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Modern therapeutic options include intratendinous injections of substances believed to inhibit neovascularization, such as corticosteroids (which can cause collagen sclerosis and long-term damage to the tendon), or of substances that relieve pain by other pathways (acupuncture, extracorporeal shock wave therapy [ESWT]) or that stimulate tendon repair (platelet-rich plasma [PRP]) [12,13,14,15]

That combination can be especially appealing to patients who want a structured path forward rather than trying to figure everything out on their own

Typically, there are between four and six sessions performed at an interval of every other month

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