Update on US-guided Interventional Procedures for Tendinopathies

Tendinopathies are a leading cause of chronic musculoskeletal pain and functional limitation. When conservative measures fail, ultrasound-guided interventions are safe, minimally invasive alternatives to surgery. These procedures include injections of corticosteroids or platelet-rich plasma, percutaneous needle tenotomy, percutaneous irrigation of calcific deposits, and mechanical release techniques. Although some interventions are well established in clinical practice, others are only supported by limited or emerging evidence. Ultrasound plays a central role by enabling precise targeting of pathologic tissues and adjacent structures. This review provides an updated overview of current ultrasound-guided interventional procedures for tendinopathies, focusing on their mechanisms, clinical indications, and evidence base.