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. 2023 Aug 7;10:1238513. doi: 10.3389/fvets.2023.1238513

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Copyright © 2023 Kern, Manfredi and Tomlinson.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Longitudinal view of the distal supraspinatus tendon (left limb) from a patient in the study, the anechoic insertional fibrocartilage is on the left of each image. Images are taken using a 16 MHz linear transducer. (A) Pre-treatment with piezowave therapy, (B) 3 weeks post-treatment. The ultrasound score of the tendon pre-treatment (A) is 9 with multiple hypoechoic regions (white arrows), in addition to the loss of fiber definition and orientation. The score post-treatment (B) is 5, some areas of reduced echogenicity remain but fibers are more clearly defined and better oriented; less overall length of the tendon is affected. The cranial is to the left in this image.