Tendinopathy Greensboro NC

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Daniel F Murphy, MD
(336) 375-2300
1130 N Church St
Greensboro, NC
Business
Murphy & Wainer Orthopaedics
Specialties
Orthopedics

Data Provided By:
Robert Wainer, MD
Greensboro, NC
Specialty
Orthopaedic Sugeon

Data Provided By:
Dick R LaVender
(336) 275-6318
201 E Wendover Ave
Greensboro, NC
Specialty
Orthopedic Surgery

Data Provided By:
Numa Watt Cobb, DDS
(336) 299-6788
604 Pasteur Dr Ste A
Greensboro, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jerry R Clark, DDS
(336) 273-2528
1115 W Friendly Ave
Greensboro, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Marcus V Duda
(336) 275-0927
300 W Northwood St
Greensboro, NC
Specialty
Orthopedic Surgery

Data Provided By:
Marcus Valentine Duda, MD
(336) 275-0927
300 W Northwood St
Greensboro, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1991

Data Provided By:
Henry Joseph Elsner, MD
(336) 272-4578
1313 Carolina St Ste 300
Greensboro, NC
Specialties
Neurological Surgery, Orthopedic Surgery Of The Spine
Gender
Male
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1983
Hospital
Hospital: Moses H Cone Memorial Hospital, Greensboro, Nc
Group Practice: Guilford Neurosurgical Associates

Data Provided By:
Michael H Handy
(336) 299-0099
3515 W Market St
Greensboro, NC
Specialty
Orthopedic Surgery

Data Provided By:
James Kramer, MD
Greensboro, NC
Specialty
Orthopaedic Sugeon

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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