Tendinopathy Lewiston ID

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Timothy Joseph Flock
(208) 743-3523
320 Warner Dr
Lewiston, ID
Specialty
Foot & Ankle Surgery

Data Provided By:
Orie E Kaltenbaugh
(208) 746-2132
307 Saint Johns Way
Lewiston, ID
Specialty
Orthopedic Surgery

Data Provided By:
Bret B Christensen, DDS
(208) 798-4427
77 Southway Ave Ste D
Lewiston, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Timothy Joseph Flock, MD
(208) 743-4256
320 Warner Dr
Lewiston, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1985

Data Provided By:
Regan Bennett Hansen, MD
(208) 743-3523
320 Warner Dr
Lewiston, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1994

Data Provided By:
Robert William Allen, DDS
(208) 746-0479
3326 4th St Ste 6A
Lewiston, ID
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert C Colburn, MD
(208) 743-3523
320 Warner Dr
Lewiston, ID
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Steven Randolph Boyea, MD
(208) 743-3523
320 Warner Dr
Lewiston, ID
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1990

Data Provided By:
Peter Wade Beall, MD
(208) 743-3523
320 Warner Dr
Lewiston, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1971

Data Provided By:
Ned Richard Schroeder, MD
(208) 743-3523
320 Warner Dr
Lewiston, ID
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1970

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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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