Tendinopathy Spanish Fork UT

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Kendall J Barrowes, DDS
(801) 798-1994
82 E 900 N
Spanish Fork, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Brian F Trapnell, DDS
(801) 489-9475
225 E 400 S
Springville, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kirt Kimball, MD
Provo, UT
Specialty
Orthopaedic Sugeon

Data Provided By:
James Marden Broadbent, DDS
(801) 375-7088
777 N 500 W Ste 205
Provo, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jonathan R Faux
(801) 373-7350
1055 N 500 W
Provo, UT
Specialty
Orthopedic Surgery

Data Provided By:
John Robert Schouten, DDS
(801) 491-9372
378 E 400 S Ste 2
Springville, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Reid R Swenson, DDS
(801) 766-5500
680 E Main St # 201
Springville, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Lauren Dean Dalzen, DDS
(801) 375-3355
30 S 300 E
Provo, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jonathan Robert Faux, MD
(801) 224-5373
1055 N 500 W
Provo, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1997

Data Provided By:
Wayne W Mortensen, MD
(801) 377-1012
1134 N 500 W Ste 101
Provo, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1980

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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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