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The underlying mechanism is as follows: in the presence of the terminal electron acceptor -oxygen- the electron transport chain maintains oxidation of NADH to NAD + by complex I, and this NAD + is supporting dehydrogenases, including the pyruvate dehydrogenase complex

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Our team may recommend trigger point injections for your chronic neck pain if: Your neck pain has persisted, despite conservative care like stretching, heat/ice, and activity modification You have specific tender, tight muscle knots that correlate with your pain pattern Your pain limits your daily activities or interferes with sleep Muscle tension interferes with physical therapy progress For many of our patients, trigger point injections are just one part of a comprehensive pain management plan