Tendinopathy Bangor ME

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Gordon Stewart Campbell, MD
(207) 945-6695
417 State St Ste 209/210
Bangor, ME
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of British Columbia, Fac Of Med, Vancouver, Bc, Canada
Graduation Year: 1983

Data Provided By:
Richard Dana Bower, MD
(207) 973-7420
PO Box 404
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1969

Data Provided By:
Gordon Stewart Campbell
(207) 945-6695
417 State St
Bangor, ME
Specialty
Hand Surgery

Data Provided By:
John Dorman West III, MD
(207) 945-6695
417 State St Ste 209
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1987

Data Provided By:
Jordan J Shubert
(207) 947-8381
404 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
James R Curtis, MD
(207) 942-3293
24 Somerset St
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Brooklyn, Coll Of Med, Brooklyn Ny 11203
Graduation Year: 1968

Data Provided By:
Rajendra Tripathi
(207) 973-5035
489 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
Daniel T McGuire
(207) 947-8381
404 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
David Carmack
(207) 973-7000
489 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
David Barnes Carmack, MD
(207) 973-4949
417 State St Ste 430
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1992
Hospital
Hospital: Sacred Heart Hospital, Cumberland, Md
Group Practice: Shock Trauma Assoc Pa; Shock Trauma Associates Pa

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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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