“…17 As the prevalence of reported PRF injuries is low, PRF injuries are often overlooked and undertreated, leading to chronic injuries with sustained symptoms and additional time lost from sports for the athletes. 9,1,6 Traditionally, PRF injuries in high-level athletes have been treated nonoperatively, utilizing a combination of stretching, ice, manual therapies, and gradual strengthening, with multiple studies reporting favorable clinical outcomes. 5,6,19 However, nonoperative treatment is often unsuccessful in high-level athletes for the reasons of not restoring the native anatomy of the PRF and scarring of the tendon, resulting in the recurrence of symptoms, diminished strength, decreased function, sustained pain, and cramping.…”