Tendinopathy Grand Forks ND

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Michiel J Nuveen, DDS
(701) 772-4835
1165A S Columbia Rd
Grand Forks, ND
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joffrey G Thompson
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Brian Thomas Briggs, MD
(701) 775-5244
2617 S Columbia Rd
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Saskatchewan, Coll Of Med, Saskatoon, Sask, Canada
Graduation Year: 1974

Data Provided By:
Paul Rodger Macleod, MD
(701) 795-6778
PO Box 6003
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1981

Data Provided By:
Bennie J Clayburgh, MD
(701) 775-8080
1626 Belmont Rd
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert H Clayburgh
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
John O Nord, DDS
(701) 775-0684
2650 32nd Ave S
Grand Forks, ND
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul R MacLeod
(701) 780-6000
1000 S Columbia Rd
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Edward L Adams
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Joff Garfield Thompson, MD
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1994

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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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