Tendinopathy Red Lion PA

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Jeremy Mathis, DO
Dallastown, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ohio Univ, Coll Of Osteo Med, Athens Oh 45701
Graduation Year: 1999

Data Provided By:
Suzette Jimi Song, MD
(717) 848-4800
2339 S George St
York, PA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1993

Data Provided By:
Seth D Baublitz
(717) 846-7846
1779 5th Ave
York, PA
Specialty
Orthopedic Surgery

Data Provided By:
John C Sefter Jr, DO
(410) 337-7900
York, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Philadelphia Coll Of Osteo Med, Philadelphia Pa 19131
Graduation Year: 1986

Data Provided By:
Suzette J Song
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Steven J Triantafyllou, MD
(717) 848-4800
908 S George St
York, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Pa State Univ Coll Of Med, Hershey Pa 17033
Graduation Year: 1985

Data Provided By:
Brian Loren Bixler, MD
(717) 848-4800
2339 S George St
York, PA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Pa State Univ Coll Of Med, Hershey Pa 17033
Graduation Year: 1993

Data Provided By:
William Horace Ulmer
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialty
Orthopedic Surgery

Data Provided By:
Brian L Bixler
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialty
Orthopedic Surgery

Data Provided By:
Michael J Sicuranza
(717) 848-4800
1855 Powder Mill Rd
York, PA
Specialty
Orthopedic Surgery, Sports Medicine

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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