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Surgery is confined to those experiencing severe symptoms despite non-operative measures and for tears involving greater than 50% thickness

If you decide to have a couple of drinks after your vaccine, drink in moderation, says Ramandeep Sidhu, MD, a board-certified vascular surgeon and founder of VIVAA-Vein Vascular Primary Care & Aesthetic Associates in Issaquah, Washington

While some practitioners may choose localized injections in certain situations, the injection site itself is not always the primary factor determining results

We evaluate: Degree of tissue damage using imaging and functional assessment Your personal goals, such as mobility improvement or avoiding surgery Your lifestyle and healing capacity Your timeline, preferences, and budget From there, we recommend a customized approachwhether that means starting with peptides, advancing to biologics, or building a combined strategy for the best long-term results