Long-term healing from chronic pain comes from this 

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Tenex surgery is indicated if physical therapy (exercises) and removing adhesions on the muscles and tendons of the painful muscle/tendon has not worked. But, I would get shockwave therapy first. And before getting surgery, you should always get an MRI to confirm there is tendon degeneration. If the tendon is painful but healthy, PRP and surgeries are not an option. Tenex surgery is a small needle that destroys the unhealthy (degenerated) parts of a tendon. If you had a previous tendon tear, I'd do everything else before doing shockwave and surgery on it. A tendon tear comes with a permanent scar on it. Here's what I would recommend you : 1) get the program from Tennis Elbow Classroom and follow everything he says. You gotta do the therapy techniques that use the '' max range '' stretches while pinning with your hands (basically, you'll see he uses a chair for this one as well). 2) Make sure you treat all tendons and muscles. In my case, I did not do #1 properly and I didn't realize that my Pronator teres muscle had adhesions on it. Because of that, I had chronic tendonitis for years on my Pronator teres tendon, literally. I'm gonna get shockwave therapy on some of my muscles and tendons to remove as much adhesions as possible (basically, what I have a hard time removing myself with my manual therapy techniques). You can also use a muscle scraper like the Grit Bar, but I prefer manual therapy techniques for the tendons and parts of the muscles. A scraper is better for the muscle and for the base of the tendon at the bone (cross fiber scraping). You can use other tools like a spoon I guess. In any case, be careful with your skin. 3) You should start doing exercises with weights by making it harder progressively, but only do exercises that are not too irritating for you. For example, heavy slow eccentric exercises can be great, but only if they don't irritate you much. If they do, find exercises that don't irritate much for now (they can be isometric exercises like just practicing grip strength with the arm in its natural neutral position). Afterwards, when you've removed enough adhesions, you can consider doing eccentric exercises. Overall though, removing adhesions are way more important than doing the exercises - at least at first. 4) Try using some systemic enzymes that remove fibrin. You can try Fibrenza, Plasmaflo from Cerule (the one I got), NOW Foods Nattokinase and or Serrapeptase. They can be surprisingly helpful at removing extra scar tissue (I don't mean actual scars, but scar tissue like adhesions around your muscles and tendons). They stop working after they did their job though so you gotta do point #1, #2 and #3 as well. Email me if you need more help or write here again. I pretty much became the Golfer and Tennis elbow expert myself after dealing with all of this. Good luck! You might wanna find a physical therapist to also assist you with your recovery. If not for adhesions, to help you plan your exercises. Worst case scenario, you go see your physical therapist a few times in the next 3-6 months and they don't help much, but they still guide you a little. EDIT : also, go watch Barefoot Rehab's videos. There's one video that's a complete treatment with someone that has elbow issues.

It can help with the pain associated with facet joints, yes

put them in different syringes!

@@DrewTimmermansND could you say the reason…pharmakinetical structures are cancelling each other or they somehow make each other unstable ?

unless there is proven stability (the compounding pharmacy would do this work to prove it), then you can't prove that the peptides are still in a viable form. Sometimes impurities can result in loss of stability, and with peptides that can happen fast. So when you're spending good money, just pin them separately.