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Only after those validated approaches have genuinely been exhausted would DSIP even enter an educational discussion and even then, the framing has to remain that the evidence is weak

2022 Jun 16;107(7):2016-2025

Sorry for the additional confusion but I think it needs to be pointed out.) If you have a tear thats well past the 50% mark lets say 75% then things may get a little easier for you to decide, since, most would agree, that puts you over the line into surgery land. Ruptures: The Most Severe Tears The term Rupture should mean a 90-100% tear as in, hanging by a thread or completely ripped off the muscle or bone, which would be an absolute slam dunk case for surgery

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