Severe pain after shockwave therapy. I woke with severe pain on the left side of my head.

Severe pain after shockwave therapy May 23, 2023 · Shock wave therapy may also be effective for pain relief and involves the application of either low-energy or high-energy shock waves to the area. Safety Profile and Potential Side Effects of Shockwave Therapy. I was just released from the hospital after having stents put in my carotid artery by way of going thru my groin due to hardening of the tissues in my neck from past radiation. Acoustic waves can penetrate up to 3-4 cm into the tissue to generate the relief of pain, restoration of mobility and accelerate the natural healing processes of the human body. Mar 11, 2022 · The general consensus among professions who use shock wave therapy in practice, is that the pain should never go above 5 out of 10 on the pain scale. 1111/j. SWT-007; Huikan AG, China) with a penetration depth between 0 and 70 mm and a focus diameter of 7. Shockwave Therapy is FDA approved as a treatment for chronic tendonitis problems like, Tennis Elbow, Golfer’s Elbow and Plantar Fasciitis. Shockwave therapy can help address the underlying inflammation and pain. Here are some things you should avoid: Strenuous Exercise : Avoid any high-impact or strenuous physical activities for the first 48-72 hours after your treatment. , tennis elbow, plantar fasciitis, Achilles tendinitis) Joint pain (e. After two bouts of therapy I was still in pain and had limited shoulder motion. Oct 25, 2024 · Radial shockwave therapy, often referred to as extracorporeal shockwave therapy (ESWT), is a non-invasive treatment that’s gaining popularity for its effectiveness in treating chronic pain, musculoskeletal injuries, and even some soft tissue conditions. It was developed in the 1970s as a method for treating kidney stones. . More severe side effects are rare but should be reported to a healthcare provider immediately. Whether ESWT can relieve chronic low back pain (CLBP) and improve lumbar function is still unclear. Patients may experience temporary redness, swelling, or mild soreness at the treatment site. If a patient has a condition that causes them daily pain, shockwave therapy could help. They conclude that the available evidence does not support the effectiveness of shock wave therapy in low back pain and that high-quality RCTs are needed to assess their efficacy vs. After shockwave therapy many people experience an immediate improvement in symptoms with pain reduction and increased movement in the affected area. Extracorporeal shockwave therapy and barbotage have shown to be beneficial for calcific tendinitis . Following the search strategy, 55 articles were initially identified. Therefore, we conducted a meta-analysis of relevant studies to comprehensively analyse and determine the efficacy and safety of ESWT for chronic low back pain. After undergoing shockwave therapy, most patients are eager to resume their normal activities, including exercise. In one study, patients reported a 50% reduction in pain after just three sessions of shockwave therapy. To date, there is no consensus on the management of these patients. 2013;2013:972601. Maziak DE, Ralph-Edwards A, Deitel M, Wait J, Watt HJ, Marcuzzi A. Pain in my ear and jaw. This shockwave therapy relies on acoustic energy in the form of pressure waves to stimulate the body’s natural processes of recovery. Call 404-282-4126 to book us. [PMC free article] [Google Scholar] 24. Shockwave therapy can help treat acute or chronic musculoskeletal pain and/or pain that significantly impairs mobility or quality of life without the need for invasive surgery, including: Plantar fasciitis; Achilles Nov 15, 2023 · Shockwave therapy is a non-invasive alternative treatment for active patients who are struggling with pain and not responding to conventional treatment after an injury. Find out what to expect after the procedure, how to manage pain and discomfort, and when to seek medical attention. Sep 23, 2023 · Despite its benefits, shockwave therapy can cause some side effects. However, shock wave therapy can be supported by trigger point stretching in fiber direction. They can get their life back by giving this treatment a try. Apr 24, 2018 · Recently, extracorporeal shock wave therapy (ESWT) has been approved by the FDA and recommended for treatment of chronic plantar fasciitis in patients unresponsive to conservative treatment. From April 2016 to April 2017, 82 patients were diagnosed with KOA that Mar 15, 2024 · Learn about the recovery and aftercare process following extracorporeal shock wave lithotripsy (ESWL). In group B, using personalized focused extracorporeal shockwave therapy (fESWT), the shock wave was generated by a focused shock wave generator (HK. For example, patients treated with shock waves to treat chronic pain caused by tendonitis may receive treatments every few days at first, and sessions decrease over time. Shockwave therapy also provides many deep healing benefits. With a clinical success rate of 91%, this innovative treatment has helped so many of our patients find relief AND get back to the life they love. Understand the science, benefits, and effectiveness of Jul 10, 2024 · Reduced Pain: Numerous studies have demonstrated that shockwave therapy can significantly reduce pain levels in patients with chronic neck pain. As chronic pain therapy specialists, we use a unique version of acoustic shockwave therapy from EMS Germany, the same technology used to disintegrate kidney stones, to disintegrate myofascial adhesions in people who live with chronic pain every day . , shoulder pain, osteoarthritis) Mar 3, 2023 · Instead, thick gauze was placed between the skin and the transmitter, with no energy applied. Improvements were also noted in walking performance and activities of daily living, although the size of NHO remained unchanged. Nov 4, 2024 · Q: Is shockwave therapy safe? A: Absolutely. Benefits of Shockwave Therapy for Heel Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is a non-invasive treatment that uses high-energy acoustic waves to target areas of chronic pain in the foot and heel. When you are looking to purchase a shockwave therapy machine Oceanus can help. Chronic Heel Pain: For cases of heel pain that have not responded to other conservative treatments, shockwave therapy can offer a viable alternative, especially when traditional methods have failed. These shock waves create minuscule injuries, stimulating a healing response from the body. Aug 28, 2024 · Results. Massive perirenal and intra-abdominal bleeding after shock-wave lithotripsy: case report. These sound waves are directed into the injured area, increasing blood flow, promoting healing, and alleviating pain. Shockwave therapy finally offers an answer to this problem, restoring mobility and reversing chronic inflammation with little to no disruption to a patient’s daily life. This process is believed to facilitate the healing of the plantar fascia. Helen was recommended shockwave therapy by her physiotherapist in December 2018 after her tendon problems failed to improve. Methods Four Vahdatpour B, Alizadeh F, Moayednia A, Emadi M, Khorami MH, Haghdani S. Cho NJ, Park JS, Cho WS: Effect of Wrist Extensor Strength and Pain on Extracorporeal Shock Wave Therapy of the Lateral epicondylitis. Discover tips for a smooth recovery and steps to prevent future kidney stones. Also known as shockwave therapy, it’s a state-of-the-art, non-invasive solution for those suffering from acute and chronic musculoskeletal pain. Enhance healing & recover faster. One of the most recently approved treatments for plantar fasciitis – one which has been shown to relieve pain in many cases - is Extracorporeal Shock Wave Therapy (ESWT). It’s commonly used to treat musculoskeletal conditions, including tendon injuries, joint pain, and muscle stiffness. Pain, and Function after Shockwave Therapy in Chronic Non-Specific Low Back Pain: Pilot Study Mohamed Hussein Elgendy1 pain and function were assessed before and after 6 weeks of treatment. Section 1: Abdominal Adhesion Treatment Protocol. Aug 25, 2021 · How Does Shockwave Therapy Treat Chronic Pain? Shockwave therapy uses acoustic waves to reach deep into the tissues to remove scar tissues and release trigger points while stimulating new blood vessel growth in the affected areas. He recommended Shock wave therapy and plasma injections to help get rid of the scar tissue. It has been approved by the FDA. These high-energy sound waves are directed to affected areas, reaching tissues beneath the skin’s surface. ) is a 20-30 minute treatment session. Nov 23, 2020 · Shock wave therapy, along with an anti-inflammatory diet, is a powerful "1-2 punch" in helping you reduce pain and resolving a source of chronic pain. Treatments have been shown to eliminate pain and restore full mobility. This type of shockwave therapy is often recommended for more severe cases of chronic proximal plantar fasciitis where the pain is deeper and more persistent. Severe haemorrhage after extracorporeal shock wave lithotripsy: radiological evaluation. What is Radial Extracorporeal Shockwave Therapy (ESWT)? Radial Extracorporeal Shockwave Therapy (ESWT) is a treatment usually offered when chronic symptoms have persisted for at least 3-6 months and have not responded to conservative treatments, such as physiotherapy, activity modification, ice therapy, orthotics, painkillers, and steroid Shockwave therapy offers several benefits for chronic pain management, including reduced pain levels, improved mobility, and enhanced quality of life. Non-Invasive: Shockwave therapy is a non Rompe JD, Hopf C, Kullmer K, et al. It's also referred to as Myofascial Acoustic Compression therapy or extracorporeal shock wave therapy Shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), is a treatment that uses high-energy sound waves to stimulate healing in the body’s tissues. After shockwave therapy I have full mobility and am back to fishing! Thank you Cornerstone! The energy from a shock wave has the intensity to disintegrate unhealthy formations of mucoid substances from repeated microtrauma or inflammation. It’s effective for treating broader tissue damage. By refining the results, 19 clinical studies were extracted. Follow-Up: Multiple sessions may be needed to clear the stones completely, and follow-up imaging is usually performed to ensure the stones have been Jan 27, 2022 · Start Shockwave Therapy Today. Applying ice to the area can help reduce any swelling or discoloration. That makes shockwave therapy 1000x as strong as ultrasound. helping with healing process, the extracorporeal shockwave therapy also seems to directly affect nerves, which can reduce pain. Is this normal? Apr 22, 2024 · What are the applications of shockwave therapy in pain management? Shockwave therapy has wide-ranging applications in pain management, particularly for chronic musculoskeletal conditions. The main asset of Shockwave therapy is fast pain relief and mobility restoration. Exclusion criteria were partial or complete rupture of the gluteal tendons; the presence of other causes of hip pain such as dysplasia, deformity, severe hip osteoarthritis or low back pain; contraindications to shock waves (pacemakers, pregnancy, coagulation disorders, therapy with anticoagulants, history of neoplasia and epilepsy) or to Feb 4, 2024 · "Unlock the potential of non-surgical knee pain relief with our comprehensive article on Shockwave Therapy for Knee Pain Treatment. Sep 23, 2023 · Shockwave therapy has become an increasingly popular treatment for a variety of medical conditions, notably those involving chronic pain. While EPAT has shown promise in treating certain types of chronic pain, its effectiveness may vary depending on the underlying cause of the pain and individual patient factors. Here's what you can typically expect post-treatment: Nov 11, 2024 · Any discomfort usually subsides shortly after the session, and most people report significant pain relief over the course of treatment. Shockwave Therapy. 5 mm. Conditions like plantar fasciitis, Achilles tendinitis, shoulder tendinopathy, and certain sports injuries respond well to this treatment. Portsmouth: 603-431-6070 Nashua: 603-882-8866 Pay Your Bill Patient Portal Experience effective pain relief with Shockwave Therapy at the best medical spa in Atlanta, GA. Oct 13, 2024 · Shockwave therapy can offer such help, jump-starting the body’s ability to regenerate new tissue. As with any form of therapy, understanding its potential side effects is crucial for patients considering this option. Oct 19, 2021 · Shockwave therapy is the most advanced and highly effective treatment for ankle sprains and more. Why am I being offered Extracorporeal shockwave therapy? Extracorporeal shockwave therapy is How does shockwave therapy work? Very simply, shockwave therapy uses soundwaves to create cellular mechanotransduction resulting in a change in cellular health and more broadly, changes in a patient’s global health, pain and function. Normally, you will feel less pain after treatment. 5, shockwave therapy is uniphasic (constant) and has a peak pressure bar of 500. : Analgesic effect of extracorporeal shock wave therapy on chronic tennis elbow. What is the success rate for shockwave therapy for ED? It depends. This method is called Lithotripsy and uses high energy shock waves to break up calcified stones, thus avoiding the need for painful and invasive surgeries. Do your patients feel discomfort after ESWT? We have heard from some physiotherapists that several of their patients complained of pain several hours or days after their treatment. Efficacy of extracorporeal shock wave therapy for the treatment of chronic pelvic pain syndrome: A randomized, controlled trial. Dec 12, 2024 · What Is Shockwave Therapy? Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is a non-invasive treatment that uses high-energy acoustic sound waves to stimulate the body’s natural healing process. 1992. This article provides comprehensive information to help you navigate the recovery phase after ESWL. This includes: Tendinopathies (e. Brit J Urol. J Bone and Joint Surg, 1996, 78: 223–227 [Google Scholar] 8. Jan 30, 2024 · About 91% of patients in clinical studies say shockwave therapy worked for them, reducing chronic pain and improving movement. This was a systematic review and meta-analysis of randomized controlled trials (RCTs) designed in accordance with One year ago I had a severe fall while fishing tearing my rotator cuff and needing surgery. Aug 3, 2024 · Shockwave therapy is commonly used to treat chronic pain and injuries, particularly in the tendons, ligaments, and muscles. 58 out of 78 patients for shockwave therapy and 61 out of 76 patients for home training. It also decreases your pain by directly stimulating your nerves at the site of the injury. Benefits of Shockwave Therapy. Shockwave therapy is FDA-approved, and it’s a low-risk, high-reward option for various musculoskeletal conditions. Each "body part" (1 leg, 1 knee, 1 hip, etc. This treatment does more than distract the patient from their back pain. [11,12,13,14] ESWT is a new non-invasive therapeutic modality with good efficacy and safety in the treatment of chronic plantar fasciitis. The neck and back are very delicate but important body structures. The average pain scores were lower in the shockwave therapy and home-training groups than for patients who had the corticosteroid injection, at 15 months. While shockwave therapy is generally safe, it may induce temporary side effects like pain, tenderness, bruising, swelling, and numbness at the treatment area. Dec 14, 2023 · One of the key mechanisms of shockwave therapy is its ability to break down scar tissue and calcifications. Pain Management: Pain management during and after the procedure is typically well-handled with sedation and pain medications, making the treatment relatively comfortable for most patients. There is an immediate post-procedure reduction in pain and improved range of motion. This treatment for sore muscles, stiff joints, and other forms of aches and pains is FDA-approved and can jumpstart the body's natural healing process for a quick After these preparations, pressure waves are released via the applicator moved over the area of interest in a circular motion. g. To assess the effectiveness and safety of extracorporeal shockwave therapy (ESWT) for the treatment of chronic low back pain (CLBP). Table 1 presents a list of randomized controlled trials for the treatment of low back pain (LBP) with extracorporeal shockwave therapy (ESWT), which were excluded from further analysis after a detailed review. 1992;69:214–215. In certain cases, mild swelling or edema may occur after shockwave therapy. It targets the underlying causes of pain and inflammation, providing long-lasting relief without the need for invasive procedures or medications. Many people experience beneficial effects after 3 treatments and people with more mild ankle sprains may feel immediate pain relief. Are There Any Side Effects? Side effects are rare and minimal. What should I do if I experience severe pain after shockwave therapy? Oct 10, 2024 · One of the standout features of shockwave therapy is its ability to break down calcifications and scar tissue, which are common culprits in chronic pain. Originally developed to treat kidney stones, this therapy has evolved into a popular option for addressing soft tissue injuries and chronic conditions Shockwave therapy can benefit individuals suffering from chronic pain and soft tissue injuries, particularly those who haven’t responded well to other treatments. I found a clinic that did Shock wave therapy and plasma injections. For one, shockwave therapy is much more comfortable and doesn't use electrical shocks, but acoustic (sound) waves. Extracorporeal shock wave therapy (ESWT) has been applied in treating KOA in recent years. Etiologies of Chronic Pain after Breast Cancer Treatment. Went to a chiro today and they used this piezo machine and some metal tools to rub out my muscles. These build-ups can occur as a result of chronic heel pain and can contribute to ongoing discomfort. Jan 5, 2022 · Shockwave therapy doesn’t work through applied tension. They had to use Shockwave therapy to help widen the area for the stent. What Is Shockwave Therapy for Knee Pain? Shockwave therapy uses non-invasive shockwaves to facilitate the healing of damaged knee tissue. One year ago I had a severe fall while fishing tearing my rotator cuff and needing surgery. 1155/2013/972601. Here’s how shockwave therapy works in more detail: Stimulates collagen production: Collagen is a key protein needed for tissue repair and regeneration. Dec 11, 2024 · Shockwave therapy is a noninvasive treatment that addresses many different forms of injury or chronic pain by sending sound waves through the inflamed musculoskeletal tissues. ISRN Urol. [Google Scholar] 48. Radial and focused shockwave therapy are two types of shockwave treatments that differ in their application and depth of penetration. To compare the rehabilitation effects of extracorporeal shock wave therapy (ESWT) and thermomagnetic therapy (TMT) in patients with low back pain (LBP). It is important to rest the injured area, however, for 24 hours before and after treatment and then to continue with your prescribed rehabilitation exercises. Shockwave therapy is an excellent treatment option for back pain because it is safe, effective, and non-invasive. Apr 30, 2022 · Background: Extracorporeal shock wave therapy (ESWT) has been widely used for pain control in musculoskeletal disorders. Shockwave Therapy works by stimulating your body’s natural healing response to injury. However, in some cases, it can take several weeks to feel the full benefits of shockwave therapy. It’s like sending a carefully controlled sonic boom directly to the source of your pain! Oct 4, 2024 · How many sessions of shockwave therapy are needed? The number of sessions needed varies depending on the condition being treated. Using a much lower energy than in medical applications, shockwave therapy, or extracorporeal shock wave therapy (ESWT), is used in the treatment of many musculoskeletal conditions, primarily those involving connective tissues such as ligaments and tendons. Focused Extracorporeal Shock Wave Therapy (Focused ESWT) is a specific form of Extracorporeal Shock Wave Therapy (ESWT) that concentrates shockwaves at a specific point in the body. Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), utilizes acoustic waves to promote healing and alleviate pain. Delve into how this innovative, non-invasive approach is revolutionizing the management of chronic knee conditions, offering significant pain reduction, improved joint function, and accelerated tissue healing. Aug 19, 2021 · Shockwave therapy, or extracorporeal pulse activation technology (EPAT), is a pain-free, effective treatment for frozen shoulder, plantar fasciitis, and more. This helps the body’s natural healing process, reduces pain, and treats the underlying cause of chronic pain. For severe cases, additional treatments may be necessary. Shockwave therapy offers physiotherapists another tool for stubborn, chronic tendinopathy. May 22, 2024 · Benefits of Exercise after Shockwave Therapy. However, a slight increase in pain may be experienced within the first few hours following a session as a side effect of shockwave therapy. It’s a similar technology to ultrasound. The precision of focused shockwave therapy makes it highly effective for addressing those stubborn, hard-to-reach areas of tissue damage. Shockwave Therapy at London’s 5 Star Rated Clinic With a 94% success rate getting you pain free and avoiding surgery. Nearly 30 million people in the UK are living with some degree of chronic pain. However, predictors of pain relief after ESWL are unknown. Dec 11, 2024 · Most conditions require 3–5 sessions of extracorporeal shockwave therapy. Radial shockwave therapy disperses energy over a larger area and is typically used for superficial conditions, such as tendinitis or muscle pain. This treatment boosts blood circulation in the knee region and speeds up the body’s inherent healing mechanisms. However, they may have concerns about the safety and effectiveness of exercising after this type of treatment. Eventually I went to more experimental (not covered by insurance) medicine. It’s a non-invasive treatment that can be delivered on an out patient basis and gives significant or total relief of pain in the vast majority of patients. Who Is Not a Candidate for Shockwave Therapy? Shockwave Therapy or SWT is a non-surgical treatment option to assist with tissue regeneration and healing. tb15509. After undergoing a shockwave therapy session, it's important to be mindful of certain activities and behaviors that could potentially hinder your recovery. Q: Can shockwave therapy help with sports injuries? A: Definitely! It’s widely used in sports medicine for its ability to heal soft tissue injuries and accelerate recovery. Apr 17, 2024 · After a Shockwave Therapy session, it's normal to experience some immediate pain relief, although the full effects of the treatment may take a few weeks to manifest. Some discomfort is normal and is actually a sign that the shock waves are targeting the right area, for example, an area of tension or tight tissue in a muscle or tendon. appropriate sham Shockwave Therapy is an effective way to treat chronic pain quickly, safely, and without drugs, anesthesia, or surgery. By breaking down these formations, shockwave therapy helps to alleviate pain and improve mobility. In the presence of severe joint blockage, the blockage may loosen as a result of muscle relaxation after shock wave therapy. Swelling or Edema. It is essential to continue research into the treatment of CP, despite the use of various therapies, including low-energy extracorporeal shockwave therapy (ESWT). As a single-centre retrospective observational study, clinical data of patients with LBP who Sep 12, 2024 · Shockwave therapy is very different from the similarly-named shock therapy which has been used in psychiatric care in the past. Most are minor and temporary, such as skin reddening, mild swelling, and numbness at the treatment site. did not support the use of shockwave therapy in patients with chronic low back pain and leg pain. While ultrasound is biphasic (pulsed) and has a peak pressure bar of 0. Jul 8, 2022 · Shockwave Therapy for Back Pain. This is typically mild and resolves on its own within a few days. 1464-410x. This means that if there is a brand-new injury or bruise, this combined with shockwave therapy can cause some more soreness to develop. Whether ESWT can relieve chronic low back pain (CLBP) and improve lumbar Apr 24, 2015 · Three applications of extracorporeal shock wave therapy (ESWT) were administered to the area of NHO, which resulted in pain relief and an improvement in the loss of motion in the left hip joint. Apr 21, 2023 · After treatment, some patients experience an immediate improvement in symptoms such as pain reduction and an increased range of motion. They no longer have to rely on medications to relieve their chronic pain. Overall, it is a very low-risk procedure. Shockwave therapy is an innovative therapy that can target specific pain in the bones, joints, muscles, tendons and ligaments. Conditions that may respond well to shockwave therapy include: Plantar Fasciitis: A condition causing pain in the heel due to inflammation of the plantar fascia. Jun 5, 2023 · Some individuals may notice temporary skin redness or bruising in the treated area after shockwave therapy. Jun 24, 2023 · Background Extracorporeal shock wave therapy (ESWT) has been widely used for pain control in musculoskeletal disorders. x. Jun 28, 2024 · Specialists usually recommend one-week intervals, however, this may change depending on your individual circumstances. Fitter Feet for Life podiatrists are trained both in determining whether ESWT might be suitable for you and in providing the therapy itself. The main objective of this study is to observe and record the Accompanying therapies: In principle, no accompanying therapies are required to achieve the desired therapy success. Typically, 3–5 sessions spaced a week apart are recommended for optimal results. doi: 10. Jun 24, 2023 · Background: Extracorporeal shock wave therapy (ESWT) has been widely used for pain control in musculoskeletal disorders. Shockwave therapy often works best when combined with other treatments or therapies. The biggest predictor of pain after shockwave therapy is the degree of inflammation associated with treating the injury even before utilizing shockwave therapy. It was pretty uncomfortable during the shockwave treatment in the specific area being targeted and it was only on level 2 out of 18 … immediately after it felt good but after about 30 min that area. Knee osteoarthritis (KOA) is a major cause leading to chronic bone and muscle pain. I woke with severe pain on the left side of my head. Extracorporeal shock wave therapy can efficiently treat many musculoskeletal pathologies, but it may also be accompanied by pounding and dull pain for patients afterward, especially on sensitive zones, such as Background: Extracorporeal shockwave lithotripsy (ESWL) and/or endoscopic retrograde cholangiopancreatography (ERCP) are recommended as first-line therapy for painful uncomplicated chronic pancreatitis with obstructed main pancreatic duct (MPD) in the pancreas head/body. The doctor did an ultrasound of my lower back and found a lot of scar tissue in the muscles and ligaments. Shockwave therapy is a non-surgical and non-invasive therapy for chronic pain. Felt extremely tight. What is EPAT? EPAT is an FDA-cleared, non-invasive treatment. 3. It is frequently used for chronic knee pain that has proven resistant to other treatment The results of a review by Seco et al. The shock waves used are mechanical, not electric and are created outside the body. After shockwave therapy I have full mobility and am back to fishing! Thank you Cornerstone! May 29, 2020 · Studies show shockwave therapy also appears to reduce levels of an amino acid associated with inflammation and pain, reducing pain in the area. Chronic prostatitis (CP) is one of the diseases that reduce the quality of life (QoL) of young men. Whether ESWT can relieve chronic low back pain and improve lumbar function Oct 1, 2024 · Focus shockwave therapy, also known as focused extracorporeal shock wave therapy (ESWT), is a non-invasive medical treatment that uses high-energy acoustic waves to stimulate healing in various tissues of the body. In ESWT, shockwaves are acoustic waves with high energy that are directed toward the affected area to stimulate healing and reduce pain. fmqci hwfonnz rdlcf vyhd bmgvh kglggd ufd djsjr bxwye xdsndgm