Tendinopathy Millsboro DE

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Charles Sentz Tjersland, DDS
(302) 856-3543
PO Box 1771
Millsboro, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ronald Caesar Sabbagh
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialty
Orthopedic Surgery

Data Provided By:
Ronald Caesar Sabbagh, MD
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1993

Data Provided By:
Edmund Thomas Carroll
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialty
Orthopedic Surgery

Data Provided By:
Wilson Choy, MD
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1990
Hospital
Hospital: Beebe Med Ctr, Lewes, De
Group Practice: Orthopaedic Associates

Data Provided By:
Dr.Wilson Choy
(302) 644-3311
17005 Old Orchard Road
Lewes, DE
Gender
M
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med
Year of Graduation: 1990
Speciality
Orthopedic Surgeon
General Information
Hospital: Beebe Med Ctr, Lewes, De
Accepting New Patients: Yes
RateMD Rating
4.2, out of 5 based on 4, reviews.

Data Provided By:
John Edward Spieker
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Paul Harriott
(302) 645-2805
701 Savannah Rd # B
Lewes, DE
Gender
M
Education
Medical School: Harvard Med Sch
Year of Graduation: 1995
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
David Sopa
(302) 645-4939
33718 Westcoats Rd
Lewes, DE
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Ronald Sabbagh
(302) 644-3311
17005 Old Orchard Road
Lewes, DE
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, 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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