Tendinopathy Oskaloosa IA

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Michael Jos Parks, MD
(517) 437-5399
610 N 12th St Ste B
Oskaloosa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1976

Data Provided By:
Sreedhar Somisetty, MD
410 N 12th St
Oskaloosa, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Osmania Med Coll, Univ Hlth Sci, Vijayawada, Hyderabad, Ap, India
Graduation Year: 1990

Data Provided By:
Dr. Kenneth Van Wyk
Van Wyk Chiropractic Center
(641) 628-3511
911 Washington St
Pella, IA
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Geriatric care,Leg pain,Lower back pain,Migraine headaches,Neck pain,Neuropathy conditions,Sports injuries,Upper back pain,Whiplash
Treatments
Acupuncture,Chiropractic adjustment,Chiropractic care,DiathermyMyofascialDecompression,Natural healing,Spinal manipulation,Ultrasound
Proffesional Affiliation
Iowa Chiropractic Society (ICS),American Chiropractic Association (ACA)

Gerald W Howe, MD
(501) 922-9571
1913 Ridgeway Dr
Iowa City, IA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Martin S Rosenfeld
(515) 247-8400
411 Laurel St
Des Moines, IA
Specialty
Orthopedic Surgery

Data Provided By:
Sreedhar Somisetty
(641) 672-3360
410 N 12th St
Oskaloosa, IA
Specialty
Orthopedic Surgery

Data Provided By:
Daniel Wayne Vande Lune, MD
(641) 621-1390
404 Jefferson St Ste L122B
Pella, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1991
Hospital
Hospital: Mahaska County Hosp, Oskaloosa, Ia
Group Practice: Iowa Orthopedics Ctr

Data Provided By:
Dr. Russell VanHemert
Van Hemert Health Partners P.C.
(641) 628-2099
1310 Washington Street
Pella, IA
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Leg pain,Lower back pain,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation

Robert Graham Gitchell, MD
(515) 239-4475
PO Box 3014
Ames, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1967

Data Provided By:
Lisa Michelle Coester
(319) 398-1500
600 7th St Se
Cedar Rapids, IA
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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