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In individuals with established central sensitization, such forceful manipulations carry a significant risk of provoking widespread symptom exacerbation, muscle guarding, and increased pain, highlighting the necessity for gentler, nonthrust approaches [414]

[DOI] [PubMed] [Google Scholar] [18].Mudd SH, Skovby F, Levy HL, Pettigrew KD, Wilcken B, Pyeritz RE, et al

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It supports healing in muscles, tendons, ligaments, and the digestive tract