Advanced Non-Surgical Treatment for Tendon Pain in Los Angeles

Painful tendons, whether from inflammation (tendonitis) or chronic degeneration (tendinopathy), can disrupt work, sports, and daily life for Los Angeles residents. Conditions like Tennis Elbow, Golfer’s Elbow, Achilles tendinopathy, and Patellar tendinopathy often respond poorly to rest alone. At Body and Mind Pain Center, Dr. Zev Nevo offers evidence-based, cutting-edge non-surgical solutions to promote healing and resolve persistent tendon pain.

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Understanding Tendon Pain:

Tendons connect muscles to bones. Overuse, injury, or degenerative changes can lead to pain, tenderness, swelling, and reduced function. Common areas affected include:

Our Integrative Approach to Tendon Pain:

Dr. Nevo provides comprehensive tendonitis treatment in Los Angeles:

  • Accurate Diagnosis: Physical exam, OMT assessment to identify biomechanical contributors, and diagnostic musculoskeletal ultrasound to visualize tendon structure and rule out tears.
  • Extracorporeal Shockwave Therapy (ESWT): A primary treatment modality, applying acoustic waves to stimulate healing, break down scar tissue, and reduce pain in chronic tendinopathies.
  • Regenerative Medicine (PRP): Injecting concentrated platelets (PRP injections Los Angeles) directly into the damaged tendon area using ultrasound guidance to accelerate natural repair processes.
  • Ultrasound-Guided Injections: Precise peritendinous injections (avoiding direct tendon injection with corticosteroids) or targeted injections for related bursitis.
  • OMT: Addressing underlying biomechanical issues contributing to tendon strain (e.g., wrist/elbow mechanics for epicondylitis, foot/ankle mechanics for Achilles).
  • Wellness Clinic Support: Guidance on appropriate therapeutic exercise (especially eccentric loading), activity modification, and nutritional support for tissue health.

Patient Empowerment & Goals:

Our goal is to resolve your tendon pain, restore strength and function, address underlying causes to prevent recurrence, and get you back to your activities.

The Body and Mind Pain Center Difference:

Benefit from Dr. Nevo’s expertise in utilizing advanced modalities like ESWT and ultrasound-guided PRP for tendon injuries in Los Angeles. Our integrated approach combines these with OMT and rehabilitation within an evidence-based, patient-centered, fiduciary care framework, often supported by our Wellness Clinic, for optimal outcomes.

Frequently Asked Questions:

What is the difference between tendonitis and tendinopathy?

“Tendonitis” implies acute inflammation, which is actually less common in persistent tendon pain. “Tendinopathy” or “tendinosis” better describes the chronic condition, involving degeneration and disorganized healing of the tendon fibers, rather than active inflammation. Our treatments target this degenerative process.

How does Shockwave Therapy (ESWT) work for tendons?

ESWT delivers focused acoustic energy pulses to the damaged tendon. This creates a controlled micro-trauma that stimulates increased blood flow, activates healing cells (like fibroblasts), helps break down scar tissue or calcifications, and desensitizes pain nerves, effectively restarting the body’s natural healing cascade.

Is PRP effective for chronic tendon pain like Tennis Elbow?

Yes, numerous evidence-based studies show that ultrasound-guided PRP injections are an effective treatment for many chronic tendinopathies, including Tennis Elbow, Golfer’s Elbow, Patellar Tendinopathy, and Achilles Tendinopathy. It uses your own concentrated growth factors to promote tissue regeneration and provide lasting relief for many Los Angeles patients.

Why avoid steroid injections directly into tendons?

While corticosteroids reduce inflammation effectively, injecting them directly into the substance of a tendon may potentially weaken the tendon’s structure over time and could increase the risk of future rupture. Dr. Nevo prefers using regenerative options or, if steroids are needed for severe inflammation, injecting precisely around the tendon sheath using ultrasound guidance.

What exercises help specific tendon problems?

Therapeutic exercise is essential. For many tendinopathies, eccentric exercises (which involve slowly lengthening the muscle-tendon unit against resistance) have shown particular benefit in remodeling the tendon. Dr. Nevo or our Wellness Clinic provides specific exercise prescriptions tailored to your condition and current capacity.

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