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Straining your tendons with repetitive movements such as racket sports, weight lifting, or certain jobs can cause those micro-tears in the tendon Smoking I probably dont have to convince you that smoking is bad for your health, but nicotine use has actually been shown to impact tendon strength and quality Overhead Lifting overhead movements can put more stress on the tendons, which may result in more micro-tearing and inflammation As you can see, some of these risk factors can be minimized or even avoided completely

If you notice severe swelling, pain, or signs of infection, seek medical advice

Massage gently into thinning areas

Elevated methylmalonic acid above 0.4 micromoles per liter confirms functional B12 deficiency even when serum levels appear adequate