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Here's what's actually happening during treatment: the acoustic waves create controlled microtrauma in the damaged tissue

There are some nerves running through the shoulder and there is always a slight chance a needle may hit a nerve if the injection location is incorrect

Future studies should standardize methodological approaches across populations and increase sample sizes in order to distinguish between geographic and pathological microbiome variations

Insurance coverage for these injections can vary based on your individual insurance plan, the medical necessity of the treatment, and other personal health factors