Tendinopathy Johnstown PA

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Martin M Dudas, DMD
(814) 535-8321
538 Vine St
Johnstown, PA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Brian Earl Gunnlaugson, MD
(814) 539-7417
321 Main St Ste 3C
Johnstown, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mem Univ Of Newfoundland, Fac Of Med, St Johns, Nfld, Canada
Graduation Year: 1984
Hospital
Hospital: Upmc Lee Hosp, Johnstown, Pa; Conemaugh Mem Med Ctr, Johnstown, Pa
Group Practice: Upmc Lee Regional Care Ctrs

Data Provided By:
Vincent E Vena
(814) 255-6781
2 Celeste Dr
Johnstown, PA
Specialty
Orthopedic Surgery

Data Provided By:
James Michael Moses, MD
(814) 255-6781
2 Celeste Dr
Johnstown, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1970

Data Provided By:
Richard David Schroeder, MD
(814) 255-6781
2 Celeste Dr
Johnstown, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1981

Data Provided By:
William Chua Go Jr, MD
(814) 467-6653
609 Somerset St
Johnstown, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduation Year: 1968

Data Provided By:
Brian E Gunnlaugson
(814) 535-6521
321 Main St
Johnstown, PA
Specialty
Orthopedic Surgery

Data Provided By:
Ian Katz, MD
(814) 255-6781
2 Celeste Dr
Johnstown, PA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
George Hamilton Wheeling, MD FACS
(814) 535-6521
295 Beaver Ct
Johnstown, PA
Gender
Male
Education
Medical School: Pittsburgh
Graduation Year: 1961

Data Provided By:
Edward B Hill
(814) 535-1600
1111 Franklin St
Johnstown, PA
Specialty
Orthopedic Surgery

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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