Tendinopathy Hot Springs National Park AR

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Earl Mc Wherter, DDS
(501) 321-1239
1348 Central Ave
Hot Springs, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Carmella M Knoernschild, DDS
(501) 321-0560
1702 Malvern Ave
Hot Springs, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert J Olive, MD
(501) 321-2663
PO Box 22150
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1983

Data Provided By:
Robert Wayne Kleinhenz, MD
(501) 622-2391
221 McAuley Ct
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1974
Hospital
Hospital: Levi Hosp, Hot Springs, Ar; St Josephs Regional Health Ctr, Hot Springs, Ar; National Park Med Ctr, Hot Springs, Ar
Group Practice: Orthopaedic Associate-Hot Spgs

Data Provided By:
Harold J Koppel, DDS
(501) 525-3238
136 Files Rd
Hot Springs, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Allen Dale Kincheloe
(501) 624-4411
105 Reserve St
Hot Springs, AR
Specialty
Orthopedic Surgery

Data Provided By:
Allen Dale Kincheloe, MD
(501) 321-1000
PO Box 2220
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1970

Data Provided By:
Michael Joseph Young, MD
(501) 321-2663
PO Box 22150
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1987
Hospital
Hospital: Levi Hosp, Hot Springs, Ar
Group Practice: Orthopaedic Associate-Hot Spgs

Data Provided By:
Christopher Mitchell Young
(501) 321-2663
208 Mcauley Ct
Hot Springs, AR
Specialty
Orthopedic Surgery

Data Provided By:
James Kevin Rudder, MD
(501) 321-2663
208 McAuley Ct
Hot Springs, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1995

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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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