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[26] A complication of severe chronic PA is subacute combined degeneration of spinal cord, which leads to distal sensory loss (posterior column), absent ankle reflex, increased knee reflex response, and extensor plantar reflex response

Recent injuries that have not progressed to chronic degeneration typically respond faster than problems that have persisted for years

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A calf and plantar stretching protocol done consistently each morning before your first step makes a measurable difference in how your fascia tolerates load throughout the day

Printable cheat sheet Keep a condensed U-100 reference handy for print or quick bench-side review