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Each patient completed the Modified Perth Hamstring Score (MPHS), a five-part scoring system that measures pain, function, current activity level and return to pre-injury activity level

[DOI] [PubMed] [Google Scholar] 238.Hirayama F., Lee A.H., Terasawa K., Kagawa Y

Treatment typically requires intramuscular hydroxocobalamin injections (1 mg three times weekly initially, then every 23 months lifelong) when malabsorption or neurological symptoms are present