Tendinopathy Portland ME

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John T Chance
(207) 828-2100
33 Sewall St
Portland, ME
Specialty
Hand Surgery

Data Provided By:
Dr.Stephen Barr
(207) 774-5113
1601 Congress Street
Portland, ME
Gender
M
Education
Medical School: Univ Of Ma Med Sch
Year of Graduation: 1991
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.9, out of 5 based on 4, reviews.

Data Provided By:
Nathan K Endres
(207) 828-2100
33 Sewall St
Portland, ME
Specialty
Orthopedic Surgery

Data Provided By:
Robert Carl Parisien, MD
(207) 774-5113
1601 Congress St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1999

Data Provided By:
Richard Reed Gramse
(207) 774-5113
1601 Congress St
Portland, ME
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery, Sports Medicine

Data Provided By:
Donald Peter Endrizzi, MD
(207) 828-2100
33 Sewall St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1982
Hospital
Hospital: Maine Med Ctr, Portland, Me
Group Practice: Hand Center

Data Provided By:
Sean T Hanley
(207) 774-5113
1601 Congress St
Portland, ME
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery, Sports Medicine

Data Provided By:
Peter E Guay
(207) 828-2100
33 Sewall St
Portland, ME
Specialty
Orthopedic Surgery

Data Provided By:
Raymond R White, MD
(207) 828-2100
33 Sewall St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1977
Hospital
Hospital: Mercy Hospital, Portland, Me; Maine Med Ctr, Portland, Me
Group Practice: Orthopedic Associates

Data Provided By:
James Donald Kuhn, MD
(207) 774-5113
1601 Congress St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1992

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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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