Theory Based recommendation
This technique is particularly used in tendinopathy at the site where the tendon is attached to the bone.
e.g. plantar fasciitis or the tennis elbow.
Another mention in the literature shows the effectiveness of this technique in Medial Tibial stress syndrome.
M.E. Robertson. Dissertation: THE RELATIVE EFFECTIVENESS OF PERIOSTEAL PECKING COMBINED
WITH THERAPEUTIC ULTRASOUND COMPARED TO THERAPEUTIC
ULTRASOUND IN THE TREATMENT OF MEDIAL TIBIAL STRESS
SYNDROME TYPE II