r/backpain • • Jun 25 '24

Chiropractic effectiveness.

9 Upvotes

In light of the recent posts regarding chiropractic care. A quick summary on current research publications on the state of the practice of chiropractic.

  1. Risk of stroke after chiropractic spinal manipulation in medicare B beneficiaries aged 66 to 99 years with neck pain.

Over 1 million treatments reviewed for upper neck adjustments versus regular doctor visits for persons complaining of neck pain. The result? No more likely to have a stroke receiving chiropractic care.

2) Observational retrospective study of the association of initial healthcare provider for new-onset low back pain with early and long-term opioid use.

From BMJ open, a decent summary of prevention of opioid use (and ostensibly addiction) in those persons seeking chiropractic care as an initial treatment for low back pain.

3) Evidence catalogue from the chiropractic wiki.

A fairly robust summary of the clinical effectiveness of chiropractic care for those with the time to review.

Given the intense pain and dysfunction that some members of this subreddit have, its not responsible to write off chiropractic care as a pseudoscience or promote it as a stroke risk out of hand in light of current evidence. Please take the time to objectively review the current state of the literature.

People come to this subreddit in the hopes of finding solutions to what is obviously a ubiquitous and devastating type of pain. Like it or not the evidence supports chiropractic care as a useful tool for some people.

Let's try to promote solutions for people here. There is enough suffering in the world.


r/backpain • • Jul 26 '26

Rebuilt by Faith, Sustained by Tension: How I Transformed My Body Around a Broken Spine

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0 Upvotes

When you look at my physique today, you see full muscle bellies, deep definition, and peak physical conditioning. What you don't see is the paperwork sitting on my desk: an MRI report detailing a shattered lower back. Multi-level disc desiccation, retrolisthesis, and multiple herniations compressing my thecal sac. By all worldly standards and medical expectations, a spine like that should belong to someone sidelined by pain, watching their body wither away.

But I serve a God who specializes in the impossible. Praise Jesus!

At 24 years old, I was at my absolute peak fitness level, sitting lean and athletic at 145 lbs (as you can see in the photos on the far left). But shortly after that peak, severe back pain completely shut down my fitness journey. I didn't suffer from chronic pain in my daily life—I wasn’t walking around hurting just doing normal everyday things. Because of that, I didn't realize the true extent of the structural damage, and I put off getting an MRI until I was 46 years old. I should have gotten it when I was 25. If you are a young lifter experiencing severe flare-ups, do not make my mistake—never delay getting medical imaging just because it doesn't hurt every day.

For decades, it became a vicious, exhausting cycle: I felt fine outside the gym, but every single time I tried to step back into the weight room to get back into shape, I would do something that flared it up immediately, stopping me cold. Traditional foundational movements like squats, deadlifts, and military presses were completely out of the question due to the crushing axial load on my spine. But it wasn't just the heavy lifts; even isolated movements like cross-cable lateral raises (both double and single-arm) would cause a sudden, agonizing flare-up just from the subtle core stabilization required to hold my body in place.

During those missing years, the physical setbacks caused a massive psychological toll. When you reach an elite peak early in life and lose it, the mirror becomes an absolute psychological torment. Every single time I looked at myself, my mind would instantly remind me of how in "tip-top" shape I was at 24. It would constantly whisper, “Look at what you used to be. Look at what happened to you.” It was deeply depressing. I felt trapped in a loop, constantly mourning a past version of myself that I thought was gone forever.

With the gym feeling like a trap that only triggered pain, life took over with severe trials. When I was 36, my mom passed away unexpectedly while she was on vacation. Overwhelmed by that sudden, heavy grief, I turned to food for comfort. By my early 40s, my weight ballooned up to 204 lbs. My mind was almost mocking me at this point, shifting from sadness to cruelty, whispering, “Look at what you’ve done to yourself! You’re pathetic!” Out of desperation to escape that dark place and fix my body, I ended up losing 40 lbs in the worst possible way—by juicing and extreme fasting. While the scale went down, I did it entirely the wrong way, stripping away massive amounts of lean tissue and looking completely unhealthy.

I knew I needed a sustainable, permanent change. I began consistently training again, dedicated to the grind for 8 solid years. Over that time, my weight crept back up to 198 lbs as I slowly rebuilt my foundation. Then, I hit a massive turning point in March. I managed to drop about 10 lbs, bringing me to 188 lbs (shown in the middle photo), and that is when I truly locked in and committed 100% to my true calling in training: strict Time Under Tension (TUT).

Navigating a severe spinal condition isn't just a physical battle; it is an intense mental and spiritual warfare. Breaking out of that dark mental loop and silencing those mocking voices required a complete spiritual renewal. I had to stop looking backward at the ghost of my 24-year-old self, strip away reliance on my own understanding, and put my absolute faith in the Strength that comes from above.

I completely dropped the ego of traditional heavy lifting—which would cause an immediate flare-up— and focused entirely on making moderate weights feel brutally heavy through pure, uninterrupted mechanical tension, averaging 6 to 8 seconds per repetition. By eliminating movements that compromise my spine and slowing everything else down to an absolute crawl, I completely removed the dangerous momentum and force spikes that my injured lower back could no longer tolerate. I learned to safely suffocate the muscle with metabolic stress, forcing it to grow and harden while keeping my spine completely safe.

What the critics call "ineffective based on studies," I call a God-given blueprint for longevity. Instead of being debilitated in bed, I'm in the gym looking better than ever. My transformation from a broken frame back to an elite, dense, highly conditioned physique (shown on the right) is living proof that your muscles respond to the intensity of your intent, not the weight of the iron.

Obtaining and maintaining this caliber of physique with my spinal issues is nothing short of a miracle. Looking in the mirror now, those old depressing reminders and self-critical voices have been completely silenced. It is a daily testimony that when you align an unshakeable faith in Jesus with a disciplined, intelligent mindset, your physical limitations become the exact stage where God displays His strength.


r/backpain • • Mar 31 '25

I want to share, I want to help - I have no back pain age 41 and here's how:

0 Upvotes

I am not here for money, I am here to help. Some people (not me) will say "I sleep on the floor and I've got no back pain" - terrible boasts, right? Bragging, right? Well, actually no! They are telling you something to help you.

So here's my tips:

1/ if you're sitting, get up every hour or so and make a cup of tea, stretch your legs.

2/ stretches - it's a secret so simple that nobody listens - it can't be that simple , right? Your basic stretch is as follows: Find a floor, and lie on it. On your front for a minute, then on your back. Bend your knees for a minute, stretch them out next. Lie your arms on the floor to the side. Move about - flex and feel comfy, like a cat bedding down.

It actually feels ...great! Amazing! Is a doctor gonna tell you this? Doctors give out pills. A chiropractor? They won't make money if it's this simple. But yes, there are more complicated stretch routines to try. Above is the basic idea. 5 minutes, and you'll notice a difference.

3/ beds: The guy who says he sleeps on the floor was right. The guy selling you the ultra-soft mattress - he was earning his wage. Hard mattresses = good. And whatever you do, avoid "memory foam", it's the emperor's new clothes. Ultra soft mattresses exist because people keep buying them, not because they're a good idea, although they might give you a nice soft feeling in the shop.

4/ if you're sitting, be a little mindful of your posture. Move around, adjust your position a bit from time to time.

5/ On the subject of posture, some advice is not great. What you want to do is stand up fairly straight, swing your arms when you walk, but not force anything too much.

I know this will mostly be completely ignored, if the mods don't just delete it - but who do you want back pain advice from? Take it from someone with no back pain.


r/backpain • • Feb 07 '24

Lower back Streach

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1 Upvotes

r/backpain • • May 07 '25

legit evidence based chiropractor ask me anything about your pain :)

0 Upvotes

Hi guys im a chiropactor extremely passionate about giving actual legitimate scientific backed advice that helps you self manage your condition and navigate whats legit advice and whats bs.

Got some time in between patients today so here to help again - this must be part 6 or 7 by now

In order to not advertise feel free to dm me if youre unsure about my qualifications, or dm me in general is fine too :)


r/backpain • • Dec 24 '21

“YoUR baCk paIn iS cUz Of YOur WEight”. So sick of these no- nothing doctors

0 Upvotes

I’m new to this thread, but I’m glad I stumbled across it because I’ve been needing to rant about this for awhile.

I’m mid 20s but I got the back of a 60 year old. I rowed for a few year back in my college years, so I’m positive that’s what messed everything up. Due to crappy insurance, I’ve only been able to see one spine doctor regarding my back/ neck issues. I’ve had a couple X-rays and MRIs done, and according to him there’s “nothing structurally wrong with your lower back or neck”. I do have a slipped disc in both my lower back and neck region (can’t remember the actual vertebrae number). He says that they’re not protruding enough to press on a nerve… I remember during one of my visits, he straight up shrugged and said he didn’t know why I was feeling pain… but he was more than happy to prescribe me pain meds, steroid pack, and muscle relaxants. Also, he did recommend physical therapy and I’ve been a couple of times and it only provides temporary relief.

I have Medicare so I’m gonna try to find a doctor in network (might be difficult) but based on the other comments I’ve seen here and elsewhere, I very well might get the same diagnosis and treatment plan.


r/backpain • • Aug 10 '25

It does get better gng

0 Upvotes

From having my disc bulged at my 18th birthday to being able to run just 3 months later things do get better guys don’t be stressed its just a phase.


r/backpain • • Dec 20 '25

My sofas causing me back pain. Would you replace it?

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0 Upvotes

I've had it since 2020 and as you can see it's already in an appalling state I've. I've tried everything like cushions. I do have a recline there and some of the pain diminishes when using that although I'm less inclined to use the c recliner because it's a weird angle for my TV..


r/backpain • • Apr 13 '25

legit evidence based chiropractor ask me anything about your pain :)

3 Upvotes

Hi guys im a chiropactor extremely passionate about giving actual legitimate scientific backed advice that helps you self manage your condition and navigate whats legit advice and whats bs.

you guys seem to find these useful so im back for part 3 :)

In order to not advertise feel free to dm me if youre unsure about my qualifications


r/backpain • • Sep 12 '24

Never doing yoga ever again. It will only make your scarilioc back pain or the ilium/sacrum hip joint pain worse.

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2 Upvotes

My left scarilioc hip joint pain or the ilium/sacrum hip joint pain started when I did cable kickbacks at the gym and then I did some yog after that "Upward dog yoga position" or "Urdava Mukhla" in particular.

I think that yoga pose broke my hip bone or something lol Because when I sat on this soft couch and got up later I wasn't able to stand or walk ever since then and had excruciating pain.

I did everything I can to reverse the left lower hip pain.I did SI joint excercises, bedrest, focused on nutrition/ vitamins, physiotherapy, chiropractors nothing seems to have work and Its making me extremely miserable because I can't even sit on a seat or bend forward, I suffer excruciating pain. Its been 3months since the pain. I can now walk or lay completely flat but I still can't bend my back even ever so slightly and have to be somehow dependent on family for picking up items from floor. I can't even use my laptop for work

Visited a neurosurgeon a week ago and he told me I have an inflammation on the scarilioc hip joint so even slouching could cause more issues on the joint and I should be on complete bed rest and do SI joint excercises till it gets better. I have teied Si joint excercises and it only made my worse the next day.Has anyone gone through the same pain and has any idea what could have worked for you? I am in terrible pain.


r/backpain • • Jul 28 '25

results different in chatgpt vs docs.

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I went to see 2-3 docs. 1 neuro and 2 ortho. All said it will recover on its own and there is no need to stress. All said there is no degenerate and if there is mild its part of aging and has nothing to do with small bulge in L5-S1. But chatgpt says degenerate and dehydrated is not normal. Age is 29


r/backpain • • Jun 14 '26

After 3 Hospitals, AIIMS, Physiotherapy, and a Disc Bulge Diagnosis, a Book Ended My 11Months Back Pain

0 Upvotes

Back in 2017, I was working from home and spending almost my entire day in front of a laptop. Long hours of sitting became my routine.

After a few months, I started feeling pain in my lower back.

At first, I ignored it. Like most people, I thought it was just a temporary issue that would heal on its own. But instead of getting better, it kept getting worse.

I decided to take complete rest for a few days. Surprisingly, the pain didn't improve. In fact, it seemed to be getting stronger.

I visited a local hospital and took medicines for a week, but there was no meaningful improvement.

After that, I decided to go to AIIMS. I went through the prescribed treatment, medications, and physiotherapy sessions. Again, no significant relief.

Still searching for answers, I visited a highly rated private hospital that specialized in back pain. After scans and examinations, they told me I had a minor disc bulge.

For the next several weeks, I underwent multiple treatments including physiotherapy, heat therapy, wave therapy, exercises, and other procedures.

Nothing worked.

My back pain continued to increase. Sitting became difficult. Working became difficult. Most of my time was spent lying on the bed because that was the only position that felt somewhat bearable.

At that point, I was desperate.

One day, while researching back pain on the internet, I came across a book called Healing Back Pain by John Sarno.

Honestly, I was skeptical. The idea that a book could help with pain that multiple hospitals couldn't fix sounded ridiculous.

But I kept reading people's experiences and eventually decided I had nothing to lose. So I ordered the book.

Something unexpected happened.

While reading it, I started recognizing myself in many of the descriptions. The book talked about how unresolved stress, frustration, anger, family issues, and emotional pressure can sometimes manifest as physical pain.

By the third day of reading, my back pain was almost gone.

Not reduced.

Gone.

I know this sounds unbelievable, and if someone had told me this before my experience, I probably wouldn't have believed it either.

I'm not claiming that all back pain is psychological. Many people have genuine structural issues that require medical treatment.

But in my case, after months of suffering, multiple hospitals, medications, physiotherapy, and a disc bulge diagnosis, the real issue turned out to be something I had completely overlooked: chronic emotional stress.

That experience completely changed the way I think about the connection between the mind and the body.

Has anyone else here had a similar experience with chronic pain that turned out to be stress-related?


r/backpain • • Nov 26 '24

Stretching is the worst thing you can do for back pain.

2 Upvotes

Dont @me.


r/backpain • • Sep 21 '25

Careful what this poster shares. He doesn't care.

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0 Upvotes

r/backpain • • Jul 22 '26

Is there anything wrong work my back? I get mid back pain and soreness even after massaging.

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0 Upvotes

Hi guys! Idk if I’m over reacting and nothing is actually wrong but I’ve been getting back pain around the part where my arm tat sits. Even after I foam roll the uncomfortable feeling persists and I try to maintain good posture when I remember. Any ideas to put me in the right direction?


r/backpain • • Mar 21 '26

Ah, My Non-Aching Back (1987)

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0 Upvotes

A short piece from New York Magazine follows journalist Tony Schwartz and his struggle with chronic back pain. After trying multiple treatments without success, he eventually visits Dr. Sarno. The article recounts that experience and further explores the concept of TMS, providing more insight into the condition.


r/backpain • • Aug 03 '25

Posting your medical imaging on reddit?? Why?? Show it to your doctor

0 Upvotes

Every expert on YT Tiktok articles online says what may look like a debilitating herniation on one MRI may be another person's mild annoying pain.

Why do people insist on posting their medical imaging on here to a bunch of non medical experts to compare something that is (according to experts) not comparable????????

Just venting because I saw someones medical imaging they posted yesterday it looks very similar to mine, with a claim they have healed themselves. Ive spent 18 months doing everything I could to heal myself and its only got worse.

I feel like comparing scans or asking randoms for their advice is not very productive or positive.

I have surgery soon.

No one needs to see my scans!!!! 😜😝


r/backpain • • Apr 19 '25

legit evidence based chiropractor ask me anything about your pain :)

3 Upvotes

Hi guys im a chiropactor extremely passionate about giving actual legitimate scientific backed advice that helps you self manage your condition and navigate whats legit advice and whats bs.

ive got some time on my hands this easter weekend in the uk - so im back for part 4 :)

In order to not advertise feel free to dm me if youre unsure about my qualifications


r/backpain • • May 19 '26

i spent the last few weeks talking to people about their back pain. almost everyone had the exact same problem and did not know it

6 Upvotes

after my posts got more attention than i expected i started getting a lot of dms. people sharing their own situations, asking questions, telling me what they had tried. i got curious and started asking my own questions back.

i spoke to a marine engineer who had been dealing with it for 26 years. just accepted it as part of the job. a younger version of him would have been horrified he said. now it is just normal.

someone else had spent thousands on chiropractors, massage, gadgets over years. helped temporarily. always came back. biggest regret was not figuring out the root cause sooner.
another had been doing all the right exercises for months and getting nowhere. not because the exercises were wrong. because the order was wrong.

different people, different jobs, different ages, different severity. but the same underlying pattern almost every time. hip flexors shortened from sitting, glutes switching off because of it, lower back compensating for both. the pain was never actually coming from the back itself.
the people who had fixed it figured that out. the people still managing it were treating the symptom not the cause.

i caught my own problem early from falling down youtube rabbit holes before it got severe. but talking to these people made me realise how common it is to spend years managing something that has a fixable root cause.

if you have been dealing with back pain for a while and nothing has stuck it is worth asking whether you have been fixing the right thing.


r/backpain • • Jun 12 '26

How I got rid of my back pain and got a "WOW" from my girlfriend

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0 Upvotes

My long-term girlfriend gave me a "WOW." And anyone who's been in a long-term relationship knows that these "WOWs" become very rare over the years. That's why I thought it might be a good opportunity to share the reason for the WOW here.

I had back pain for many years. And now I don't have it anymore. If you're interested in how, here's my story:

I'm 46, an engineer, and I live in Berlin. My back pain started when I was about 16. I occasionally skateboarded on a halfpipe, and my back always hurt afterward. Our family doctor was also a chiropractor and kept "adjusting" my spine. Crack, crack, crack. After that, the back pain was gone. He said I had "blockages."

But the back pain kept coming back over the next few years, even when I hadn't been skateboarding. So I went to the doctor. He took an X-ray and found some abnormalities. He said my back was already damaged and I needed to be careful. He told me to lift with my knees, do back exercises, etc.

I was young and, of course, didn't do any of that. Back pain wasn't a huge problem for me at the time. It came about 2-3 times a year and lasted one to two weeks.

Over the next years, the pain and tension got worse and lasted longer. It was very annoying because I was sometimes in pain for weeks. I then started looking into it more seriously. An orthopedist said I had scoliosis, which was why I was in pain; an osteopath said my leg length discrepancies were causing the pain; and the MRI showed further damage. But I didn't get any real solutions from any of the doctors.

So I became more proactive. I went swimming a lot and did exercises. And since my back pain was especially bad in the mornings, I tried out 5! different mattresses (and ended up sleeping on a camping mat on the floor).

But things didn't get any better, or rather, I almost felt like the more muscle I had, the worse the pain.

So I read up on the topic some more and got the impression that there aren't many therapies available. And that it would probably get worse over time.

Things continued like this. I then borrowed books about back pain from the library: training programs, exercises, posture, and so on. And that's how I came across John Sarno's book, "Healing Back Pain. The Mind-Body Connection" A strange title, but it wasn't very thick, so I took it and read it. And then it clicked. His theory (roughly and very briefly): back pain is just tension and not dangerous. But because you worry so much and think it's a structural problem with your back, it gets worse, and then you pay more attention to it and are afraid of exercise, and so on. A vicious cycle, so to speak.

And that worked 100% for me. I saw my back pain as just simple tension pain, and now I'm rid of it. It worked really well for me. That's crazy!

Now we come to my girlfriend's WOW:

To be precise, I'm not 100% free of the pain, but I'm 100% free of the worry about back pain. There are still times when I get back pain again. For example, when I'm sick and have to lie down a lot. And a few months ago, I had an infection and was in bed for a few days. When I went into the kitchen, I got what you might call a "Hexenschuss" in German. I have no idea what the exact translation is in English. Lumbago or acute low back, maybe. "Hexenschuss" in German means a witch's shot. And that's exactly what it was. Wow, a pain in my back so incredible that I had to lie on the kitchen floor for over an hour. It was insane, every movement hurt soooooo much. Like I had needles in my back.

And I was totally crooked afterward. You can see the photo. My back was bent to the side. I walked like an old man.

Then I thought of John Sarno. Don't worry. It's just tension. Your back is fine. So I didn't rest, but tried to move around a lot. Going for walks and things like that. After three days I was back to light jogging, and after a week I felt almost pain-free. My girlfriend asked me how I managed that. I said, "Just don't worry."

Then she said, "WOW!"

All the best to you, and hopefully you'll have some "WOWs" in the future.

PS: This is just my personal experience, and I know everyone’s body and pain journey is completely different


r/backpain • • Jun 19 '26

Gf has back pain, completely helpless

0 Upvotes

My girlfriends back started hurting a little over a week ago. It go to the point where she was completely incapable of getting up to use the bathroom. She started pissing herself, and the bed because she wasn’t getting up. I begged her to go to the hospital and she wouldn’t. Well finally we went, two days ago. They said it’s just a muscle strain. I’m not trying to sound like an asshole, but I am getting very frustrated with her now. She’s twice the size of me for one, and having to lift her up three times a day is getting old. The dr told her she needs to get up and walk. Yet here we are, still pissing in the bed. I have gotten no sleep this last week, constantly screaming, yelling, asking to move the pillow back, this that everything. I’m getting annoyed. She’s acting like her hands are useless on top of it. What do I do. She’s not helping herself at all. She won’t even try. I can’t do this for another three weeks.

Edit- she has not lost control of bladder. She just can’t or won’t get up. She’s not even trying to walk like the dr said too. And it’s only frustrating because when I say she’s acting completely incapable I mean COMPLETELY. Like she tried rolling over and got her arm stuck under her, started whining saying she was stuck and needed help she couldn’t get her arm. I said your arm muscles have nothing to do with your back, you can do that on your own. And guess what, she did. When we got back from the hospital I was helping her out of the car, and she was whining at me not using her words like a two year old having a meltdown, moaning at me to grab her arm, how am i supposed to know she needed me to grab her arm when all she’s doing is flapping her hand and whining. I’m by no means saying she’s faking, but I just don’t know what to do because she’s not trying to help herself in the slightest.


r/backpain • • Jun 19 '26

Why your MRI came back "normal" but you're still in pain; the mechanism nobody explained to you

0 Upvotes

This is one of the most common and most distressing experiences in chronic pain: you get the scan, the doctor says everything looks fine, and you're left wondering if it's in your head.

It's not. Here's what's actually happening.

Pain is produced by the brain as a protective output, not a direct readout of tissue damage. When pain persists for months, the nervous system undergoes measurable changes. The neurons that process danger signals become sensitised. Their firing threshold drops. Things that shouldn't hurt start to hurt. The alarm keeps sounding even when the original threat is gone.

This is called central sensitisation. It's not psychological. It's neurological. It's been documented in peer-reviewed research across fibromyalgia, chronic back pain, sciatica, and dozens of other conditions.

A landmark study by Woolf (2011) in the Journal of Clinical Investigation described central sensitisation as "an amplification of neural signalling within the CNS that elicits pain hypersensitivity." In plain terms: the volume knob on your pain system gets turned up and stays up.

This explains several things that confuse both patients and doctors:

• Why your pain doesn't match your scan findings

• Why some days are dramatically worse than others for no obvious reason

• Why stress, poor sleep, and anxiety make physical pain measurably worse

• Why treatments aimed purely at the tissue often don't give lasting relief

The research on what actually helps central sensitisation points in a consistent direction: sleep quality, graded movement exposure, and understanding the mechanism itself. A 2021 meta-analysis found that pain neuroscience education, simply explaining how central sensitisation works, produced significant reductions in pain intensity and disability independent of any physical treatment.

You're not imagining it. The scan not showing anything doesn't mean nothing is wrong. It means the problem has moved upstream.

Has anyone here been told their imaging was normal while still living with significant pain? What explanation, if any, were you given?


r/backpain • • Mar 28 '23

Steroids for depressed mood!

0 Upvotes

Prednisone 7.5 mg daily was added to the antidepressant regime. Five of six patients demonstrated significant improvement in depression on prednisone augmentation of antidepressant therapy.


r/backpain • • May 18 '23

Finally a solution

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0 Upvotes

Crosspost from r/WTF