Tendinopathy East Greenwich RI

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Edward Akelman, MD
(401) 457-1500
2 Dudley St
Providence, RI
Business
University Orthopedics Inc
Specialties
Orthopedics

Data Provided By:
E Arthur Catullo, MD FACS
52 Newcastle Dr
E Greenwich, RI
Gender
Male
Education
Medical School: Bologna
Graduation Year: 1935

Data Provided By:
Mark Angelo Palumbo, MD
(401) 884-9605
1351 S County Trl Ste 115
East Greenwich, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1988

Data Provided By:
Norman A Kornwitz
(401) 738-3730
120 Centerville Rd
Warwick, RI
Specialty
Orthopedic Surgery

Data Provided By:
Medhat A Kader, MD
(401) 734-9980
300 Toll Gate Rd Ste 301C
Warwick, RI
Specialties
Orthopedics
Gender
Male
Languages
French, Arabic
Education
Medical School: Abbasia Fac Of Med, Univ Of Ain Shams, Cairo, (915-04 After 1/1971)
Graduation Year: 1949

Data Provided By:
Sidney Premer Migliori, MD
(401) 944-3800
40 Chief Botelho Ct
East Greenwich, RI
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1988

Data Provided By:
Maxwell Choongwon Park, MD
(401) 490-4161
187 Maplewood Dr
East Greenwich, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1999

Data Provided By:
Randall Lee Updegrove
(401) 884-9605
1405 S County Trl
East Greenwich, RI
Specialty
Orthopedic Surgery, Occupational Medicine

Data Provided By:
Medhat Mohamed Abdel Kader, MD FACS
(401) 734-9980
300 Toll Gate Rd
Warwick, RI
Gender
Male
Education
Medical School: Cairo
Graduation Year: 1950

Data Provided By:
Medhat A Kader
(401) 734-9980
300 Toll Gate Road
Warwick, RI
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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