Tendinopathy Buckley WA

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Richard L Molen, DDS
Sumner, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William Arthur Bulley Jr, MD
(253) 841-2929
324 E Pioneer
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1975

Data Provided By:
Duane Fredrick Hopp, MD
702 23rd Ave SE
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1967

Data Provided By:
Stacey Ann Donion, MD
Auburn, WA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 2001

Data Provided By:
Anthony Beaumont Van Bergeyk
(253) 845-9585
3801 5th St Se
Puyallup, WA
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Steven K Yamamoto, DO
(253) 841-2447
3801 5th Street South East South
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124
Graduation Year: 1983

Data Provided By:
Neal H Shonnard
(253) 845-9585
3801 5th St Se
Puyallup, WA
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Wendall W Adams
(253) 845-9585
3801 5th St Se
Puyallup, WA
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Steven Charles Brack, DO
3801 5th St SE Ste 110
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312
Graduation Year: 1981

Data Provided By:
Steven Chas Brack
(253) 845-9585
3801 5th St Se
Puyallup, WA
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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