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Note: For complete details, please review product monographs at and regularly review current Health Canada advisories, warnings and recalls at: for the most up to date information.) Table 4: Treatment of B 12 deficiency (adapted from Means 2021) 27 Note: Intranasal administration is generally not used

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evaluation for bursitis, instability, or nerve deficits) Imaging: X-rays : Evaluate implant position, bone healing, and prosthesis stability MRI or CT scans : Identify soft tissue issues (tendonitis, bursitis, muscle atrophy), prosthetic complications, or scar tissue Ultrasound : Examine for fluid collections, bursitis, and guide injections Bone scan : Assess for infection or loosening Neurodiagnostics : EMG/Nerve conduction studies : Used if nerve injury, neuropathy, or radiculopathy is suspected Intraoperative and postoperative neuromonitoring can identify early nerve issues and optimize patient outcomes Non-Surgical Treatments Rest and activity modification Physical therapy focusing on flexibility, strength, and gait retraining NSAIDs or acetaminophen for pain and inflammation Corticosteroid or local anesthetic injections for persistent tendonitis or bursitis Assistive devices if needed during acute flare-ups Holistic and Innovative Treatments for Post-Operative Hip Pain Anti-Inflammatory Nutrition Counseling A customized plan emphasizes: Omega-3-rich fish and flaxseed Leafy greens, berries, nuts, and seeds Spices like turmeric and ginger Minimizing processed food and sugars to reduce systemic inflammation and support healing Shockwave Therapy Modern shockwave devices target persistent pain areas, enhancing tissue regeneration and blood flow to support healing for tendonitis, bursitis, or muscle pain