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The strong adjuvant in the HPV vaccine caused the bursitis to be unresponsive to corticosteroid injections, leading to chronic severe inflammation evident during arthroscopy

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2,4 Lumbar spinal stenosis is a common cause of chronic low back pain, particularly in people older than 50 years, and is a progressive degenerative condition of the intervertebral disk, ligamentum flavum, and facet joints secondary to aging