Tendinopathy Dover NH

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Peter A Winkler
(603) 742-9635
660 Central Ave
Dover, NH
Specialty
Hand Surgery

Data Provided By:
Dr.Ira Parsons
(603) 742-2007
237 New Hampshire 108 #101
Somersworth, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Robert H Harrington Jr, MD
(603) 742-2007
237 Route 108 Ste 205
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1979
Hospital
Hospital: Wentworth-Douglass Hospital, Dover, Nh; Frisbie Mem Hosp, Rochester, Nh
Group Practice: Orthopaedic & Trauma Spec

Data Provided By:
Guy M Esposito
(603) 742-2007
237 Route 108
Somersworth, NH
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Peter Dirksmeier
(603) 742-2007
237 New Hampshire 108
Somersworth, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Wentworth-Douglas
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 10, reviews.

Data Provided By:
Ingvars Janis Vittands, MD
(603) 749-5111
780 Central Ave
Dover, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1964

Data Provided By:
John D Bloom
(603) 742-2007
237 Route 108
Somersworth, NH
Specialty
Hand Surgery

Data Provided By:
Peter Joseph Dirksmeier, MD
(603) 742-2007
237 Route 108 Ste 205
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1995

Data Provided By:
John David Bloom, MD
(603) 742-5312
237 Route 108 Ste 205
Somersworth, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1972

Data Provided By:
Dr.Peter Buckley
(603) 742-2007
237 New Hampshire 108 #101
Somersworth, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 3, reviews.

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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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