Tendinopathy North Royalton OH

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Thomas F Bear, MD
(330) 929-9136
437 Portage Trl
Cuyahoga Falls, OH
Business
Crystal Clinic Orthopedic Surgery Cuyahoga Fa
Specialties
Orthopedics

Data Provided By:
D Philip Stickney, MD
(440) 746-1055
1 Eagle Valley Ct
Broadview Heights, OH
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert William De Shields, DDS
(440) 572-2777
18910 Westwood Dr
Cleveland, OH
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Brian P Radulovich, DDS
(440) 236-9215
13500 Pearl Rd
Strongsville, OH
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Abourauf Abiodun Afonja
(440) 816-5476
7255 Old Oak Blvd
Middleburg Hts, OH
Specialty
Orthopedic Surgery

Data Provided By:
Donald Philip Stickney
(440) 746-1055
1 Eagle Valley Ct
Broadview Hts, OH
Specialty
Orthopedic Surgery

Data Provided By:
Alan Hugh Wilde, MD
(216) 363-2205
8542 Windsor Way
Broadview Heights, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1959

Data Provided By:
Steven G Misencik, DDS
(440) 238-9006
16363 Pearl Rd
Strongsville, OH
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jeffrey S Weil, DDS
(440) 238-0770
13022 Pearl Rd
Strongsville, OH
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Daniel J Karns
(440) 842-1570
6115 Powers Blvd
Parma, OH
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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