Tendinopathy Helena MT

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John D Michelotti
(406) 457-4100
2442 Winne Ave Ste 1
Helena, MT
Specialty
Orthopedic Surgery

Data Provided By:
Timothy C Ballweber, DDS
(406) 449-5576
905 Helena Ave
Helena, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Peter D Hanson
(406) 457-4100
2442 Winne Ave Ste 1
Helena, MT
Specialty
Orthopedic Surgery

Data Provided By:
Harris D Hanson, MD
(406) 442-4811
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1951

Data Provided By:
Peter Paul Wendt, MD
(406) 563-2727
1956 University St Helena
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wi Med Sch, Madison Wi 53706
Graduation Year: 1979

Data Provided By:
John David Michelotti, MD
(406) 457-4100
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1994

Data Provided By:
David Brent Heetderks, MD
(406) 442-4811
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1985

Data Provided By:
Mason Brooke Hunte, MD
(406) 442-4811
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Don Lewis Bishop, MD
(406) 442-6410
724 Monroe Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1963

Data Provided By:
Michael Thomas Hay, MD
2525 E Broadway St
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1999

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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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