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Shoulder Injury Related to Vaccine Administration (SIRVA) occurs when a vaccine injection is given too high or too deep in the deltoid muscle (upper arm), causing nerve damage, inflammation, or joint injury
& Shulman, G
The mechanism of action of onabotulinumtoxinA in mediating pain reduction is multifactorial
Patients who take it often feel like moving around more and tend to burn more calories through increased movement
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