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The choice depends on deficiency severity, underlying cause, and patient preference after thorough medical evaluation

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See also this quote from the NIH: a needle is repeatedly passed into the abnormal tendon with the goal of converting a chronic degenerative process to an acute inflammatory condition that will progress to tendon healing. Ultrasound-Guided Percutaneous Tenotomy | Jon A Jacobson, et al | Semin Musculoskelet Radiol

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