Shockwave, PRP, Tenex or Surgery? Choosing the Right Treatment for Tendinopathy

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Persistent tendinopathy can be difficult to treat, particularly when progressive loading and physical therapy aren’t enough.

In this Baptist Health Doc-to-Doc, Dr. Ronald Tolchin is joined by physical medicine and rehabilitation physician Dr. Raul Rosario-Concepcion and orthopedic surgeon Dr. William Davis to discuss how physicians can evaluate chronic tendon disease and determine when to escalate care.

They discuss:

 - Tendinopathy vs. tendonitis and why the distinction matters

- Progressive loading as the foundation of treatment

- Where shockwave therapy, Tenex and PRP fit

- The benefits and risks of steroid injections

- How ultrasound and MRI guide treatment decisions

- When surgery becomes the right next step

From Achilles and rotator cuff disease to tennis elbow and plantar fasciopathy, the conversation explores how to match the right treatment to the right patient.