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The condition is more prevalent in males and presents as insidious onset pain at the proximal insertion site of the quadriceps tendon over the patella (20% of cases), pain at the inferior pole of the patella (70% of cases), or less commonly, pain at the tibial tuberosity (10%), which may increase during physical activity and digital pressure [4,5,6]

No cardiovascular concerns reported, either

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Tissue Degeneration: Repeated steroid injections can weaken nearby tendons, degrade joint cartilage, and actually thin the skin and tissues surrounding the bursa

Consider B 12 supplementation without testing in asymptomatic patients with risk factors for B 12 deficiency (see Table 1: Patient Risk Factors Associated with B 12 Deficiency)

Hence, it is the patients responsibility to gauge their activity levels while a physiotherapist or occupational therapist oversees the activity