Tendinopathy Woodbridge VA

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Edward G Alexander Jr., MD
(703) 461-7100
4801 Kenmore Ave
Alexandria, VA
Business
Northern Virginia Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
Frederick Gerson Stern, DDS
(703) 494-9119
2200 Opitz Blvd Ste 370
Woodbridge, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Richard Lee Layfield III, MD
(952) 746-2529
2280 Opitz Blvd Ste 260
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduation Year: 1997

Data Provided By:
Jahan Joubin, MD
(703) 425-0225
2296 Opitz Blvd
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Shiraz Univ Of Med Sci, Shiraz, Iran
Graduation Year: 1965

Data Provided By:
Linda T Kirilenko
(703) 576-1419
14450 Smoketown Rd
Woodbridge, VA
Specialty
Hand Surgery

Data Provided By:
Ghassem Abolghasem Nejad, MD
(703) 494-3180
2020B Opitz Blvd
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Teheran Univ, Fac Of Med, Teheran, Iran
Graduation Year: 1961

Data Provided By:
Kenneth Gerard Ward, MD
(703) 491-2262
2010 Opitz Blvd Ste C
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1973

Data Provided By:
Ghassem A Nejad
(703) 690-2970
2020 Optiz Blvd
Woodbridge, VA
Specialty
Orthopedic Surgery

Data Provided By:
John Walter Mann III, MD
(703) 497-1234
14573 Potomac Mills Rd
Woodbridge, VA
Specialties
Orthopedics
Gender
Male
Languages
German
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1987

Data Provided By:
Norman S Levy, DDS
(703) 469-6649
12662 Lake Ridge Dr Ste A
Woodbridge, VA
Specialties
Orthodontics/Dentofacial Orthopedics

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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