Tendinopathy Norwich CT

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John Joseph Giacchetto, MD
(860) 889-1116
330 Washington St Ste 320
Norwich, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1983

Data Provided By:
Saml Pearce Browning III, MD
(860) 889-3844
5 Case St
Norwich, CT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1954
Hospital
Hospital: William W Backus Hosp, Norwich, Ct

Data Provided By:
Thomas C Cherry
(860) 887-2567
18 Oneco St
Norwich, CT
Specialty
Hand Surgery

Data Provided By:
Malcolm S Edgar, MD
(860) 889-7345
2 Clinic Dr
Norwich, CT
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
William Robert Cambridge, MD
(860) 886-8345
28 1/2 Case St
Norwich, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1980

Data Provided By:
William Anthony Wainright, MD
(860) 887-8800
1 Towne Park Plz
Norwich, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1974

Data Provided By:
Thomas J Masterson, MD
(860) 887-5310
Norwich, CT
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Christopher C Glenney, MD
Norwich, CT
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
John J Giacchetto
(860) 889-1116
330 Washington St
Norwich, CT
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth J Paonessa
(860) 889-7345
82 New Park Ave
North Franklin, CT
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

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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