Wednesday, June 1, 2011

Tendinitis and tendinopathy - Treatment

The goal of therapy is to reduce pain and reinstall the business.
Exercise is important in the prevention and treatmenttendinopatiei. Toning exercises show efficacy. Shock wave therapy which stimulates tenocitele to repair can be effective.These growth factors are used for several years to improvetreatment cure tendinitis. Nitric oxide applied by topicalnitroglycerin is an option. Sclerosing injections showsimprovement in the short term. Gene therapy promises theintroduction of anabolic factors and antianabolici. Have beendeveloped and reconstruction techniques to replace or repairdamaged tendons. Patients with symptoms resistant toconservative therapy often require arthroscopy or surgical treatment for decompression and tendon tenodezis.

Treatment options for tendinopathy include:
rest to lower-level activity, there is accurate recommendationsduring rest, patients must restrict their activities that cause pain
-ice is recommended for the first 24-48 hours
-NSAIDs, NSAIDs are effective in relieving pain, however,because most tendinopatiilor not inflammatory, it is unclear whether NSAIDs are more effective than other analgesics
splicing or immobilization for rotator tendonitis cape
-fortified and toning exercises are performed once the pain hasdecreased
Low-frequency ultrasound are not more effective than placebo
peritendinoase-injections with lidocaine and steroids are thetreatment options for patients with rest does not work, their effectiveness is still debated, co steroid injections should be avoided repeating any location that directly into the tendonbecause of the risk of breakage.

Complications of tendinitis include:
-chronic disability
tendon-rupture
-capsulated adhesive.
Patient's prognosis is good with conservative therapy.

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