What tendon pain usually is

Most long-running tendon pain is wear in the tendon, not active swelling. Tennis elbow, golfer's elbow, Achilles pain, rotator cuff pain and plantar fasciitis often follow this pattern. That is one reason steroid shots can give short relief without lasting change.

What PRFM is

PRFM is platelet-rich fibrin matrix, made from your own blood with the Selphyl system. The fibrin holds the platelets in place, so they stay where they are injected longer than standard PRP.

Who it may help

  • Tendon pain lasting months despite rest, bracing and physical therapy
  • People who want to avoid repeated steroid injections

Who it is not for

  • A full tendon tear that needs surgery
  • Active infection, certain blood disorders, or some blood-thinning medications, until reviewed
Step 01

Assessment

Dr. Munib examines the tendon and reviews your history.

Step 02

Injection

One injection, sometimes a short series.

Step 03

Recovery

Soreness for a few days is consistent with the known effects of the treatment. Physical therapy alongside it matters as much as the injection.

Clinically informed by Sabeen Munib, MD|Last updated: October 2026

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