Tendinopathy Aiea HI

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Alan S T Chang, DDS
(808) 487-2411
98-1247 Kaahumanu St Ste 202
Aiea, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Calvin Shizuo Oishi, MD
(808) 484-2042
98-1079 Moanalua Rd Ste 300
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Diego, Sch Of Med, La Jolla Ca 92093
Graduation Year: 1987

Data Provided By:
Douglas Rowles, MD
Aiea, HI
Specialty
Orthopaedic Sugeon

Data Provided By:
Curtis N Kamisugi, DDS
(808) 483-3000
99-128 Aiea Heights Dr Ste 201
Aiea, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gregory Henkuo Chow, MD
98-1079 Moanalua Rd
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1988

Data Provided By:
Cass Keiji Nakasone, MD
98-151 Pali Momi St
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Hi John A Burns Sch Of Med, Honolulu Hi 96822
Graduation Year: 1998

Data Provided By:
Stacey Dale Mc Clure, MD
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1999

Data Provided By:
Byron Hideo Izuka
(808) 485-8985
98-1079 Moanalua Rd
Aiea, HI
Specialty
Orthopedic Surgery

Data Provided By:
Masao Takai, MD
(808) 488-1665
99-128 Aiea Heights Dr Ste 705
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Kyoto Prefectural Med Coll, Kamikyo-Ku, Kyoto, Japan
Graduation Year: 1966

Data Provided By:
Terry Alan Vernoy, MD
(808) 533-3393
98-1079 Moanalua Rd
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1978

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Best Treatment for Tendinopathy

It’s not clear what is the best treatment for tendinopathy. That’s the conclusion of researchers reviewing all the published studies on the topic. Tendinopathy refers to a painful tendon condition caused by overuse. Although it feels like it, it’s not the same as tendonitis. There’s pain but no actual inflammation.

Treatment has traditionally focused on providing anti-inflammatory measures. This has included nonsteroidal anti-inflammatory drugs (NSAIDs), steroid injections, and physical therapy modalities. Stretching and strengthening exercises have always been a part of the standard treatment approach.

More recently, shock wave therapy, low-level laser therapy, sclerotherapy, and growth factors and stem cell treatment have been added. The results of all treatment methods were compared by performing a literature review. The authors summarized the results of 177 studies. They did not evaluate the quality of the work done.

For the most part, it appears that NSAIDs and cortisone injections offer short-term relief. There just isn’t a long-term benefit of these treatments. Results using heat and light modalities seem inconsistent. But this may be more likely to occur because of how the studies were conducted. Without consistent methods and measures, it’s difficult to compare one study to another.

The most effective treatment may be eccentric lengthening exercises, sclerotherapy, and nitric oxide patches. Eccentric exercises are done by placing the affected muscle in a shortened position then lengthening the muscle against resistance.

Sclerotherapy is the injection of a chemical to produce scarring in the blood vessels. The idea is to close down tiny blood vessels and destroy nerve fibers that form in the damaged area. Nitric oxide has some potential for tendon healing. A patch placed over the skin delivers an enzyme that acts as a chemical messenger to provide pain relief.

Newer treatments such as growth factors and stem cells look promisin...

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