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Tendinosis is a chronic degenerative condition. Current research suggests both percutaneous needle tenotomy (PNT) and leukocyte-rich platelet-rich plasma (LR-PRP) may be effective treatments for chronic tendinosis, but no studies have assessed the effectiveness of PNT alone versus PNT with intratendinous LR-PRP for multiple tendon types in a single study. To assess the efficacy of PNT versus PNT + LR-PRP to treat chronic tendinosis. Double-blind, randomized, controlled comparative treatment study. Primary academic institution. A convenience s