Tendinopathy Hazelwood MO

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Robert A Shively, MD
(314) 652-4100
915 N Grand Ave
Saint Louis, MO
Business
Washington University Orthopedics
Specialties
Orthopedics

Data Provided By:
Dr.Terry Weis
(314) 837-5555
1150 Graham Road #102
Florissant, MO
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.3, out of 5 based on 3, reviews.

Data Provided By:
Crystel Dora Knierim, MD
(314) 837-5555
1150 Graham Rd Ste 102
Florissant, MO
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Mo, Columbia Sch Of Med, Columbia Mo 65212
Graduation Year: 1993

Data Provided By:
William Carlton Schroer, MD
(314) 291-3399
12277 de Paul Dr Ste 305
Bridgeton, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1989

Data Provided By:
Gary Lester Singer, MD
12277 de Paul Dr
Bridgeton, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1970

Data Provided By:
Lawrence G Gaston, DDS
(314) 731-0470
5976 Howdershell Rd Ste 207
Hazelwood, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jacques Simon Van Ryn, MD
(314) 291-3399
12277 de Paul Dr Ste 305
Bridgeton, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1979

Data Provided By:
Dennis J Brady, DDS
(314) 739-3163
12139 Natural Bridge Rd
Bridgeton, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ronald Earl Palmer, MD
(309) 676-5546
12303 de Paul Dr
Bridgeton, MO
Gender
Male
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1975
Hospital
Hospital: St Francis Med Ctr, Peoria, Il
Group Practice: Orthopedic Institute Of Illinois

Data Provided By:
Dr.Jody Jachna
(314) 837-5555
1150 Graham Road #102
Florissant, MO
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

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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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