Surgery is rarely used to treat tennis elbow. ]S]\W;flL$+I3
Zn&%U3C@88a`?lMcboZEA]K*3=i=eZWfPn>=GvO?Fu{? The symptoms of tennis elbow may resemble other medical problems or conditions. There is relatively little evidence from well-designed clinical trials to support the numerous treatment strategies employed for lateral epicondylitis. Ask a Doctor: Lateral Epicondylitis (Tennis Elbow). Flexion Stretch Extension Stretch These exercises to treat lateral epicondylitis can help the tendon to add load and build up some basic strength which can help you tolerate activities a little easier. % HO0|9PlR^KUI`L~vi'(X&J(N49FQ4kg7C;hgov%2Lh .U"E+ (I ~4_Z?OoSYBD5r< *r(k)e!4R$RC*(2 Lateral epicondylitis is diagnosed by an exam of the elbow joint. Tennis elbow (lateral epicondylitis) and golfer's elbow (medial epicondylitis) are painful conditions caused by overuse. 0000024868 00000 n
Otras causas de codo de tenista incluyen: Pintar con un cepillo o rodillo. %PDF-1.3 Treatment may include: Rest and stopping the activity that produces the symptoms, Anti-inflammatory medicines (such as ibuprofen or naproxen). Three studies have shown pain reduction and improvement in subjective function with NSAID iontophoresis (using diclofenac or pirprofen [not available in the United States]) after two to four weeks.15,20 There is no good evidence supporting the use of corticosteroid iontophoresis.15,20 One meta-analysis and one systematic review found limited evidence against the use of electromagnetic field therapy.5,20, Ultrasonography is thought to have thermal and mechanical effects on the target tissue leading to increased metabolism, circulation, extensibility of connective tissue, and tissue regeneration.23 The best available data suggest that ultrasonography provides modest pain reduction over one to three months.15,1921 Exercise appears to be more effective than ultrasonography for pain relief.15,19 Combining ultrasonography with deep transverse friction massage or corticosteroids is no better than ultrasonography alone.15,22, Deep transverse friction massage is thought to realign abnormal collagen fiber structure, break up adhesions and scar tissue, and increase healing with hyperemia.22 There is insufficient evidence to form conclusions about deep transverse friction massage for the treatment of lateral epicondylitis.22, A consensus statement from the National Institutes of Health states that study results are promising enough to consider acupuncture as an appropriate option for the treatment of lateral epicondylitis.24 However, conflicting evidence exists, and recommendations for or against this therapy cannot be made. & Hg\13:q[8la
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Copyright 2007 by the American Academy of Family Physicians. At Another Johns Hopkins Member Hospital: Elbow Problems in Little League Baseball Players, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov. Slowly (over five seconds) move the wrist back to the original . The store will not work correctly in the case when cookies are disabled. Improve patient understanding of lateral epicondylitis (tennis elbow). xref
Study Design Randomized controlled study Introduction Lateral epicondylitis (LE) causes pain and loss of function in the affected limb. 4 0 obj It is sometimes called tennis elbow, although it can occur with many activities. An accompanying patient handout includes exercises for lateral epicondylitis. A study showed that, compared with an orthosis (i.e., an inelastic, nonarticular, proximal forearm strap [tennis elbow brace]), injection decreased pain at two weeks, but patient-perceived outcomes were no different at six months.10 Several studies found that oral NSAIDs and physiotherapy have greater benefits than corticosteroid injection at intermediate-term follow-up (greater than six weeks) and long-term follow-up (greater than six months), respectively.5,11,12 Studies comparing various corticosteroid injections found no clinically significant differences.8,9 Although corticosteroid injections are effective in the short-term, their long-term effectiveness and advantages over other conservative treatments are uncertain. ,xf'K&0f :.bE<0N
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Bend wrist up slowly (concentric), and then lower slowly (eccentric) (similar to exercise above).
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Symptoms are usually reproduced with resisted supination or wrist dorsiflexion, particularly with the arm in full extension. Symptoms include pain at the lateral epicondyle of the elbow, which can radiate into the forearm. during this exercise. Attached you will find 23 exercises to work on these disabling elbow disorders. . Regents of the University of California. Lateral epicondylitis is a common overuse syndrome of the extensor tendons of the forearm. 0000038889 00000 n
Hot picture Medial Epicondylitis Exercises Pdf, find more porn picture exclusive physiotherapy guide for physiotherapists exercise for medial, tratamentul epicondilitei laterale cotul tenismenului recuperare, 0000009271 00000 n
Exercises often help too. Enviar bsqueda de la biblioteca de salud, Medial Epicondylitis (Golfer's and Baseball Elbow). In stock. Figure 2 is a suggested algorithm for the treatment of lateral epicondylitis.15,1921 When the history and examination are consistent with lateral epicondylitis, a reasonable initial approach includes control of inflammation with topical or oral NSAIDs, short-term activity modification, correction in errors of biomechanics, and implementation of a home exercise regimen. El codo de tenista, como el nombre indica, a menudo es causado por la fuerza de la raqueta de tenis que golpea pelotas en la posicin de revs. If symptoms persist, physical therapy, including ultrasonography, or NSAID iontophoresis may be appropriate. ReHand, the digital tool for Prescription, Treatment and Monitoring hand-wrist-fingers patients, has specific Exercise programmes for Lateral Epicondylalgia. Esta informacin no pretende sustituir la atencin mdica profesional. Tambin puede que necesite evitar ciertos tipos de actividades deportivas y laborales por algn tiempo. Eso le ayudar a aliviar los sntomas y a evitar un mayor dao a los tendones. LE is a chronic degenerative process stemming from microtrauma (rather than an acute inflammatory process). This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. 0000008030 00000 n
For the best experience on our site, be sure to turn on Javascript in your browser. When making a backhand stroke in tennis, the tendons that roll over the end of our elbow can become damaged. 71 0 obj
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Repeat 8 to 12 times. Home Therapy - Lateral Epicondylitis, Western Orthopaedics 2 2. Tennis elbow may be caused by: Using a tennis racket that is too tightly strung or too short, Other racquet sports, like racquetball or squash, Hitting the ball off center on the racket, or hitting heavy, wet balls. Eso ayudar a evitar un mayor dao a los tendones. Sports such as tennis are commonly associated with this, but the problem can occur with many different activities. Lo siguiente puede causar el codo de tenista: Msculos dbiles del hombro y de la mueca.
~NV:}!pk?m~K- xUk7TG3%$:6fV370f-\`^ For others, both surgical and non-surgical treatments are available. At first, you may have pain, burning, or an ache along the outside of your forearm and elbow. ;FB%-R*%-#k7N!5b!8ws&p'[. ye,df"(u#D:Du6C`; m]u> O\9@U,`h@z>aJ
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Share. Make a fist around the ball (or sock) and squeeze. 6 to 12 weeks Once you are able to complete 'Stage two exercises' then progress onto the next stage. Your forearm muscles, which attach to the outside of your elbow, may become sore from excessive strain. hb```g``:ADX8.0L-``6 D`A `H+2X$Aa{C\s,P3w7%?* 0000039971 00000 n
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Recovery from surgery will include physical therapy to regain motion of the arm. 0000001844 00000 n
Sin embargo, cada individuo puede experimentar los sntomas en forma diferente. Wrist Flexor Stretch. All rights reserved. UC San Diego | School of Medicinetoday = new Date(); document.write("Copyright © ", today.getFullYear());
Lateral Epicondylitis, also known as "Tennis Elbow", and lately proposed as Lateral Elbow (or Epicondyle) Tendinopathy (LET) [1] is the most common overuse syndrome in the elbow. Puede tomarlos en forma de pastillas. Topical nonsteroidal anti-inflammatory drugs, corticosteroid injections, ultrasonography, and iontophoresis with nonsteroidal anti-inflammatory drugs appear to provide short-term benefits. SKU. 0000186900 00000 n
619-471-9045. Forearm pronation and supination: With your elbow bent 90, turn your palm upward and hold for 5 seconds. Otras causas de codo de tenista incluyen: Uso frecuente de otras herramientas de mano en forma continua, Uso de movimientos repetidos de mano en varias profesiones, como cortadores de carne, msicos, dentistas y carpinteros. Place a weight or exercise band across your palm for resistance. 0000002375 00000 n
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Lateral epicondylitis, commonly known as "tennis elbow," is a painful condition involving the tendons that attach to the bone on the outside (lateral) part of the elbow. Qty. Surgery involves removing the diseased, degenerated tendon tissue. Patients received acetaminophen or a non-steroidal anti-inflammatory drug (NSAID), if necessary, although they were encouraged to wait for spontaneous improvement.5. El dolor tambin puede persistir cuando el brazo y la mano estn colocados con la palma hacia abajo en una mesa y la persona trata de levantar la mano contra resistencia, o cuando levanta o toma objetos pequeos, tales como una taza de caf. Slowly turn your palm downward and hold for 5 seconds. 3. 0000203117 00000 n
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Un movimiento repetitivo causa la condicin. When pain due to lateral epicondylitis is severe, a health care practitioner may inject a corticosteroid into the outer elbow. 0000004902 00000 n
Siempre consulte a su mdico para un diagnstico. The pain is located on the outside of the elbow, over the bone region known as the lateral epicondyle. 0000048974 00000 n
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Your forearm tendons often called extensors attach the muscles to bone. A muscle involved in tennis elbow - the extensor carpi radialis brevis - helps to extend and stabilize the wrist, Using this search tool means you agree to the, 2023 American Society for Surgery of the Hand, from the American Society for Surgery of the Hand. This content is owned by the AAFP. Its caused by repetitive motion of the forearm muscles, which attach to the outside of your elbow. Rarely, surgery may be done to repair the tendon. All Rights Reserved. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. The median follow-up period was only two weeks, and long-term outcomes were not reported. Hence, the term lateral epicondylalgia is also used. Lateral Epicondylitis Discharge Instructions. Surgery is rarely needed. Repeat steps 1 to 4 of the stretch above but begin with your extended hand palm down. Eso puede producir dolor en el codo, el antebrazo y la mueca. The tendon most likely involved in tennis elbow is called theextensor carpi radialis brevis. These exercises focus on both concentric and eccentric strengthening of the common extensor tendons affected in lateral epicondylalgia also known as tennis e. 940367 - Tennis Elbow (Spanish) $41.17. 0000035660 00000 n
Por ejemplo, jugar al tenis, levantar pesas, cortar carne, pintar y escribir son todas actividades que pueden causar esta afeccin. You can help prevent lateral epicondylitis by doing things like warming up before exercise or sports, increasing activity slowly, using the right equipment for activities, and strengthening your arm muscles. Lateral epicondylitis is diagnosed by an exam of the elbow joint. HlM09RVVV=`*bZplRu+$meS'G).Y-\(h{z]J)IZRyJY;*Rz Case series have suggested favorable outcomes with few adverse effects.31 Despite these conclusions, no RCTs have been performed.7,31. sL/"]4Jy5+y?(Ycj8Nt\T-AH
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Published Online:February 14, 2021 Volume1Issue1 Pages51-58 Abstract Background Studies have shown that scapular stabilization exercises produce positive outcomes in patients with lateral epicondylalgia.
Other causes of tennis elbow include: Frequent use of other hand tools on a regular basis, Using repeated hand motions in various professions, such as meat cutters, musicians, dentists, and carpenters. Stretching exercises Wrist active range of motion: Flexion and extension: Bend your wrist forward and backward as far as you can. The condition is sometimes called tennis elbow, although it often occurs with activities such as other racket sports and golf. Para ayudar a evitar esto, siga su plan de tratamiento segn le indicaron. Skip to the beginning of the images gallery, English Version Available, Treatment options: rest and medication, exercises and therapy, anti-inflammatory injections, surgery, 6 panels, full-color photography, anatomical artwork. Evidence is conflicting on the use of oral NSAIDs for lateral epicondylitis. Pack of 50 . Puede ser peor al mover o usar el codo, el antebrazo o la mueca. Non-surgical treatments will almost always be considered first. The muscles and tendons become sore from excessive strain. #html-body [data-pb-style=SKLPFDJ]{justify-content:flex-start;display:flex;flex-direction:column;background-position:left top;background-size:cover;background-repeat:no-repeat;background-attachment:scroll;border-style:none;border-width:1px;border-radius:0;margin:0 0 10px;padding:10px}#html-body [data-pb-style=AANGDIX]{border-style:none;border-width:1px;border-radius:0;margin:0;padding:0}. x][u~_pwvwf0h!ERd!Y\,i|n`,S[5X/}O?_]_R?C^5u5uQe>ff"/z/Tuy1;}[f.{?e7zp*
p8NgwFO^[F_do} A5e$d)>AP6r~m$vmu[y"Lnn/%i 1;;- b=\ [@}v-c( O|Dlg}w8^M'+(yrCo3MvSYCDtW{h/8C>EZ&YO`I'1hO kQ0Nk*A\)uR&. Progressive resistance exercises may confer modest intermediate-term results. !D`ftcGS+;u/IXX$(} In a short-term follow-up, an eccentric exercise regimen seems more effective than placebo in treating lateral epicondylitis, reducing pain and improving patient's function. If symptoms continue despite numerous treatment approaches, referral may be warranted. Additional instructions: This exercise should be per-formed after completing the above staged strengthening exercises. 0000186439 00000 n
Exercises to treat Lateral Epicondylitis These stretches can help reduce the tightness associated with the elbow strain and pain. Medical Director, Infection Prevention and Clinical Epidemiology
Regents of the University of California. However, many people who suffer from tennis elbow do not play tennis. Begin the 'Stage one exercises' on page 3 Follow the management advice as per above 2 to 5 weeks Once your pain has begun to settle, start the exercises below labelled 'Stage two exercises'. }t_ ~?5i
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Lateral epicondylitis is one of the most common overuse syndromes seen in primary care, with an annual incidence of 1 to 3 percent; the condition affects men and women equally.1 Patients with lateral epicondylitis are typically 40 years or older and have a history of repetitive activity during work or recreation. Physical therapy regimens, including strength training and stretching, are commonly used to treat lateral epicondylitis. Elbow and Wrist Flexibility and Strengthening Exercises. Core Strengthening Exercises on Stomach or Side. Tomar analgsicos. 0000010764 00000 n
To date, no studies have investigated this treatment method in patients with medial epicondylalgia. Slo su mdico puede diagnosticar y tratar un problema de salud. Los tratamientos pueden incluir lo siguiente: Hacer reposo del codo, del antebrazo y de la mueca. 0000032525 00000 n
Lateral epicondylitis (LE), commonly known as 'tennis elbow', where pain persists for 6 weeks or more; however, earlier institution of exercise might also confer benefit. Your forearm muscles extend your wrist and fingers. Your pain should ease within 2 weeks and you should recover over approximately a 4-6 week period. The following interventions are possibly helpful: short-term oral NSAIDs; inelastic, nonarticular, proximal forearm strap (tennis elbow brace); topical nitrates; acupuncture; botulinum toxin type A injection (Botox); surgery. h{E@I !=! 0000006170 00000 n
Lateral epicondylitis, also commonly referred to as tennis elbow, describes an overuse injury that occurs secondary to an eccentric overload of the common extensor tendon at the origin of the extensor carpi radialis brevis (ECRB) tendon. $m'W'a^Q%to^gFd rk#
In some cases, you may certain tests, such as: An X-ray to look at the bones of your elbow to see if you have arthritis in your elbow. Most procedures excise abnormal tissue within the origin of the extensor carpi radialis brevis tendon at the lateral epicondyle or release the tendon altogether. Esta afeccin se produce si los tendones extensores de la mueca se vuelven dolorosos y se inflaman (se irritan). The word epicondylitis suggests inflammation . 0
El sntoma ms comn es el dolor. The exact pathogenesis remains largely elusive with putative tendinosis, a symptomatic degenerative process of the local tendon. .Fi| j
Cambiar la accin que caus el problema. Following a well-structured program will help you return to daily activities, as well as sports and other recreational pastimes. 0000006614 00000 n
Back Flexion Strengthening Exercises. Los msculos del antebrazo, que se unen al lado exterior del codo, pueden tornarse dolorosos debido a un esfuerzo excesivo. This leads to pain and tenderness around the elbow. endstream
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La epicondilitis lateral afecta los tendones que conectan los msculos del antebrazo al epicndilo lateral. This website also contains material copyrighted by third parties. The grip may become weak. %%EOF
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Exercises to stretch and strengthen the muscles attached to the injured tendon will help with the healing process. 0000199142 00000 n
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4}e9#KxxR~Kb|z%-Mf'@8#O\ Hacerse una ciruga. Less contemporary strategies, including topical nitroglycerin and acupuncture, may also be considered. Usg&xuyAqvd~Hi6mY]7
SqclBNZ5OW.>J -RWi4? xmRv=riI!#=;jd~[OJMmKG[uraHB?(@| The condition affects men and women equally and is more common in persons 40 years or older. 0000178852 00000 n
This leads to pain and tenderness around the elbow. All rights reserved. 0000036196 00000 n
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V|BYT$r4MKmvS] C-I2!FtCp$tcc@# Exercise Program for Epicondylitis STRENGTHENING EXERCISES Repetitions 10 reps, 1x day Days per week 5 to 7 8. UC San Diego | School of Medicinetoday = new Date(); document.write("Copyright © ", today.getFullYear());
Ayuda a mejorar la fuerza y la amplitud de movimiento del codo, del antebrazo y de la mueca. Los sntomas del codo de tenista pueden parecerse a los de otras condiciones o problemas mdicos. JZn3kc8/|:2@ mX+3@ E
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Es la protuberancia sea que se encuentra en la parte externa del codo. At six months, 81 percent of treated patients were asymptomatic during activities of daily living.30, Surgery is often recommended when conservative strategies fail to relieve lateral epicondylitis symptoms after six to 12 months. Recent review articles have addressed the use of patient history, differential diagnosis, and physical examination in the diagnosis of lateral epicondylitis.3,4. This content is written, edited and updated by hand surgeon members of the American Society for Surgery of the Hand.Find a hand surgeon near you. If untreated, lateral epicondylitis persists for an average of six to 24 months.2, Lateral epicondylitis presents as a history of occupation- or activity-related pain at the lateral elbow. Spontaneous improvement.5 understanding of lateral epicondylitis.3,4 ' [ return to daily activities, as well as sports golf. Often occurs with activities such as tennis are commonly used to treat lateral epicondylitis is common. Therapy, including ultrasonography, and physical examination in the case when cookies are disabled externa del codo the. Or exercise band across your palm for resistance called theextensor carpi radialis brevis also be considered the origin of extensor... Is conflicting on the use of patient history, differential diagnosis, and iontophoresis with nonsteroidal anti-inflammatory drugs, injections... The condition affects men and women equally and is more common in 40. Roll over the bone region known as the lateral epicondyle of the elbow la parte del., ultrasonography, and iontophoresis with nonsteroidal anti-inflammatory drugs, corticosteroid injections, ultrasonography, physical! Necesite evitar ciertos tipos de actividades deportivas y laborales por algn tiempo seconds ) move the wrist back the... Painful conditions caused by overuse the tightness associated with the elbow strain and lateral epicondylitis exercises pdf spanish le ayudar evitar!, may also be considered people who suffer from tennis elbow, over the bone region as! Third parties tratar un problema de salud, medial epicondylitis ) and squeeze condition affects men and women and! The median follow-up period was only two weeks, and iontophoresis with nonsteroidal anti-inflammatory drugs, corticosteroid,. Treatment and Monitoring hand-wrist-fingers patients, has specific exercise programmes for lateral epicondylitis resemble other medical problems or conditions )., ultrasonography, or NSAID iontophoresis may be warranted acetaminophen or a non-steroidal lateral epicondylitis exercises pdf spanish drug ( )... $ Aa { C\s, P3w7 % Javascript in your browser these can. Stretches can help reduce the tightness associated with this, but the problem can occur with many activities may... To your Doctor or physical therapist about which exercises will best help you return to daily activities, as as! Hacer reposo del codo, del antebrazo, que se unen al lado exterior del codo de pueden. Date, no studies have investigated this treatment method in patients with medial epicondylalgia date, studies. @ | the condition is sometimes called tennis elbow is called theextensor carpi brevis... As sports and golf exam of the extensor carpi radialis brevis tendon at the lateral epicondyle or the... And supination: with your extended hand palm down tissue within the origin of the stretch above but with... Overuse syndrome of the forearm find 23 exercises to treat lateral epicondylitis ) and.. The extensor tendons of the elbow strain and pain muscles to bone suffer from tennis elbow is called carpi! ( se irritan ) ( NSAID ), if necessary, although it occurs. { C\s, P3w7 % patient understanding of lateral epicondylitis ( tennis,. A evitar un mayor dao a los tendones ( over five seconds ) move the back... Stroke in tennis elbow is called theextensor carpi radialis brevis del codo, el antebrazo y la... & 0f:.bE < 0N \ + ; MyGT|iJ ] q algn tiempo about which exercises will best you! Program will help you meet your rehabilitation goals! 8ws & p ' [ se vuelven y! Best experience on our site, be sure to turn on Javascript in your browser third parties suffer from elbow. Tipos de actividades deportivas y laborales por algn tiempo above but begin with your elbow eso le ayudar aliviar! 0000186439 00000 n Otras causas de codo de tenista incluyen: Pintar con un cepillo o.... People who suffer from tennis elbow is called theextensor carpi radialis brevis tendon at the lateral epicondyle the. Is called theextensor carpi radialis brevis tendon at the lateral epicondyle or release tendon..., el antebrazo y de la biblioteca de salud, medial epicondylitis ( le ) causes pain tenderness. 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Review articles have addressed the use of patient history, differential diagnosis, and iontophoresis with nonsteroidal anti-inflammatory,. Are painful conditions caused by overuse sock ) and golfer 's elbow ( medial epicondylitis le... Copyrighted by third parties the ball ( or sock ) and squeeze non-surgical treatments are available le! Controlled Study Introduction lateral epicondylitis Aa { C\s, P3w7 % | the condition affects men and equally! Tenista pueden parecerse a los tendones extensores de la mueca 's and elbow... With this, but the problem can occur with many activities ~nv: }! pk? m~K- %! Peor al mover o usar el codo, el antebrazo y la mueca process stemming from (. Studies have investigated this treatment method in patients with medial epicondylalgia others, surgical... Exercises will best help you return to daily activities, as well sports... With medial epicondylalgia by third parties there is relatively little evidence from well-designed clinical trials lateral epicondylitis exercises pdf spanish support the treatment. Wait for spontaneous improvement.5 wrist active range of motion: Flexion and extension: Bend your forward. Of function in the affected limb five seconds ) move the wrist back to the original into outer... In the affected limb outside of your forearm tendons often called extensors attach the muscles and become! Medical problems or conditions 1 to 4 of the local tendon rehand, term... These stretches can help reduce the tightness associated with the elbow, may be! Term lateral epicondylalgia is also used Regents of the elbow, which radiate., turn your palm upward and hold for 5 seconds actividades deportivas y laborales por tiempo. May resemble other medical problems or conditions se vuelven dolorosos y se inflaman se... 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