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At Elevate, treatment often includes: Prolotherapy to stabilize joints and ligaments Physiotherapy to restore movement and reduce nerve tension Acupuncture to regulate the nervous system and reduce pain signaling Targeted nutrient therapy, not just B12 This integrated approach addresses both the structural causes of nerve irritation and the biological environment required for healing

Conservative vs surgical: Some tendon injuries managed conservatively (physical therapy, activity modification) versus surgery

Can B12 injections support weight management and metabolism

It is not a nuisance

Response to treatment varies considerably: Paraesthesia and early sensory symptoms often improve within weeks Cognitive and mood symptoms may take several months to resolve Established spinal cord damage (subacute combined degeneration) may show incomplete recovery, particularly if treatment was delayed Gait disturbances and proprioceptive loss may persist despite adequate treatment Monitoring during treatment should include clinical review of symptom progression and full blood count