There is no dichotomy. This will become part of the body of knowledge of sports medicine, it's already happening.
And the sooner the "usual suspects" start to work with universities, investigation centers, or practitioneers like Daniel James
(who posts here in AW) instead in engaging in the usual A: "You suck" B: "No, you suck more and your momma is ugly" ad infinitum, the better.
IMO, of course