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doi: 10.1016/j.lwt.2021.113009 87 PorterT

Healthcare systems are developing specialized training programs and referral networks to ensure that patients receive appropriate monitoring

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(Straighttalk takeaway: tendinopathy is more wearandtear plus stalled healing than classic inflammation, explaining why rest alone rarely cures it.) Cornerstone Care: LoadBased Rehabilitation The Alfredson protocol (heeldrop eccentrics, 3 15 reps twice daily for 12 weeks) and updated heavyslow resistance programmes reduce pain and restore function for 6080 % of people, especially in midportion disease.PubMed Tip: Soreness during the exercise is normal think of it as working stimulus, not fresh injury

4.1 Central nervous system inflammation Peripheral inflammatory signals enter the central nervous system through multiple pathways, including the BBB, vagus nerve, and humoral routes