Tendinopathy Sedro Woolley WA

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Jennifer Gayle Bielas, DDS
(360) 854-0606
2261 Hospital Dr Ste 103
Sedro Woolley, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Scott Smith, MD
(360) 923-7000
16442 Country Club Dr
Burlington, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1976

Data Provided By:
Gary James Clancey
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialty
Orthopedic Surgery

Data Provided By:
Don Howard Bodley, MD
(360) 428-2500
1400 E Kincaid St
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1969

Data Provided By:
Jonathan B Shafer
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialty
Orthopedic Surgery

Data Provided By:
Joel Gardner, DDS
(360) 675-8640
651 SE Maylor St
Burlington, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kenneth Marshall Oates, MD
(360) 424-7041
1311 E Division St
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1990

Data Provided By:
Gary James Clancey, MD
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1973

Data Provided By:
Daniel M Hanesworth
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialty
Orthopedic Surgery

Data Provided By:
Leonard B Kolodychuk, MD
(360) 392-7734
217 S 13th St
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Alberta, Fac Of Med, Edmonton, Alb, Canada
Graduation Year: 1984
Hospital
Hospital: Island Hospital, Anacortes, Wa; Skagit Vly Hosp, Mount Vernon, Wa

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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