Tendinopathy Pasco WA

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Arthur Thiel
(509) 586-2828
911 S Washington St
Kennewick, WA
Specialty
Hand Surgery

Data Provided By:
Arthur Edward Thiel, MD
(509) 586-2828
911 S Washington St Ste B
Kennewick, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1979

Data Provided By:
Heather Phipps
(509) 586-2828
911 S Washington St
Kennewick, WA
Specialty
Orthopedic Surgery

Data Provided By:
Christopher Kontogianis, MD
(509) 586-2828
911 S Washington St Ste B
Kennewick, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1987

Data Provided By:
Mark Palit
(509) 586-2828
911 S Washington St
Kennewick, WA
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Thomas Burgdorff
(509) 586-2828
911 S Washington St
Kennewick, WA
Specialty
Orthopedic Surgery

Data Provided By:
Robert Bruce Salisbury, MD
(562) 920-4321
5219 W Clearwater Ave Ste 6
Kennewick, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1963

Data Provided By:
Dr.DAVID FISCHER
(509) 586-2828
711 S Auburn St
Kennewick, WA
Gender
M
Education
Medical School: Loma Linda Univ Sch Of Med
Year of Graduation: 1977
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.5, out of 5 based on 1, reviews.

Data Provided By:
David Walther Fischer, MD
(509) 586-8686
711 S Auburn St Ste F
Kennewick, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1977

Data Provided By:
Thomas Raymond Burgdorff, MD
(509) 586-2828
911 S Washington St Ste B
Kennewick, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1974

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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