As the process progresses, the fibrillar pattern is lost and tendon becomes hypoechoic, with further swelling. Discrete focal hypoechoic areas may represent small partial tears, which may not extend to the tendon surface. In case a defect is present on the tendon surface, dynamic evaluation should be performed to rule out partial tear (Stevic and Dodic, 2013). Ultrasound with Doppler may also be more advantageous as it has the capacity to visualize the areas of increased blood flow(Scott et al., 2013). Increased Doppler flow can point to hyperaemia that can be associated with tendinopathy as well as the presence of neovascularity in the degenerated tendon which has been suggested as a cause of pain, but this sign should not be a rule for outcome prediction (Stevic and Dodic,
As the process progresses, the fibrillar pattern is lost and tendon becomes hypoechoic, with further swelling. Discrete focal hypoechoic areas may represent small partial tears, which may not extend to the tendon surface. In case a defect is present on the tendon surface, dynamic evaluation should be performed to rule out partial tear (Stevic and Dodic, 2013). Ultrasound with Doppler may also be more advantageous as it has the capacity to visualize the areas of increased blood flow(Scott et al., 2013). Increased Doppler flow can point to hyperaemia that can be associated with tendinopathy as well as the presence of neovascularity in the degenerated tendon which has been suggested as a cause of pain, but this sign should not be a rule for outcome prediction (Stevic and Dodic,