Tendinopathy Warwick RI

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Edward Akelman, MD
(401) 457-1500
2 Dudley St
Providence, RI
Business
University Orthopedics Inc
Specialties
Orthopedics

Data Provided By:
Norman A Kornwitz
(401) 738-3730
120 Centerville Rd
Warwick, RI
Specialty
Orthopedic Surgery

Data Provided By:
Vincent I Mac Andrew Jr, MD
(401) 737-1515
215 Toll Gate Rd
Warwick, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1984

Data Provided By:
Andrew Brian Vincent, MD
215 Toll Gate Rd
Warwick, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Otago, Med Sch, Dunedin, New Zealand
Graduation Year: 1989

Data Provided By:
Dr.Anthony Mechrefe
(401) 738-3730
120 Centerville Rd # 5
Warwick, RI
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 2, reviews.

Data Provided By:
Michael J Infantolino
(401) 739-9050
215 Toll Gate Rd
Warwick, RI
Specialty
Orthopedic Surgery

Data Provided By:
Vincent John Yakavonis, MD
(401) 738-3730
120 Centerville Rd
Warwick, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1977

Data Provided By:
Danny Edward Humbyrd, MD
(401) 739-9050
215 Toll Gate Rd
Warwick, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1978

Data Provided By:
William F Brennan
(401) 738-3730
120 Centerville Rd
Warwick, RI
Specialty
Orthopedic Surgery

Data Provided By:
William Francis Garrahan, MD
(401) 739-6100
215 Toll Gate Rd Ste 206
Warwick, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1955
Hospital
Hospital: Kent County Memorial Hospital, Warwick, Ri
Group Practice: William F Garrahan Inc

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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