Tendinopathy San Marcos TX

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Gerard M Pennington, MD
(512) 353-8661
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1983

Data Provided By:
Stephen Mark Norwood, MD
(512) 353-8661
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1982

Data Provided By:
William Chas Nemeth, MD
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1973

Data Provided By:
Craig Thomas Hatton, MD
(512) 301-5350
1305 Wonder World Dr Ste 100
San Marcos, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1982

Data Provided By:
Sandra H Gathany, DDS
(830) 620-7111
837 Landa St
New Braunfels, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Stanley Arch Ault, DDS
(512) 396-5151
217-C M Allen Pkwy
San Marcos, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kermit Nevaro Welch, DDS
(512) 396-8000
321 S L B J Dr
San Marcos, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Keith Baker
(512) 353-8658
1305 Wonder World Drive
San Marcos, TX
Specialty
Orthopedic Surgery

Data Provided By:
David W Starch
(830) 625-3481
705 Landa
New Braunfels, TX
Specialty
Orthopedic Surgery

Data Provided By:
Martin W Stratemann, DDS
(830) 625-4617
550 Comal Ave
New Braunfels, TX
Specialties
Orthodontics/Dentofacial Orthopedics

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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