Tendon Clinic


Starting with Tennis Elbow research in the 1970’s, Dr. Nirschl and his colleagues have established an international reputation in the diagnosis and treatment of tendon injuries. The common problems include:

  1. Lateral Tennis Elbow
  2. Medial Golfer’s Elbow
  3. Shoulder Rotator Cuff Tendinitis/Tendinosis/Bursitis
  4. Jumper’s  & Runner’s Knee (Patellar Tendonitis/Tendinosis)
  5. Achilles Tendinitis/Tendinosis
  6. Foot Plantar Fasciitis/Fasciosis
  7. Medial Ankle Posterior Tibial Tendinitis/Tendinosis
  8. Later Ankle Peroneus Brevis Tendinitis/Tendinosis

Non-Surgical Treatment concepts include:

  1. Pain control - possible treatments include:
    a. Anti-inflammatory medications and/or injections of cortisone & special Novocain 
    b. Physical therapy modalities such as electrical stimulation and dry needling
  2. Tendon Regeneration Strategies Such as: 
    a. Physical Therapy modalities plus controlled rehabilitation exercises (eccentric and concentric), 
    b. Not all therapy is the same (we have learned the best techniques through years of experience)
    c. PRP injections - possibly helpful (research has mixed results) 
  3. Control of overuse forces
    a. Exercise/sport technique modification
    b. Proper equipment
    c. Count’R Force bracing
    d. Modification of exercise/work intensity

Surgical concepts include:

  1. Mini-incision surgical removal of pain producing Tendinitis/Tendinosis tissue with enhancement of new blood supply – outpatient surgery with rapid function return
  2. Arthroscopy Techniques (especially for shoulder)
  3. Tenex Procedure –New technology (in office or out-patient procedure under local anesthesia). Micro tip simultaneously cuts and debrides diseased tendon through micro incision by high intensity ultrasound probe. This exciting technology is used by eye surgeons to remove cataracts and is now available for Tendinitis/Tendinosis, which fails to respond to non-surgical means. Very rapid return of function (2 to 6 weeks depending upon body party)

If your tendon problems persist in spite of other treatment attempts, give the physicians at Nirschl Orthopaedic Center a call. We are here to help.

Nirschl Orthopaedic Center is a leader in sports medicine and general orthopedic services. In addition Virginia Sportsmedicine Institute physical therapy has been rated one of the top sports medicine clinics in the area. If you have an orthopaedic injury, schedule an appointment with one of our doctors today. Visit our websites at nirschl.com and vasportsmedicine.com to learn more about our services. For more info on orthopaedic issues visit our blog at nirschlorthopaedic.com. Follow us on Twitter: @nirschlortho

Nirschl Orthopaedic Center for Sports Medicine & Joint Reconstruction
1715 N. George Mason Drive, Suite 504
Arlington, Virginia 22205

© Jane Voigt Tennis 2013