Tendinopathy Lahaina HI

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Douglas H West, MD FACS
(808) 665-0706
112 Pulelehua St
Lahaina, HI
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1975

Data Provided By:
Darren Egami, MD
Wailuku, HI
Specialty
Orthopaedic Sugeon

Data Provided By:
James A Ferrier
(808) 243-6000
80 Mahalani St
Wailuku, HI
Specialty
Orthopedic Surgery

Data Provided By:
John Michael Damerell, DDS
(808) 244-1499
1129 Lower Main St Ste 107
Wailuku, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Marvin Mitsuo Tanaka, DDS
(808) 242-9062
1703 Wili Pa Loop Ste 200
Wailuku, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jonothan L Miller
(808) 243-6000
80 Mahalani St
Wailuku, HI
Specialty
Orthopedic Surgery

Data Provided By:
William D Dixon
(808) 243-6000
80 Mahalani St
Wailuku, HI
Specialty
Orthopedic Surgery

Data Provided By:
William David Dixon, MD
(808) 243-6506
80 Mahalani St
Wailuku, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1975

Data Provided By:
James Arthur Ferrier, MD
(808) 243-6510
80 Mahalani St
Wailuku, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1989

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

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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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