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Physical therapy strengthens surrounding muscles and improves movement patterns, which is essential, but it cannot force poorly vascularized tissue to heal faster than biology allows

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10.1128/JB.187.13.4392-4400.2005 J

This broad regulatory activity includes upregulation of tissue repair genes, collagen synthesis pathways, antioxidant defense systems, and anti-inflammatory signaling networks, alongside simultaneous downregulation of genes associated with tissue destruction, inflammation, and fibrosis