Tendinopathy Fremont NE

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Christopher Langdon Ihle
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Richard F Bergstrom, MD
(402) 721-0090
2740 N Clarkson St Ste 100
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1967

Data Provided By:
Brett W Fischer
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Brett William Fischer, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1993

Data Provided By:
Garrett Leonard Mendlik, DDS
(402) 721-8079
2129 Phelps Ave
Fremont, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mark G Mendlik, DDS
(402) 721-5714
1420 E Military Ave
Fremont, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Craig Buck
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth R Pitz
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Robert Pitz, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1982
Hospital
Hospital: Fremont Area Med Ctr, Fremont, Ne; Nebraska Methodist Hospital, Omaha, Ne; Alegent Health Immanuel Med Ct, Omaha, Ne; Alegent Health -Memorial Hosp, Schuyler, Ne; St Francis Memorial Hospital, West Point, Ne
Group Practice: Heartland Orthopae

Data Provided By:
Christopher Langdon Ihle, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1980

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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