Tendinopathy Keene NH

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Thomas Lacey, MD FACS
590 Court St
Keene, NH
Gender
Male
Education
Medical School: Rochester
Graduation Year: 1944

Data Provided By:
Mark B Silbey, MD
603-354-5454 x8408
590 Court St
Keene, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1985

Data Provided By:
Anthony H Presutti, MD
(603) 354-5482
580 Court St # 590
Keene, NH
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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Dr.Paul Bettinger
(603) 354-5454
590 Court Street
Keene, NH
Gender
M
Education
Medical School: Tufts Univ Sch Of Med
Year of Graduation: 1989
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

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Paul C Bettinger
(603) 354-5454
590 Court St
Keene, NH
Specialty
Hand Surgery

Data Provided By:
Paul C Bettinger, MD
603-354-5454 x3563
590 Court St
Keene, NH
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1989

Data Provided By:
Cherie A Holmes
(603) 354-5482
590 Court Street
Keene, NH
Specialty
Orthopedic Surgery

Data Provided By:
Anthony H Presutti
(603) 354-5482
590 Court St
Keene, NH
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Wade Hampton Penny
(603) 354-5454
590 Court St
Keene, NH
Specialty
Orthopedic Surgery

Data Provided By:
Harold Roger Hansen, MD
(603) 354-5400
Spofford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1969

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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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