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Neither is supported by strong evidence.52 Surgery is a last resort treatment for refractory cases of patellar tendonitis,53 when all non-surgical options have been exhausted and the patient fully understands the risks and benefits of the respective procedure.54 It requires a longer rehab time of 6 to 12 months,55 but the long-term results are promising.56 For example, in one study surgery improved symptoms in 57% of patients.57 However, for non-recalcitrant cases of patellar tendonitis an exercise-based approach is a far superior option58 and performed correctly, it can produce outstanding results
However, comprehensive research and clinical trials are imperative to fully unlock and understand its potential benefits and safety profile
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This hypothesis gave birth to an entire family of short regulatory peptides (Semax, Selank, Cortexin, Noopept, Epitalon, Cerluten and dozens of others) whose synthesis is documented in Russian pharmacological literature
Nat Rev Drug Discovery
