Tendinopathy Frederick MD

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C Jeffrey Bowman, DDS
(301) 662-3366
10 W College Ter
Frederick, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Adam Mitchell Mecinski, MD
(301) 739-7790
915 Toll House Ave Ste 309
Frederick, MD
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1993

Data Provided By:
Mark David Charlson, MD
(301) 694-8311
184 Thomas Johnson Dr Ste 104
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1997

Data Provided By:
John Ralph Thompson, MD
(661) 565-9733
56 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1963
Hospital
Hospital: Cookeville Reg Med Ctr, Cookeville, Tn; White County Community Hospita, Sparta, Tn
Group Practice: John R Thompson Inc

Data Provided By:
Mihir Jani, MD
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Thomas Francis Ryan, MD
(301) 652-6616
5473 Prince William Ct
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1969

Data Provided By:
Tse Shiung Wu
(301) 663-0131
187 Thomas Johnson Dr #1
Frederick, MD
Specialty
Hand Surgery

Data Provided By:
Dr.Mihir Jani
(301) 663-9573
52 Thomas Johnson Drive
Frederick, MD
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.7, out of 5 based on 3, reviews.

Data Provided By:
Waldo B Harshberger, DDS
(301) 662-7300
1475 Taney Ave Ste 102
Frederick, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Stanley Yatming Chung, MD
(301) 663-0131
187 Thomas Johnson Dr Ste 1
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1991

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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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