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Meanwhile, IL6 can promote migration and invasion by inducing the expression of matrix metalloproteinases (MMPs) and activating epithelial-mesenchymal transformation 35

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It comes back to something we learn in orthopedics very early: Often the clinical assessment of the patient is the most reliable way to determine what is causing the pain. From the Mayo Clinics article, Shoulder Pain: Raising the Level of Diagnostic Certainty About SLAP Lesions Miniaci found that 79% of asymptomatic professional pitchers (28/40) had abnormal labrum features and noted that magnetic resonance imaging of the shoulder in asymptomatic high performance throwing athletes reveals abnormalities that may encompass a spectrum of nonclinical findings. Yes, you can have a torn labrum and not be in pain