Tendinopathy Essex Junction VT

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Robert Danl Monsey, MD
(802) 656-4690
PO Box 1063
Burlington, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1986

Data Provided By:
Tucker Andrew Drury
(802) 656-3806
95 Carrigan Dr
Burlington, VT
Specialty
Orthopedic Surgery

Data Provided By:
James Gregory Howe, MD
95 Carrigan Dr Fl 4
Burlington, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1973

Data Provided By:
Dr.James Mogan
(802) 658-0714
43 Timber Lane
South Burlington, VT
Gender
M
Education
Medical School: Univ Of Vt Coll Of Med
Year of Graduation: 1972
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.6, out of 5 based on 5, reviews.

Data Provided By:
James V Mogan
(802) 658-0714
43 Timber Ln
South Burlington, VT
Specialty
Hand Surgery

Data Provided By:
Paul Herbert Reiss, MD
28 Park Ave
Williston, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1979

Data Provided By:
Martin Hans Krag, MD
(802) 656-4472
95 Carrigan Dr Fl 4
Burlington, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1975
Hospital
Hospital: Fletcher Allen Health Care, Burlington, Vt

Data Provided By:
Claude Elmer Nichols, MD
95 Carrigan Dr Fl 4
Burlington, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1979

Data Provided By:
John F Lawlis III, MD
(802) 862-3983
6 San Remo Dr Ste 101
South Burlington, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1982

Data Provided By:
Andrew Stone Kaplan
(802) 862-3983
6 San Remo Dr
South Burlington, VT
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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