Another tendon, Tibialis Posterior is found on the inside of the ankle and as an important stabiliser of the ankle and foot can also be affected with overuse stresses creating tenosynovitis of the Tibialis Posterior
Another unique aspect of CHIVA is that rather than attempting to completely eliminate all reflux, as in other surgical methods, CHIVAs goal is interruption of venous hypertension at its source, higher up in the venous system (Mowatt-Larssen 2010
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For instance, counteraction of both the L-arginine-induced disturbance and L-NAME-induced disturbance was seen, while maintaining blood pressure against both L-arginine (hypotension) and L-NAME (hypertension) (note, BPC 157 by itself does not affect basal blood pressure values [25] and likewise, BPC 157 by itself does not affect basal coagulation/platelets values [1])
