Tendinopathy Farmville VA

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Alain Desy, MD FACS
(434) 315-2998
PO Box 796
Farmville, VA
Gender
Male
Education
Medical School: Montpellier
Graduation Year: 1983

Data Provided By:
Ronald Loyde Haney, MD
(434) 392-8849
1509 W 3rd St
Farmville, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Miami Sch Of Med, Miami Fl 33101
Graduation Year: 1964

Data Provided By:
Richard T Holden, MD
(757) 547-5145
100 Wimbledon Sq
Chesapeake, VA
Business
Sports Medicine & Orthopaedic Center
Specialties
Orthopedics

Data Provided By:
Thomas Wesley Daczkowski, DDS
(703) 723-8838
20925 Professional Plz Ste 210
Ashburn, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jack Lawrence Siegel, MD
(757) 490-4802
5501 Greenwich Rd Ste 200
Virginia Beach, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1986

Data Provided By:
John Andrew Kona
(434) 392-8811
800 Oak St
Farmville, VA
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Ronald L Haney
(434) 392-8849
1509 W 3rd St
Farmville, VA
Specialty
Orthopedic Surgery

Data Provided By:
Edward G Alexander Jr., MD
(703) 461-7100
4801 Kenmore Ave
Alexandria, VA
Business
Northern Virginia Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
Thomas J Klein
(703) 689-0300
1850 Town Center Parkway
Reston, VA
Specialty
Orthopedic Surgery

Data Provided By:
Nathan Davis Richardson
(804) 360-8160
8110 Midlothian Tpke
Richmond, VA
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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