Tendinopathy Batavia IL

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James Henry Breihan, MD
(773) 529-3991
Batavia, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1967
Hospital
Hospital: Thorek Hosp& Med Ctr, Chicago, Il; Grant Hosp, Chicago, Il
Group Practice: Sarrafian-Breihan Orthopedics

Data Provided By:
Craig Alan Popp, MD
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialties
Orthopedics
Gender
Male
Languages
French, German, Spanish
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1992
Hospital
Hospital: St Joseph Hosp, Elgin, Il; Delnor Comm Hosp, Geneva, Il
Group Practice: Fox Valley Orthopaedic Inst Fox Valley Orthopaedic Assocs

Data Provided By:
Craig M Torosian
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialty
Orthopedic Surgery

Data Provided By:
Laura M Lemke
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialty
Orthopedic Surgery

Data Provided By:
Timothy S Petsche
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
David R Morawski
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialty
Orthopedic Surgery

Data Provided By:
Timothy Petsche, MD
Geneva, IL
Specialty
Orthopaedic Sugeon

Data Provided By:
Timothy Scott Petsche, MD
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1994
Hospital
Hospital: Delnor Comm Hosp, Geneva, Il
Group Practice: Fox Valley Orthopaedic Inst Fox Valley Orthopaedic Assocs

Data Provided By:
Vishal M Mehta
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialty
Orthopedic Surgery

Data Provided By:
Jasper A Petrucci
(630) 584-1400
2525 Kaneville Rd
Geneva, IL
Specialty
Orthopedic Surgery

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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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