Tendinopathy Nashua NH

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Lance Robert Macey, MD
(603) 883-0091
17 Riverside St Ste 101
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1985

Data Provided By:
Dr.LANCE Macey
(603) 883-0091
17 Riverside St # 101
Nashua, NH
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

Data Provided By:
Susanne Zimmermann
(603) 577-4340
21 E Hollis St
Nashua, NH
Specialty
Orthopedic Surgery

Data Provided By:
Daniel P Bouvier
(603) 883-0091
17 Riverside St
Nashua, NH
Specialty
Orthopedic Surgery

Data Provided By:
Sean Charles lucas Frost
(603) 577-4340
21 E Hollis St
Nashua, NH
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

Data Provided By:
William Russell Price
(603) 883-0091
17 Riverside St
Nashua, NH
Specialty
Orthopedic Surgery

Data Provided By:
Ralph Robinson Wolf
(603) 889-1881
159 Kinsley Street
Nashua, NH
Specialty
Orthopedic Surgery

Data Provided By:
John Thomas Lynn II, MD
(603) 883-0091
17 Riverside St Ste 101
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1979

Data Provided By:
Ralph Robinson Wolf III, MD
(603) 889-1881
159 Kinsley St
Nashua, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1969

Data Provided By:
Lance R MacEy
(603) 883-0091
17 Riverside St
Nashua, NH
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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