Tendinopathy Treatment Adjuncts
Introduction[edit | edit source]
On this page we are going to look at the different types of treatment in adjunct to exercises / rehabilitation . We will explain each method with a summary of each treatment and like to some more evidence.
Extracoropreal Shockwave Therapy (ESWT)[edit | edit source]
ESWT is a method which has conflicting evidence for and against the use. ESWT is when high energy acustic pressure waves are delivered to the affected area. This is done through a probe that touches the skin similar to an ultrasound head. The evidence for use is only recommended in certain chronic/degenerative tendons with the idea that this treatment can reverse the degerative process and take the tendon back into the acute stage to stimulate the healing process again.
There are a couple of drawback with this treatment, that the treatment itself can be painful but also the machine is very costly.
Have a futher look into the research here:
- A systematic review for shockwave therapies in soft tissue conditions: focusing on the evidence
- Extracorporeal shockwave therapy for patella tendinopathy: A review of the litrature
- ESWT in the management of patella tendinopathy
- The effectiveness of extracorporeal shockwave therapy in lower limb tendinopathy: A systematic review
Glyceryl Trintrate (GTN)[edit | edit source]
Tropical glyceryl trinitrate (GTN) has been used in the past to treat tendinopathy. The theory behind the use of GTN is that it stimulates healing within the tendon by increasing the amount of nitric oxide. It is said to induce the reaction of fibroblast proliferation, collegen synthesis and cotraction of collagen lattices.[1] There is some conflict in the research with the use of GTN and as with all research; further research needs to be done to withdraw conclusion. But you can read some of the articles here:
- Tropical glyceryl trinitrate treatment of chronic patella tendinopathy; A randomised, double blinded placebo-controlled clinical trial
- 50 Recalcitrant Achilles Tendinopathy Treated With Exercise And Glyceryl Trinitrate: A Case Report
- Randomised, double-blind, placebo-controlled clinical trial of a new topical glyceryl trinitrate patch for chronic lateral epicondylosis
- ↑ Paoloni JAI, Appleyard RC, Murrell GA. Topical glyceryl trinitrate treatment of chronic noninsertional achilles tendinopathy. A randomized, double-blinded placebo-controlled trial. Jounral of Bone and Joint Surgery 2004;916-22-86-A(5)
