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A tendon injury in the same shoulder can persist for months or years

Fatigue is often the most commonly reported, severe symptom with levels comparable to patients with multiple sclerosis on the Fatigue Severity Scale instrument ( Persistent chronic pain in Lyme disease has been described in various studies as neuropathic or nociceptive ( Although fatigue, musculoskeletal pain, and cognitive dysfunction are the most commonly reported symptoms, a host of others, including sleep disruption, paresthesia, headache, dizziness, and mood changes, are variably distributed across patients (93)

By reducing inflammation, they can help decrease pain, swelling, and stiffness in the back and other areas

J Clin Endocrinol Metab 87 : 19891995 Johannsson G et al