Tendinopathy Laconia NH

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Shawn Paul Mills, MD
(603) 528-9100
14 Maple St
Gilford, NH
Specialties
Orthopedics, Emergency Medicine
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1993

Data Provided By:
Arnold R Miller, MD
(603) 524-5151
PO Box 637
Laconia, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ma Med Sch, Worcester Ma 01655
Graduation Year: 1980

Data Provided By:
Glenn S Lieberman
(603) 528-9100
14 Maple St
Gilford, NH
Specialty
Orthopedic Surgery

Data Provided By:
Kathleen M Robinson, MD
406 Court St
Laconia, NH
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Jeffrey A Clingman
(603) 528-9100
14 Maple St
Gilford, NH
Specialty
Hand Surgery

Data Provided By:
John Martin Grobman, MD
(603) 528-9100
14 Maple St Ste 100
Gilford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1980

Data Provided By:
Thomas W Rock
(603) 528-9100
14 Maple St
Gilford, NH
Specialty
Orthopedic Surgery

Data Provided By:
Gary Praed Francke, MD
(603) 528-9100
14 Maple St Ste 100
Gilford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1969

Data Provided By:
Glenn Stuart Lieberman, MD
(603) 528-9100
14 Maple St Ste 100
Gilford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1993

Data Provided By:
Kathleen M Robinson, MD FACS
406 Court St
Laconia, NH
Gender
Male
Education
Medical School: Mcgill
Graduation Year: 1945

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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