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Mochida and Kawamura, 2004)
Injection Site Selection for Shoulders For rotator cuff and general shoulder issues, inject subcutaneously within one to two inches of the affected area
Surgery is generally reserved for cases with progressive neurological deficits (increasing weakness or loss of bowel/bladder control) or for patients who have not responded to high-quality conservative care
If privacy concerns are preventing you from starting treatment at all, an oral option might lower that barrier
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