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Assessment of risk of bias and effect sizes The Cochrane Risk of Bias tool (Sterne et al

RR also helped maintain mitochondrial structure, increased ATP and GTP levels, and attenuated cardiomyocyte apoptosis [107]

Gore AC, Chappell VA, Fenton SE, Flaws JA, Nadal A, Prins GS, Toppari J, Zoeller RT

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But research shows major problems: Temporary relief only - Pain returns in 3-6 months Tissue weakening - Steroids break down healthy tissue Risk of rupture - Weakened fascia can tear completely No actual healing - Just masks the problem Recent studies comparing PRP to corticosteroid injections show that PRP provides superior long-term outcomes and functional improvement