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It involves repeatedly placing a fine needle (about the size of an acupuncture needle) in to the abnormal tendon. According to some physicians cortisone shots have been shown to help with tendonitis in the same way that prolotherapy does but without the added effect of irritation solution which further provokes an inflammation response in treated area thus creating an increased healing effect in the tendon

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10.1016/j.archoralbio.2010.10.012 89 KochF.MllerM.KnigF.MeyerN.GattlenJ.PielesU.et al (2018)