Tendinopathy Bozeman MT

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Steven R Speth
(406) 587-0122
1450 Ellis St
Bozeman, MT
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Richard N Vinglas
(406) 587-0122
1450 Ellis St
Bozeman, MT
Specialty
Hand Surgery

Data Provided By:
Mark Curtis Deibert, MD
(406) 586-8029
935 Highland Blvd Ste 2180
Bozeman, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1991

Data Provided By:
Daniel Mark Gannon, MD
(406) 587-0122
1450 Ellis St Ste 201
Bozeman, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1982
Hospital
Hospital: Bozeman Deaconess Hosp, Bozeman, Mt
Group Practice: Bridger Orthopedic & Sprts Med

Data Provided By:
Daniel M Gannon
(406) 587-0122
1450 Ellis St
Bozeman, MT
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Robert Brent Blake, MD
(406) 587-0122
1450 Ellis St Ste 201
Bozeman, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1989
Hospital
Hospital: Bozeman Deaconess Hosp, Bozeman, Mt
Group Practice: Bridger Orthopedic & Sprts Med

Data Provided By:
Robert William Malloy, DDS
(406) 587-1811
108 N 11th Ave
Bozeman, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John David Campbell, MD
(406) 587-0122
1450 Ellis St Ste 201
Bozeman, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1983
Hospital
Hospital: Bozeman Deaconess Hosp, Bozeman, Mt
Group Practice: Bridger Orthopedic & Sprts Med

Data Provided By:
Richard S Nichols, DDS
(406) 586-8727
208 N 11Th Ave
Bozeman, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Timothy O'Brien, MD
(406) 586-8029
935 Highland Blvd Ste 2180
Bozeman, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1997

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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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