Novel Tendon Treatments
Innovative treatments for tendon conditions including dry needling, brisement therapy, and platelet-rich plasma (PRP) injections.

Tendinopathy
Tendinopathy is a broad term encompassing painful conditions occurring in and around tendons in response to overuse. Recent research indicates minimal inflammation in these conditions. Treatment approaches should be discussed with medical professionals to determine whether traditional anti-inflammatory options or novel therapies are appropriate.
Dry Needling
This ultrasound-guided procedure involves needle insertion into abnormal tendon areas with repeated puncturing. The technique creates local bleeding, releasing natural growth factors and stimulating healing responses to promote repair and strengthen the tendon.
Although the technique sounds painful, local anaesthetic bathing the affected area typically makes it comfortable. A small steroid amount may also be injected simultaneously.
- Patellar tendinosis (Jumper’s knee)
- Lateral epicondylitis (tennis elbow)
- Medial epicondylitis (golfer’s elbow)
- Plantar fasciitis
Brisement / Percutaneous Hydrostatic Decompression
Ultrasound evaluation of painful Achilles tendons often reveals abnormally oriented blood vessels within the tendon. These vessels are accompanied by nerves, and their development contributes to pain.
The procedure involves ultrasound-guided injection of high-volume fluid (saline and local anaesthetic) distributed around the tendon. This physically disrupts abnormal nerves and blood vessels, reducing pain.
Platelet-Rich Plasma Injections (PRP)
This technique utilises platelets from the patient’s own blood to rebuild damaged tendons or muscles, relieving pain and initiating healing processes. Platelets contain high concentrations of growth factors and bioactive proteins that support repair and regeneration.
- Autologous blood collection (approximately 20mL) via venesection
- Centrifugation separation (15 minutes)
- PRP extraction (2–8mL depending on injury severity)
- Ultrasound-guided injection into damaged tissue
Need a referral?
Clinicians can submit a referral online. Patients can book an appointment or enquire about imaging directly.