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What Are Common Treatment Options for Tendinopathy?

Sports medicine specialist and marathon runner, Allison Schroeder, MD, offers common treatment options for tendinopathy. Tendinopathy refers to a condition characterized by inflammation, degeneration, or microtears in a tendon, commonly affecting areas like the Achilles, patellar, or rotator cuff tendons. Treatment options for tendinopathy typically aim to alleviate symptoms, promote healing, and prevent further injury. Rest and modified activity are often the initial steps, allowing the affected tendon to recover. Physical therapy plays a crucial role, involving exercises to strengthen the surrounding muscles, improve flexibility, and correct biomechanical imbalances. Additionally, techniques such as eccentric loading exercises and eccentric strengthening may be employed. Pain management through nonsteroidal anti-inflammatory drugs (NSAIDs) or other prescribed medications can help control inflammation and discomfort. In more severe cases, interventions like corticosteroid injections may be considered, although their long-term efficacy is debated. Extracorporeal shockwave therapy (ESWT) and platelet-rich plasma (PRP) injections are emerging as alternative treatments, with the latter involving the injection of a patient's own concentrated platelets to stimulate healing. Surgical intervention is generally reserved for cases where conservative measures prove ineffective. Individualized treatment plans, often involving a combination of these approaches, are crucial for effectively managing tendinopathy. To learn more about sports medicine care at the UH Drusinsky Sports Medicine Institute: http://UHsports.org University Hospitals is one of the nation’s leading health care systems, providing patient-centered care that meets the highest standards for quality and patient safety and have received numerous awards and recognitions from some of the most prestigious institutions in the country for our leadership and exceptional patient outcomes. As an accountable care organization, we foster long-term patient-provider relationships that help promote preventive care, increase wellness and healthy behaviors, decrease emergency episodes, and prevent hospitalizations. To learn more: https://www.uhhospitals.org