lipoma near spine causing pain lipoma near spine causing pain

It sounds like you have some structure (either a lipoma or a herniated disc . What is the smallest unit of a muscle fiber? Theres no evidence of an intramuscular lipoma ever being anything but benign (not cancerous). Lipoma. Large lipomas may appear as a radiolucency on radiographs, but the finding is not diagnostic. Symptoms include a soft, easily moveable lump beneath the skin, about two inches across. In addition, the cervical area has one of the most . If you have sciatica, your doctor will perform an MRI to see if you have a herniation. Most frequently, the presentation is of an asymptomatic, pain-free, slowly growing mass involving subcutaneous tissue [ 1 ]. Damage to the underlying fascia can also cause pain. During the study, scientists discovered a fatty mass encapsulated between the gluteus medius and maximus muscles, which they believe is connected to the sciatic nerve. The best-laid plans of "back mice" and men: A case report and literature review of episacroiliac lipoma. They are usually painless and are most often found on the upper back, shoulders, arms, buttocks, and upper thighs. Spinal lipomas are a type that causes low back pain in young patients and it may appear even when they are at rest or when a physical activity is performed. They usually feel somewhat "squishy," or fluctuant, though . [2] Because of the moderate pain relief that resulted from the combination of gabapentin and oxycodone, the pain was manageable and could be used to live normally. Youre more likely to develop a lipoma if someone in your family has one. It is possible that lipomas could compress nearby nerves, leading to damage, but more research is needed to confirm this theory. It is critical for doctors to recognize the importance of physical examination in determining the diagnosis of rare cases like this one. Symptoms may include: The cause of benign peripheral nerve tumors usually isn't known. Usually, your dog will not exhibit any signs of pain or immobility unless the tumor is located in a joint. Pain Physician. When a schwannoma grows, more fascicles are at risk when trying to remove the tumor safely. A schwannoma typically comes from a single bundle of nerve fibers, called a fascicle, within the main nerve. He is the founder and main author of brandonorthopedics.com, a website that offers valuable resources, tips, and advice for patients looking to learn more about orthopedic treatments and physiotherapy. Policy. In most cases Physiopedia articles are a secondary source and so should not be used as references. The incidence of spinal lipoma is approximately one fifth that of neural tube defects12 and is present in 1:4000 births. There is no need for a treatment. Your peripheral nerves link your brain and spinal cord to other parts of your body. Dr. Paul Grin answered Pain Management 37 years experience Yes it can: A lipoma is a benign medical condition. Other terms for the episacral lipoma are the. One was very large (volume of 1cup) and pressing on sciatica. In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease. Neoplasms of the spine can be categorized as primary tumors or metastatic tumors. Complications of surgical removal of back mice include: Call your healthcare provider if you experience fever, chills, nausea, increasing pain, bleeding, or discharge. Grass-fed meat has a lot of healthy omega-3 and omega-6 fats. Most lipomas are asymptomatic and portend a favorable prognosis, but some are large enough to cause obstruction and resultant symptoms of dizziness, dyspnea and syncope. Last reviewed by a Cleveland Clinic medical professional on 07/29/2022. Other causes of sciatica include diabetes and anecdotes of anecdotes on the spine. For instance, an adult or adolescents patients the most common symptom is low back pain. Lipoma can compress nearby nerves, so it should be surgically removed if it is discovered. A lipoma is a growth of fatty tissue that develops slowly under the skin. Not usually. These nerve sheath tumors are called schwannomas because they are made up of Schwann cells, which are cells that surround the nerves. With repetitive trauma (such as in athletes) or with age, the disk loses some of its water content, this is called dessication. Multiple lumps in lower back. November 1948. There are many types of spinal lipoma. Ask Mayo Expert. What is the mechanism action of H. pylori? Possible side effects are scarring and bruising. Inherited conditions can bring them on. Form unsightly lumps Cause excruciating pain The pain associated with back mice results from pressure being placed on the lump, which compresses the nerves. You might also feel coolness in these areas or sudden, sharp pain. There isnt always an answer, and it may be dangerous, so it isnt always the best option. That's why it's important to see your health care provider when you have any unusual lump, pain, tingling or numbness, or muscle weakness. Gupta VK, et al. As a result, it is critical that the disease is treated as soon as possible. You can usually define the borders of a lipoma relatively easy, though their shape can vary from round to oval to somewhat irregular and more bulbous. Treatment for Intramuscular Lipoma Frequently Confused with Sarcoma: A 6-Year Retrospective Study and Literature Review. A spinal tumor is an abnormal mass of tissue within or surrounding the spinal cord and/or spinal column.These cells grow and multiply uncontrollably, seemingly unchecked by the mechanisms that control normal cells. After two weeks, the patients symptoms in his left arm had improved but not completely, according to the doctors. While it is true that there are lipomas that can persist asymptomatic throughout life, most of them will evolve and give rise to these symptoms, so doctors generally recommend a treatment, which will be preventive or prophylactic in those patients who have no symptoms or have not yet developed them, and who can be effective in controlling some of these symptoms that these patients may have already developed at diagnosis. Overview Symptoms & Diagnosis Episacral lipoma occurs as a result of tears in the thoracodorsal fascia and subsequent herniation of a portion of the underlying dorsal fat pad through the tear. These conditions include bone deformities, such as a curved spine, and an eye nerve tumor called an optic glioma. During the procedure, a probe was used to stimulate the nerve roots on a regular basis. lipomas are not a sign of a serious illness; you do not need to be concerned about them. The lipomas can cause physical deformity and peripheral neuropathy, when they compress a nerve. What do you recommend if i have a large lipoma on my back near the spine, can this foul smell be coming from this, for about 2 yrs.? On the other hand, other patients will not have symptoms until very later in the evolution of their lives. We report a rare case of an intermuscular lipoma compressing the sciatic nerve in the left hip, as well as a positive sign of the buttock, in a patient who had CPSP on the left side of his brain after a right cerebral artery infarction. Depending on the chamber involved and the size of the mass, they can cause obstruction of flow and congestive heart failure [4, 5]. Up to 15% of people have intramuscular lipomas in more than one muscle, but most people have one tumor in one muscle. This article does not provide medical advice. Get To Know What Possibly Could Be Causing Your Symptoms! This tumor most commonly develops in people who have neurofibromatosis 1 (NF1). A 2016 case study reported that the anesthetic injections followed by dry needling (similar to acupuncture) improved pain relief. Read our. Doctors classify these tumors by their location within the spinal cord. If left untreated, the condition can cause numbness, pain, and weakness in the arms, hands, and legs. niknak18. Lipomas usually feel like firm bumps (nodules) under the skin. Answer: Lipomas are generally not painful. Most of the patient does not even notice a lipoma until it grows into a considerable size. National Organization for Rare Disorders. It's also called adiposis dolorosa or Anders' syndrome. If left untreated, a spinal tumor can cause long-term spine damage. An intramuscular lipoma is a rare noncancerous (benign) tumor that forms deep inside a muscle. There may be a genetic cause in people with multiple lipomas. People with NF1 are at risk of developing a malignant peripheral nerve sheath tumor. The diagnosis of lumbar lipoma is usually simple. Peripheral nerve tumors that grow within nerves are called intraneural tumors. There are various structures within the back region, including the following. Read More Created for people with ongoing healthcare needs but benefits everyone. Infiltrating tumors have a 50% to 80% recurrence rate after surgical removal. A large intermuscular shoulder lipoma causing pain and weakness in an 87-year-old patient: a case report. Goldblum JR, et al. The main symptom of a lipoma is a lump or mass that you can feel just underneath your dog's skin. Can Helicobacter pylori be caused by stress? If that happens, you will require surgery to remove the disk. Nerve fascicles are bundles of nerve fibers. Unfortunately, the answer is usually no, the procedure will not be covered. If you suffer from any of these symptoms, you should seek medical attention. They need to be classified by their location, cervical, thoracic or lumbar, but possibly the most interesting is the lumbosacral lipomas, those that affect the lower region of the spine, the medullary cone. This clinical entity is common, and recognition is simple. The most common cause of sciatica is a herniation of the disc, which can cause pain. As a result, connective tissue and nerve compression occurs. Lipomas due to Dercum's disease can develop anywhere on the body. The pain associated with back mice results from pressure being placed on the lump, which compresses the nerves. They may be smaller than half an inch (1 centimeter) or as large as 10 inches (25 centimeters). This most often affects alcoholic men of Mediterranean ancestry.They usually appear as small, soft lumps. Should i be concerned about a large painful lipoma on my spine? Lipoma. Also the tumors felt like they were getting larger and I could feel a possible 3rd lump now. 9 Dec 2018. : If you have a non tender (non-painful), mobile (squishy) and small ("grape-sized" or <2 cm?) It is a common and debilitating condition that can be caused by a wide range of tumors. Well-defined tumors rarely grow back. Lipoma - Information about symptoms, causes, surgery, removal, tumor, treatment and pictures of lipoma. Sacral spinal tumors, which are characterized by back pain and leg weakness, have also been linked to leg pain. good luck. The biggest distinction is that lipoma is noncancerous (benign) and liposarcoma is cancerous (malignant). Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Peripheral nerve tumors affect nerves by growing within them or by pressing against them. if you have not already i would get an MRI done to make sure they are not tying down you spinal cord this is what haappened with my daughter. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. 2.tissue biopsy is used to confirm the diagnosis. . A schwannoma typically starts in a single bundle inside the main nerve, shifting the rest of the nerve. But you might have a schwannoma for years before noticing it. 1173185, Mercier.L ,Practical Orthopedics 6th Edition, Elsevier, Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey,PubMed ,2013. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. It's rare, but a lump. What is the association between H. pylori and development of. He is passionate about helping his patients achieve the best possible outcome and is committed to providing the highest quality of care. Mole and lipoma on spine, how can i tell? Lipomas can recur in which case they can be cut out again. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Graduated from ENSAT (national agronomic school of Toulouse) in plant sciences in 2018, I pursued a CIFRE doctorate under contract with SunAgri and INRAE in Avignon between 2019 and 2022. Symptoms depend on the location of the tumor and which tissues it affects. Background. Spinal cord lipomas and lipomyelomeningoceles are both associated with abnormal fat accumulation in and around the spinal cord. 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, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition. A medical doctor called an orthopedist diagnoses and treats conditions that affect the musculoskeletal system. Our articles are resourced from reputable online pages. They are benign masses that grow slowly and gradually. In some people, the pain comes and goes, while in others it is continuous. The first sign of a lipoma should be obvious to the doctor. A maximal level of assistance was required. Physicians may order unnecessary tests to address the underlying sources of pain instead of focusing on the underlying causes. Spinal Cysts and Tumorlike Masses. Accessed Aug. 20, 2022. Here are 12 simple and fun! Vestibular schwannoma: What we know and where we are heading. Lipomas are most common on the shoulders, neck, trunk and arms, but they can occur anywhere on the . Keep in mind that lipomas rarely burst nor should they leave the removal to the professionals. First described by Ries in 1937, 1 episacral lipomas are small, tender, "tumor-like" nodules occurring mainly over the sacroiliac region which can cause disabling low back pain. An infiltrating intramuscular lipoma can invade nearby tissues, tendons and muscle. A rare schwannoma near the brainstem, known as an acoustic neuroma, can cause trouble with balance or hearing. Lipoma This is a classic fatty lump. Another common type is a neurofibroma. What will happen after a lipoma removal: You will be able to go home after your surgery. Ganglion cyst. When symptoms occur, you may notice swelling (edema) or a soft lump underneath your skin that moves. Substitute 1-2 tablespoons of cooled green tea for neem or flaxseed oil to make a paste. Other benign tumors that form outside nerves are soft lumps of slow-growing fat cells called lipomas and ganglion cysts. This is the network of connective tissue that covers the deep muscles of the low and middle back. In most cases, they do not cause other symptoms. Liposuction. There is no need for a treatment. I'm having a lipoma remove from my back near my spine in the office i'm nervous? Is there higher chance of reoccurring lipomas or neg. And if you have one, its reassuring to know that these fatty tumors arent cancerous. Lipomas are usually benign, but depending on location and size it may put pressure on a muscle or a nerve and start causing discomfort and pain . Discover some of the causes of dizziness and how to treat it. A person with a lipoma that occurs deeper under. The presence of lipomas can have a negative impact on a wide range of body parts. Involve your healthcare provider in the process so they can help you find relief. (https://www.hindawi.com/journals/bmri/2014/867689/). 4. Non-alcoholics and women can also be affected. Electrical stimulation was performed in a "surrounding" distribution, with the lipoma in the center of a circle of points. Some great examples of fruits and vegetables high in antioxidants are blueberries, raspberries, apples, plums, citrus fruits, leafy green vegetables, squash and bell peppers. It is not a good idea to ignore rib pain. Back mice is a non-medical term used to describe painful masses of fat in and around the hips, the end of the spinal column (sacrum), and lower back. So, such a result is proof of pain but not necessarily the pain's cause. Episacral lipoma is a significant and treatable cause of acute and chronic low back pain. The mass tends to feel soft or rubbery and moves when you push with your fingers. Lipomas are fatty tumors that grow just under the skin. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. I have a possible deep lipoma on lower back near spine. Your provider may recommend treatment if the tumor causes problems or the biopsy doesnt clearly determine whether the tumor is benign or cancerous. This article looks at what back mice are, the conditions linked to them, their symptoms, and how they're diagnosed and treated. Metastatic is a general term used to describe the spread of a cancer from some other location in the body. Show it to a surgeon for specif surrounding tissue, and if there is a nerve nearby that can lead to discomfort. He had numbness and tingling on the left side of his hemiplegic left side as a result of his chronic pain syndrome. Call us at 1-877-320-8762 (outside the U.S.). It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Usually, accumulation of fatty tissue increases over time and may lead to a loss of neck mobility and pain. These lipomas are usually seen incidentally on brain imaging performed for another reason, and they are usually asymptomatic and do not require treatment. The symptoms of a spinal lipoma are very variable. if removed? Neurofibroma. Your healthcare provider relies on imaging scans to diagnose soft tissue tumors. Subfascial fat herniation: sonographic features of back mice. After being concerned with 2 lumps on my lower back area (above the tailbone) I went and saw my general physician and he diagnosed them as lipomas. Angiolipomas have a vascular component and may be tender in cold ambient temperature. It is high in antioxidants that help regulate blood sugar and blood fats. Dermoids and epidermoids are also considered developmental inclusion tumors. I am currently continuing at SunAgri as an R&D engineer. Where is H. pylori most commonly found in the world? Symptoms that resemble those of sciatica can be caused by tumors or trauma to the sciatic nerve. Inaccurate diagnoses are made by a variety of factors that obscure a strokes true nature. According to Filler et al. It helps me to write it all down on here and vent. One cause, known as subfascial fat herniation, occurs when fat protrudes through a tear or hole in the fascia in the low back. Some people who have NF1 develop other conditions. Most are benign, meaning that they are not cancerous. American Academy of Orthopedic Surgeons: OrthoInfo. However, if you have a lot of back micesome people have hundredsremoval may not be a good option. Painful, fatty growths that can have several causes. Advertisement. However, if the lipoma conce Have small lipoma near thoracic spine. Treatment generally isnt necessary, but if the lipoma bothers you, is painful or is growing, you may want to have it removed. Sometimes, more than one will develop. It is a subfascial mass that a clinical expert can easily recognize it. Usually, the only symptom of lipoma in dogs is noticing the actual lump beneath the skin. Particularly in the cervical area, intramuscular lipomas sometimes invade the surrounding muscles and tissue layers and develop into an irregular mass, despite being benign. Check if you have a lipoma Lipomas are common. Head and Neck Pathology. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. If you have a schib, visit Dr. Ablett as soon as possible to rule out more serious medical issues. Increase the amount of vegetables and fruits in your diet. Depending on a spinal cord tumor's size and location, it may cause pain, weakness, and numbness, and may affect bladder or bowel control. Symptoms of Lipoma in Dogs. It may have a rubbery or doughy consistency. Symptoms of NF1 include color changes and benign tumors on the skin. They are inherited (passed down through families). 3. The risk of removing a lipoma is very small and the benefit of having a golfball removed far outweighs it. Neck lipomas are rare, slow-growing, benign tumors that can be asymptomatic or cause various neck symptoms and signs that include pain, dysphagia, and hoarseness. ways to boost your brainpower. My thesis aimed to study dynamic agrivoltaic systems, in my case in arboriculture. ConsiderCRPS when making differential diagnoses for conditions affecting the upper and lower extremities prior to and following surgery. Surgery is the most common option, but there are other options available if that isnt the best option for you. should i remove it? But if the tumor causes pain, cramps or looks unsightly, you can get surgery to remove it. The signs and symptoms may include back pain, numbness, tingling sensation in the affected region, and weakness in the lower extremities Both conservative and surgical treatment measures may be considered to address Spinal Epidural Lipomatosis based upon the severity of the condition and the extent of spinal stenosis (narrowing of the spine due . If you have a palpable mass, you should see your doctor. Lumps are usually observed in the lumbar region, subcutaneous lipomas, deviations of the gluteal fold for instance, and at times cutaneous stigmas in the form of a vascular spot, an angioma, dimple, or areas of hypertrichosis, of increased localized pilosity. The lipoma cells are believed to arise from primordial mesenchymal fatty tissue cells; thus, they are not of adult fat cell origin. This is a brief process that lasts approximately 30 and 60 minutes, this allows to definitively ensure that this mass or nodule is completely eliminated. If one is causing pain or affecting your muscles, you might have to get it removed. A neurofibroma might arise from several nerve bundles and tends to cause mild symptoms. The physician will inject a local anaesthetic around the lipoma, then make an incision in the skin, remove the growth and close the incision with stitches. While a lipoma/back mouse is the most obvious explanation, your healthcare provider may finalize diagnosis by ruling out other causes such as: Painful lipomas are also associated with fibromyalgia, a chronic condition that involves abnormal pain signals. Sage is used in traditional Chinese medicine to dissolve fatty tissue. Because she was on opioid pain killers, the surgeon hoped that massage or bodywork would help alleviate her pain. Most hemangiomas occur on the surface of the skin or just beneath it. Tests. Lipoma tumors form just under the skin, usually in the shoulders, neck, trunk, or arms. Helpful 1 person found this helpful George J. Beraka, MD (retired) MOST RECENT November 5, 2018 How long do I wait and for what to happen? Updated August 2018. Lipomas most often appear after age 40. Slow-growing fat cells cause this benign, soft lump that usually appears under the skin on the neck, shoulders, back or arms. Spinal cord lipomas are by far the most frequent and also those that tend to produce symptoms more frequently. Superficial lipomas can almost always be diagnosed clinically. This type of tumor occurs in the spine and lower abdomen and are intertwined with important nerves. Call your healthcare provider if you experience: You may want to ask your healthcare provider: No. Unfortunately these can also be tough to get out but a good dermatological surgeon or general surgeon can do it. They dont normally hurt, though they can cause pain if they bump up against nearby nerves or have blood vessels running through them. The term lipoma is only used due to its palpitating nature over the region. Mayo Clinic. In seemingly unrelated parts of the body (referred pain) Treatment focuses on relieving pain and getting tight fascia and muscle fibers to relax. You may also experience muscle cramps or muscle pain. I am thinking about have at least 4-6 more taken out. Again - no tests of any kind have been run on me. Weakness or loss of function in the affected area. Primary tumors originate in the spine or spinal cord, and metastatic or secondary tumors result from cancer . You also may get pain relief from a massage therapist who's familiar with the condition. Surgery: Our surgeons can take out a lipoma with a small cut made after an injection to numb the area. Verywell Health's content is for informational and educational purposes only. Some schwannomas grow and form unusual shapes within the spine or pelvis, such as dumbbell tumors. This is a genetic disorder that causes tumors to grow on nerves. As the symptoms progress without treatment, weakness, bladder and bowel problems can occur. They're most often found on the arms, legs, and trunk. An intramuscular lipoma is a rare noncancerous (benign) tumor that forms deep inside a muscle. There isnt any way to prevent them. Dercum's Disease Dercum's disease is a dermatological condition characterized by painful lipomas and subcutaneous plaques. 3. It is very unusual for the tumour to migrate from one part of the cord to another, thus to cause neurological symptoms at the migrated level. It will move easily with finger pressure. Can a lipoma swell up and down often without any pain?its on top of the bone at top of spine/base of neck and coz of it position it gets aggravated. Angiolipomas are small, soft lumps found under the skin, usually less than 4 centimeters (cm) wide. A hard mass in the back is usually the result of the growth of underlying structures. 2018;47(1):137-140. doi:10.1007/s00256-017-2772-9, Erdem HR, Nacr B, zeri Z, et al. There is lipomas and nerve pain. Although doctors can usually diagnose lipomas based on history and physical examination alone, imaging tests can be helpful for some cases. Most of these types of tumors are not cancerous (benign). it is palpable, but it did not show up on an ultrasound. For potential or actual medical emergencies, immediately call 911 or your local emergency service. A more complex nerve sheath tumor may assume the shape of a dumbbell. Although prognosis is difficult to predict, early intervention and diagnosis may increase the likelihood of a favorable outcome. The condition of this tumor can cause significant and potentially curable low back pain. We offer this Site AS IS and without any warranties. In some cases, surgery may be necessary to remove the lipoma. They often develop on the face and neck, and can vary greatly . Turmeric, like neem oil, is commonly used in Ayurvedic medicine. Steroid medications may be prescribed to shrink the size of the lipoma. Top Contributors - Rewan Aloush and Kim Jackson, Alipomais abenign tumor made of fat tissueThey are generally. Given that lipomas can cause compression neuropathy, it is critical to be aware of the symptoms and signs of this condition. We follow a strict editorial policy and we have a zero-tolerance policy regarding any level of plagiarism. Following surgery, a left hip ROM of 110 degrees was improved, as well as neuropathic pain in his left leg, within one week. Lipomas generally develop slowly, forming round, flattened lumps that are soft or spongy in texture and easily moved around under the skin. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. It is critical that you seek medical attention if you notice any changes in your nerve function, such as increased pain or weakness. Our certified dermatologists examine the lipoma and will decide the best course of action to take to remove it. The same applies to the sources of nerve pain. Spinal cord lipomas may grow with changes in body fat, and can produce neurological manifestations due to nervous tissue compression or cord tethering. 2 Jan 2019 21:41. When refering to evidence in academic writing, you should always try to reference the primary (original) source. Sciatic schwannomas are rare in the medical world. Some features of a lipoma include: A dome-shaped or egg-shaped lump about 2-10 cm in diameter (some may grow even larger) It feels soft and smooth and is easily moved under the skin with the fingers. Theyre usually less than 2 inches wide. Lipomas themselves are benign and tend to cause pain when they are in Lipomas are benign growths of fat under the skin. She was diagnosed with axillary lipoma, which was thought to be causing a cascade of symptoms by impinging on peripheral nerves through a mass effect. Lipoma? Sometimes a lipoma under the skin can be unsightly if it grows to be several centimetres across. They do not spread like cancer. https://rarediseases.org/rare-diseases/neurofibromatosis-type-1-nf1/. What can cause fat herniation on the back? Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. 2. Lipomas are composed of fat cells that have the same morphology as normal fat cells, and there is a connective tissue framework. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below.