Tendinopathy Yakima WA

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Stephen P Roesler
(509) 454-6330
111 S 11th Ave
Yakima, WA
Specialty
Orthopedic Surgery

Data Provided By:
Raymond P Snyder
(509) 454-8888
1211 N 16th Ave
Yakima, WA
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
John Shandon Place, MD
(509) 454-8888
111 S 11th Ave
Yakima, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1965

Data Provided By:
Ray Lyon Foster, MD
(206) 935-5696
110 S 9th Ave
Yakima, WA
Specialties
Orthopedics, Physical Medicine And Rehabilitation
Gender
Male
Languages
Other
Education
Medical School: Univ Of Cape Town, Fac Of Med, Cape Town, So Africa
Graduation Year: 1959
Hospital
Hospital: Community Mem Hosp, Enumclaw, Wa; Providence Med Ctr, Seattle, Wa
Group Practice: New Start Healthcare

Data Provided By:
John J Hwang, MD
(509) 248-7184
1515 W Yakima Ave
Yakima, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1992

Data Provided By:
Chester S Mc Laughlin, MD
(509) 966-9592
622 S 36th Ave
Yakima, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1960

Data Provided By:
S Daniel Seltzer
(509) 966-9592
622 S 36th Ave
Yakima, WA
Specialty
Orthopedic Surgery

Data Provided By:
John W Adkison
(509) 454-8888
1211 N 16th Ave
Yakima, WA
Specialty
Hand Surgery

Data Provided By:
Todd Busse Orvald, MD
1515 W Yakima Ave
Yakima, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1971

Data Provided By:
Raymond John Palesch, MD
(509) 575-0444
213 S 11th Ave
Yakima, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1969

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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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