Tendinopathy Logan UT

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Tim B Belnap, DDS
(435) 752-7953
965 S 100 W Ste 100
Logan, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
F Robert Bryner, MD FACS
144 E 300 N
Logan, UT
Gender
Male
Education
Medical School: Utah
Graduation Year: 1960

Data Provided By:
Eric Hooley
(435) 716-2800
1300 N 500 E
Logan, UT
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Bryan C King
(435) 716-2800
1300 N 500 E
Logan, UT
Specialty
Orthopedic Surgery

Data Provided By:
Terry I Finlayson
(435) 787-2000
2310 N 400 E
Logan, UT
Specialty
Orthopedic Surgery

Data Provided By:
Myron Don Guymon, DDS
(435) 752-5991
191 N 200 E
Logan, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Paul Murray, MD
1300 N 500 E
Logan, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1987

Data Provided By:
Richard A St Onge
(435) 787-2000
2310 N 400 E
Logan, UT
Specialty
Hand Surgery

Data Provided By:
E Marlowe Goble, MD
(435) 797-3670
2380 North 400 East South
Logan, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1976

Data Provided By:
Brad J Larson
(435) 787-2000
2310 N 400 E
Logan, UT
Specialty
Orthopedic Surgery

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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