Tendinopathy Ames IA

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James Andrew Friederich, MD
(515) 239-4400
3112 Greenwood Rd
Ames, IA
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1986

Data Provided By:
Sarkis Kaspar
(515) 239-4475
1215 Duff Ave
Ames, IA
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Thomas Andrew Greenwald, MD
(515) 239-4475
1215 Duff Ave
Ames, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1987

Data Provided By:
Julie Diane Cassaidy, DDS
(515) 232-2152
707 5th St Ste 102
Ames, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Peter G Buck, MD
(515) 239-4475
PO Box 3014
Ames, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1978

Data Provided By:
Robert Graham Gitchell, MD
(515) 239-4475
PO Box 3014
Ames, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1967

Data Provided By:
David Kent Sneller, MD
(515) 239-4475
1215 Duff Ave
Ames, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1995

Data Provided By:
James Andrew Friederich
(515) 239-4475
1215 Duff Ave
Ames, IA
Specialty
Hand Surgery

Data Provided By:
Sarkis Kaspar, MD
(515) 239-4475
1215 Duff Ave
Ames, IA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Thomas M Stark, DDS
(515) 232-2255
1212 Duff Ave
Ames, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
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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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