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  52. This distinction has important prognostic implications 8 cialis pills Secondly, from a biomechanical standpoint, the literature review shows that i simple stress decay and recovery from it is a reversible process due to elasticity of fascia; ii trigger points TrPs and myofibroblasts are found in normal individuals; TrPs are seen even in childhood and infancy, and in animals 58; iii fascia continuously remodels itself and HA is continuously synthesized and excreted; iv a sedentary lifestyle and repetitive overuse of muscles, with low variability of movements, all lead to fascial changes fibrosis and possibly MPS; v exercise and proper movement relieve and prevent MPS; vi MPS seems to recur unless appropriate exercises are prescribed