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:
Gary Iannitello
(808) 242-6464
2180 Main 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:
William D Dixon
(808) 243-6000
80 Mahalani St
Wailuku, HI
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Darren Egami
(808) 244-7199
2200 Main Street #300
Wailuku, HI
Gender
M
Education
Medical School: Univ Of Hi John A Burns Sch Of Med
Year of Graduation: 1993
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.6, out of 5 based on 5, reviews.

Data Provided By:
Darren Ken Egami, MD
(808) 244-7740
99 S Market St Ste 204
Wailuku, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Hi John A Burns Sch Of Med, Honolulu Hi 96822
Graduation Year: 1993

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:
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:
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.

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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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