Tendinopathy Cedar Rapids IA

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Dr.Fred Pilcher
(319) 398-1500
600 7th St SE # 4
Cedar Rapids, IA
Gender
M
Education
Medical School: Univ Of Ia Coll Of Med
Year of Graduation: 1973
Speciality
Orthopedic Surgeon
General Information
Hospital: Mercy Med Ctr, Cedar Rapids, Ia
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
Daniel Charles Fabiano, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1989

Data Provided By:
Peter D Pardubsky
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
Specialty
Orthopedic Surgery

Data Provided By:
Fred John Pilcher
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
Specialty
Orthopedic Surgery

Data Provided By:
James Michael Pape, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1986

Data Provided By:
James Michael Pape
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
Specialty
Orthopedic Surgery

Data Provided By:
Martin Francis Roach, MD
(319) 366-7627
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1966

Data Provided By:
David Hart, MD
Cedar Rapids, IA
Specialty
Orthopaedic Sugeon

Data Provided By:
David Patrick Hart, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1983

Data Provided By:
Lisa M Coester, MD
(319) 398-1500
600 7th St SE
Cedar Rapids, IA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1995

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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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