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 Indian J Med Microbiol  
 

Figure 4 (A-F): Spectrum of interventions in tennis elbow: (A) In acute tendinosis with minimal underlying tendon abnormality on USG, peritendinous steroids and local anesthetics are used for management, followed by appropriate physiotherapy (B) In cases of acute tendinosis with underlying tears at the common extensor origin, intratendinous steroids or PRP (especially in athletes) have also been attempted accompanied by a graded rehabilitation program (C-F) In chronic calcific tendonitis, a barbotage therapy which involves breakdown of the calcific deposit seen in (C) with continuous needling and irrigation with normal saline (D) till the deposit becomes smaller or more diffuse as seen in (E). (F) Comparison of pre- and post-procedure radiographs of the patient showing a reduction in the size and density of the calcific deposit following the procedure

Figure 4 (A-F): Spectrum of interventions in tennis elbow: (A) In acute tendinosis with minimal underlying tendon abnormality on USG, peritendinous steroids and local anesthetics are used for management, followed by appropriate physiotherapy (B) In cases of acute tendinosis with underlying tears at the common extensor origin, intratendinous steroids or PRP (especially in athletes) have also been attempted accompanied by a graded rehabilitation program (C-F) In chronic calcific tendonitis, a barbotage therapy which involves breakdown of the calcific deposit seen in (C) with continuous needling and irrigation with normal saline (D) till the deposit becomes smaller or more diffuse as seen in (E). (F) Comparison of pre- and post-procedure radiographs of the patient showing a reduction in the size and density of the calcific deposit following the procedure