Tendinopathy Madisonville KY

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Carol A Mccraw, DMD
(270) 825-0300
95 YMCA Dr
Madisonville, KY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Clarence A Temple
(270) 825-7470
200 Clinic Dr
Madisonville, KY
Specialty
Orthopedic Surgery

Data Provided By:
James Carpenter Dodds, MD
(270) 824-6617
Multicare Associates Bldg 444 S Main St
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1998

Data Provided By:
Joseph Eugene Mesa, MD
200 Clinic Dr Fl 2
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1975

Data Provided By:
James Carpenter Dodds
(270) 824-6655
44 Mccoy Avenue
Madisonville, KY
Specialty
Orthopedic Surgery

Data Provided By:
James Michael Donley, MD
(270) 824-6655
5002 Lago Dr
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1969

Data Provided By:
Jon Raymond Love, MD
(270) 825-7401
Trover Clnc 200 Clinic Dr
Madisonville, KY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1956

Data Provided By:
James A Wells, DMD
(270) 821-0123
1410 Pride Ave
Madisonville, KY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joseph E Mesa
(270) 825-7200
200 Clinic Dr
Madisonville, KY
Specialty
Orthopedic Surgery

Data Provided By:
James M Donley
(270) 824-6655
44 Mccoy Avenue
Madisonville, KY
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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