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Pain in the pelvis and radiates to the leg

30 Jun 18

Pain in the pelvis radiating to the leg

The hip joint bears the heaviest load. Also, the main function of the joint is to provide movement and maintain balance. When pain appears in a joint that radiates to the leg or lower leg, treatment should be immediate.

Modern doctors include necrosis (aseptic) of the femoral head or various fractures as the most dangerous causes of painful syndrome in the hip joint. Fortunately, these pathologies are not very common.

If the pain occurs against the background of damage to the hip joint, then it is not always localized. Most often, the painful syndrome affects the entire thigh and lower leg. Sometimes a painful syndrome in the actual zone occurs due to pathology of the lumbar spine.

Among other provoking factors it is necessary to highlight:

  • arthritis;
  • tendinitis;
  • bursitis;
  • stretching;
  • menix pathology;
  • joint injury;
  • infection in the joint.
  • A common pathology affecting older people is arthritis. This is explained by the fact that a person who has crossed the sixty-year threshold often suffers from inflammatory, dystrophic and degenerative processes that affect the joints. The disease most often targets the hip joint. This pathology is characterized by pain localized in the groin and radiating to the side or front of the thigh. Sometimes the painful syndrome is felt in the knee. The nature of the painful sensations is sharp, “shooting”. Pain attacks while standing up.

    This is inflammation of the ligaments. People who play sports professionally are at risk for this pathology. As the disease progresses, pain occurs in the hip joint, which intensifies both with load on it and during intense movements.

    Inflammation of the trochanteric bursa located above the protrusion of the femur is called bursitis. This pathology is characterized by the appearance of a painful syndrome in the gluteal area (outer section). The pain intensifies when a person turns over to the side where the lesion is located and lies on this side for a long time.

    Infection in the joint

    The pathology can be triggered by streptococcal, staphylococcal or influenza viruses and in most cases progresses at lightning speed. The symptoms of the disease are quite specific.

  • change in body temperature;
  • fever;
  • the appearance of swelling in the painful area;
  • severe pain in the actual area (occurs both during movements and upon touching).
  • Sometimes the hip joint is affected by tuberculous arthritis. When this disease develops, symptoms appear gradually.

  • the appearance of mild pain while walking
  • limited hip mobility
  • characteristic swelling of the affected area.
  • A dislocation is considered a fairly rare injury, as it occurs as a result of a person falling from a great height or a car accident.

    A serious and pressing problem for older people is a fracture of the femoral neck. The danger is that pain in the hip joint is often accompanied by thrombosis, infections and other complications.

    As a result of cutting off the blood supply to the articular part of the femur, its destruction and death occurs. This pathology is called aseptic necrosis. In some cases, it is a complication due to the use of hormonal medications.

    Tumors of soft tissue and bones

    Pain, characterized by aching character, can occur against the background of the appearance of benign or malignant neoplasms in bone and muscle tissue. The intensity of the painful syndrome in the hip joint depends on the nature of the tumors.

    Genetic predisposition

    The risk group for developing Legg-Calve-Perthes disease includes male children of primary preschool age. There is a painful syndrome in the left or right hip joint.

    Unfortunately, the thought of visiting a qualified rheumatologist, traumatologist or physiotherapist does not come to everyone’s mind. It is important to remember that joint pain is an alarming and dangerous symptom.

    You should forget about self-treatment with folk remedies, as well as uncontrolled use of potent painkillers.

    Considering that the painful syndrome occurs against the background of a variety of diseases, differential diagnosis must be carried out. The most informative types of examination include:

    • radiography;
    • nuclear magnetic tomography;
    • computed tomography;
    • angiography;
    • Dopplerography;
    • electromyography;
    • biochemical tests;
    • bacteriological tests;
    • immunological tests.
    • After an accurate diagnosis is established, treatment is prescribed. If the painful syndrome has a pronounced intensity, the doctor makes a decision regarding the prescription of highly effective analgesic drugs. In most cases, they are administered to the patient by injection.

      If the cause of acute pain syndrome was an intervertebral hernia, the attending physician prescribes a novocaine blockade. It is important to remember that the success of the treatment strategy depends on both the condition of the damaged area and the factor causing the pain. The conservative treatment strategy is as follows:

      1. Prescribing medications, both prescribed by a doctor and over-the-counter (the use of corticosteroids, painkillers and anti-inflammatory drugs is relevant).
      2. Regular exercise that involves little physical activity.
      3. Use of orthopedic insoles.
      4. The use of fixing bandages (relevant for relieving pain and improving mobility).
      5. To reduce the load on the joint, it is extremely important to monitor weight, as well as undergo massage and physiotherapeutic procedures. Individual physical activity should also be avoided. After climbing the stairs, regardless of the number of flights of stairs overcome, it is necessary to give your leg a rest.

        If the pelvis on the right hurts, what should I do?

        Pain in the pelvic area on the right can have a different character and different nature. Women are especially familiar with these painful sensations, since they can often be caused by painful menstruation or remind them of childbirth. The cause of pain can also be problems with the right hip joint and its ligaments, traumatic injuries and inflammatory processes in the right pelvic area. Moreover, some of them can lead to complete immobilization. Therefore, it is very important if the pelvis on the right hurts, ask a specialist what to do.

        Causes of pain in the pelvic area on the right

        The cause of pain in the pelvic area on the right can be arthritis. Osteoarthritis leads to degenerative changes in the hip joint, manifested by pain in the groin area, which radiates to the thigh (front and side) and intensifies when walking, leaning on the right leg and rising from a sitting position. Arthritis of infectious origin begins acutely, with a high temperature, and pain occurs when moving the joint. The joint area is swollen and painful when touched. In addition, the hip joint is often affected by tuberculosis. This type of arthritis initially manifests itself as pain that occurs when walking and radiates to the mid-thigh and knee. As the disease progresses, the joint area swells and the joint itself becomes deformed. As a result, movements in it are limited, and the right leg takes a forced position - it bends at the hip joint, turns slightly inward and presses against the left, healthy leg.

        If the pain in the hip joint is sharp, severe, and movement in it is limited, this may be a manifestation of aseptic necrosis of the femoral head caused by a violation of its blood supply. As a result, it becomes so fragile that one day it cannot withstand the weight of its owner, often under load, and crumples like an eggshell, causing pain and limited mobility of the joint. In this case, the right leg becomes shorter than the left.

        If the inflammatory process has affected the trochanteric bursa of the joint, the pain is felt in the buttock area, on the outside, and intensifies if you lie on the right side.

        Aching, nagging pain can accompany gynecological problems such as inflammation or a cyst of the right ovary, endometriosis, ectopic (tubal) pregnancy, tumor processes, postoperative adhesions. In addition, pain in the groin area on the right may be accompanied by menstruation or ovulation. Also, periodic, “flying” pelvic pain can occur in the second and third trimester of pregnancy. This is due to the fact that the expectant mother’s center of gravity shifts, her weight increases, and the pelvis itself prepares for the upcoming birth.

        Also, pain in the pelvic area on the right can indicate problems with the intestines - colitis, intestinal obstruction, constipation, intestinal cancer, hernia.

        The cause of pain in the right hip joint can also be injuries: dislocations, fractures of the femoral neck, ilium, acetabulum.

        Pain in the pelvis on the right - what to do

        If conditions such as constipation, painful periods and ovulation can be dealt with independently using well-known medicines or traditional methods, then all other diseases require qualified medical care and a thorough examination. Including radiographic.

        The pelvic bones play an important role in the human body. They protect the internal organs and bear the load of the upper body. That is why pain in the pelvic area can occur for various reasons. To make an accurate diagnosis, you need to see a doctor who will conduct a detailed examination. So, why does the pelvis most often hurt?

        Doctors identify the following causes of pain in the pelvic area:

      6. Tumor lesions of the pelvic bones. With such problems, pelvic pain is the main symptom. However, this is typical for the initial stages of the disease. The more complex the disease, the more symptoms appear.

      7. In this case, the tumor can affect not only the bones, but also nearby tissues. In addition to pain, a person complains of excessive sweating, fever, weight loss, and chills.

      8. High load during training, bruises, injuries, stretched muscle tissue. Similar reasons also often provoke the appearance of pain. In this case, the discomfort often radiates to the thigh area or to the side. People who suffer from weather sensitivity often experience a dull ache when the weather changes.
      9. Diseases of the circulatory system. With such problems, sharp pain also occurs, which most often appears when tapping these areas. If a person experiences this symptom, the doctor may suspect bone marrow disease, erythremia, leukemia, or multiple myeloma.
      10. Infectious pathologies. These include tuberculosis of the pelvic bones, as well as osteomyelitis. This type of tuberculosis is a consequence of infection affecting other organs – most often the lungs. Osteomyelitis belongs to the category of hematogenous diseases. In addition to pain, it provokes fever and changes in blood composition.
      11. Symphysiolis. This condition occurs in women and is the result of a separation of the pubic bones. Typically, this condition appears after childbirth. If there is an acute rupture of the symphysis, the woman feels severe pain.
      12. Metabolic diseases of bone tissue. Such disorders are caused by a lack of minerals in the foods consumed or an insufficient amount of vitamin D. Pain in the bones of the legs and back that occurs when walking can be a symptom of osteomalacia. This disease is a softening of the bones. With vitamin B1 deficiency, among other symptoms, leg cramps appear.
      13. Damage to the pelvic bones

        In most cases, the appearance of pain in the pelvic bones is the result of their damage:

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      14. Stable fractures - in this case, the posterior half-ring is damaged and minimal displacement occurs.
      15. Rotational unstable injuries – in this situation vertical stability is maintained.
      16. Injuries that have vertical and trochanteric instability.
      17. To determine the nature of the fracture, the doctor conducts an examination. For example, a rupture of the symphysis results in the person being in a position with the hips adducted. If the pubic bones are damaged, the victim takes the “frog” position.

        When the anterior semiring is affected in the scrotal area in men, swelling and hemorrhage can be seen. If a hematoma appears in the perineal area in a short time, this also indicates damage to the bones or arteries.

        When a fracture occurs, a person loses motor activity, and the symptom of a stuck heel often occurs. Based on the nature and location of pain, the following manifestations are distinguished:

      18. Verneuil's symptom - pain increases in the affected area with counter compression of the pelvis on the left and right;
      19. Larrey's symptom - discomfort increases when the wings of the ilium are spread apart;
      20. Studdart's symptoms - pain occurs in the iliosacral joint when the iliac bones are brought together and spread apart.
      21. Causes of pain in women

        In women, there are certain reasons that provoke pelvic pain:

      22. Varicose veins of the pelvis. It is quite difficult to detect this pathology. During a superficial examination, the woman has no visual changes. Therefore, patients are forced to turn to a variety of specialists - neurologists, urologists, oncologists. However, pain in the pelvic area often appears due to weakness of the vascular walls, inflammation of the ovaries and overflow of blood in the organs located in the lower abdomen.
      23. Gynecological diseases. Similar symptoms often accompany endometriosis or the appearance of ovarian cysts. The occurrence of pain in the pelvic area should be a reason for a comprehensive examination.
      24. Ectopic pregnancy. In this case, pain occurs on the left or right side. This condition is considered critical and requires immediate medical attention.
      25. Menstruation. Pain can occur at various stages of the cycle. They have a different character - often women experience nagging or aching pain. They can also be pulsating.
      26. Inflammatory lesions of the pelvic organs. In this case, the inflammation can be localized in the uterus or in the tubes. As a result of this process, scar changes occur in the tissues, which provokes pain.
      27. Diseases of the digestive system or psychosomatic pathologies. If gynecological disorders cannot be identified, the causes most likely lie in damage to the digestive organs. Chronic pain can also be a result of stress.
      28. Stones in the kidneys. This problem is typical not only for women, but also for men. In this case, the pain is acute and, in addition to the pelvis, is often localized in the back - in the lower back. When this symptom appears, treatment should begin immediately.

      If you experience discomfort in the pelvic area, you should immediately consult a doctor to determine the cause of this condition. The specialist will make a diagnosis based on the existing symptoms and the nature of the pain. He may also prescribe additional tests - x-rays, urine and blood tests.

      In some cases, consultation with several specialists is required - a surgeon, a traumatologist, a hematologist. You may need to be examined by an oncologist or rheumatologist.

      Therapy is selected depending on the disease that caused the pain. For treatment to be effective, the doctor prescribes a whole range of measures. The use of medications, physiotherapy, and therapeutic exercises is often required. In difficult cases, surgical intervention is indicated.

      At the early stage of the disease, special gels or compresses are used. If the pain syndrome is severe, the specialist will prescribe non-steroidal anti-inflammatory drugs, muscle relaxants and even hormonal drugs. The most effective remedies include ibuprofen and ortofen. They are used for severe inflammation of the joint, which helps to cope with swelling.

      With the development of arthrosis, chondroprotectors are prescribed. These include drugs such as glucosamine, dona, chondroitin sulfate. Thanks to the use of such products, it is possible to restore the structure of cartilage tissue.

      To improve blood circulation in the pelvic area, drugs such as trental, cinarizine, and nicotinate are used. Thanks to these drugs, it is possible to dilate blood vessels and stop degenerative processes.

      Doctors also often prescribe muscle relaxants to patients. These drugs help cope with severe pain, providing an effective effect on the affected area. To eliminate the inflammatory process, hormonal agents are used.

      In addition, the following procedures help reduce pain:

      In complex cases when the joint is destroyed, conservative therapy is ineffective. In such situations, there is a need for surgical intervention. During the operation, the joint is partially or completely replaced.

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        Pain in the hip joint, radiating to the leg. Pain in the hip joint: causes, treatment

        In the modern world of physical inactivity, hip pain radiating down the leg has become common. Such painful symptoms characterize a number of pathological ailments. And, unfortunately, it entails serious consequences. After all, it is this joint that feels the entire weight of the body in an upright position. Any pathologies that arise in this area provoke limited mobility and sometimes loss of performance. Sometimes disorders in the hip joint become the main cause of disability.

        Factors that provoke pain

        Significant loads are placed on the hip joint. That is why the risk of wear and injury is highest. Pain in the hip joint, radiating to the leg, usually develops due to the following factors:

        1. Pathology in the joint itself or the musculo-ligamentous apparatus. Discomfort occurs after injury, as a result of an inflammatory or degenerative process.
        2. Anatomical changes in the hip joint. The pain is caused by improper placement of the femoral head in the acetabulum. This pathology is diagnosed with hip dislocation, subluxation, both congenital and traumatic origin.
        3. Pathology of other systems and organs. Often pain in the hip joint, radiating to the leg, manifests itself as a result of inflammation of the pubic and sacroiliac joints, pelvic organs, and gluteal muscles. Neurological disorders lead to such discomfort. Pain may appear with sciatic nerve neuritis, lumbosacral radiculitis, piriformis syndrome.
        4. Discomfort in the hip joint cannot be ignored. After all, there is a risk of serious consequences. The nature of the manifestation varies greatly between pain in the hip joint. Symptoms can be pronounced or increase gradually. Doctors divide pain into several types:

        5. Acute pain. In most cases it is short-lived. The patient easily identifies the source of discomfort. Such pain signals a developing illness in the body or indicates organic damage. Initially, discomfort is localized in a certain area, and only then spreads further. This type is the easiest to cure.
        6. Aching. This type is often associated with acute pain. Characterized by a more extensive distribution. Discomfort may increase and disappear periodically. It is quite difficult to determine the painful area with this type of pain. This makes treatment difficult.
        7. Chronic. Pain that lasts for more than 6 months falls into this category. This is the most difficult type in terms of treatment. Often it is chronic pain that forces surgical intervention.
        8. If you periodically feel pain in the hip joint, there is a possibility of developing one of the unpleasant pathologies of this joint. Even if there are no acute sensations, but sometimes you experience discomfort with simple movements, you should consult a doctor.

          Doctors have identified several of the most common diseases, which, in most cases, cause discomfort in the joint. Having information about their course and accompanying symptoms, you can easily determine which doctor to contact.

          However, you should not cure the disease yourself. Only a specialist can make an accurate diagnosis.

          The disease is most common in older people. With this disease, pain appears in the hip joint, radiating to the leg and groin area. Often the discomfort spreads to the front of the thigh, sometimes reaching the knee. While walking, the symptoms intensify. The same picture is observed when leaning on the damaged side. The patient finds it difficult to rise from a sitting position. There is a sharp pain in the joint.

          The discomfort is significantly worse in the morning. Physical activity reduces it. However, excessive stress increases the pain several times. The person experiences stiffness in his movements.

          The treatment method depends solely on the diagnosis. In most cases, the doctor prescribes a course of exercise therapy, anti-inflammatory and hormonal drugs.

          This disease occurs in middle-aged people. It is also called deforming arthrosis. The disease develops unnoticed. At an early stage, a person feels pain in the right hip joint or left. It is extremely rare that discomfort occurs in both joints at once. The pain increases significantly during physical activity. With rest they weaken.

          The patient's suffering increases gradually. Severe discomfort occurs only in the last stages. It becomes painful for a person to get up, move, and turn around. A strong lumbago radiates to the groin area, sometimes to the knee. Since the muscles in the affected area are constantly tense, patients often experience pain in the hip joint at night.

          Unfortunately, coxarthrosis in an advanced stage is practically impossible to treat.

          Above the prominence of the femur is a vertical bursa. Its inflammation is called bursitis. Initially, the patient experiences aching in the buttocks area. If the patient lies on the injured side, the discomfort intensifies. Other fluid bursae of the above-mentioned joint may also be susceptible to bursitis:

          Most athletes are susceptible to this disease. The disease occurs in people engaged in hard work. Ligament damage significantly limits a person’s mobility. The patient has difficulty abducting his leg, as the sharp pain constrains the limbs. The patient experiences difficulty while walking and when he wants to lean on his leg.

          Arthritis is characterized by rapid progression. In a short time, the patient develops a fever. The joint swells. The patient experiences sharp pain even when touching the sore area. The source of infectious arthritis is a variety of viral diseases:

          If the pain in the joint is initially weak and does not appear immediately, tuberculous arthritis can be suspected. While walking, the patient experiences discomfort that spreads to the knee or mid-thigh area. The ability to move is limited over time, and swelling appears in the damaged area.

          Aching pain may indicate neoplasms. It should be remembered that a tumor can be benign, but sometimes malignant is also found. In this case, it is difficult to talk about symptoms. The location and nature of the discomfort are individual for each person.

          Characteristic signs

          For a patient who has pain in the hip joint, symptoms may indicate the following:

        9. When discomfort is combined with fever, inflammation of other joints, or a rash, rheumatoid arthritis may be diagnosed.
        10. Vague pain radiating to the buttock, back of the thigh, lower back, knee, may indicate avascular necrosis of the femoral head. The disease is very serious. It is developing quite quickly. The result is necrosis of the head of the bone.
        11. If the discomfort progresses slowly, increases significantly when walking or standing for a long time, and slightly changes the gait, most likely the cause is osteoarthritis.
        12. Sensations accompanied by lumbar pain spreading to the knee and back of the thigh may indicate lumbosacral radiculitis.
        13. Discomfort during pregnancy

          When carrying a baby, a woman's body undergoes restructuring. Changes are also observed in the musculoskeletal system. Hormones lead to softening of ligaments and cartilage. A pregnant woman's body increases its calcium intake. As a result, its deficiency occurs, which in turn provokes loosening of bone tissue. In addition, the increasing weight of a woman creates a noticeable load on the joints.

          Such factors often lead to divergence of the pubic bones. In this case, the woman may experience a “duck” gait. She quite eloquently characterizes such a pregnancy.

          Pain in the hip joints is easily eliminated with anti-inflammatory drugs prescribed by a doctor. As a rule, these are drugs:

          Medicines may be prescribed in the form of tablets, ointments or suppositories.

          As can be seen from the above, many pathological conditions can cause pain in the above joint. That is why special examinations are necessary to make a correct diagnosis:

        14. X-ray of the hip joint;
        15. MRI or CT;
        16. Dopplerography (examination of vascular patency);
        17. biochemical, immunological, general, bacteriological tests;
        18. electromyography (examination of tendon reflexes).
        19. A fairly popular test is x-ray of the hip joint. If necessary, an examination of the entire spine may be prescribed.

          Drug therapy

          It should be remembered that all medications must be prescribed by the attending physician based on a thorough diagnosis. In most cases, drug therapy includes the following:

          It should be remembered that most drugs have a rather detrimental effect on the body, having many side effects. Therefore, these drugs should be taken only after a doctor’s prescription and under his supervision.

          Surgical intervention

          Hip replacement is a complex operation. During this procedure, the damaged hip is replaced with an artificial joint. This is a biologically compatible wear-resistant prosthesis. It consists of a concave bowl and a spherical head. The cost of a hip joint varies from 90,000 rubles to 100,000.

          The purpose of such an operation is to relieve pain caused by degenerative diseases of the joint or previous injuries.

          In most cases, hip replacement is indicated for the following conditions:

        20. post-traumatic arthrosis;
        21. rheumatoid arthritis;
        22. aseptic necrosis of the femoral head;
        23. degenerative-dystrophic arthrosis and arthritis;
        24. Bekhterev's disease;
        25. dysplastic arthrosis;
        26. improper healing of an intra-articular fracture;
        27. false joint of the femoral neck.
        28. Today's surgery is precision, high-tech, effective surgical interventions. As a result, the patient returns to his normal life, getting rid of the painful condition and limited mobility.

          Nagging pain in the pelvic area

          20% of the world's population suffers from pelvic pain. Such pain can indicate many different disorders in the body: from digestive disorders to serious diseases. Training using the Pravilo Quadro System, a multi-level system of healing and strengthening the body, conducted by experienced instructors at the Pravilo PQS School, helps to get rid of nagging pain in the pelvis.

          Pain in the hip joint and pelvic bones

          The hip joint is the largest joint in the body, bearing the pressure of the entire upper half of the body. Because of this, parts of the joint (bones, articular cartilage, tendons, muscles, nerves and blood vessels) can be damaged in various ways. The Pravilo static exercise machine helps in the treatment of common causes of pelvic pain, which include arthritis and osteoarthritis (coxarthrosis), bursitis, aseptic necrosis of the femoral head, etc. Training on “PravIlo”, for example, activates blood supply, which triggers healing processes in the head of the femur in case of necrosis and stops degenerative processes in the hip joint in case of coxarthrosis.

          Leg pain in the pelvic area

          Pain in the pelvic area radiating to the leg may be a sign of avascular necrosis of the femoral head, various arthritis, arthrosis of the hip joint or damage to the lumbar spine. Regular exercises on the static trainer “PravIlo” help get rid of most primary and secondary diseases of the spine and musculoskeletal system.

          Pain in the pelvic area in women

          Pain in the area below the navel in women can be caused by gynecological problems, prolapse of the pelvic organs, stress, a sedentary lifestyle, etc. Performing stretching exercises in a gentle mode on the static simulator “PravIlo” allows you to eliminate many causes of pelvic pain in women . The therapeutic effect is achieved by correcting the body, during which the internal organs return to their normal state, muscle spasms are relieved, ligaments and tendons are strengthened, and lymph flow is normalized.

          Posterior pelvic pain in men

          The most common cause is prostatitis. However, pelvic pain in men can be caused by the presence of urological pathology, diseases of the colon and rectum, pathology of the neuromuscular and osteochondral structures of the pelvis, as well as psychogenic disorders. Numerous scientific studies confirm the physiotherapeutic benefits of the “PravIlo” (static) simulator, training on which improves the functioning of the nervous, endocrine and autonomic systems, and helps get rid of mental and emotional blocks.

          Pain in the side of the pelvis

          This type of pain usually occurs due to spasm of muscles and ligaments. The static exercise machine “PravIlo”, due to horizontal stretching of the body, eliminates spasms and the accompanying pain syndrome. However, localization of pain in any side may indicate serious illness.

          Pain in the right side in the pelvic area

          This may be a sign of liver disease (cholecystitis, hepatitis, etc.), problems with the urinary tract and kidneys (for example, urolithiasis, pyelonephritis). Exercises on the Pravilo (static) simulator using the Pravilo Quadro System activate the hidden forces of the body, accelerating the healing process.

          Pain in the left side in the pelvic area

          Such pain indicates possible pancreatitis, problems with the spleen, infectious processes in the intestines, and gynecological diseases. Pain radiating to the left side can also be associated with urolithiasis or pyelonephritis. The static exercise machine “PravIlo” helps in the treatment of many diseases, providing a comprehensive healing effect on the body.

          Trainings at the PQS School are conducted by instructors on an individual basis. When choosing exercises, the cause of pelvic pain, the age and gender of the participant, his physical fitness and well-being at the time of training are taken into account.

          You can learn even more about the “PravIlo” (static) simulator by signing up for an introductory consultation.

          Categories : Diagnostics

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