Tendinopathy Brookings SD

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John David Ramsay, MD
(605) 692-6236
400 22nd Ave
Brookings, SD
Specialties
Orthopedics, Aerospace Medicine
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1974
Hospital
Hospital: Brookings Hosp, Brookings, Sd
Group Practice: Brookings Medical Clinic

Data Provided By:
John D Ramsay
(605) 697-9500
400 22nd Ave.
Brookings, SD
Specialty
Orthopedic Surgery

Data Provided By:
Bradley Scott Baker, MD
1210 W 18th St
Sioux Falls, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1995

Data Provided By:
Steven Jay Meyer
(605) 217-2615
575 N Sioux Point Rd
Dakota Dunes, SD
Specialty
Orthopedic Surgery

Data Provided By:
Jeffrey Allen Wehrkamp, DDS
(605) 582-6522
PO Box 497
Brandon, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David L Meyer, DDS
(605) 692-7511
105 22nd Ave
Brookings, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Bradley Ray Plaga, MD
(605) 331-5890
810 E 23rd St
Sioux Falls, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1984

Data Provided By:
Gregory Franklin Alvine, MD
(605) 336-2638
2908 E 26th St
Sioux Falls, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1991
Hospital
Hospital: Mc Kennan Hospital, Sioux Falls, Sd; Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Orthopedic Associates

Data Provided By:
William F Bell
(605) 328-3700
1210 W 18th St
Sioux Falls, SD
Specialty
Orthopedic Surgery

Data Provided By:
David L Hoversten
(605) 332-1052
1320 S Minnesota Ave
Sioux Falls, SD
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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