Tennis Elbow Surgery

Donnybasbl

New User
About 4 weeks ago, I had invasive surgery to treat a case of severe tennis elbow. I was looking for thoughts from anyone who has had the surgery as to the level of pain you experienced during the recovery process.

I am in my 4th week and i'm still suffering more pain than I thought I would. The pain can radiate from my shoulder and bicep down into my fingers at times and although I have an extremely high pain threshold, it can be quite disconcerting.

In the past I have had Tommy John surgery, two knee surgeries and surgery to scrape arthritis from my AC joint and the pain of all of those combined was nothing compared to this.

My surgeon is excellent and while he tells me that they pain will slowly begin to go away, I was looking for feedback from others who actually have had the procedure.

Any feedback is appreciated.
 

AJK1

Hall of Fame
I've had surgery on my tennis elbow, so i'm curious as to which type of operation did you have? I believe there are two types, one is where they cut you open and lift off the tendon like i had, and there is the keyhole type which is the new trend. I must say i feel sorry for you, as i was in a bandage for two weeks, no pain, and they took the stitches out and i was good after about 3 weeks. My arm has never felt better and my tennis is the best it's ever been. I hope you get some relief soon my friend, as tennis elbow is a curse in my opinion. Cheers.
 

Donnybasbl

New User
I've had surgery on my tennis elbow, so i'm curious as to which type of operation did you have? I believe there are two types, one is where they cut you open and lift off the tendon like i had, and there is the keyhole type which is the new trend. I must say i feel sorry for you, as i was in a bandage for two weeks, no pain, and they took the stitches out and i was good after about 3 weeks. My arm has never felt better and my tennis is the best it's ever been. I hope you get some relief soon my friend, as tennis elbow is a curse in my opinion. Cheers.

Thanks. I appreciate the sentiments and I admit that i'm a little concerned with the pain. My doctor is not conservative, by any means, and I was not in a splint or sling. My only precautions were no lifting or gripping. Just light normal activity. Of course the thought running through my mind is that there is still something wrong.

I did have the invasive procedure where he cut me open, debrided the decaying part of the tendon and did a cleanup of frayed parts of the tendon. The fact that you say you had no pain concerns me a little bit as i'm not only having pain, but at times it is bad enough to distract me from what i'm doing.

I'm not a tennis player and I really don't have any idea how I developed epicondylitis in my non-dominant arm, but it is what it is and I came here as I figured this would be the best place to find people who have had experience with it.

I'll wait and see if anyone else responds, but your response concerns me enough to want to place a call to my doctor and make sure everything is as it should be.

Thanks, again.
 

heycal

Hall of Fame
I've had surgery on my tennis elbow, so i'm curious as to which type of operation did you have? I believe there are two types, one is where they cut you open and lift off the tendon like i had, and there is the keyhole type which is the new trend. I must say i feel sorry for you, as i was in a bandage for two weeks, no pain, and they took the stitches out and i was good after about 3 weeks. My arm has never felt better and my tennis is the best it's ever been. I hope you get some relief soon my friend, as tennis elbow is a curse in my opinion. Cheers.

I can't remember, AJK1: did you already tell us about your surgery and how it went and what led you to finally go under the knife, and other such details? If not, tell us a story...
 

AJK1

Hall of Fame
Yeah i did, it was in one of Marius's threads i think. I've been a much stronger and better player since the operation, i stuffed around for two years trying to get rid of it, but the operation was a godsend, and the only thing that cured it. Funny thing is, i now have it in my left elbow, and i don't even use that one. Go figure! I think it must be hereditary in me. Anyway, i'm having the operation on my left elbow next year.
 

heycal

Hall of Fame
How long before you could play tennis again?

And never had any problems with that elbow since? hmm.

Any downsides you experienced?
 

AJK1

Hall of Fame
I didn't play for six months after, i could have played sooner, but frankly i was too scared to have a hit. But one thing i did was change all the gear i was using to more arm friendly stuff. And the other thing i did was have heaps of lessons to iron out any bad technique. I know now that tennis DID NOT cause my tennis elbow. I think it is a hereditary thing in me as i've got it in my left arm now!! But it's different for everybody of course.
 

KATO

New User
About 4 weeks ago, I had invasive surgery to treat a case of severe tennis elbow. I was looking for thoughts from anyone who has had the surgery as to the level of pain you experienced during the recovery process.

I am in my 4th week and i'm still suffering more pain than I thought I would. The pain can radiate from my shoulder and bicep down into my fingers at times and although I have an extremely high pain threshold, it can be quite disconcerting.

In the past I have had Tommy John surgery, two knee surgeries and surgery to scrape arthritis from my AC joint and the pain of all of those combined was nothing compared to this.

My surgeon is excellent and while he tells me that they pain will slowly begin to go away, I was looking for feedback from others who actually have had the procedure.

Any feedback is appreciated.


I had tennis elbow surgery two and half weeks ago. In my case, tendon was completely torn and I needed to have an open surgery to repair it. The pain has not been bad at all--I had to take pain killer only two days. I wore a cast for two weeks and have just started rehab. My elbow feels very stiff and I still cannot fully extend the arm. I do feel pain when I try to extend or bend my elbow.
 

Donnybasbl

New User
I had tennis elbow surgery two and half weeks ago. In my case, tendon was completely torn and I needed to have an open surgery to repair it. The pain has not been bad at all--I had to take pain killer only two days. I wore a cast for two weeks and have just started rehab. My elbow feels very stiff and I still cannot fully extend the arm. I do feel pain when I try to extend or bend my elbow.

Thanks for the feedback Kato. I'm growing more concerned as each day goes by because there has been no improvement in the pain over the past two weeks. It's not debilitating pain all the time, but it's enough to make waking up in the morning extremely uncomfortable.

I have a follow up appointment with my doctor next week and hopefully he'll be able to shed some light on this.

I'm wondering if the fact that my arm was not immobilized allowed me to use it more than I should have which is slowing down the healing process.
 
T

tc60045

Guest
Guys,

Thanks for the feedback on recovery time -- I, too, am about to get surgery. 95% tear to my tendon so I don't have an option here. Sounds like, except for OP, most of you have recovered promptly.

I'm a hard-hitting 4.5 who plays with "players racquets" proudly...vanity being what it is, I'm willing to endure a lot to keep the youth in my game. So hearing that others are playing as well or better than ever is encouraging.

TC
 

heycal

Hall of Fame
Thanks for the feedback on recovery time -- I, too, am about to get surgery. 95% tear to my tendon so I don't have an option here.

Are you saying your elbow was examined somehow and it was determined that 95 percent of the tendon is torn? And so surgery is the only option?

Is it really this cut and dry? You can get an MRI or whatever that will reveal the exact (more or less) extent of your problem and thus whether surgery is required to heal it? If so, this would save a few steps for a lot of us -- i.e., playing around with strings and rackets and ice and technique and rest and exercises and on and on might be fruitless, and maybe those of who have significant tears but don't realize it are wasting our time and prolonging our agony and have no hope of recovery, ever, unless we have surgery?

Discuss.
 

Donnybasbl

New User
Are you saying your elbow was examined somehow and it was determined that 95 percent of the tendon is torn? And so surgery is the only option?

Is it really this cut and dry? You can get an MRI or whatever that will reveal the exact (more or less) extent of your problem and thus whether surgery is required to heal it? If so, this would save a few steps for a lot of us -- i.e., playing around with strings and rackets and ice and technique and rest and exercises and on and on might be fruitless, and maybe those of who have significant tears but don't realize it are wasting our time and prolonging our agony and have no hope of recovery, ever, unless we have surgery?

Discuss.

I received two opinions on my elbow by 2 very respected orthopedic surgeons in NYC. I'm not sure what % tear there was in my elbow, but both surgeons said that because the MRI did show a significant tear and because therapy and 2 cortisone injections only provided temporary relief, surgery was the only course of treatment.
 

acer

Rookie
I've had surgery on my tennis elbow, so i'm curious as to which type of operation did you have? I believe there are two types, one is where they cut you open and lift off the tendon like i had, and there is the keyhole type which is the new trend. I must say i feel sorry for you, as i was in a bandage for two weeks, no pain, and they took the stitches out and i was good after about 3 weeks. My arm has never felt better and my tennis is the best it's ever been. I hope you get some relief soon my friend, as tennis elbow is a curse in my opinion. Cheers.

AJK1

Of the surgery types you explained, what type of surgery did you have? I am curious if it differed from Donnybasbl.

Acer
 
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Donnybasbl

New User
By the way, as a follow up, the really bad pain subsided not long after I posted on 12/11. By the time I had gone back to my doctor the next week, the pain was mainly localized in the joint, which is what I would expect.

His theory is that as a person of my age who has two very young children, and a lot to do, I probably overused my arm a bit, which was causing the radiating pain. He decided not to immobilize my arm because I wasn't rehabbing to get back to a specific activity, so as long as I didn't grip or lift anything heavy, I would be fine and wouldn't have the burden of an immobilized arm.

I had been doing stretching and grip strengthening since the middle of December and just started reverse wrist dumbell curls. I have a lot of soreness, right now, but that is part of the recovery process as I did not have full use of my arm for at least 60 days prior to my surgery, due to the pain of the torn tendon.
 
M

mlh7933

Guest
I had tennis elbow surgery last Halloween. They detached the tendon and cleaned out the "diseased tissue". The doctor said with as much scar tissue I had in there that no therapy would have helped. Playing golf is what caused my elbow to get so bad.. I did play for the first time since my surgery this last Sat. My elbow is sore from the golfing, but I have been icing it and doing massage therapy as well. I have had elbow problems for over 15 years and it got so bad that the cortisone shots didnt help much. That was when I went to the ortho doc for help..

Mike
 

Donnybasbl

New User
Mike
Thanks for sharing your experience. Unfortunately, because of a new job and an incredibly hectic past 3 months, I have not been as diligent in my rehab as I have with past surgeries. The area around my elbow is still stiff and sore and the level of pain changes from day to day.
My sport was baseball and because of an arthritic knee, I had to give is up last season. My goal now is to play a lot more golf, so that is what I will be working toward in getting my elbow healthy again.

Don
 
M

mlh7933

Guest
Don, my elbow is sore most of the time, but hitting the golfball will do that. I have been trying to ice and do ASTYM type therapy every nite. I also have one of those handheld ultrasound units on its way. I will do everything I can to get my elbow feeling better. I didnt go thru the surgery to have it keep hurting. good luck with your elbow..

MIke
 

Wazzu82

New User
Thanks everyone for the informative link. Just over a year ago I injured my elbow, and after cortisone shots, PT rest, using the arm band....I am having surgery next Friday.
What got me to the point of surgery, was not just the constant annoying aches, and lack of sleep. The pain began to move to the interior forearm, and I get shooting numbness (numbness not quite right, as that connotes no pain) down my arm, akin to a TENS unit at full strength from shoulder to fingers... I have had four shoulder surgeries, (rotator, Labrum and acromion) so am well aware of the pain of surgery and rehab. My Dr is very good, and advised me it would be 12 weeks at best before I'm back to golf etc. Now reading these posts, I see some people are 6 months out! That was about the shoulder rehab, but that is a much more evasive surgery and recovery... I'm not sure I could make it through the season without golf...(sorry Tennis players!)
Please tell me I'll be golfing again by July!!!
Thanks,
T
 

markwillplay

Hall of Fame
I had the orthoscopic one and it took a good while for me to stop experiencing pain. I went through physical therapy for a while. Eventually, it tapered off and was good to go. I have had a bit of a resurgance of it over the past couple of years but very managable. Give it time..I wanted to kill my orhto 4 weeks after I had mine. I was patient and it did taper off.
 

Wazzu82

New User
Well made it through the surgery. They did an open release, removed damaged tendon and put an anchor to secure thr good stuff. No too bad. Went off meds except at night to sleep, Sunday. Dr expects me to playing golf in 12 weeks. Maybe not 18, but golf! In the splint until the 21st, then a cast for another 10. As long as I don't use the arm at all. no pain... Just difficult to do everything lefty!
T
 

Lesleyann

New User
Tennis elbow operation, recovery

Hi guys. I have just joined T w as I have recently had a lateral epycondilitus operation and I am trying to get some thoughts and feedback. I have had T E pain for over 2 years in my left elbow from playing golf. I have had 4 cortisone injections, which all gave me pain relief for just 3 months at a time. So I had the surgery, exactly 9 weeks ago today. I still am in pain and can,t play golf yet. It is very worrying, which is why I am posting this. Can you all tell me how long it was before you were able to play golf/ tennis again, and how long was it before the pain disappeared, if it did!? My surgeon has assured me that it will all be fine soon!
 
R

rocky b

Guest
I had surgery last april I still have some pain. If I quit tennis my arm would be fine. It took 4 months before I could hit and 6 to play competitive tennis. I just hit the 1 year mark and I am not happy with the results. I will go back in at the end of the summer and do it again. I wish I never fell in love with this sport
 
topaz

I had golfer's elbow.

Had Topaz Procedure which really has no downside. They just flip up your skin and "irrigate" your sick tendon to restore blood-flow.

My doctor won't do regular surgery anymore because of the risks.

I would recommend it over going in there and cutting up your arm.

It cured my golfer's elbow (which is essentially no different than tennis elbow) and it takes all of 20min.
 
I've had TE surgery on both of my arms; "open" on my left, and "arthroscopic" on my right. My left arm took nearly a year to recover, and my right about six months. Not sure why my elbows gave me such trouble but possible contributing factors, according to both surgeons, include: having naturally wiry/ muscular forearms leading to constant pulling on the tendon attachments; years of heavy weight-lifting then abruptly stopping; years of typing on a laptop with poor arm-postioning/posture; hitting loads of golf balls (with a rather upright swing) off of a hard plastic mat; finally, as my left arm was healing from surgery, I resumed playing tennis after a 10 year hiatus from the sport. It took about 1 year of tennis before my right arm hurt so badly that I couldn't sleep.

I'm now able to play without pain so long as I don't abruptly ramp up my hours/week. When I do - for ex., when playing in a USTA tournament - my right elbow will get sore.
 

markwillplay

Hall of Fame
I probably should elaborate a little more for feedback purposes. My arthroscopic surgery was very successful. It just took a while to recover. I was 27 years old and was not even playing tennis really...had nothing to do with it. Just overuse from working out, working in construction and probably not listening to my body (I am 41 now so trying to remember). Anyway, when I went through physical therapy after the surgery, it started to subside but I was inded frustrated for weeks after the surgery because i thought i should recover faster. Had the same pain after as before, but, that was natural and eventually, the cleaned out elbow started to heal itself. Years later, I got into tennis again and could sort of agrivate it but again....playing with softer stick and strings, listening to my elbows, I could manage it and it would go away if it flared up. I eventually stopped worrying so much about it and continues a sensable workout that strengthened the forarm and did not "overwhelm it" for long periods of time.

I now work out regularly and am in great shape. 41, can do probably 30 pullups from a dead hang, 5' 11" 170. Having said that, I am the kind of person who can over do real quick. It has cost me a hip (bad genes and crazy tennis workout regimen over the years ran my right one into the ground). I can tell you this from what I know, people like me do not listen to their bodies enough. I have learned the hard way. Now, I rarely overtrain and when I feel like I am and things start to hurt, I rest!!!!!. This is the hardest lesson I have learned over the years and one I see more and more people my age who were good athletes when they were younger running into. Unfortunately, like the above poster, I think lots of joints get damaged when we are younger and don't necessarily feel the effects right away. Every one is different and your elbow has only so many swings in it per day or week, knees have only so many miles on them on hard courts or pavement, hips have only so many violent turns, etc..you get the point. Listen to your body and learn everything you can about training and playing smart..no matter what your age is.... hell, look at the young pro's. Their physio's are making money for helping them to "prevent" injury and in tennis, that ain't easy to do if you play at a level that is very competitive. I am convinced that for most people, it is a tougher sport than most for repetative use injuries.

I agree with the poster above too about typing and little things like that....they can really affect the elbows more than you think. I remember years after my surgery I took a sales job and used a cell phone constantly and typed a lot when I wasn't used to it. Drove my elbows crazy. Now, like the above poster, when my elbows get soar, I don't panic about it because I know it will subside with a little rest...a lot of it for a long time was mental I think because I was sooo fearful of tendonitis after my surgery (went through over a year of hell before it). Just try to be patient...your body wants to heal itself...give it a chance to.
 
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stsfan

New User
I feel your pain, LesleyAnn (both physically and mentally). I had surgery almost 8 weeks ago and am not where I expected. That said, gotta be patient and put it in perspective. If you were like me, things were really bad prior to surgery. This had been going on for almost 2 years, with failed PT, 4 steroid injections, and of course rest. I progressed through three stages, the first being pain with significant activity (for me not tennis, but my job, weights, and mountain climbing), the second being pain with activities of daily living (lifting remote, cup of coffee), third being aching pain all day and night that woke me up.

If you let it get as bad as I did, it's no suprise that it will take a long time to heal even with surgery. The body wants to heal but its a slow process. If it wasn't this bad, take this as a helpful warning as you never want it to ... a far different thing to not be able to sleep or function during the day than not being able to play tennis or golf. Let your body heal, however long it may take.

As an aside, while I am not an orthopod, I am a surgeon. And I suspect that, many times, when counseling patients on expected recovery time we tend to give them the best case or average (the left/center of the bell shaped curve). So when you fall to the right, while not abnormal, it tends to send your mind into a world of worry. Be patient. That's about all we have control over. But, as much as I hate to say it, forget about golf for the moment. A lost season of golf is nothing compared to a life of elbow pain.
 

Not_it

New User
About 4 weeks ago, I had invasive surgery to treat a case of severe tennis elbow. I was looking for thoughts from anyone who has had the surgery as to the level of pain you experienced during the recovery process.

I am in my 4th week and i'm still suffering more pain than I thought I would. The pain can radiate from my shoulder and bicep down into my fingers at times and although I have an extremely high pain threshold, it can be quite disconcerting.

In the past I have had Tommy John surgery, two knee surgeries and surgery to scrape arthritis from my AC joint and the pain of all of those combined was nothing compared to this.

My surgeon is excellent and while he tells me that they pain will slowly begin to go away, I was looking for feedback from others who actually have had the procedure.

Any feedback is appreciated.
I had tennis elbow surgery on my right arm in August 2017. The surgery was just debridement (basically scraping away the inflammation - the ortho surgeon said I had quite a lot). I'm sure it was due to playing tennis 9 hours every week. I tried resting the elbow for 6 months, then went through several months of physical therapy, then got a cortisone injection. None of that worked. I didn't feel any real improvement until about 7 months after surgery. It was frustratingly slow!!! My elbow would tighten up after doing any repeated motion like brushing my teeth (or even going for a 20 minute walk). My elbow would hurt at night after using a mouse at the office. Since I'm 57, recovery time is probably much longer than someone in their 30s. After 8 months, I started going back to the gym to do some weight training. My elbow feels a little "funny" after an intense day of working out, but all the pain from tennis elbow is gone. Before surgery, lifting up a soda can would cause pain. I won't go back to playing tennis until my elbow feels completely healed (hopefully within another 6 months), but I am encouraged by my progress and happy I got surgery. I hope this information is useful for people looking into surgery.
 

aussie

Professional
I had tennis elbow surgery on my right arm in August 2017. The surgery was just debridement (basically scraping away the inflammation - the ortho surgeon said I had quite a lot). I'm sure it was due to playing tennis 9 hours every week. I tried resting the elbow for 6 months, then went through several months of physical therapy, then got a cortisone injection. None of that worked. I didn't feel any real improvement until about 7 months after surgery. It was frustratingly slow!!! My elbow would tighten up after doing any repeated motion like brushing my teeth (or even going for a 20 minute walk). My elbow would hurt at night after using a mouse at the office. Since I'm 57, recovery time is probably much longer than someone in their 30s. After 8 months, I started going back to the gym to do some weight training. My elbow feels a little "funny" after an intense day of working out, but all the pain from tennis elbow is gone. Before surgery, lifting up a soda can would cause pain. I won't go back to playing tennis until my elbow feels completely healed (hopefully within another 6 months), but I am encouraged by my progress and happy I got surgery. I hope this information is useful for people looking into surgery.

I've written a lot in the past about TE and specifically about the merits of PRP injections for TE, and eventually underwent TE surgery in Nov 2013 to debride the damaged tendon attachment. It still took almost a year to get back on a tennis court following the surgery and when I did I used a heavy, flexible racquet (Prince EX03) and multi filament strings at a low tension. I've recently had a mild case of GE but am managing it by a lot of massage to the flexor muscle, and mild eccentric exercises.

The lesson is that even with surgical intervention, recovery to the point of resuming tennis to the level you had previously will take time. My surgeon said 4 months, it took me 12 months following surgery to play again.

To ensure I never go down this insidious TE path again, I massage both flexor and extensor muscles groups nightly, and also roll the muscles with a rolling pin nightly.

I've returned to lighter, stiffer frames again, but never, ever use poly as I did in my pre TE days.
 

Pete Player

Hall of Fame
... I've recently had a mild case of GE but am managing it by a lot of massage to the flexor muscle, and mild eccentric exercises.

The lesson is that even with surgical intervention, recovery to the point of resuming tennis to the level you had previously will take time. My surgeon said 4 months, it took me 12 months following surgery to play again.

To ensure I never go down this insidious TE path again, I massage both flexor and extensor muscles groups nightly, and also roll the muscles with a rolling pin nightly.

I've returned to lighter, stiffer frames again, but never, ever use poly as I did in my pre TE days.

They allways tell you 4 months, cause it is the norm for them tissues to heal. Anyway, any messing around inside your body takes a good 8 to 12 months to get back, if ever possible.

This came up on my facebook feed. Has anybody tried these?
https://hyperowl.com/products/finger-training-bands


——————————
On pain meds - all contributed matter and anti-matter subject to disclaimer
 

markwillplay

Hall of Fame
I hd it in 1997. I had a lot of pain after my scope. I went through PT and it eventually went away. I actually had it flare up again a year ago and it still bothers me some but not much. I can say that it completely went away after my surgery. Just took a while. Trust your Doc.

Damn, did not even see that I had already responded...
 

Mypain

New User
I had tennis elbow surgery on my right arm in August 2017. The surgery was just debridement (basically scraping away the inflammation - the ortho surgeon said I had quite a lot). I'm sure it was due to playing tennis 9 hours every week. I tried resting the elbow for 6 months, then went through several months of physical therapy, then got a cortisone injection. None of that worked. I didn't feel any real improvement until about 7 months after surgery. It was frustratingly slow!!! My elbow would tighten up after doing any repeated motion like brushing my teeth (or even going for a 20 minute walk). My elbow would hurt at night after using a mouse at the office. Since I'm 57, recovery time is probably much longer than someone in their 30s. After 8 months, I started going back to the gym to do some weight training. My elbow feels a little "funny" after an intense day of working out, but all the pain from tennis elbow is gone. Before surgery, lifting up a soda can would cause pain. I won't go back to playing tennis until my elbow feels completely healed (hopefully within another 6 months), but I am encouraged by my progress and happy I got surgery. I hope this information is useful for people looking into surgery.

I had surgery on both my elbows over a year ago and I am still in therapy, special made compound cream, lyrica, had cortisone injections, and massages nothing is working. My injury on both are 2 years old do you have any advice.
 

NE1for10is?

Semi-Pro
Just curious how many of you who have or are considering having surgery play with polyester strings, and how many of you will continue to do so after surgery?
 

Nick777

Semi-Pro
I had surgery on both my elbows over a year ago and I am still in therapy, special made compound cream, lyrica, had cortisone injections, and massages nothing is working. My injury on both are 2 years old do you have any advice.
More than 1-2 cortisone injection is a disaster for the tendon, the bibliographi says the healing process take 2-18 months(no surgery) it depends of the damage and person,dont know if you phusio is good but i suggest dont do anything that makes you pain, no lifting weight no tennis. Only strengthen exersises with band and a professional massage to relax completely the flexors and extensors, shock wave and ice also help with pain, small weights 1kg for exersises Only if you dont pain while you do it
 

aussie

Professional
I find that eccentric exercises for both the extensor muscles and tendon attachment for tennis elbow and the flexor muscles and tendon attachment for golfers elbow cause some irritation to the attachment points at the relevant epicondyles.

I had tennis elbow surgery in November 2013 and to this day do massage to my forearm extensor muscles and also vigorously roll my extensor muscles with a rolling pin. I get slight aggravation at the medial epicondyle as well and I keep this at bay with deep massage of the flexor muscles and also roll these muscles with a rolling pin as well. For me, staying away from strengthening exercises and concentrating entirely on massaging and rolling has been the answer.

Tennis wise, heavy, flexible frames with low tension multifilament strings (never polyesters) has played a big part in my return to tennis.
 
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