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These cases may be treated with brisement, in which the affected tendon is injected with a small amount of fluid, either sterile saline or lidocaine to break up scar tissue (adhesions) in the tendon

Most people see their improvements stick around for at least 12 months after getting the shots

But the results from animal models are consistent enough that many integrative vets have started using it off-label, and anecdotal reports from dog owners are stacking up

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