Tendinopathy Danville VA

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Ada Cheung, MD
(602) 274-5459
125 Executive Dr Ste A
Danville, VA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1992

Data Provided By:
Jonathan Krome
(434) 793-4711
125 Executive Dr
Danville, VA
Specialty
Orthopedic Surgery

Data Provided By:
Joseph C Campbell Jr, MD
(434) 793-4711
125 Executive Dr
Danville, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1990

Data Provided By:
Lawrence F Cohen
(434) 792-6326
150 W Main St
Danville, VA
Specialty
Orthopedic Surgery

Data Provided By:
Stuart Jeffrey Kramer, MD
(434) 793-4711
125 Executive Dr
Danville, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1981

Data Provided By:
Robert Edward Cassidy, MD
(434) 793-0900
110 Exchange St
Danville, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1966

Data Provided By:
Mark Christopher Hermann, MD
(434) 793-4711
125 Executive Dr
Danville, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1985

Data Provided By:
Stuart J Kramer
(434) 793-4711
125 Executive Dr
Danville, VA
Specialty
Orthopedic Surgery

Data Provided By:
Mark C Hermann
(434) 793-4711
125 Executive Dr
Danville, VA
Specialty
Orthopedic Surgery

Data Provided By:
Walter B Shepherd, DDS
(434) 792-0141
808 Piney Forest Rd
Danville, VA
Specialties
Orthodontics/Dentofacial Orthopedics

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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