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Dysfunction within the CNS Brain imaging studies have demonstrated an association between PDPN and structural changes in key somatosensory regions, such as the thalamus and somatosensory cortex, and altered functional connectivity within ascending pain pathways and cortical regions involved in pain processing

Return to full activity becomes appropriate during late phases for most injuries

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They believe that care management of Medicare and Medicaid services is the cornerstone of integrated care, and that challenges in coordinating MA's DSNP care management requirements--embodied in the Model of Care developed by each plan--with the care management requirements of their managed long-term services and supports programs create a significant barrier to alignment