Tendinopathy Russellville AR

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Theeradej Honghiran, MD
(479) 968-3200
PO Box 9276
Russellville, AR
Specialties
Orthopedics
Gender
Male
Languages
Thai
Education
Medical School: Chiang Mai Univ, Fac Of Med, Chiang Mai, Thailand
Graduation Year: 1965
Hospital
Hospital: St Marys Hosp, Russellville, Ar; Johnson Reg Med Ctr, Clarksville, Ar
Group Practice: Orthopaedic Clinic & Sports

Data Provided By:
Owen Lincoln Kelly, MD
(479) 890-9292
PO Box 1146
Russellville, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1998

Data Provided By:
Russell Bryan Allison, MD
(479) 890-9292
1605 W Main St
Russellville, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1993

Data Provided By:
Owen L Kelly
(479) 890-9292
1605 W Main St
Russellville, AR
Specialty
Orthopedic Surgery

Data Provided By:
Russell Bryan Allison, MD
(479) 890-9292
1605 W Main St
Russellville, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1993

Data Provided By:
Mark David Helms, DDS
(479) 968-3966
2621 W Main St # 2
Russellville, AR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Leo Garrison II, MD
(479) 890-9292
PO Box 1146
Russellville, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1997

Data Provided By:
Russell B Allison
(479) 890-9292
1605 W Main St
Russellville, AR
Specialty
Orthopedic Surgery

Data Provided By:
William B Brown
(479) 890-2663
3016 W Main St
Russellville, AR
Specialty
Orthopedic Surgery

Data Provided By:
William Bruce Brown, MD
(479) 890-2663
3016 W Main St
Russellville, AR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ar Coll Of Med, Little Rock Ar 72205
Graduation Year: 1985
Hospital
Hospital: St Marys Hosp, Russellville, Ar; Dardanelle Hosp, Dardanelle, Ar
Group Practice: Arkansas Orthopaedic Ctr

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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