Tendinopathy is a common clinical condition due to an improper healing response in the setting of recurring stresses applied on the tendon, resulting in disorganization of collagen fibrils, neovascularization, and degeneration of tenocytes, which leads to decreased mechanical integrity without a proper healing response. Treatment of tendinopathy is challenging secondary to heterogenicity in the presentations and degree of tendinopathy, and the recovery process is rather lengthy often requiring multiple modalities.bWhen conservative management fails, more invasive treatment modalities can be considered, which includes ultrasonic tenotomy, percutaneous needle tenotomy, and open surgical or arthroscopic debridement.
