To the first statement, yes, it causes a lot of issues. To the second, it's probably unrelated. I'm guessing that's more she needs some proper PT and a proper pillow. My impression is that a lot of the world doesn't focus much on physical therapy compared to where it is in the States, but that might have something to do with a huge chunk of the medical industries profits is from repairing ACLs and Achilles. Pickup basketball after 35 is a big risk.