الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Tendons are the critical link in the musculoskeletal system. they connect muscle to bone .Their function is to transmit the muscular tension to a mobile skeletal segment. (Huang, Z et al, 2015) .
Tendinopathy is abroad term which include pathological disorder of tendon and include both tendinitis and tendinosis. It is characterized by activity related pain, focal tenderness and decreased range of movement in the affected area , tendinopathy can occur in almost any tendon, common examples include supraspinatous tendinitis , achilles tendinitis , patellar tendinitis , wrist tendinitis and tennis elbow .( van Ark, M., et al ,2011)
Conventional non-surgical treatment option include relative rest , cryotherapy, non-steroidal anti-inflammatory medication & physical therapy . Surgical interventions have been reported as an additional treatment option in those cases in which conservative treatment had failed .( Sundararajan et al, 2014)
Ultrasound is a safe and accurate technique for guiding injection that ensures correct placement of the needle and delivery of the drug. Ultrasound-guided injections allow direct visualisation of the needle in real-time as it pierces the skin to entering the target site. Ultrasound scanning can also be performed immediately after injections to visualise the location of the steroid deposit.
In our study, we make a comparative study, comparing the result of injection under ultrasound guidance vs. the blind method we found that the use of ultrasonography as guidance for injection improves the efficacy.
Image-guided (ultrasound) injections potentially offer a significantly greater clinical improvement over blind injections .