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These include severe dysmenorrhea requiring prescription analgesics, progressive worsening of menstrual pain, pain occurring outside of menstruation, deep dyspareunia, and cyclic gastrointestinal or urinary symptoms (Kennedy et al., 2005)

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Modic changes Vertebral bone marrow signal intensity changes observed on MRI, commonly in association with intervertebral disc degeneration

Many plantar fasciitis patients receive cortisone injections, which provide temporary pain relief but can impair tissue healing and even weaken the fascia over time

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