“…This results in a release of local angiogenic factors leading to increased vascular permeability and a controlled inflammatory response yielding new vessel formation and collagen deposition while removing degenerative areas of tendon. 6 , 12 Current literature has many studies showing the effectiveness of percutaneous needle tenotomy. 1 , 2 , 3 , 4 , 6 , 8 , 12 , 13 , 14 , 15 , 17 , 18 …”