Tendinopathy Somerville MA

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Brian J Awbrey MD
(617) 726-3808
151 Merrimac St
Boston, MA
Specialties
Orthopedics

Data Provided By:
Robert Ernst Miegel
(617) 491-6766
300 Mount Auburn St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
Samuel H Doppelt, MD
(617) 591-4294
1493 Cambridge St
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1973

Data Provided By:
Gerald Steinberg
(617) 665-1566
1493 Cambridge St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
William Lipman
(617) 591-4600
1493 Cambridge St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
Lawrence Ira Karlin, MD
(617) 355-6021
300 Longwood Ave
Boston, MA
Business
Children's Hospital Boston Orthopaedic Surger
Specialties
Orthopedics

Data Provided By:
James A Karlson, MD
(617) 738-8642
300 Mount Auburn St Ste 505
Cambridge, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1988

Data Provided By:
Leo Joseph Troy
(617) 491-6766
300 Mount Auburn St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
Mercedes D Von Deck
(617) 665-1566
1493 Cambridge St
Cambridge, MA
Specialty
Orthopedic Surgery

Data Provided By:
James Edward Phillips
(617) 491-6766
300 Mount Auburn St
Cambridge, MA
Specialty
Orthopedic Surgery

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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