Tendinopathy Kirkland WA

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Ronald Gregush, MD
Kirkland, WA
Specialty
Orthopaedic Sugeon

Data Provided By:
Edward R North
(425) 823-4244
12911 120th Ave Ne
Kirkland, WA
Specialty
Hand Surgery

Data Provided By:
Gregory John Norling, MD
(425) 823-4000
13125 121st Way North East South
Kirkland, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1975

Data Provided By:
Richard Loren Angelo
(425) 823-4000
12911 120th Ave Ne
Kirkland, WA
Specialty
Orthopedic Surgery

Data Provided By:
Paul L Lund, DDS
(425) 821-7171
13106 120th Ave NE
Kirkland, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.STEVEN REED
(425) 823-4244
12911 120th Ave NE # H10
Kirkland, WA
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:
Dr.DAVID BADGER
(425) 820-1221
12707 120th Avenue Northeast #203
Kirkland, WA
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 1, reviews.

Data Provided By:
Timothy Hayes Massey, MD
11821 NE 128th St
Kirkland, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1981

Data Provided By:
Bruce Arthur Rolfe, MD
(425) 823-8282
12303 NE 130th Ln Ste 320
Kirkland, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1984

Data Provided By:
Matthew Christian Oseto
(425) 899-6060
12303 Ne 130th Ln Ste 220
Kirkland, WA
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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