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Instrument-assisted soft tissue techniques include Astym therapy, which increased fibroblast activation and number, production of fibronectin, movement, and decreased pain in patients with fibrosis (129) and Graston technique which reduces pain and improves movement (130), and are performed by physical therapists who can be located on websites for these techniques

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Inter-individual differences in pain processing investigated by functional magnetic resonance imaging of the brainstem and spinal cord

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