Tendinopathy Prattville AL

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Steven Allen Barrington, MD
(334) 274-9000
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1985

Data Provided By:
Charles Wayne Hartzog Jr, MD
(334) 274-9000
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1991

Data Provided By:
Thomas George Wells, MD
(334) 263-3944
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1969
Hospital
Hospital: Jackson Hosp & Clinic, Montgomery, Al
Group Practice: Alabama Orthopaedic Specs

Data Provided By:
James R Ramey, MD
(334) 280-3456
7859 Hobbie Rd
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1967

Data Provided By:
Stephen William Samelson, MD
(334) 613-9000
PO Box 250450
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1992

Data Provided By:
Donald Davis Thornbury, MD
(334) 274-9000
PO Box 235003
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1978
Hospital
Hospital: Jackson Hosp & Clinic, Montgomery, Al
Group Practice: Alabama Orthopaedic Specs

Data Provided By:
Timothy A Holt, MD
(334) 396-1886
PO Box 231509
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Meharry Med Coll Sch Of Med, Nashville Tn 37208
Graduation Year: 1985

Data Provided By:
Christopher P Piller, MD
(334) 953-7825
Bldg 760 300 S Twinning St
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1994

Data Provided By:
James R Ramey III, MD
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Louisville Sch Of Med, Louisville Ky 40202
Graduation Year: 1967

Data Provided By:
Wilburn Anthony Smith, MD
(334) 281-6363
2023 Normandie Dr
Montgomery, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1974
Hospital
Hospital: Baptist Med Ctr, Montgomery, Al; Nazareth Hospital, Philadelphia, Pa
Group Practice: Montgomery Internist

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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