{"id":2608,"date":"2012-03-19T05:20:44","date_gmt":"2012-03-19T04:20:44","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bjsm\/?p=2608"},"modified":"2012-03-19T05:25:09","modified_gmt":"2012-03-19T04:25:09","slug":"shining-a-light-on-tendinopathy-expensive-treatments-vs-established-therapies","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bjsm\/2012\/03\/19\/shining-a-light-on-tendinopathy-expensive-treatments-vs-established-therapies\/","title":{"rendered":"Shining a light on tendinopathy: expensive treatments vs established therapies"},"content":{"rendered":"

By Dr. Bert Fields<\/h2>\n

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Photo of Daniela Hantuchova by Sasho<\/figcaption><\/figure>\n

As a busy sports medicine physician I see an increasing number of patients pursuing unproven and often expensive treatments before they have tried established therapies with stronger evidence.\u00a0 One example of this is a recent patient who saw advertising for a cold laser that they purchased from an internet site. The patient showed no progress with his tennis elbow until we saw him in the office and gave him a series of eccentric exercises and other standard treatment which quickly started a reversal of his problem.<\/span><\/p>\n

In my opinion marketing and news stories which exaggerate the benefits of unproven therapies are leading patients to make bad choices.<\/strong><\/span>\u00a0 Particularly for tendon injuries, patients are purchasing unproven devices or seeking injections with substances like platelet rich plasma or stem cells before they have done any established treatment.<\/span><\/p>\n

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Related BJSM Articles<\/strong><\/p>\n

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A van der Plas,\u00a0S de Jonge, \u00a0R J de Vos,\u00a0H J L van der Heide,\u00a0J A N Verhaar,\u00a0A Weir, \u00a0J L Tol. 2011.\u00a0A 5-year follow-up study of Alfredson’s heel-drop exercise programme in chronic midportion Achilles\u00a0tendinopathy.\u00a0<\/strong>Br J Sports Med<\/abbr>\u00a02012;46:214-218\u00a0Published Online First:\u00a010 November\u00a02011. <\/em>(FREE ONLINE!)<\/a><\/p>\n

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R J de Vos,\u00a0A Weir,\u00a0J L Tol,\u00a0J A N Verhaar,\u00a0H Weinans,\u00a0H T M van Schie. 2011.\u00a0No effects of PRP on ultrasonographic tendon structure and neovascularisation in chronic midportion Achilles\u00a0tendinopathy.\u00a0<\/strong>Br J Sports Med<\/abbr>\u00a02011;45:387-392\u00a0Published Online First:\u00a03 November 2010<\/cite><\/em><\/a><\/p>\n

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J L Cook, \u00a0C R Purdam. 2009.\u00a0Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy.<\/strong> Br J Sports Med<\/abbr>\u00a02009;43:409-416.<\/em>\u00a0(OVER 12, 000 VIEWS!)<\/a><\/p>\n<\/div>\n

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Bert Fields, MD<\/strong> is a professor for the UNC School of Medicine and directs the sports medicine fellowship at Cone Health system in Greensboro, NC.\u00a0 He is a past president of AMSSM.<\/p>\n","protected":false},"excerpt":{"rendered":"

By Dr. Bert Fields   As a busy sports medicine physician I see an increasing number of patients pursuing unproven and often expensive treatments before they have tried established therapies with stronger evidence.\u00a0 One example of this is a recent patient who saw advertising for a cold laser that they purchased from an internet site. […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[173,1,188,187],"tags":[1319],"class_list":["post-2608","post","type-post","status-publish","format-standard","hentry","category-debates","category-uncategorized","category-guest-posts","category-hot-topic","tag-tendinopathy"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/2608","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/comments?post=2608"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/2608\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/media?parent=2608"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/categories?post=2608"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/tags?post=2608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}