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So I like to offer a little medical background when explaining injuries

Surface & Footwear Avoid prolonged training on concrete or other unforgiving surfaces.60 Wear sport-specific shoes with appropriate cushioning and support

Second, as an observational study, causality cannot be established, and the findings remain susceptible to residual confounding from unmeasured factors, including confounding by indication, disease severity, prescribing preferences, and lifestyle factors such as diet, physical activity, or cognitive engagement

published case examples of EDS patients who managed to avoid orthopedic surgeries by using periodic prolotherapy to maintain joint stability

Over the past decade, many hypermobile EDS (hEDS) patients have tried prolotherapy, and while responses vary, a significant number report meaningful improvements