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Microscopic studies have identified lesions of the articular cartilage following 30 day treatments at either 5,15 or 25 mg/kg in this age group

The immune response to the vaccine can cause inflammation and subsequent irritation of the tendons, leading to tendonitis

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Examples of activity modification include: Refraining from lifting weights or raising objects overhead Taking frequent breaks while performing activities that involve repetitive shoulder movements, such as vacuuming and mopping Choosing clothing that does not strain the affected shoulder, such as wearing buttoned-down shirts instead of overhead shirts Using an electric toothbrush instead of a regular toothbrush The length of time for rest and activity modification is influenced by the severity of the injury