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These examples are from corpora and from sources on the web. Treatment includes limiting physical activity, physical therapy, and medications to reduce pain and inflammation. Similarly, they are the primary sources of strength when performing motions like squatting. The largest branch of the femoral artery is the deep femoral artery, also called the profunda femoris. A healthcare provider should be able to diagnose your thigh pain once the clinical exam and diagnostic testing are complete. Most causes are due to affected blood flow. Muscle strains from injury or exercise can cause you to experience pain in your thigh, and sometimes numbness. Other times, it may begin without an obvious reason. Last medically reviewed on October 23, 2017. Factors that may contribute to this condition include: Meralgia paresthetica can often be treated with small lifestyle changes. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Signs Something Could Be Wrong With Your Thigh Muscles. It also describes signs and symptoms that indicate when you should see a healthcare provider. Content is reviewed before publication and upon substantial updates. Tm hiu thm. Symptoms include: Treatment for DVT ranges from lifestyle changes, such as losing weight, to prescription blood thinners, the use compression stockings, and surgery in some cases. Overuse and repeated stress to your thigh muscles may cause inflammation in your tendons. the part of the leg between the knee and hip. Strategic covering or display of thighs is used in popular fashion around the world, such as thigh-high boots and zettai ryoiki. The most common causes are a pulled groin muscle (muscle strain), inguinal hernia, kidney stones, or osteoarthritis in the hips. Your iliotibial band is a thick piece of tissue and fascia (connective tissue densely packed with nerves) that runs down the outer side of your thigh. Thigh pain can range from a mild ache to a sharp shooting sensation. 2005-2023 Healthline Media a Red Ventures Company. These include: Last medically reviewed on June 18, 2015. Conflicting, positive or strongly held? Lastly, the posterior thigh muscles are in the back of your legs. It contains many muscles and nerves but only has one bone, the femur, which is the longest and strongest bone in the human body. Webthigh (th) n. 1. a. These injuries included spinal fractures, fractures of his nose. 'pa pdd chac-sb tc-bd bw hbr-20 hbss lpt-25' : 'hdn'">. Symptoms may include: Typically, strains can be treated with ice, heat and anti-inflammatory medications, but more severe strains or tears may require treatment by a doctor. Sciatica causes shooting pain beginning at your lower back and spreading down the back of one leg. WebWomens Sheer Thigh High Pantyhose Hosiery Nylons Stockings with Comfort Lace Top Anti-Slip Silicone Elastic Band 4.3 out of 5 stars 30,459 $7.73 $ 7 . Any sort of traumatic blow to your thigh can be painful, as there are many nerves running down your thigh. Shamus J, Shamus E. The management of iliotibial band syndrome with a multifaceted approach: a double case report. Severe symptoms that need immediate medical attention include: See a doctor if youre unsure whether you have a thigh contusion or if your symptoms arent improving within a few days., A physical exam is usually enough to diagnose the location and severity of a thigh contusion. It may also be accompanied by other symptoms including: When pain comes on suddenly, theres no apparent cause, or it doesnt respond to home treatments, such as ice, heat, and rest, you should seek medical treatment. Heres a condensed breakdown of the thigh muscle anatomy: Quadriceps. While it won't help with inflammation, Tylenol (acetaminophen) may be used to treat discomfort. 2005 - 2023 WebMD LLC. 1 Symptoms of a pinched nerve may include: Pain in the front or back of your thigh Numbness or tingling in your thigh In rare cases, thigh pain can be a sign of a life-threatening condition. What nerve causes pain in front of the thigh? You can learn more about how we ensure our content is accurate and current by reading our. This is a common running injury known as iliotibial band friction syndrome (ITBS). Stretching and strength training can help protect the muscle when it has been hit. Muscles in the medial thigh help to bring the thigh toward the midline of the body and rotate it. For example, by analyzing the capillarization of this muscle, experts can determine if your heart is inflamed a condition known as. A cut of meat taken from this part of an animal's body, especially from poultry. Why Doesn't the U.S. Have at-Home Tests for the Flu? These are words often used in combination with thigh. Many people with thigh pain are able to treat it on their own, while others need medical attention right away. The adductors help you stay balanced by keeping the legs and hips aligned. Bruising that develops quickly or over the next couple of days following an injury. We avoid using tertiary references. By most measures, the femur is the strongest bone in the body. The thigh contains one major bone and many muscles, nerves, and arteries; damage, disruption or injury to any of its components can result in dully, achy thigh pain. (2011). Also common among runners, iliotibial band syndrome (ITBS) happens when the iliotibial band, which runs down the outside of the thigh from the hip to below the knee, becomes tight and inflamed. The femur is the longest and strongest bone in the body. They involve the literal tearing of the muscle, tendon, or ligament, causing severe pain, swelling, and bruising. This means that they're essential to movements like squatting, which involves flexing your knee joint. WebThe thigh muscles are located between your knee and the bottom of your spinal cord. The depressor labii inferioris muscle is a four-sided facial muscle located in the jaw area that draws the lower lip down and to the side. These are words often used in combination with thigh. This condition causes tingling and numbness in your outer thigh. Diabetic neuropathy. Cross-section through the middle of the thigh. The arterial supply is by the femoral artery and the obturator artery. You have one masseter muscle on each side of your jaw. While there are various causes of thigh pain, each with their own risk factors, common ones include: Diagnosis for most conditions that contribute to thigh pain will involve a physical examination by a physician who will evaluate the risk factors and symptoms. 1 Symptoms of a pinched nerve may include: Pain in the front or back of your thigh Numbness or tingling in your thigh Potential causes of numbness in the thighs include a pinched spinal nerve, spinal stenosis, sciatica, and multiple sclerosis. Some causes are due to common muscle conditions, like cramps or strains, Your leg muscles are some of the hardest working muscles in your body. 73 $13.00 $13.00 These patients have side effects that include persistent muscle aches in the arms, shoulders, thighs, or hips; weakness; gastrointestinal symptoms; and liver problems. Proximally: Splits into a superficial and deep layer, enclosing the tensor fascia. b. WebIt starts by the hip and wraps across the front of the thigh, then downward toward the knee. In addition, they will likely test your strength and watch you walk and move about. WebMeaning of thigh in English thigh noun [ C ] us / a / uk / a / B2 the part of a person's leg above the knee Jan-Otto/E+/GettyImages Examples Barkley suffered a strained thigh Cha thng tin c cp php trong. Sometimes inner thigh pain or upper thigh pain can occur after trauma or an injury. 3. A cut of meat taken from this part of an animal's body, especially from poultry. Then, they will place very thin needles into the top layer of your skin at specific points on the body to restore healthy flow once again. WebThe thigh muscles are located between your knee and the bottom of your spinal cord. An infection or damage to these nerves can cause you to experience numbness and pain, specifically in your thigh. A blood clot needs to be diagnosed and managed immediately. Like any other muscle, your thigh muscles are exposed to trauma, overstraining, and other sources of discomfort. If your pain is caused by a blood clot, you need to get medical attention right away. Here's what you should know about hip flexor strain, including what causes it and how to treat it. However, the impact to the thigh is hard enough to damage blood vessels, muscle fibers, and connective tissue around the injured area., Contusions can also happen after slamming the thigh against a hard surface, like knocking into the side of a kitchen counter. However, since the back of the thigh is typically more protected from direct hits, hamstring sprains are more likely than hamstring contusions., A direct hit to the leg usually causes thigh contusions. This is known as your musculoskeletal system. Enoxaparin Sodium Injection, USP, has been recalled due to a packaging error in which the labels dont accurately list the correct dose. However, if you begin to experience worsening symptoms or if your numbness spreads, seek immediate medical attention. Numbness is defined as a loss of feeling or sensation in a portion of your body. High blood pressure can damage your bodys nerve fibers, often causing you to experience numbness and loss of sensations. The main muscles of the thigh include: Healthline Media does not provide medical advice, diagnosis, or treatment. It can resist forces of 1,800 to 2,500 pounds, so it is not easily fractured. (2017). It is a short muscle on the flat of the hand. Bruising, often seen as black-and-blue discoloration of the skin. Pain in your calf or thigh can be caused by muscle cramps, a pulled or strained, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. WebYour thigh muscles are whats known as skeletal muscles. b. Schedule a visit with your doctor if you begin to experience sudden numbness and pain. Healthline Media does not provide medical advice, diagnosis, or treatment. Mayo Clinic Staff. Branches of thefemoral arterysupply the thigh with oxygen-rich blood. The main muscles of the thigh include: Anterior compartment muscles of the thigh include sartorius, and the four muscles that comprise the quadriceps muscles- rectus femoris, vastus medialis, vastus intermedius and vastus lateralis. When playing these kinds of sports, also keep in mind that you shouldnt keep playing if you find yourself in pain. (2016). Thigh numbness may not be cause for alarm, and can often be treated with rest. Anatomically, it is part of the lower limb. 2005 - 2023 WebMD LLC. The femoral artery is divided into a superficial, deep, and common arteries, and these further divide into branches, including themedialandlateral circumflex arteries. Spinal stenosis is considered a degenerative condition because it worsens over time. Remove heat if it causes discomfort to avoid burning your skin. Well, the kind of love one can sell when showing up for work in a garter belt and, You love the look of it, the feel of it, the way it gently caresses your, He tied her up and took photographs after forcing her to wear. Thigh contusions range from mild to severe, and symptoms may include tenderness around the area, tight muscles, or restricted movement in the knee.. Using the word opinion. Webnoun the part of the lower limb in humans between the hip and the knee. Current concepts and recent advances in understanding and managing lumbar spine stenosis. The word in the example sentence does not match the entry word. This bone is very thick and strong (due to the high proportion of bone tissue), and forms a ball and socket joint at the hip, and a modified hinge joint at the knee. How Can You Keep Your Thigh Muscles Healthy? Webthigh noun th 1 a : the proximal segment of the vertebrate hind or lower limb extending from the hip to the knee b : the segment of the leg immediately distal to the thigh in a bird or in a quadruped in which the true thigh is obscured c : the femur of an insect 2 : something resembling or covering a thigh thighed thd adjective 73 $13.00 $13.00 WebMeaning of thigh in English thigh noun [ C ] us / a / uk / a / B2 the part of a person's leg above the knee Jan-Otto/E+/GettyImages Examples Barkley suffered a strained thigh Heat can be applied for 10 minutes to 15 minutes at a time. These contusions happen most frequently on the quadriceps muscles found on the front of the thigh., The back of the thigh, where the hamstring muscles are located, can also be bruised. From there, they will move forward with your treatment. Early diagnosis can help to slow the progression of this sensation and can help doctors find the best course of treatment for your condition. the corresponding part of the hind limb of other animals; the femoral region. Fascia Layers of connective tissue of variable thickness. Int J Sports Phys Ther. WebSynonyms: quadriceps, quads, upper leg, femur, thigh bone, more Collocations: do thigh exercises, my thigh muscles, suffered a thigh [strain, injury], more Forum discussions with the word (s) "thigh" in the title: and thigh/buttock girth can be reduced by up to 3.8cm chicken dark meat: a thigh Eased through seat and thigh with a straight leg Exercise can also relieve symptoms and prevent thigh and leg pain from coming back. Located in the upper part of your legs, the thigh spans from your glutes down to your knees. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with the tibia and patella forming the knee. Thigh contusions may also appear because of a hard fall on the leg. He didn't want rock hard thighs akin to tree trunks. Many people with thigh pain benefit from self-care remedies, especially if the pain is mild and does not limit your ability to move. Popping or snapping sound or feeling in the thigh. Severe cases of thigh numbness may require surgery and physical therapy to improve your mobility. Meanwhile, the medial thigh muscles are located between the anterior and posterior muscles. Symptoms from a blow to the thigh may include pain in the front or back of your thigh that worsens with activity. Sports Health. Femoral nerve dysfunction causes you to lose sensation or movement in your legs from damage to your femoral nerve. She had dark, deep bruises on her hips and small thumb-shaped ones on the inside of her thighs. This article discusses the common causes of thigh pain, along with potential treatments. WebIn human anatomy, the thigh is the area between the hip ( pelvis) and the knee. [1] The single bone in the thigh is called the femur. A physical therapist can help determine the best stretches for your thigh pain. Heres our process. Nng cao vn t vng ca bn vi English Vocabulary in Use t Cambridge.Hc cc t bn cn giao tip mt cch t tin. The portion of the human leg between the hip and the knee. If your pain is coming from your back, lumbar stretches and strengthening exercises may relieve pressure from spinal nerves. 0 && stateHdr.searchDesk ? More severe injuries may require additional physical therapy. The thigh muscles are part of your upper legs and contain some of the most powerful structures in your body. The iliotibial tract is a stabilizer of the hip and knee. The 12 cranial nerves are pairs of nerves that start in different parts of your brain. Of the 60 patients monitored, 50% experienced compensatory sweating on their back, stomach, and thighs. Most thigh pain is not caused by a life-threatening problem and can be managed successfully. mayoclinic.org/symptoms/leg-pain/basics/definition/sym-20050784, mayoclinic.org/diseases-conditions/meralgia-paresthetica/symptoms-causes/syc-20355635, practicalpainmanagement.com/pain/neuropathic/meralgia-paresthetica-common-cause-thigh-pain, What Might Cause a Sharp Leg Pain that Comes and Goes, Deep Vein Thrombosis Medication Recalled: Heres What to Know Now, Everything to Know About Your Leg Muscles and Leg Pain, scar tissue from a past injury or surgery, carrying a wallet or cell phone in the front and side pockets of pants, chest pain or discomfort that worsens when you take a deep breath or when you cough, being overweight, which puts more pressure on the veins in your legs and pelvis, staying seated for a long time while youre in a car or on a plane, especially if you already have at least one other risk factor, difficulty with coordination when walking, vaginal dryness in women and erectile dysfunction in men, pain worsening when lying on the affected side, pain following weight-bearing activities, such as walking or running, increasing pain when you lift your thigh toward your chest, tenderness to the touch at the front of your hip, swelling or bruising at your hip or thigh area, over-the-counter medications such as acetaminophen (. Also showing major blood vessels and nerves. Thigh contusions may cause pain, bruising, and swelling around the impact site. This condition typically affects only one side of the body. Symptoms include pain and swelling, which is typically felt around the knees, but it can also be felt sometimes in the thigh. Mayo Clinic Staff. The explicative 'zig-azig-ah' action of rhythmic knee trembling followed by abrupt scissoring of the thighs shut, is performed to the words by all five girls. Add thigh to one of your lists below, or create a new one. Speak to your healthcare provider about what's right for your condition if you're unsure whether to use ice, heat, or both. These help in flexing and rotating your thighs and knees. 73 $13.00 $13.00 When flow in one or more is interrupted or blocked, illness is said to result. Contusions typically dont break the skin. Webthigh noun [ C ] us / / the part of a persons leg below the hip and above the knee (Definition of thigh from the Cambridge Academic Content Dictionary Cambridge (in birds) the true femoral region While recovering from a thigh contusion, its important to avoid hurting the thigh more. Because the major muscles of the thigh are the largest muscles of the body, resistance exercises (strength training) of them stimulate blood flow more than any other localized activity.[5]. She looked absolutely beautiful wearing a short, black ensemble with tights and, West elided the fact that the distance between a person's head and. The four muscles that make up thequadricepsare the strongest and leanest of all muscles in the body. These compartments use the femur as an axis and are separated by tough connective tissue membranes (or septa). Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. In milder cases, sciatica goes away on its own. You may be prescribed neuromodulators (such as pregabalin or gabapentin) or anti-inflammatory medication to improve your symptoms. You may have developed a more serious injury. Using the word opinion. Compression of thelateral femoral cutaneous nerve (a major sensory nerve in your thigh) can cause pain or numbness in the front or outer part of your thigh. Exercises that correct your posture may also be helpful. Other symptoms of hip flexor strain may include: Most hip flexor strains can be treated at home with ice, over-the-counter pain relievers, heat, rest, and exercises. The second segment of a bird's leg, containing the tibia and fibula. But pain in one part of the body can sometimes originate elsewhere. Thm thigh vo mt trong cc danh sch di y ca bn, hoc thm mi. However, this will not cure your condition. The femur is the longest and strongest bone in the body. The thigh bears much of the load of the bodys weight when a person is upright. Sartorius. Soft tissue injury can encompass sprains, strains, bruising and tendinitis. [1] The single bone in the thigh is called the femur. Like other contusion injuries, thigh contusions typically do not break through the skin. They are: Nerve supply to the thigh comes from various lumbar and sacral nerves via the femoral, obturator, and common peroneal nerves. WebSynonyms: quadriceps, quads, upper leg, femur, thigh bone, more Collocations: do thigh exercises, my thigh muscles, suffered a thigh [strain, injury], more Forum discussions with the word (s) "thigh" in the title: and thigh/buttock girth can be reduced by up to 3.8cm chicken dark meat: a thigh Eased through seat and thigh with a straight leg Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Front of thigh muscles from Gray's Anatomy of the human body from 1918. Evid Based Complement Alternat Med. The thigh bears much of the load of the bodys weight when a person is upright. Some things you can do on your own to improve your condition include: In more serious cases, your doctor will focus on decompressing the nerve and relieving pain. Common causes of thigh pain may include: Pinched Spinal Nerve Herniated lumbar discs and low back arthritis may pinch on the nerves that exit your spinal column and travel down your thigh, resulting in thigh pain. Upper thigh pain may occur if you strain your hamstring muscle. Most of the conditions that affect the thigh muscles come from stretching them beyond their limits. 3. For mild symptoms, they may recommend over-the-counter Advil (ibuprofen) or an anti-inflammatory cream like Aspercreme. These muscles are theadductor longus,adductor brevis,adductor magnus,gracilis, and theobturator externus. But you may also experience: If any of these symptoms persist over a few days, or you can't perform basic motions with your legs, make sure to check with a doctor. Posterior compartment muscles of the thigh are the hamstring muscles, which include semimembranosus, semitendinosus, and biceps femoris. The most common symptom is a weakness when raising your toes. Activities that involve your thigh muscles include: The thighs are composed of many different muscles that accomplish their own individual tasks and work together to keep your body stable. Thigh contusions, sometimes also referred to as quadriceps contusions, typically happen after a hard impact to the thigh. Three smaller muscles are found here in the semitendinosus, the semimembranosus, and the biceps femoris. Sharp, shooting pain that goes down your leg, Mild tinging or numbness, like pins and needles. These muscles straighten the knee and help flex the hip. Pain, which usually is sudden and severe, and may get worse when you bend or extend the hip or knee. But sometimes, it can be an indicator of a serious condition, including a blood clot. In some cases, physical therapy, prescription medications, and surgery may be required. Meralgia paresthetica occurs when the lateral femoral cutaneous nerve responsible for supplying sensation to the skin surface of your outer thigh becomes compressed. Meralgia parestheticaa common cause of thigh pain. Everything You Need to Know About Thigh Pain. The Latin translation of 'quadriceps' is 'four headed,' as the group, The palmaris brevis muscle lies just underneath the skin. The sartorius is the longest muscle in your body and is involved in flexing your whole thigh. All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. Contusions, or bruises, happen when the body is hit hard enough to damage the skin and underlying tissue, like muscle and blood vessels. 'pa pdd chac-sb tc-bd bw hbr-20 hbss lpt-25' : 'hdn'">. They usually occur after an individual event but they may also appear due to long-term repeating movements. Runner's knee (Patellofemoral pain): is a direct consequence of the kneecap rubbing against the end of the thigh bone (femur). WebMD does not provide medical advice, diagnosis or treatment. In some severe cases, physical therapy and surgery may be recommended. The two most common thigh injuries are: Strains.Strains (also called muscle pulls) refer to the overstretching of a muscle or a tendon, which leads to spasms, weakness, and cramping, among other symptoms. During a session, a licensed acupuncturist will determine the affected meridian causing thigh pain. Any opinions in the examples do not represent the opinion of the Cambridge Dictionary editors or of Cambridge University Press or its licensors. [8], The thigh meat of some animals such as chicken and cow is consumed as food in many parts of the world.[9]. Click on a collocation to see more examples of it. If you have thigh pain that you are unsure about or that does not get better with time and/or medication, see a healthcare provider for a proper diagnosis. It can typically be treated at home with some simple strategies such as ice, heat, activity moderation, and over-the-counter medication. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Thigh Contusions Can Range in Severity but Can Be Treated, Bruising, often seen as black-and-blue discoloration of the skin, Weakness, stiffness, or tightness in the muscle, Rapid swelling in the thigh, which may indicate blood pooling around the injured area. Doctors call leg pain that comes and goes intermittent claudication. Pushing the leg too soon can prolong healing time and cause other complications.. Usage explanations of natural written and spoken English. Common causes of thigh pain may include: Herniated lumbar discs and low back arthritis may pinch on the nerves that exit your spinal column and travel down your thigh, resulting in thigh pain. Tt c nhng kin trong cc v d khng th hin kin ca cc bin tp vin Cambridge Dictionary hoc ca Cambridge University Press hay ca ngi cp php. Cc quan im ca cc v d khng th hin quan im ca cc bin tp vin Cambridge Dictionary hoc ca Cambridge University Press hay ca cc nh cp php. Leg pain or cramps at night may be caused by sitting for extended periods of time, sitting improperly, overuse of leg muscles, or standing and working on concrete floors for a long time. Rehabilitation usually starts with gentle stretches to improve your legs range of motion. The femur is the longest and strongest bone in the body. This means that theyre attached directly to your bones and tendons, and they assist in moving parts of your skeleton. All rights reserved. The first step in treatment should be meeting with a healthcare provider who can diagnose the issue. Your doctor may assign a grade to your injury to measure how severe it is.. (in birds) the true femoral region The lymphatic drainage closely follows the arterial supply and drains to the lumbar lymphatic trunks on the corresponding side, which in turn drains to the cisterna chyli. Common problems with the thigh are often the result of participation in sports or repetitive movements. Campellone JV. Common causes of meralgia paresthetica include: Treatment involves identifying the underlying cause, then taking measures such as wearing looser clothing or losing weight to alleviate pressure. This nerve provides sensation to the front of your thigh and a portion of your lower leg. The bone of the thigh is called the femur. Webthigh noun th 1 a : the proximal segment of the vertebrate hind or lower limb extending from the hip to the knee b : the segment of the leg immediately distal to the thigh in a bird or in a quadruped in which the true thigh is obscured c : the femur of an insect 2 : something resembling or covering a thigh thighed thd adjective The condition occurs when your spinal nerves are compressed by the bones in your spine. the corresponding part of the hind limb of other animals; the femoral region. If a blood clot causes leg pain, it is usually in the back of the calf and is much less common in the thigh. Proximally: Splits into a superficial and deep layer, enclosing the tensor fascia. Discussions du forum dont le titre comprend le (s) mot (s) "thigh" : chicken thigh fillets grab at his (own) thigh Honey thigh Make sure your chest is on your front thigh WebYour thigh muscles are whats known as skeletal muscles. While in some cases diabetic neuropathy symptoms can be mild, this condition can be fatal. The iliotibial tract or iliotibial band is a thickening of the fascia lata located on the lateral surface of the thigh. Symptoms are usually felt in the legs and feet first, but may spread to your hands, arms and other areas of your body. 1 Symptoms of a pinched nerve may include: Pain in the front or back of your thigh Numbness or tingling in your thigh If you buy through links on this page, we may earn a small commission. If the clot moves from your vein, it can travel to your lungs and may result in a fatal pulmonary embolism. Contains Parliamentary information licensed under the, Test your vocabulary with our fun image quizzes, Clear explanations of natural written and spoken English. Massage therapy can also help with thigh pain by improving circulation, smoothing out muscle knots, and relieving tension. These problems usually result in apparent signs like pain and bruising. 0 && stateHdr.searchDesk ? Thigh contusions can have a range of symptoms, including: Thigh contusion diagnosis. Diabetic neuropathy is a nerve damage condition triggered by diabetes. The muscles of the face give it general form and contour, help you outwardly express your feelings, and enable you to chew your food.

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thigh blackhead removal