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The Achilles tendon is a primary load-bearing tendon, and the main concern with injecting steroids around the tendon is the increased risk of tendon rupture, although the risk is very small

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Paroxysmal Paroxysmal OD typically arises early in life generally in childhood or adolescence (141143) and individuals presenting with paroxysmal dystonia/dyskinesia above the age of 21 should broaden the differential diagnosis and clinicians should consider a FMD as a possibility

10.1016/j.gerinurse.2023.02.012 224 NouchiR.TakiY.TakeuchiH.SekiguchiA.HashizumeH.NozawaT.et al (2014)

However, in advanced age, these rhythms often become dampened or desynchronized, leading to reduced circadian robustness and greater physiological variability (Figure 3)