 Materials and methods: Healthy males 21-59 years; n60 with AT is randomly assigned to either 1 HVI with steroid 50 mls;10 mls 0.5 bupivacaine hydrochloride and 20 mg of Depomedrol followed by 40 mls saline or 2 HVI without steroid 50 mls;10 mls 0.5 bupivacaine hydrochloride followed by 40 mls saline The injections will be performed under ultrasound guidance. All subjects will undergo a 12 week eccentric training program and the subjects will continue eccentric training 3 times per week from week 12 to week 24. 