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During chronic disease or injury, inflammatory cytokines (bad signals) flood the system, causing pain and further tissue destruction

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Aging, inflammation, and disuse accelerate this decline: After stroke/SCI: Damaged pathways prevent voluntary activation.[11] In concussion/Long COVID: Neuroinflammation disrupts timing and coordination.[12] Post-injury: Pain guarding causes rapid atrophy (up to 1-2% muscle loss per day of immobilization).[13] The result

The MRI also tells me if the tear is from gradual wear over time (degenerative), which is common in older patients and usually responds well to non-surgical care