Tendinopathy Edgewood MD

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Constantine A Misoul, MD
(410) 682-5500
901 Eastern Blvd
Essex, MD
Business
Multi Specialty Healthcare
Specialties
Orthopedics

Data Provided By:
Jay Yale Rudo, DDS
(410) 679-2523
1401 Pulaski Hwy Ste V
Edgewood, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Nicholas Leyko, DDS
(410) 256-5577
4204 Forge Rd
Perry Hall, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Douglas Wright
(410) 569-3690
2012 S .Tollgate Rd.
Bel Air, MD
Specialty
Orthopedic Surgery

Data Provided By:
John Glenden Devine, MD
520 Upper Chesapeake Dr
Bel Air, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1994

Data Provided By:
Cyrus Pezeshki MD
(410) 282-2211
6730 Holabird Ave
Baltimore, MD
Specialties
Orthopedics

Data Provided By:
Carl Alvin Johnson, MD
(410) 550-2117
Kingsville, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1977

Data Provided By:
Douglas Gregory Wright, MD
(410) 569-3690
2012 S Tollgate Rd Ste 109
Bel Air, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1983

Data Provided By:
Joseph La Ponzina, DDS
2105 Laurel Bush Rd Ste 103
Bel Air, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Donald Burke Haskins, MD
(410) 879-0066
1131 Baltimore Pike
Bel Air, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1974
Hospital
Hospital: Upper Chesapeake Med Ctr, Bel Air, Md

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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