Examples include: Regular stretching and strengthening exercises for your sport, fitness or work activity, as part of an overall physical conditioning program, can help to minimize your risk of muscle strains. Muscle strains are common, painful injuries. Elevation. In: Instructions for Sports Medicine Patients. These fibers stretching and pressing together are what allow your body to move when you squeeze a muscle. https://orthoinfo.aaos.org/, National Athletic Trainers' Association The hip flexors are a group of muscles toward the front of the hip.They help you move, or flex, your leg and knee up towards your body. Its common to injure both types of tissue during a strain. Gastrocnemius vs. soleus strain: How to differentiate and deal with calf muscle strains. Radiology Case Reports. People use the terms interchangeably. Bite marks in the area of soreness. The more you work them out and gradually stretch them, the more flexibility and give they have when you move. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. You may feel pain or a pulling sensation when you come up from a squat or when you stand up after sitting. Most muscle strains heal in a few weeks with at-home treatments. They're more common after surgery and among people on bed rest or those who sit for long periods without stretching. A rubber donut may be used to decrease the pain of sitting on a swollen buttock. Earn 16 Rewards Points. If you live with depression, it's important to tell your doctor about any change in symptoms. Symptoms of soft tissue sarcoma include: A lump or mass is the most common soft tissue sarcoma symptom. This site complies with the HONcode standard for trustworthy health information: verify here. A groin pull can be quite painful, interfering with your ability to walk, navigate stairs, or even drive a car. Always consult a medical provider for diagnosis and treatment. The symptoms of a pulled muscle range from mild to severe, depending on the extent of the injury. Mild strains can be successfully treated at home. Snapping or popping sensation in your calf. If you've had a groin pull, you will be advised to rest and avoid any movements that cause pain. They might also cause other symptoms like bruising and weakness. Rest the injured muscle (take a temporary break from sports activities). Your favorite pair of jeans have plenty of flexibility to them because youve stretched them out over years. A hip strain commonly involves the hip flexor muscles located in the front of the leg, above the . Muscle Strains generally hurt and ache too. Last updated on Oct 10, 2022. Most Grade I or Grade II strains begin to feel better within a few days. Other common symptoms Most groin pulls are relatively minor and have simply pulled a muscle beyond its normal range of motion, causing incidental tears. Mild to moderate muscle pulls typically heal without complications. 2013 Sep;21(9):558-70. doi:10.5435/JAAOS-21-09-558. When diagnosing a pulled leg muscle, a doctor will ask you about your medical history and your symptoms, so be ready to answer questions about when the pain started, what you were doing when the pain started, what helps relieve the pain and how you would describe the pain (twinge, throb or ache). Return to sport after criteria-based rehabilitation of acute adductor injuries in male athletes: a prospective cohort study. This can result in a pulled muscle in the back. Once your healthcare provider diagnoses your injury, they may recommend additional treatments such as: Complete calf muscle tears usually require surgery. Here are the five symptoms you shouldn't ignore. If your primary care provider cannot pinpoint the cause, ask for a referral to a sports medicine specialist or an orthopedist who specializes in diseases and disorders of the skeleton and muscles. Theyre painful. Alessandrino F, et al. Quadriceps muscles on the front of the thigh. A pulled calf muscle, or a calf muscle strain, occurs when the muscles in your calf the soleus and gastrocnemius get overstretched. 2. This eventually causes wear and tear on the muscle leading to a strain. With a minor tear you may be able to continue activities or sport with minimal restriction. While a groin pull may seem obvious, there are certain conditions that can mimic it and require different treatments. It also outlines some simple stretches that can help prevent groin injury. NSAIDs help reduce swelling and relieve pain and soreness. Overcompensation is overworking and straining the muscle. Chronic strains are overuse injuries from repetitive motions. Hold for 10 to 20 seconds, gradually increasing the time as your flexibility builds. Mayo Clinic is a not-for-profit organization. Even if you dont play sports or work out often, you can still strain a muscle, especially if you suddenly exert yourself much harder than you usually do. Squat to the ground with one leg in front of your body. Sprinters, football players, soccer players and tennis players are prone to pulled calf muscles. The doctor also will ask about your symptoms, especially any decreased muscle strength or difficulty walking. National Institutes of Healthhttps://www.niams.nih.gov/, National Institute for Occupational Safety and Health A pulled calf muscle happens when your internal muscles are overstretched from exercise. When a strain occurs, muscle fibers are torn to some degree. Never push yourself too hard, too soon. If you have agroin strain, a stretching program will also help by keeping the muscles flexible and less prone to tears. It is not a substitute for professional medical advice, diagnosis or treatment. There are three basic muscles that make up the hamstring in the back of the thigh. The difference between soreness and a pulled muscle. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Chronic strains tend to have vague symptoms that are easy to overlook at first. To help prevent muscle strains in your legs, you can: If you have a Grade I or Grade II strain, your doctor will probably recommend that you follow the RICE rule: In addition, you can take a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen (Advil, Motrin and other brand names) or naproxen (Aleve, Naprosyn and others), to ease pain and relieve swelling. Dull, sharp, and/or achy pain in the neck. But golfers can pull a hamstring, too. Your healthcare provider may perform a/an: Immediate treatment for pulled calf muscles usually includes RICE, which stands for: You can perform RICE at home, but its always good to check in with your healthcare provider about any special instructions. Some minor injuries can lead to limping without pain, such as a minor tear to their ACL, minor [] Most athletes know what the injury is the moment it occurs. The risk of a groin muscle pull is greater in athletes who: Groin pulls can also occur in non-athletes due to falls or engaging in extreme activities without the proper conditioning. What types of home treatments have you tried? What is the fastest way to heal a pulled groin muscle? Anyone can get a pulled calf muscle. The hamstring and quadriceps muscle groups are particularly at risk for muscle strains because they cross both the hip and knee joints. Early symptoms of deep vein thrombosis include swelling and tightness in the leg. Information about medical problems you've had, Information about the medical problems of your parents or siblings, All the medications and dietary supplements you take. Walls RM, et al., eds. Recovery times can be extensive, lasting up to 12 weeks or more. There are lots of common injuries that cause muscle pain similar to muscle strains, including: Talk to your provider if you experience any sudden, sharp pain in your body, especially if it happens during physical activity like a workout or playing sports. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Some groin pulls can be severe and cause a muscle to completely rupture. rest, ice, compression, and; elevation. Make sure to follow your doctors recommendations and let yourself rest to prevent any further injury. everyday foods can help reduce inflammation and ease joint pain. Knowing the symptoms of a pulled leg muscle will help you decide on the right course of action. https://www.apta.org/. This particular strain is usually caused by a forceful movement. Most people can recover by resting their muscle and using at-home treatments like ice and over-the-counter medicine. Shin splints & stress fractures occur due to repetitive sports, like running. Warming up and stretching your calf muscles before physical activity. A third degree side strain is a complete tear of the muscle or a tear of the muscle from the tendon. Get useful, helpful and relevant health + wellness information. American Academy of Orthopaedic Surgeons. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. You may feel a pop, usually at the back of the thigh, when the muscle tears. Stretch one leg out to the side, keeping your other leg under your torso. To prevent groin pulls, stretch regularly. Sarah Lewis is a pharmacist and a medical writer with over 25 years of experience in various areas of pharmacy practice. Anyone can experience a hip strain just doing everyday tasks, but strains most often . In more severe injuries, where the muscle or tendon has been completely ruptured, your doctor may be able to see or feel a defect in the area of injury. We comply with the HONcode standard for trustworthy health information. redness or discoloration of the sore spot. Strain. A calf strain can cause pain and prevent you from running, jumping and doing other activities. Read our. Prompt treatment is important for your overall recovery. Muscle spasms in the thigh or groin areathe muscle suddenly tightens. Hamstring muscles on the back of the thigh. Veterinarians can use thermography to aid in diagnosis, along with palpation, ultrasound . Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. You can learn more about how we ensure our content is accurate and current by reading our. Symptoms consist of: Gradual onset pain on the inside of the lower part of the tibia (shin bone) Tenderness with possible swelling or redness over the area. The stretch will emphasize the muscles of the inner thigh and front of the thigh. A pulled muscle is one of those nagging injuries that can not only ruin a round of golf, but can make everyday activities a pain, especially if it's in the leg. These muscles pull the legs togetherand move your hip in other ways. People might also experience visible bruising if surrounding blood vessels are damaged. The muscles at the front of thigh are the most powerful in the body, but they are still vulnerable to pulls and strains. 2016 Sept/Oct;15(5):320-324. A groin pullcan be quite painful, interfering with your ability to walk, navigate stairs, or even drive a car. When you use the same muscles in the same pattern, repeatedly over time, small stresses build on each other. Your experience can vary and may involve: 1 . Proper conditioning is needed to prevent groin strain in athletes. This content does not have an English version. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). A pulled muscle occurs when you tear or overstretch some of the muscle fibers. This includes RICE (rest, ice, compression and elevation) and NSAIDs (nonsteroidal anti-inflammatory drugs), such as ibuprofen (Advil, Motrin) and naproxen (Naprosyn). But you can have a strained muscle in other areas, including the groin, thigh, feet, ankles, arms and hands. Crutches may be needed. Verywell Health's content is for informational and educational purposes only. A strain is an acute or chronic soft tissue injury that occurs to a muscle, tendon, or both. Difficulty tensing your calf muscles or standing on toes. Athletic dogs get strains, but this injury also can happen when a. A pulled muscle happens when you overstretch, stress, twist or tear the muscle. See prompt medical care if you suspect a mild or moderate muscle strain. Previously, he worked as a newspaper reporter and editor, covering issues ranging from the environment and government to family matters and education. These tests can also rule out other conditions that cause lower leg pain, such as Achilles tendon ruptures or deep vein thrombosis (DVT). Harwin JR, Richardson ML. Stand on your uninjured leg and gently lift your damaged leg to see if your knee feels especially weak or unstable. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. American Academy of Orthopaedic Surgeons. For some injuries, such as a torn tendon, surgery may be considered. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Another study of soccer players identified gastrocnemius strains as making up 12% of all muscle injuries. Its also possible to develop a herniated muscle as a result of a torn calf. Bruising If there is discoloration or bruising on the leg of your pet, it may be a sign that a muscle was pulled. Early symptoms of paralytic polio include high fever, headache, stiffness in the back and neck, asymmetrical weakness of various muscles, sensitivity to touch, difficulty swallowing, muscle pain, loss of superficial and deep reflexes, paresthesia (pins and needles), irritability, constipation, or difficulty urinating. If you have a physically demanding occupation, regular conditioning can help prevent injuries. Oluseun Olufade, MD, is a board-certified orthopedist. Other signs of a pulled calf muscle include: mild swelling redness bruising inability to stand up on the ball of your foot A severe pull in your calf muscles can leave you with feelings of. Once youve pulled a muscle, you have an increased risk of hurting it again in the future. Strains are what happens when some of the thousands of fibers in your muscles are pulled beyond their limit and tear. Advertising revenue supports our not-for-profit mission. Policy. Because the leg has many different muscles, it is vulnerable to several different types of muscle strains. Chronic muscle strains can result from repetitive injuries when you stress a muscle by doing the same motion over and over. Strains are what happens when some of the thousands of fibers in your muscles are pulled beyond their limit and tear. 9th ed. Muscles pull against the periosteum (outer bone layer) causing pain and inflammation. Simple stretches--not any that tax your flexibility too much, though--will help prepare your muscles for a few hours of exercise. Philadelphia, Pa.: Elsevier Saunders; 2012. https://www.clinicalkey.com. This usually occurs as a result of fatigue, overuse, or improper use of a muscle. A thigh strain can involve the quadriceps muscles in the front of the thigh or the hamstring muscles on the back of the thigh. Theyre common in athletes and people who are especially active. Difficulty in moving the affected limb. However, the pain and tightness may gradually increase following the exercise as bleeding and swelling occurs around the injured muscle. Get useful, helpful and relevant health + wellness information. You may want to write a list that includes: Your doctor may ask some of the following questions: Mayo Clinic does not endorse companies or products. 11 Things Your Orthopedic Specialist Wants You to Know. See a doctor if your symptoms worsen despite treatment especially if your pain becomes intolerable, or you experience numbness or tingling. Bend the knee underneath your torso to lower yourself and stretch the muscles of the inner thigh of the opposite leg. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. A torn calf muscle may require surgery. Our gentle homeopathic formulas are made with all natural active ingredients. Last reviewed by a Cleveland Clinic medical professional on 01/28/2022. We do not endorse non-Cleveland Clinic products or services. Healthgrades Can Help. Healthline Media does not provide medical advice, diagnosis, or treatment. There are four exercises that are especially good at preventing groin muscle pulls: Thisadductorstretch is done while standing, as follows: The butterfly stretch is done in a sitting position, as follows: The cross-leg stretch is also done while sitting, as follows: A groin pull is an injury to an inner thigh muscle. Refusal to put any weight on one or more limbs. Your provider will tell you which medications to take based on your specific symptoms. Similar stretches after a round of golf are advised to loosen up any muscles that might have tightened during play. Strain. Calf. Hyland's quick-dissolving tablets melt in your mouth instantly to relieve symptoms of pain and cramps in legs and calves, pain in limbs and joints, and cramps in your feet. They are also used for high-speed activities, such as track and field events (running, hurdles, long jump), football, basketball, and soccer. With rest and proper treatment, most groin pulls will heal on their own within four to six weeks. Ultrasound often can help distinguish among several different types of soft tissue injuries. It can also affect your mobility, making you unable to walk. Injuries, blood clots, and inflammatory conditions like rheumatoid arthritis may cause leg pain. Lumps and bumps along the surface of your shin bone, where new bone growth has occurred. But your muscle needs to heal, and giving it that time is the best way to make sure youll be able to get back to what you love as soon as its safe. Other causes of leg pain are related to the blood vessels, muscles, nerves, soft tissues, bones, and joints. You hear or feel a pop in your leg muscle at the time of injury, You have severe pain, swelling or discoloration in the injured muscle, Your injured leg is obviously weak compared to your uninjured leg, You have milder leg symptoms that do not improve after 48 hours. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. Muscle pain and tenderness, especially after an activity that stretches or violently contracts the muscle. Accessed April 27, 2018. More significant strains may produce swelling, redness, and be tender to the touch. The amount of pain and other symptoms will depend on the severity of the strain. Pulled Hamstring: A Pain Real Pain in the Leg! A muscle strain is an injury to one of your muscles that causes it to tear. Jonathan Cluett, MD, is board-certified in orthopedic surgery. This site complies with the HONcode standard for trustworthy health information: verify here. Possible shoulder pain. Symptoms and Signs of Blood Clot in Leg A strain of the thigh/hip is a stretching or tearing of a muscle and is commonly referred to as a "pulled muscle.". Along with your doctors treatment plan, some The usual symptoms of this type of injury include pain, spasms of the muscle, swelling, bruising, and limited mobility. Symptoms include: leg pain or discomfort that may feel like a pulled muscle, tightness, cramping or soreness. A knot-like feeling. A similar injurya sprainaffects ligaments, which hold bones to other bones at a joint. Look for stiffness or decreased range of movement. Symptoms and Causes What are muscle strain symptoms? This one of the reasons why a few simple stretches of your quadriceps are good ways to prepare them for a round of golf. Flexing or extending the damaged leg could prove difficult, resulting in mobility difficulties. For golfers, you might notice a calf pull just walking the course. A calf strain isnt a sprain. J Am Acad Orthop Surg. ouh.nhs.uk/patient-guide/leaflets/files/10921Pcalfstrain.pdf, nbt.nhs.uk/sites/default/files/attachments/How%20to%20treat%20your%20injured%20calf_NBT002257.pdf, frankgilroyphysiotherapy.co.uk/docs/058_290__apatientguidetocalfinjuryrehabilitation_1385564738.pdf, Pulled Quad: How to Treat It and Bounce Back Quickly, How to Massage a Sprained Ankle Correctly, 8 Best Wrist Braces: For Carpal Tunnel, Wrist Pain & More, Dominique Fontaine, BSN, RN, HNB-BC, HWNC-BC, inability to stand up on the ball of your foot, warming up for at least five minutes before exercise, including deep stretches, cooling down for five minutes after you work out, stretching your muscles again for five minutes after youve cooled down. All rights reserved. Its a common injury with athletes that do a lot of stop-and-go movements, but it can also affect older, active individuals. 2017 Apr;25(4):269-79, doi:10.5435/JAAOS-D-16-00171, Suarez JC, Ely EE, Mutnal AB, et al. A severe strain can cause. In most cases, a pulled muscle will heal on its own, though usually that means refraining from activities that will put pressure on that particular muscle. In: Instructions for Sports Medicine Patients. Cleveland Clinic is a non-profit academic medical center. Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Sign up for our free "Healthy Living News", Back and Neck Surgery (Except Spinal Fusion), View All Bones, Joints and Muscles Articles, https://orthoinfo.aaos.org/en/diseases--conditions/hamstring-muscle-injuries/, https://orthoinfo.aaos.org/en/diseases--conditions/hip-strains/, https://orthoinfo.aaos.org/en/diseases--conditions/muscle-strains-in-the-thigh/, https://www.niams.nih.gov/health-topics/sprains-and-strains, https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries/. More severe cases may require surgery or physical therapy. After a knee injury, it is common for the damaged area to be stiff and to experience a decrease in your range of motion. Hip Strains. Because muscle strains come from physical activities, its important they know what led to yours. This usually occurs as a result of fatigue, overuse, or improper. Hamstrings are long muscles that extend down the back of the thigh. Muscle strains and tears are generally graded from less severe (Grade 1) to more severe (Grade 3). 3 Appointments 216.444.2606 After surgery, you may wear a cast in plantarflexion for three weeks, and then a gentle dorsiflexion stretch cast for another three weeks. A physical therapist can help you to maximize stability and strength of the injured joint or limb. But these strains are more common in athletes who perform lots of stop-and-go movements with quick bursts of speed. Because hamstrings work to pull back the leg and bend the knee, they can be injured during running, kicking or jumping. https://www.cdc.gov/niosh/, National Rehabilitation Information Center (NARIC) Our team thoroughly researches and evaluates the recommendations we make on our site. Comprehensive approach to the evaluation of groin pain. Symptoms of a pulled calf muscle can depend on the severity of the injury. Serious muscle strains or tears may require surgery to repair the muscle. Examples of causes include: Several factors increase the risk of pulling a muscle, including: Muscle imbalance, which causes one group of muscles to overcompensate for another group. Symptoms include: Limping, sudden lameness, or stiffness Whining or being more vocal Refusing to eat Trouble standing up or sitting down Swelling around the affected muscle During the physical exam, your doctor will check for swelling and points of tenderness. When a tendon is torn, the symptoms are generally more severe. 2nd ed. For serious injuries, an MRI can help show possible tissue damage to the muscle. Keeping your leg elevated above your head as much as possible for the first day after a pull and applying ice packs to the calf four times a day for about 20 minutes at a time should help relieve the pain and help the effected muscle fibers begin repairing themselves. A grade two strain is when more of your muscle fibres are injured. In general, almost all Grade I strains heal within a few weeks. If this happened to you, you would completely lose muscle function. Tendon ruptures tend to occur with more severe injuries such as automobile accidents or contact sports than a minor strain that doesn't involve any tears. Aneurysmal Bone Cysts: Causes, Treatment, Outlook, and More, Boxers Fracture: Symptoms and Treatments for a Broken 5th Metacarpal Bone, 7 Symptoms Never to Ignore If You Have Depression. https://www.naric.com/, American Academy of Orthopaedic Surgeons (AAOS) For immediate self-care of a muscle strain, try the R.I.C.E. Spasms. By Jonathan Cluett, MD Mild injuries usually improve with rest, ice, compression and elevation. A pulled calf muscle refers to strains within the two muscles in the lower back of your leg that make up your calf. Accessed April 27, 2018. Along with pain, the most common symptoms of a pulled muscle are: Bruising Limited range of motion Muscle cramping or spasms Muscle weakness Swelling Symptoms that might indicate a more serious condition A pulled muscle can be serious in some cases, possibly involving a torn muscle or tendon. You can help prevent muscle strains and pulled calf muscles by: You can also prevent pulled calf muscles by avoiding strenuous activities youre not ready for. Why is my dog limping but showing no signs of pain? A muscle strain, or pulled muscle, occurs when your muscle is overstretched or torn. National Institute of Arthritis and Musculoskeletal and Skin Diseases We include products we think are useful for our readers. Traumatic causes: The Traumatic causes include sports injuries. The equivalent injury to a ligament is a sprain. This is a common injury, especially among athletes and runners. You may have a persistent, throbbing cramp-like . Acetaminophen (Tylenol, others) can be helpful for pain relief during this time period. https://orthoinfo.aaos.org/en/diseases--conditions/sprains-strains-and-other-soft-tissue-injuries. Elevate the injured area above the level of your heart, especially at night, which allows gravity to help reduce swelling. What are the Symptoms of a Calf Strain. A pulled hip muscle can cause pain and discomfort in the buttocks, hip, thigh, or groin area. Swelling. Its common to have a pulled neck muscle, pulled back muscle, or pulled calf muscle. Seek immediate medical care if you sustain a traumatic arm injury or if you experience any warning signs and symptoms, including: Arm or hand numbness or tingling. redness or discoloration of the sore spot. What happens when your immune system attacks your joints? Other signs of a pulled calf muscle include: A severe pull in your calf muscles can leave you with feelings of sharp pain. Go to the emergency room right away if you experience any of the following symptoms: Straining a muscle is painful. A more serious pull or tear will show swelling almost immediately. Sprains, strains and other soft-tissue injuries. Depending on the severity of your injury, it may be several weeks before you can return to full activities. Thank you, {{form.email}}, for signing up. Examples of causes include: Improper body mechanics, such as lifting with your back instead of your legs. A doctor, personal trainer, or physical therapist can offer recommendations for taking your workouts to the next level when its appropriate. Mayo Clinic is a not-for-profit organization. The location and intensity of your pain can help determine the extent and nature of the damage. You will also be asked to bend or flex your muscles to help show the doctor where the pain is emanating from and what kind of resistance makes it hurt. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Mayo Clinic does not endorse companies or products. A surgeon makes an incision in your calf and reattaches the two ends of your muscle with stitches. Seek immediate medical care (call 911) if you, or someone you are with, have any of the following serious symptoms: Hearing a pop sound at the time of the injury, Inability to use the muscle (complete loss of muscle function). Pain/ache in the calf, usually mid calf. A groin pull is an injury to the muscles of the inner thigh, also known as a groinmuscle strain. Accessed 5/29/2021. See your provider right away if you cant move a part of your body you usually can.

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