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The method of injection, which can be either intramuscular (IM) or subcutaneous (SC), determines the appropriate needle gauge and length

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Proper storage, labeling, and restricted access are essential to prevent misuse or unintended exposure

Diagnostic tools may include: Ultrasound: A dynamic and cost-effective way to detect tendon thickening or partial tears MRI: The gold standard for visualizing tendon degeneration, tears, or fluid buildup in the subacromial space Diagnostic injections: Local anesthetic injections can help confirm the source of pain Early and accurate diagnosis can guide non-surgical treatment plans and prevent progression to more severe shoulder damage

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