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[11] reported transient motor weakness and transient sensory changes after PCF and believed that excessive pulling, mechanical damage, and thermal damage during drilling were the reasons for weakness or sensory changes after posterior cervical foraminotomy/PECD

Gan et al observed thickened myelin sheath and increased cross-sectional area of target muscle cells after daily mecobalamin administration intraperitoneally in rats with sciatic nerve injury 15

This is particularly relevant for rotator cuff injuries, where the damaged structure is largely tendinous

Dose Range: 3001000 mcg per injection with gradual titration

Oral B12 supplements, if prescribed, would incur standard prescription charges unless the patient is exempt