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Conventional treatments including rest, physiotherapy, and occasional NSAID use provide temporary relief but the pain returns with each return to ice
After 10-15 years on the job, most first responders deal with: Chronic tendon injuries (rotator cuff, Achilles, knee) Lower back pain from gear and lifting Muscle tears that never fully heal Joint pain that makes every shift harder Exhaustion that sleep doesnt fix Slow recovery between shifts Your doctor probably told you to take ibuprofen and rest. But you cant restyouve got a shift tomorrow
Similar clinical symptoms are found in individuals with hereditary IF deficiency (also called congenital pernicious anemia) in whom the lack of IF results in the defective absorption of vitamin B 12
This occurs through multiple mechanisms
Thats called muscle damage
