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I am treating a 26 yr old male spinal cord injury.  Level T 7.   He is now 11 yrs post trauma and has shown steady improvement throughout the years  He is sexually active and is  mobile with ankle foot supports and frame.  Recently he has presented with lower abdominal strain and muscle fatigue.
Does anyone have any sugggestions why and / or any general advice.?  Thanks for your help.
Anne Apgar , Athens, Greece
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