Tendinopathy Bismarck ND

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Raymond Stanley Gruby, MD
(701) 319-0296
310 N 9th St
Bismarck, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1972
Hospital
Hospital: St Alexius Med Ctr, Bismarck, Nd
Group Practice: Bone & Joint Ctr-Orthopaedic

Data Provided By:
Ernest Norman Godfread, MD
310 N 9th St
Bismarck, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1977
Hospital
Hospital: S C C I -Central Dakota, Mandan, Nd
Group Practice: Bone & Joint Ctr

Data Provided By:
Troy D Pierce
(701) 530-8800
310 N 9th St
Bismarck, ND
Specialty
Orthopedic Surgery

Data Provided By:
Ronald Dwain Isackson, MD
(406) 538-2327
401 N 9th St
Bismarck, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Pa, Philadelphia Pa 19129
Graduation Year: 1977

Data Provided By:
Michael R Moore, MD
(701) 530-8800
310 N 9th St
Bismarck, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1984

Data Provided By:
Charles Phillip Dahl, MD
(701) 530-8652
PO Box 1397
Bismarck, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1976

Data Provided By:
Joseph W Carlson
(701) 530-8800
310 N 9th St
Bismarck, ND
Specialty
Orthopedic Surgery

Data Provided By:
David H Larsen
(701) 530-8800
310 N 9th St
Bismarck, ND
Specialty
Orthopedic Surgery

Data Provided By:
William Douglas Canham, MD
(701) 222-5325
222 N 7th St
Bismarck, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dalhousie Univ, Fac Of Med, Halifax, Ns, Canada
Graduation Year: 1974

Data Provided By:
Timothy John Bopp, MD
(701) 530-8800
310 N 9th St
Bismarck, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1988

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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