Tendinopathy Waterville ME

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Jose Antonio Ramirez, MD
(207) 873-6009
325E Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1982

Data Provided By:
James Fenwick Butler III, MD
325C Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1965

Data Provided By:
Vaughn Morgan Collett, MD
246 Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mem Univ Of Newfoundland, Fac Of Med, St Johns, Nfld, Canada
Graduation Year: 1993

Data Provided By:
Marc Steven Golden, DO
(207) 873-0200
246 Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-Sch Of Osteo Med, Stratford Nj 08084
Graduation Year: 1985

Data Provided By:
Robert C Hottentot, DO
(207) 465-3683
180 Kennedy Memorial Dr Ste 30
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ, Coll Of Osteo Med, East Lansing Mi 48824
Graduation Year: 1976

Data Provided By:
Andre Peter Edmonds, MD
(207) 873-3700
325D Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics, Trauma Surgery
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1976

Data Provided By:
Dr.Marc Golden
(207) 873-0200
246 Kennedy Memorial Drive #101
Waterville, ME
Gender
M
Education
Medical School: Umdnj-Sch Of Osteo Med
Year of Graduation: 1985
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.2, out of 5 based on 4, reviews.

Data Provided By:
Lisa Beth Sauer, MD
30 Chase Ave
Waterville, ME
Specialties
Orthopedics
Gender
Female
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1985

Data Provided By:
Catherine E Meikle, MD
(207) 873-1329
325D Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Female
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1984

Data Provided By:
Albert Joseph Pepe, MD
(207) 465-7436
69 County Rd
Oakland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1966

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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