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Evidence-backed treatments include: Isometric exercises, which can help with pain control Heavy slow resistance training and eccentric loading to stimulate healing Supportive therapies like shockwave, topical NSAIDs, or in some cases injections When tendon degeneration is severe, we often focus on strengthening the healthy parts of the tendon what some clinicians call treating the doughnut, not the hole. Recovery takes time, consistency, and a plan tailored to the person not a quick fix

The effectiveness of combining these therapies appears to depend on several factors

While rare, anaemia complications can lead to heart and lung problems as the hearts ability to pump oxygen to vital organs is diminished

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