Tendinopathy Kihei HI

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Tetsuto Numata, MD
(808) 871-0778
PO Box 1091
Kihei, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1979
Hospital
Hospital: Winchester Hospital, Winchester, Ma; Hallmark Health -Medford Lawr, Medford, Ma

Data Provided By:
C E Probst, MD
(808) 243-6510
17085 Haleakala Hwy
Kula, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1968

Data Provided By:
Robert S Harvey
(808) 871-8410
53 S Puunene Ave
Kahului, HI
Specialty
Orthopedic Surgery

Data Provided By:
Tetsuto Numata
(808) 871-0778
140 Hoohana St
Kahului, HI
Specialty
Orthopedic Surgery

Data Provided By:
Gary Iannitello
(808) 242-6464
2180 Main St
Wailuku, HI
Specialty
Orthopedic Surgery

Data Provided By:
Michael Siaw, MD
(931) 433-5501
1032 S Kihei Rd
Kihei, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1964

Data Provided By:
Charles Bedell, DDS
(808) 871-6576
Kahului Ofc Ctr Ste 312 140 Hoohana St
Kahului, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Peter Conmy, DDS
(808) 873-8199
285 W Kaahumanu Ave Ste 220
Kahului, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Dixon William
80 Mahalani Street
Wailuku, HI
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Gary Iannitello, MD
(808) 242-6464
2180 Main St
Wailuku, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1983

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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