...
random occurences of knee pain3/27/2009
  Q: I injured my knee about five years ago while playing basketball (I came down hard and it felt like ...
  A: You may have some ligamentous damage. You should get it checked to make sure. To make it feel ...
Illio-psoas release3/26/2009
  Q: I am a massage therapist with a client who had her leg amputated below her knee several months ago. ...
  A: I do not want to be rude, but you have no training for rehabilitation including stretching muscles. ...
paralabral cyst3/24/2009
  Q: ..I am a 33 yr. old female with left shoulder pain for the past 2 years. It was continuing to get ...
  A: PT can work alone as you can have a cyst and it can be inflammed. PT can address that. If you do ...
Can Physical Therapist percribe medicine?3/24/2009
  Q: Why can't physical therapist prescribe medicine?
  A: In the US, we do not have prescriptive rights. We are taught in school pharmacology, but our ...
back pain3/23/2009
  Q: I am a 33 y/o male. I hurt my back and am unsure as to what exactly it is. I fear it may be a ...
  A: It does sound like a herniated disc. yes there are things to do. your best bet is to call a PT ...
brachialis pain??3/21/2009
  Q: I just found this website and was reading the question written to Gina by a Coach and it was dated ...
  A: It does not sound like brachialis, it sounds more like deltoid, or even rotator cuff tendonosis. ...
myofascial pain3/21/2009
  Q: I have been suffering from chronic upper/lower jaw and tongue pain for over 5 years. The pain is ...
  A: If a chiro offers you credit, leave his office. that is ridiculous. Have you seen an oral ...
sports medicine/ exercise science (PT)3/20/2009
  Q: Hey, I'm junior in college and recently I decided that i wanted to pursue a career in sports ...
  A: Good question. As a PT, you will start around 55K or so, maybe more or less depending on where you ...
bicipital tendonitis3/15/2009
  Q: I just recently have been diagnosed with bicipital tendonitis with weakness in supraspinatus. This ...
  A: It is possible to have a tear. with your current treatment, you should have gotten better. if ...
shoulder post-op p/t3/13/2009
  Q: I recently had surgery for a torn labrum and my Dr. has sent me to an occupational therapist instead ...
  A: I feel like you would benefit from PT more. OTs are not really trained in orthopedics in their ...
soreness behind knee after tkr3/11/2009
  Q: after 10 months tkr the doctors feel I my have rsd. With the pretty weather I have been walking and ...
  A: Yes, it is normal. how is your strength. you need to make sure you are still doing your exercises. ...
broken ankle2/20/2009
  Q: 2 weeks ago tomorrow morning i fell and broke my ankle and fibula. I required surgery and 4 screws ...
  A: Austin, typically, it is about 6 weeks of non weight bearing, then 1-2 weeks of partial weight ...
SI Joint2/17/2009
  Q: How complicated is the SI joint injection? How effective is it? Can it be done in a dr. office? Do ...
  A: Jennifer, Most doctors will want the injection done under floroscopy. That may or may not be in ...
knee injury2/15/2009
  Q: I was involved in a car crash, hitting a car that was at right angles to the carriageway head on at ...
  A: Yes it is possible. Sometimes it takes one action to set off the reaction. it is possible that you ...
Knee pain2/15/2009
  Q: I am a 61 year old male,and ran for 10 years,from late 84 to early 95,15 miles a week.I haven't ...
  A: Michael, It could be OA, but, you may need some general lower extremity strengthening first before ...
leg strengthening alone?2/12/2009
  Q: I've heard that you need to balance your exercise. I've been using a stretchy band -one end around ...
  A: Pat, great question. I feel that even if one leg is better than the other, it is best to work them ...
BME- Bone Marrow Trabecular Injury- PT suggestions?2/12/2009
  Q: I fell on my left knee two months ago. Cannot extend or bend the knee; painful to walk, ride bike, ...
  A: Nina, This is a little out of my scope of practice. I would go see a orthopedic oncologist and let ...
Acute Shin Injury2/11/2009
  Q: Sorry there is a bit of back history to this question..bear with me Whilst on holiday 4 weeks ago, ...
  A: Rob, It is normal for you to have swelling, bruising, and tenderness. Gravity is why this happens, ...
back pain2/10/2009
  Q: A year ago I pulled a lower back muscle, went to PT for several months, did all my exercises every ...
  A: Dia, from what it sounds like, you are a candidate for cortizone. sometimes we need help from ...
back pain2/9/2009
  Q: I'm 60 years old over a week ago my back started to hurt in the lower part left side. I went to my ...
  A: Yes there is. You really should have your MD send you to PT, they can really help. Unfortunately, ...
kienbocks disease on right wrist2/8/2009
  Q: i had an mri done and the results were "kienbock's disease" my dr. shorten the radius bone and put ...
  A: Angelica, I am sorry, but this is a question for your surgeon. It sounds like you are progressing ...
9 monyhs after tkr2/7/2009
  Q: I am a 66 year-old female and I had tkr may 9th 2009. Very well known Dr.in Al. He has been with me ...
  A: Is your knee red, any sign of infection?? I hope they do some blood work. It could be scar tissue ...
hamstrings after knee replacement2/6/2009
  Q: it has been 16 days since my knee replacement. My PT keeps trying to extend my leg straight at zero ...
  A: Good question. Extension is very important early on in recovery, but at 16 days, not everyone has ...
Chiropractic manipulation2/2/2009
  Q: Do you know if jaw manipulations are permanent? I had two at the chiropractor after having some ...
  A: Linda, Are manipulations permanent in that you cannot open your mouth? Or are they permanent that ...
exercises for cp lady1/28/2009
  Q: I am needing assurance I have not encouraged a 54 year old lady with spastic diplegic cp to do ...
  A: Yes that is bad for her. Spastic diplegia uses those muscles to spasm out. You need to train the ...
Cortisone Injection1/27/2009
  Q: I sustained a injury about one year and a half ago. My injury was due to me playing my favorite ...
  A: Vanessa, The shots are bad if you get them frequently and close together. A year apart, is fine. ...
tore something (labrum?) last night doing the splits1/25/2009
  Q: I'm 47 and have been working out most evenings for 3+ years, including a lot of stretching. ...
  A: Acetabular labral tears are not common at all. You also have ligaments of the hip joint that can ...
sprained tendon in wrist12/26/2008
  Q: I sprained a tendon in my left wrist about two years ago. I didn't know what was wrong with it, i ...
  A: Yes, there are things you can do. I cannot however really tell you how without seeing you. I ...
Fractured Proximal phalanx12/23/2008
  Q: I am 16 years old and I fractured my proximal phalanx while playing basketball three days ago (no ...
  A: I think that rehab time may be a little excessive too, but I have not seen the x-rays to determine ...
chest pain12/23/2008
  Q: i have a 7 and a half year old who plays baseball. he plays tournament ball which means 25 games in ...
  A: It sounds like costrochondritis. An irritation to the ligaments and muscles in between the ribs. ...
a question about joint pain12/23/2008
  Q: I have tennis elbow and frozen shoulder. Every day, I do stretching and light weight lifting ...
  A: David When you do the stretching and strengthening exercises, you are stimulating increased blood ...
Physical Therapy12/19/2008
  Q: I would greatly appreciate it if you could tell me the difference between a physical therapist and ...
  A: Osteopathic is a medical degree, on the same level as MD and can prescribe drugs, and do surgery if ...
mechanical assistance for elderly standing up12/16/2008
  Q: Here's the situation: My aunt and uncle live together. She is in good health but he is not. Well, ...
  A: chris, There are so many options out there to assist elderly people at home for safety. The best ...
fractured ankle12/3/2008
  Q: I fractured my left ankle 3 weeks ago, I have two tiny hair line fractures on the smaller bone on ...
  A: Yes you are doing damage. Stop putting weight through it. I can appreciate your desire to not put ...
Partial tear of Bicep Distal Tendon11/29/2008
  Q: An MRI Scan yesterday highlighted I have a tear in my left arm bicep distal tendon (longtitudinal ...
  A: 1. A partial tear can heal, go to PT. 2. Recovery time can be 4-6 weeks or more. you will gradually ...
Patella Cartilage and exercise11/28/2008
  Q: Hey, I am somewhat paranoid about this and I just want to get your opinion on this subject. I ...
  A: Recumbent bike and pool running are great!!! sprinting on hard surfaces is rough on anyone, but i ...
Muscle weakness almost 4 years status post hip replacement11/13/2008
  Q: Bryan. I am 41 years old and had a left THR in February 2005. I have been doing very well. The ...
  A: Becky, If you remember all your exercises from post surgery, do those. Also, straight leg ...
nerve damage treatment11/11/2008
  Q: I broke a bone on the outside of my leg above my ankle bone about five weeks ago. When my leg was ...
  A: Anytime you have nerve pain, you can use desensitization techniques to improve the function. ...
possible shoulder injury11/10/2008
  Q: Hoping you can shed some light on a long-standing injury. In November 2007, I was hit by another ...
  A: You need to see a specialist. A physiatrist. He can help to treat you effectively. I am not sure ...
therapy for foot drop from L5 radiculopathy11/9/2008
  Q: I am currently avoiding invasive surgery of a very extruded R L4-L5 disc using conservative therapy ...
  A: it is possible, if you can move your foot like you say, you don't have complete foot drop. If the ...
Post surgery question11/5/2008
  Q: I had surgery four years ago on my right ring finger at the first knuckle to release the tendons ...
  A: there are some things to do. but, if the tendon is not there to work properly, then you will never ...
pelvis/lower extremity problems11/2/2008
  Q: First off, thanks for taking the time to answer this and other people's questions. Now - my problem. ...
  A: Yes, you need PT to develop a good balance back with all the muscles. That is why you did not ...
Hip Flexor10/29/2008
  Q: Im a high school tri-varsity athlete who's had knee problems in the past two years that have ...
  A: Yes, go see your sports medicine orthopedic surgeon. Until then, heat, stretch, do not "test it ...
Broken Femur Bone10/29/2008
  Q: I broke my femur about 8 weeks ago in two places. I had it operated on and a Titanium rod placed ...
  A: Different surgeons have different beliefs on PT for this. I have some docs that want the patient ...
possible rotator cuff problem10/28/2008
  Q: I have an injury to my right shpulder-diagnosed as bursitis and a slight rotator cuff problem. I was ...
  A: I cannot advise you further. I have a hard time telling someone to buy a machine that they have not ...
Bennets fracture to thumb10/27/2008
  Q: I fractured my thumb 7 weeks ago .It was a Bennetts fracture which required manipulation in surgery ...
  A: It can take 3-6 months or more to fully heal. I would guess that after 3 months, most of the ...
Degenerative Disc10/25/2008
  Q: I was diagnosed with cervical degenerative disc disease quite a few years ago.Latley it has been ...
  A: Debbie, First you need to stretch out your neck muscles to allow for more movement, then you need ...
stiffness of finger after operation10/23/2008
  Q: i have a question, 2 years back i accidentally fracture my index hand.my hand been bended while ...
  A: I am having a hard time reading your email. I think that you are experiencing some post operative ...
pelvic floor rehabilitation specialization10/21/2008
  Q: I had sustained multiple trauma several years ago being struck as pedestrian by an auto (being hit ...
  A: Judy, It makes a difference becasue of experience. Some people will say that they can treat it, ...
Low back stiffness10/20/2008
  Q: I have been having chronic low back tension (left buttock, non-radiating, stiff, not really painful, ...
  A: Ryan, check out resources for piriformis syndrome and related stretches. I would work on your ...
Hip Flexor10/18/2008
  Q: I'm 56, active all my life. I severely strained my hip flexor on a recumbent bike 10 years ago. I ...
  A: Sometimes you need a dose of prescription anti inflammatories to get you through. Basic hip flexor ...
shoulder dislocation10/18/2008
  Q: I’m 18 years old... I dislocated my shoulder about 8 months ago ... I did physical therapies for ...
  A: If you are doing workouts and feel that your shoulder is strong, I cannot see a reason not to. if ...
broken arm/nerve damage10/13/2008
  Q: MY ARM WAS BROKEN ABOVE ELBOW DUE TO AUTO ACIDENT. I HAVE NERVE DAMAGE TO HAND, CALLED A DROPPED ...
  A: Nerve Damage can resolve within a week to a few months or more. If your MD believes your nerve to ...
Peroneal Nerve Damage9/21/2008
  Q: On the nth July I had surgery for a crushed sciatic nerve. It has left my calf muscle, ball of my ...
  A: Ask you doctor to refer you to PT. It is hard for me to tell you what to do, without really seeing ...
RTS recovery9/15/2008
  Q: My 16yo son was diagnosed with Radial Tunnel Syndrome about 10 days after injuring his arm. When he ...
  A: You should go see a PT near you and be evaluated. You need to make sure that the nerve is not being ...
broken big toe?9/12/2008
  Q: My 12 year old plays for a fairly high-intensity (read: WACKY) soccer team in southern CA (again: ...
  A: She is 12, still growing. The big toe is extremely important, now and will be later on in life. It ...
pattellar tendon rupture9/8/2008
  Q: I am three weeks into recovery from tendon to cap reattachment surgery. Can I expect a full recovery ...
  A: John, It is very hard to say. I have seen people do great and get back to running and squatting and ...
Chest muscle tear or pull9/5/2008
  Q: I am 24 years old work out alot and am in good shape. I lift heavy but only most of the time i do ...
  A: You need to let it rest. 2-3 weeks rest, then start with light weights, building more endurance ...
Cramping in Sartorius Muscle9/3/2008
  Q: Bryan, as you can see, it is 1:50am and I am up with another cramp in the same muscle in the same ...
  A: sorry, i have my questions out of order. If it is truley your sartorius muscle, then you may need ...
Pain after tibial nail removal9/2/2008
  Q: My husband had a spiral fracture of his tibia about 5 years ago and had a tibial nail inserted. He ...
  A: He could have anything from a stress fracture to shin splints. He needs to stretch the legs ...
rehab for fractures9/1/2008
  Q: 7 Weeks ago I tripped and fractured my right patella (non-displaced) and two fingers on my left ...
  A: Try to move your fingers. you may need some physical therapy to help get you started. they can ...
Torn Medial Gastroc8/30/2008
  Q: 2 weeks ago, I was chasing a cow and stepped in a gopher hole. What kind of physical therapy should ...
  A: Robert, You will get stretching and strengthening exercises to decrease the pain and inflammation. ...
Nerve damage in elbows8/30/2008
  Q: I'm a 63-year old male, semi retired, a triathlete for 14yrs to 2002. Can't run now due left knee ...
  A: Phillip, You have to be mindful of your posture, specifically at your neck and upper thoracic area. ...
baseball pitcher post surgery tricep pain8/30/2008
  Q: I am a 20 year old baseball player...I had an orthroscopic bone spur removal last august, (07) and ...
  A: Your surgeon will not want to go back in yet. he will tell you to keep working it, slowly, ...
Tricep pain8/29/2008
  Q: About two weeks ago I was at the gym and near the end of my workout i started to work my triceps. ...
  A: Will, First, you need to loosen up the muscle. try stretching, use some very light, like a soda ...
Broken humerus8/29/2008
  Q: I have been out of the hospital for over a month now and I have recieved therapy three days a week. ...
  A: You have to keep working on your range of motion. If it will not go, then you may have to have it ...
Chronic hip bursitis8/29/2008
  Q: I am a hairdresser with a 3 year chronic hip bursitis condition in both of my hips, the left side ...
  A: I do not want to start a chiro discussion, but why are you not "aligned" and what can you do to ...
baseball pitcher post surgery tricep pain8/28/2008
  Q: I am a 20 year old baseball player...I had an orthroscopic bone spur removal last august, (07) and ...
  A: It could be many things....scar tissue formation, weakness to the surrounding ligaments, ...
Chronic hip bursitis8/27/2008
  Q: I am a hairdresser with a 3 year chronic hip bursitis condition in both of my hips, the left side ...
  A: Have you tried orthotics? They help to re-align and stabilize the foot which will also help with ...
Rehab of broken foot8/26/2008
  Q: I am undergoing PT for a foot fracture and severe ankle sprain. After going through my third session ...
  A: Pain in your knee and hip are compensatory pain, completely normal for your condition. Since your ...
Extensor strain8/25/2008
  Q: I strained my extensor hallicus longus in my left foot and have been treating it for about 9 days ...
  A: Kate, I cannot give you exercises to do without evaluating you first. I am sorry, but without ...
physical therapy8/25/2008
  Q: my name is mike. Im a freshman in college and i and majoring in sports and exercise science. With ...
  A: Mike, Physical Therapy is a graduate program. You need to get a bachelor's degree, fullfill any ...
lower abdomen8/23/2008
  Q: Bryan I am in pretty good shape and only a bit overweight. Problem is my abdomen sticks way out. Its ...
  A: Number one, do not listen to your massage therapist. They do not have the training to diagnose nor ...
Hip injury8/22/2008
  Q: I was hit by a motor bike going about 35 m/h 5 months ago. The main impact was to my hip. It got a ...
  A: Savanna, Sorry to hear about your accident. What doctor did you see? You may need to see an ...
Hip Flexor Strain8/21/2008
  Q: I felt some pain in what appears to be my hip flexor while jogging during a soccer practice. I ...
  A: Gentle stretching would be good, but if you have strained it, you need to give it time to heal. I am ...
Ethical Issue??8/21/2008
  Q: I hope you can help me. I've been receiving treatment from a PT for a few months now for foot ...
  A: Hanna, Some companies will try to see patients out of network and use their out of network ...
Multi(small)fragmented fracture in right elbow8/21/2008
  Q: male age 48 weight 99 kg height 5.7 Diabetic I had accident on 07/04/2008 on road and dislocation ...
  A: If your doctor feels that PT is harmful at this point, then he is probably right. I understand you ...
right shoulder droop8/21/2008
  Q: In 2002, a muscle "snapped" in my back while doing military presses in circuit weight training. The ...
  A: Vicki, I would say that it is not really possible to injury those muscles of the lumbar region based ...
Shoulder Inpingement8/21/2008
  Q: Bryan, Thanks for taking my question. I saw my Dr recently and he diagnosed me with shoulder ...
  A: I am sorry, I cannot offer any advice for this without seeing you. Impingement can happen for a ...
Chronic Rib Pain8/20/2008
  Q: Suggestions for Chronic Rib Pain? While playing basketball about 18 months ago I received a sharp ...
  A: Kevin, I think you need to see an orthopedic surgeon. Get a proper diagnosis, then you can treat ...
nerve damage C5-C6 disc replacment8/18/2008
  Q: I have had problems with my back for yrs. I compressed T5 in a cycling accident 16 yrs ago. 10 yrs ...
  A: Adrian, You need to try physical therapy. But only if it is ok with your MD. They can teach you ...
Femur Injury8/18/2008
  Q: I had a fall on 30 January 2008 from a height of about a floor and my femur bone was broken from the ...
  A: I was always under the impression that following a surgery like that you would be weight-bearing as ...
pectoral muscle soreness/strain8/16/2008
  Q: I seem to have strained my pectoral muscle during a recent workout. I am 47 years old, 5'-9, 164 ...
  A: Jim, you need to stretch your pec out and use really light weight to work it out. high reps, low ...
toe walking8/14/2008
  Q: My 3 1/2 year old daughter has always walked on her toes. Her pedi. referred us to an ortho. for ...
  A: Donna, You can be more aggressive, but may need to change PTs as well. Pediatric PTs are more ...
tight right calf8/13/2008
  Q: Over the last 6 weeks I have had a weird tightness or heavy feeling in my right calf. It began all ...
  A: I think that you should try to get back to your prior level of activity. Start slowly, but work ...
Pain in pelvis, scrotum, groin, lower abdomen8/12/2008
  Q: Bryan, Thanks for taking my question. I have had pain in my pelvis area for about 3 weeks now. It ...
  A: Rob, You need to see a physical therapist. They will be able to evaluate you and find out exactly ...
knee8/12/2008
  Q: My son is a high school athlete. What kind of warm up and stretching do you reccomend before ...
  A: Excellent question. Stretches should include good hamstring, quad, and calves. arm stretches ...
muscle bulge in shoulder8/9/2008
  Q: A few months ago I was messing around on a high bar, I was hanging by my hands. I felt something ...
  A: Doug, you may have some type of partial tear to the anterior deltoid. Muscles heal well, and you ...
Wrist Injury8/8/2008
  Q: My 15-year old daughter had a bike accident 3 nights ago. I took her to the ER because her wrist ...
  A: Yes, sometimes the area involved will swell and clear xrays cannot be taken. it is worth giving it ...
Acute Leg injury & suggestions or something more?8/6/2008
  Q: 9 days ago I was installing some tiles in my home and was working on my knees for a while. Starting ...
  A: J, It is hard to say, I would not expect that more than 9 days after the work, you sould have pain. ...
Cut Finger8/5/2008
  Q: I tripped and fell into a mirror that had an exposed edge and cut around the base of my ring finger ...
  A: NO, this is normal. You may have have suffered some nerve damage and that can take much longer to ...
Ankle Pain7/31/2008
  Q: I've been researching on the internet since Saturday hoping to figure out why I'm having ankle pain. ...
  A: Kim, I am not sure, without really seeing an x-ray or feeling it. I would reccomend that you see an ...
broken toe7/31/2008
  Q: Here's what happened: broke my little toe, went to the doctor and he recommended I wear a post-op ...
  A: Nancy, You more than likely just inflammed it. at about 5-6 weeks, bones should heal. You were ...
Question for pelvic muscle tension7/30/2008
  Q: I'm a 27 year old male, never had any prior health problems until now. Currently I am experiencing ...
  A: William, Muscle relaxers will help, but you may want to speak with your MD about getting on some ...
osteitis pubis7/29/2008
  Q: I am a 40yr old male with 2yr hx of left groin pain and previous pubic pain. OP was diagnosed but ...
  A: Sean, Core training, trunk stability training, and believe it or not, pelvic floor training. ...
Patella fracture7/29/2008
  Q: You were right on! NewMy fracture was at the bottom of the patella/where the patella tendon enters. ...
  A: Patricia, It usually takes 4-6 weeks for a fracture to heal. Longer with the patella. In this case, ...
ACL rehab7/28/2008
  Q: I am at 19 weeks post ACL surgery (patellar tendon), working with at PT and am not where I need to ...
  A: Carter, I am sure you are frustrated. But to answer your questions, no, there is really nothing you ...
harden joints!7/27/2008
  Q: I'm ared 23 yrs. of age i got a motor accident last oct. 19,2005 i got comminuted fracture on my ...
  A: Ared, You need to consult your orthopedic surgeon, not a PT at this point. Let him decide what ...
Rib area pain7/24/2008
  Q: In May, I felt a distinct "pop" in the right side of my back, midway, while exercising. It's still ...
  A: I don't think there will be an ASAP, but PT can help to speed up the healing process, teach you ways ...
Rib area pain7/23/2008
  Q: In May, I felt a distinct "pop" in the right side of my back, midway, while exercising. It's still ...
  A: Becky No, An MRI would not really show the strain. It would show a tear if it was a large tear. ...
gluteus medius7/19/2008
  Q: With a diagnosis of gluteus medius tendonitis I have had 8 or so physical ther. treatments ...
  A: After a few initial treatments to decrease your pain using modalities as you stated earlier, your PT ...
Possible Pinched nerve and pec atrophy7/19/2008
  Q: my upper back on the right side. I had trouble turning my neck as well. Over the next few days ...
  A: Kevin, The pectoralis muscle is innervated by several roots from the cervical spine, C7 included. ...
Fractured patella7/18/2008
  Q: I fractured my patella on May 24 2008. It appeared to be a knee strain after my knee buckled. My MD ...
  A: Patricia, You need to follow what your MD says. He has seen the x-rays, he knows what is going ...
Mobilization for lower back pain7/12/2008
  Q: For the last two months I have been visiting a phyiotherapist for treatment for lower back pain. ...
  A: Katherine, I am glad to hear you are doing better. To answer your question, yes, sometimes we have ...
Shin Trouble7/3/2008
  Q: I’m just querying some pains I’m getting in my shins. Its not pain so much as a numbness. I used to ...
  A: Thomas, This does not sound like shin splints, but more of some type of nerve entrapment or ...
achilles tendon7/2/2008
  Q: I have a patient who is 85yrs. His right heel will not touch the ground but his gait is o.k. and he ...
  A: Chris, before I answer....how is he your patient? Are you in the medical field? His gait cannot ...
Tricep pain!7/2/2008
  Q: I haven't done any weight lifting for about 8 months and 3 days ago i decided to start. I only ...
  A: Yes, you be be in a chronic state and have no bruising. Chronic would be no bleeding anymore. ...
Tricep pain!6/30/2008
  Q: I haven't done any weight lifting for about 8 months and 3 days ago i decided to start. I only ...
  A: You might have torn your triceps. Not completely, but partially. This can last for weeks. ...
Boot for 3-year old sprang anckle?6/30/2008
  Q: My little girl sprang her ankle over a week ago, but she's still in pain and limping a lot! our ...
  A: I am so sorry to hear about this. You should call your local pediatric orthopedic surgeon. They ...
muscle wasting and weakness6/30/2008
  Q: Bryan. I have two separate questions, please. One, - C5 root compression (no injury, but a form of ...
  A: Alec, #1. Rotator cuff exercises. do an internet search. Very common to strengthen the supra and ...
back pain6/30/2008
  Q: I am a fit 27 year old woman. 5'3, 110 lbs, I eat right, work out, but struggle with chronic back ...
  A: Kristy, You may have a small disc buldge in your lumbar spine. Some exercises that can help that ...
having a real knee problem6/30/2008
  Q: I'm experiencing a long-term knee pain in both knees. I will try to explain how it began. firstly I ...
  A: It sounds like you have some type of chondromalacia patellae, a softening of the underside of your ...
how do I fix an raised, anteriorly rotated pelvis?6/29/2008
  Q: After 10 years of seeing different specialists and coming up short, could you provide me with some ...
  A: Ann, thank you for the information about you. Keeping in mind this is only advice and without ...
Weak quad...help!6/27/2008
  Q: From about a month of overuse (upping running mileage, walking on hills, using stairs, cycling) my ...
  A: Ashley, You need to allow your quad to rest. you are not doing that by just not running. Trust ...
shoulder problems6/27/2008
  Q: I dislocated my shoulder a few times and i keep hearing i am going to need surgery. i really don't ...
  A: Ben, It depends on how lax your shoulder is, but any Rotator Cuff strenghening exercises can be ...
hip/back pain6/25/2008
  Q: I have had lower back pain for years which affects my ability to walk and stand comfortably. My ...
  A: Matt, You mau have some type of SI joint dysfunction. This can cause low back pain, pain radiating ...
Slipped Capital Femoral Epiphysis6/24/2008
  Q: My son, age eight had surgery 1 1/2 years ago for SCFE. He had a screw place to correct the problem. ...
  A: Andrea, Yes there are exercises that can make his hip stronger and allow him to run better. My ...
sacro-iliac problems6/22/2008
  Q: I have had S-I joint problems for 9 months, became very bad 6 months ago then in the last 3 months ...
  A: Michele, Great question. My opinion of the SI joints for you are that yes, i think the area will ...
arm/elbow pain6/21/2008
  Q: I injured my R/arm at work when a 70lb door began to fall and I caught it fully extended. I am ...
  A: Brad, You may have partially torn your biceps, or have some tendon and ligament damage at the elbow ...
finger laceration6/19/2008
  Q: i cut my index finger arcoss the knuckle and was given 7 stiches a week ago .... would i know if a ...
  A: Scott, If a tendon was cut, you would not be able to move your finger properly. If the cut is on ...
left great toe6/19/2008
  Q: In september of 2007 I was at work when a fellow employee tore off a sheet of 3/4 in.plywood from ...
  A: Mark, Rehab for toes is very difficult. The intrinsic strength of the muscles of the foot are very ...
lypolisis injections6/19/2008
  Q: I had lypolisis injections in my inner thighs about 1 month ago. I am a professional dancer so I am ...
  A: Yes, you will get your flexibility back, but it will take some time. The injections, regardless of ...
boken humerus6/18/2008
  Q: i just got back from emergency room with my 5 year old daughter. She fell off monkey bars and broke ...
  A: Robert, If this information is coming from an ER doctor, then I reccommend following up with an ...

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