Tendinopathy Billings MT

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Barry Nathan Smith, MD
(406) 238-5215
2702 8th Ave N
Billings, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1994

Data Provided By:
Ralph M Costanzo
(406) 238-6700
2900 12th Ave N
Billings, MT
Specialty
Hand Surgery

Data Provided By:
Thomas Randall Johnson, MD
(406) 238-6540
2900 12th Ave N Ste 140W
Billings, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1968
Hospital
Hospital: St Vincent Hosp & Health Ctr, Billings, Mt
Group Practice: Orthopedic Surgeons Yellowstone Medical Center W

Data Provided By:
Curtis Roy Settergren, MD
(406) 238-6540
2900 12th Ave N Ste 140W
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mayo Med Sch, Rochester Mn 55905
Graduation Year: 1985
Hospital
Hospital: Deaconess Billings Clinic, Billings, Mt
Group Practice: Orthopedic Surgeons Yellowstone Medical Center W

Data Provided By:
James F Schwarten
(406) 238-6540
2900 12th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Curtis R Settergren
(406) 238-6540
2900 12th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Dr.James Elliott
(406) 238-6540
2900 12th Ave N # 140W
Billings, MT
Gender
M
Education
Medical School: Univ Of Wa Sch Of Med
Year of Graduation: 1987
Speciality
Orthopedic Surgeon
General Information
Hospital: St Vincent Hosp &
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Willard John Hull, MD
(406) 238-5200
2702 8th Ave N
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1970

Data Provided By:
Dean C Sukin
(406) 238-6700
2900 12th Ave N
Billings, MT
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Alan K Dacre
(406) 238-6540
2900 12th Ave N
Billings, MT
Specialty
Orthopedic Surgery

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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