Tendinopathy Lake Oswego OR

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John Wallace Thompson
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialty
Orthopedic Surgery

Data Provided By:
Douglas John Klein, DDS
(503) 636-8491
601 1st St
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Raymond Marble, MD
16869 65th Ave PMB 507
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1967

Data Provided By:
Steven W Black, DDS
(503) 524-0524
14795 SW Murray Scholls # 119
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jon Carper Vessely, MD
(503) 636-3130
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1963

Data Provided By:
Marilyn Louise Yodlowski
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialty
Orthopedic Surgery

Data Provided By:
Dale Van Rhoney, DDS
(503) 635-9371
440 A Ave
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Terry G Dischinger, DDS
(503) 635-4439
3943 Douglas Way
Lake Oswego, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Robert Loch, MD
(503) 203-2096
Lake Oswego, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1976

Data Provided By:
Wayne Kaesche
(503) 635-1604
16001 Quarry Rd
Lake Oswego, OR
Specialty
Orthopedic Surgery

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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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