Tendinopathy Santa Fe NM

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Gerald S Greene, MD
(505) 982-4995
250 E Alameda St Apt 337
Santa Fe, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Jules S Shapiro, MD
(505) 982-2288
Santa Fe, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
George Culver Abrams, DMD
(505) 983-6461
401 E Palace Ave
Santa Fe, NM
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robin Sann Gossum
(505) 424-0200
1631 Hospital Dr
Santa Fe, NM
Specialty
Orthopedic Surgery

Data Provided By:
Steven Weiner
(505) 982-5014
1630 Hospital Dr
Santa Fe, NM
Specialty
Orthopedic Surgery

Data Provided By:
William Andrew Schackel, DDS
(505) 983-5000
318 Grant Ave
Santa Fe, NM
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Clifford G Vernick, MD FACS
540 E Alameda St
Santa Fe, NM
Gender
Male
Education
Medical School: Tufts
Graduation Year: 1954

Data Provided By:
William K Jones
(505) 983-6226
2801 Rodeo Rd
Santa Fe, NM
Specialty
Orthopedic Surgery

Data Provided By:
Oren Henry Ellis
(505) 424-0578
1631 Hospital Dr
Santa Fe, NM
Specialty
Orthopedic Surgery

Data Provided By:
James Richard Buchanan, MD
(505) 983-2857
51 Cibola Cir
Santa Fe, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1968

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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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