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10.1038/nature13302 323 KinjoM

If tests show deficiency, replacement is justified and often rapidly helpful

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Research supports: Reduced joint inflammation in arthritis models with daily use, showing long-term benefits up to one year

List of the abbreviations PRP: Platelet-Rich Plasma MRI: Magnetic Resonance Imaging ACL: Anterior Cruciate Ligament NRS: Numerical Rating Scale KOOS: Knee Injury and Osteoarthritis Outcome Score TLKSS: Tegner Lysholm Knee Scoring Scale VAS: Visual Analog Scale SF-36: RAND-36 (Short Form 36) IKDC: International Knee Documentation Committee IL: Interleukin TGF-: Transforming Growth Factor Beta PDGF: Platelet-Derived Growth Factor IGF: Insulin-like Growth Factor VEGF: Vascular Endothelial Growth Factor EGF: Epidermal Growth Factor -FGF: Basic Fibroblast Growth Factor NSAIDs: Non-steroidal anti-inflammatory Drugs Authors Contributions Both authors AEZ and JY equally contributed to the project

The injection is named an epidural steroid injection because it involves injecting a local anesthetic and a steroid medication directly into the epidural space that surrounds the spinal cord and nerve roots